A public health nurse is working with a community HIV task force and providing outreach for a high-risk community group. The public health nurse has received a positive HIV test result for one of the community members and successfully linked the individual to care. The public health nurse should identify that which of the following is true about this community member's diagnosis?
The nurse should review the state laws to determine if and how this information should be shared with the National Notifiable Disease Surveillance System.
The nurse should recognize this diagnosis as an indication that the outreach program is not successful.
Outside the healthcare team, the nurse should keep this diagnosis confidential.
The Correct Answer is A
Choice A Reason:
The nurse should review the state laws to determine if and how this information should be shared with the National Notifiable Disease Surveillance System. This is the correct answer because HIV is a notifiable disease, meaning that cases must be reported to public health authorities to monitor and control the spread of the infection. Each state has specific laws and regulations regarding the reporting of notifiable diseases, and it is crucial for the nurse to be aware of these requirements to ensure compliance and public health safety.
Choice B Reason:
The nurse should recognize this diagnosis as an indication that the outreach program is not successful. This statement is incorrect. A positive diagnosis does not necessarily mean that the outreach program is unsuccessful. On the contrary, identifying and linking individuals to care is a key objective of such programs. The success of the program can be measured by its ability to reach high-risk individuals, provide testing, and ensure they receive appropriate care and support.
Choice C Reason:
Outside the healthcare team, the nurse should keep this diagnosis confidential. While confidentiality is critical in healthcare, the reporting of notifiable diseases like HIV is an exception due to public health concerns. The nurse must balance confidentiality with the legal obligation to report the diagnosis to public health authorities. This ensures that appropriate measures can be taken to prevent further transmission and provide necessary public health interventions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A Reason:
The need for social support to abstain from smoking is an important factor in tobacco cessation. Social support can significantly influence an individual's ability to quit smoking by providing encouragement and accountability. However, according to the Health Belief Model, the focus is more on perceived benefits and barriers, perceived severity, and perceived susceptibility. While social support is crucial, it is not the primary focus of the Health Belief Model in this context.
Choice B Reason:
The benefits of not smoking when engaging in sports and other activities is a key aspect of the Health Belief Model. This model emphasizes the importance of perceived benefits in motivating behavior change. Highlighting the positive outcomes of not smoking, such as improved athletic performance and better overall health, can effectively encourage high school students to avoid tobacco use. This approach aligns with the model's focus on perceived benefits as a motivator for behavior change.
Choice C Reason:
The school's no smoking policy is an important regulatory measure to prevent tobacco use among students. However, the Health Belief Model focuses more on individual perceptions and motivations rather than institutional policies. While the policy is essential for creating a smoke-free environment, it does not directly address the personal beliefs and attitudes that the Health Belief Model targets.
Choice D Reason:
The local town ordinance regarding smoking bans in certain public spaces is another regulatory approach to control tobacco use. Similar to the school's no smoking policy, this ordinance is important for public health but does not align directly with the Health Belief Model. The model is more concerned with individual perceptions of risk and benefit, rather than external regulations.
Correct Answer is B
Explanation
Choice A: "True Positives are Represented in the Table Cell that Indicates the Person Does Not Have the Disease and the Test Indicates Disease."
This statement is incorrect. In a two-by-two table used to evaluate diagnostic tests, the cell representing true positives is where both the test result and the actual disease status are positive. This cell indicates that the test correctly identified individuals who have the disease. The statement here describes a false positive, where the test indicates disease, but the person does not actually have it.
Choice B: "True Positives are Represented in the Table Cell that Indicates the Person Has the Disease and the Test Indicates the Person Has the Disease."
This statement is correct. True positives are indeed represented in the cell where both the test result and the actual disease status are positive. This means the test has correctly identified individuals who have the disease. This cell is crucial for calculating the sensitivity of the test, which measures the proportion of actual positives correctly identified by the test.
Choice C: "True Positives are Represented in the Table Cell that Indicates the Person Has the Disease and the Test Does Not Indicate Disease."
This statement describes a false negative, where the person has the disease, but the test fails to detect it. This cell is used to calculate the test's sensitivity, but it does not represent true positives. False negatives are critical to understand because they indicate cases where the test missed the disease.
Choice D: "True Positives are Represented in the Table Cell that Indicates the Person Does Not Have the Disease and the Test Does Not Indicate Disease."
This statement describes true negatives, where the test correctly identifies individuals who do not have the disease. While true negatives are important for calculating the specificity of the test, they do not represent true positives. Specificity measures the proportion of actual negatives correctly identified by the test.
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