NR-503 Epidemiology Final Test
Questions and Complete Solutions
Graded A+
Cultural Awareness - Answer: :Self-examination of one's own prejudices and biases toward other
cultures. An in-depth exploration of one's own cultural/ethnic background.
Cultural competence in nursing consists of four principles. - Answer: Care is designed for the specific
client.
Care is based on the uniqueness of the person's culture and includes cultural norms and values.
Care includes self-employment strategies to facilitate client decision making to improve health
behaviors.
Care is provided with sensitivity and is based on the cultural uniqueness of clients.
The APN may also use the Kleinman Explanatory Model of Illness (1978). Below are the questions that
can be utilized. - Answer: What do you call your problem?
What do you think caused your problem?
Why do you think it started when it did?
What does your sickness do to you?
What do you fear most about your sickness?
What are the chief problems your sickness has caused you?
What kind of treatment do you think you should receive?
What is the most important result you hope to receive from the treatment?
According to Giger and Davidhizer (2000), although cultures differ, they all have the same basic
organizing factors that must be assessed in order to provide care for culturally diverse patients. These
factors include - Answer: communication (verbal and nonverbal);
personal space;
social organization;
time perception;
,environmental control; and
biological variations.
The NCCC uses four major approaches to fulfill its mission, including - Answer: Web-based technical
assistance, (2) knowledge development and dissemination, (3) supporting a community of learners, and
(4) collaboration and partnerships with diverse groups.
Genetics - Answer: The study of individual genes and their impact on relatively rare single gene disorders
Absolute risk - Answer: is the probability of an event, such as illness, injury, or death. Gives no indication
of how its magnitude compares with others
The odds ratio - Answer: closely approximates the relative risk if the disease is rare.
Odds ratio and the relative risk are used - Answer: to assess the strength of association between risk
factor and outcome.
How is Attributible risk used - Answer: is used to make risk-based decisions for individuals.
Population-attributable risk measures - Answer: are used to form public health decisions
EGAPP: - Answer: Evaluation of Genomic Applications in Practice and Prevention
GAPPNet - Answer: Genomic Applications in Practice and Prevention Network (established in 2009) is a
collaborative initiative involving partners from across the public health sector working together to
realize the promise of genomics in health care and disease prevention.
GEDDI - Answer: Genetics Early Disease Detection Intervention project (GEDDI) (established in 2009)
developed a model strategy for using clinical, genetic, and family history information to reduce the risk
of disease, death, and disability in affected individuals, family members, and populations.
, HuGENet - Answer: Human Genome Epidemiology Network (HuGENet) (established in 1998) helps
translate genetic research findings into opportunities for preventive medicines and public health by
advancing the synthesis, interpretation, and dissemination of population-based data on human genetic
variation in health and disease. HuGENet reviews are systematic, peer-reviewed synopses of the
epidemiologic aspects of human genes, including prevalence of allelic variants in different populations,
population-based information on disease risk, evidence for gene-environment interaction and
quantitative data on genetic tests and services carried out according to specific guidelines.
NHANES III - Answer: DC's Office of Public Health Genomics (established in 2002) formed a
multidisciplinary working group with members from across CDC. It developed a proposal to measure the
prevalence of selected genetic variants of public health significance in a representative sample of the
U.S. population and to examine the association between the selected genetic variants and disease
outcomes available in NHANES III data.
The World Health Organization defines a pandemic - Answer: as a global epidemic that spreads to more
than one continent (WHO, 2009). One of the more recent pandemics that you might be familiar with is
the H1N1 influenza outbreak of 2009.
Outbreak - Answer: the occurrence of disease within persons in excess of what would normally be
expected in a clearly defined community, location, or time of year. An outbreak may only last for a
matter of days or weeks, but may last for years
Quarantine - Answer: the separation and restriction of the movement of people who were or are
exposed to a contagious disease for a set period of time, to see whether they become ill
Antigenic drift - Answer: is a term describing the changes that occur within virus's ribonucleic acid that
changes the virus. Typically, these changes create seasonal changes or new strains of a virus
WHO Pandemic Phases - Answer: Phase 1—None of the current viruses circulating in animals have been
reported to cause infection in humans.
Phase 2—An animal-based influenza virus is known to have caused infection in humans and is
considered a potential pandemic threat.
Phase 3—An animal- or human-animal-based virus has caused some clusters of cases in people, but has
not caused human-to-human transmission that is significant enough to cause community-level
outbreaks.
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