This quiz covers the essentials of health screening and referral processes, focusing on secondary prevention, the nature of screening results, and practical scenarios in community health settings.
A sigmoidoscopy is expensive to perform and invasive.
Can you find adequate privacy for a sigmoidoscopy?
What a great idea. Would you like to help arrange it?
Would you like to administer that test for the screening?
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Ask the gentleman if he has health insurance.
Call a local ambulance.
Follow up with previously determined emergency plans.
Check the reliability of the findings.
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If the test result is positive, it may be assumed that the disease is present.
The test results lead to recognition of symptoms.
The tests detect previously unrecognized signs and symptoms.
Because screening test results have less than 100% accuracy, referral for further tests is necessary.
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Escort the woman to the next screening station and then prepare to test the blood glucose level of the next client.
Explain the blood glucose reading to the woman and ask whether she has a primary care provider.
Fill out the form, giving the results accurately for the health departments records.
Hand the woman culturally appropriate literature on diabetes and the dangers of lack of treatment.
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Accurate in its conclusion.
Capable of being administered in a quiet area.
Equally effective with both children and adults.
Inexpensive and easy to perform.
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Perform a case finding.
Follow the American Heart Association guidelines.
Give care to all members of the family, regardless of reimbursement.
Involve the family in the care.
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Case finding
Community service
Multiphasic screening
Unreimbursed care
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The higher the sensitivity, the higher the specificity.
The higher the sensitivity, the lower the specificity.
The higher the specificity, the higher the sensitivity.
The more sensitive a test is, the more specific it becomes.
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Obesity
Smoking
Sun exposure
Second-hand smoke
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It is accessible to most of the residents of the community, it is large and has several restrooms, and it is centrally located.
Most residents of the neighborhood either do or should attend the church.
I am a member of that church and could reserve the site without charge.
The church is community serviceoriented, and hosting the screening met its mission.
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Persons who do not have the disease
Persons who have the disease
Persons with symptoms of the disease
Persons who now have a diagnosis of the disease
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Persons who do not have the disease
Persons who have the disease
Persons who need follow-up in relation to the disease
Persons who were unaware that they had the disease
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Sensitivity.
Validity
Reliability.
Specificity.
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The client does not have the disease.
The client has the disease and needs immediate treatment.
The client has a laboratory finding confirming disease.
The client will need further testing and follow-up.
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When the public health department receives additional grant funding.
When the residents of the neighborhood request free screenings.
When the community/public health nurse has extra time.
When the community hospital stops offering screenings.
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Absenteeism caused by illness at the local factory decreased.
Morbidity statistics related to heart disease decreased over the next year.
The incidence and prevalence of hypertension fell precipitously.
The incidence and prevalence of hypertension rose precipitously.
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It distinguishes between populations at high risk for disease from those at low risk for disease.
It identifies patients who may need intervention.
It diagnoses many easily treated diseases.
It promotes health and well-being.
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A screening program is not a substitute for ongoing health supervision from a health care provider.
All test results are only tentative, and so participants who receive negative test results may nonetheless be suffering from a disease.
Results are true today, but disease can develop any time, so participants should attend any future health fairs as well.
There are many other diseases that may be attacking participants that the health fair did not screen for, and so continued vigilance is necessary.
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Asking whether program goals were adequately met
Determining whether more people sought follow-up care after the screening
Determining the number of people who attended and were screened
Measuring whether the incidence of disease changed
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