Author Question: A nurse wanted a screening test that was very sensitive in determining who might have a particular ... (Read 28 times)

Sportsfan2111 · **on:** Jul 8, 2018

A nurse wanted a screening test that was very sensitive in determining who might have a particular illness. What might be a problem with using such a sensitive test? (Select all that apply.)

a. Many persons have true negative test results.
b. Persons who test negative are able to celebrate their healthy state.
c. Persons who do not have the illness are told that they might, which leads to anxiety, as well as time and cost of follow-up diagnostic tests.
d. Such a test may have lower specificity, so some persons with the disease are told they are disease free and hence do not receive care.
e. There is no problem; it is best to use the most sensitive screening test available.
f.
Persons who have the disease are notified and receive treatment.

Question 2

Which of the following from vital statistics records is useful to community health nurses? (Select all that apply.)

a. Relatively early age of death may suggest a new pathogen in the community
b. Divorce rate, suggesting whether children will need additional services
c. Documentation of the mortality and morbidity of the local community
d. Indication of whether the total population is growing or declining
e. Records of occurrence of congenital malformations
f.
Stability of marriages, making family structure become obvious

AaaA · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

ANS: C, D
The problem with very sensitive tests is that the test picks up almost all people with the disease but also many others who do not have the disease. These false positives result in persons needing follow-up diagnostic tests. Additional time, effort, and expense, as well as worry, result until the negative test results are obtained. There is no problem with persons receiving true negative test results and celebrating that knowledge or with persons having their condition correctly diagnosed and treated.

Answer to Question 2

ANS: C, D, E
Vital statistics record births, marriages, divorce, adoptions, and deaths in the community. Useful information would include conditions of birth, such as congenital malformations from the birth records. Death records suggest local mortality and morbidity trends. Overall growth or decline in the community's population can be seen.