The community health nurse is conducting a health screening of an immigrant family. Which finding is an indication of the need for T-Spot testing instead of Mantoux TST testing?

Correct Answer: A

Rationale: The correct answer is A: Prior vaccination with BCG. The rationale is that BCG vaccination can cause false-positive results in Mantoux TST testing due to cross-reactivity with the tuberculin protein. T-Spot testing, which is based on measuring T-cell response to TB antigens, is not affected by BCG vaccination. Summary of incorrect choices: B: Family member who is 10 years of age - Age is not a determining factor in choosing between T-Spot and Mantoux testing. C: Symptoms of night sweats, fevers, chills, and hemoptysis - These symptoms suggest active TB and would require further evaluation, not a choice between T-Spot and Mantoux testing. D: A negative chest X-ray and negative sputum testing for MTB - These results indicate absence of active TB but do not guide the choice between T-Spot and Mantoux testing.

Correct Answer: B

Rationale: Rationale: The correct answer is B because as a nurse epidemiologist, the nurse's primary role is to evaluate the number of clients presenting with similar diseases. This involves analyzing data, identifying trends, and patterns to help prevent and control the spread of diseases within a population. This activity aligns with the core responsibilities of a nurse epidemiologist in monitoring and managing public health issues. Summary of Incorrect Choices: A: Eliciting health history is typically done by nurses in direct patient care roles, not specifically by nurse epidemiologists. C: Performing physical examinations is more in line with clinical nursing practice rather than epidemiological analysis. D: The option is incomplete and irrelevant to the role of a nurse epidemiologist.

Correct Answer: A

Rationale: Rationale: 1. Choice A summarizes the findings by stating that 1000 out of 10,000 young women tested positive for an STI between 2010-2015. 2. Choice B focuses on the proportion of gonorrhea cases only, which is not the main point of the question. 3. Since C and D are incomplete, they do not provide any relevant information about the findings. Therefore, choice A is correct as it accurately summarizes the main finding of the STI prevalence among young women at the university.

Correct Answer: C

Rationale: The correct term to describe the data is "prevalence" because it refers to the proportion of individuals in a population who have a particular condition at a specific point in time. In this case, the prevalence of STI among young women aged 17 to 20 at the university health center is 600 out of 8000. A. "An epidemic" is incorrect because it refers to the widespread occurrence of an infectious disease in a community at a particular time. B. "Incidence" is incorrect because it refers to the rate of new cases of a disease within a specified time period, not the total number of existing cases. D. "Risk" is incorrect because it refers to the probability of an individual developing a disease based on certain factors, not the actual number of cases present in a population.

Correct Answer: B

Rationale: The correct answer is B: Infant mortality rate. This statistic is used to compare the success of health care systems as it reflects the number of deaths of infants under one year old per 1,000 live births. A lower infant mortality rate indicates better access to healthcare and overall health outcomes. A: Attack rate is used to measure the frequency of new cases of a disease in a population during a specific time period, not specific to healthcare system comparison. C: Proportionate mortality ratio is a measure of the proportion of deaths from a specific cause compared to all deaths, not specifically for comparing healthcare systems. D: Cause-specific mortality rate measures the number of deaths from a specific cause in a population, which is not comprehensive enough to evaluate overall healthcare system success.