exam 2 Flashcards

(71 cards)

1
Q

Latent period

A

time delay between exposure and onset of contagiousness

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2
Q

incubation period

A

time delay between exposure and onset of disease S/S

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3
Q

communicable period

A

Contagious time, when person to person trasnmission is possible

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4
Q

Sporadic dz

A

dz that occurs occasionally in a population

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5
Q

endemic dz

A

dz constantly present in a population

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6
Q

epidemic dz

A

dz beyond normal expected rates in a community

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7
Q

Who spreads the dz?

A

index case, primary, secondary, and tertiary case

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8
Q

index case

A

first case identified in a population

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9
Q

primary case

A

person that brings the infection into a population

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10
Q

chain of infection (6)

A

pathogen, reservoir, susceptible host, mode of transmission, portal of entry and exit

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11
Q

Reservoirs

A

continual or potential sources of infection

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12
Q

A carrier state

A

colonization without apparent dz but can often spread the dz

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13
Q

Five routes of transmission

A

direct/indirect contact, droplet, airborne, common vehicle, and vectorborne

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14
Q

examples of droplet transmission

A

influenza, pertussis, and meningococcal meningitits

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15
Q

Examples of airborne transmission

A

measles, chicken pox, TB, and smallpox

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16
Q

two common vectorborne dz

A

Lyme dz and rocky mountain spotted fever

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17
Q

Which vector are we most concerned with?

A

tics

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18
Q

most common tic infection

A

Lyme dz

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19
Q

When and where does lyme dz occur most often

A

in the Summer, in wisconsin and minnesota

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20
Q

Where is rocky mountain spotted fever found

A

In the southeast, oklahoma, kansas, and missouri

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21
Q

Three parts of the epidemiologic triad

A

host, agent, and environment

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22
Q

environment for E. coli

A

undercooked hamburgers

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23
Q

Clostridium botulinum enivornment

A

In soil, foodstuff grown in soil, and improperly canned foods

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24
Q

Malaria environment

A

Parasite via mosquito vector

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25
Isolation
separation of ill persons from those who are healthy
26
Quarantine
separation of current healthy people who have been exposed
27
When quarantining, what period do they want the pt to be in?
typically the incubation period
28
Two types of passive immunity
Vertical, from mother to infant. And passive immunization via IVIG
29
What percentage of people need to be immune for herd immunity to work?
85-95%
30
Three routes to become a forensic nurse
continuing education courses, certificate programs, and grad nursing academic programs
31
What is the easiest thing to change?
knowledge
32
what is the hardest thing to change?
Behavior
33
Three education principles
Nature of learning, educational process, and skills of effective educators
34
three domains of learning
cognitive (thinking), affective (feeling), and psychomotor (acting)
35
Six components of the cognitive domain
knowledge, comprehension, application, analysis, synthesis, and evaluation
36
What three conditions must be met for the psychomotor domain to work
necessary ability, sensory image, and opportunities to practice
37
goals vs objectives
goals are long-term expected outcomes. Objectives are specific, short-term criteria
38
OARS
open minded questions, affirmation, reflections, and summary
39
Motivational Interviewing
Used to help encourage people about change.
40
family household
A householder and at least one member related by birth, marraige, or adoption
41
nonfamily household
someone living alone, or householder living with a nonrelative
42
Cohabitation
a couple living together who are having a sexual relationship but not married
43
What type of people account for largest household growth
people who are living alone
44
5 types of home visiting programs
population focused, transitional, home based primary care, home health, and hospice/palliative
45
Home based primary care
Offers alternative to receiving services in clinics, community centers, or physician offices
46
Home health care is primarily focused on what level of prevention
Tertiary prevention
47
How do home visits first start
Always start with clarifying the referral
48
Ecomap
Diagram that shows the family unit in relation to subsets in the community
49
Family action plan
Used in designing family interventions by listing the 5 top things needed to be done to solve the problem
50
Secondary prevention for infection
notification, diagnosis, investigation, and quarantine
51
tertiary prevention for infection
treatment and maintenance
52
humans are reservoirs for what
AIDS/ gonorrhea
53
animals are reservoirs for what
rabies and lyme disease
54
Nonliving (soil and water) are reservoirs for what
tetanus and legionnaires
55
how does droplet transmission enter the body
lands on mucous membranes of eyes, nose, mouth, or hands
56
Are people vectors?
NO
57
botulism hosts
humans, cattle, horses, and waterfowl
58
Malaria hosts
humans, birds, bats, reptiles, and mammals
59
where do forensic nurses typically work?
In the emergency department
60
Secondary prevention for forensic nursing
Care to victims and perpetrators and collection of evidence
61
last straw for homelessness
family problems
62
three categories of health risks for a family
biological/age related, environmental, and behavioral risks
63
which home visiting model is based on tertiary prevention?
Home health
64
Home health helps what two groups of people?
Pt discharged from hospital that needs more care and people with chronic illness
65
four types of hospice providers
home health agencies, hospital-based, skilled nursing facility, and freestanding
66
Four essential stages of MI
engaging, empathetic listening, guiding, and planning
67
example of a sporadic dz
Travelers dz such as typhoid fever and malaria
68
example of an endemic dz
Can be seasonal (influenza), varicella, plague
69
how can you eliminate a reservoir?
Vaccinating, spraying mosquitos, and cleaning water supplies
70
Most common ways to decrease contact transmission
Gloves and handwashing
71
shigella
vectorborne transmission via the feet of flies