A nurse manager in a public health clinic is reviewing the charts of five recent clients.
The nurse manager should identify which of the following clients as having conditions that require national notification? Select all that apply.
Client 1
Client 2
Client 3
Client 4
Client 5
Correct Answer : B,D,E
A. Client 1, diagnosed with streptococcus pyogenes, commonly known as strep throat, is not typically a nationally notifiable condition unless it is part of an outbreak or has other public health implications or causes streptococcal toxic shock syndrome.
B. Elevated blood lead levels are reportable to local health departments due to the severe health risks, especially in children. Lead poisoning is a nationally notifiable noninfectious condition.
C. Herpes zoster (shingles) is not a nationally notifiable condition. It is a reactivation of the varicella-zoster virus, which causes chickenpox, but does not typically require reporting unless there is a significant outbreak or other public health concern.
D. Tuberculosis (TB) is a notifiable disease. The client's symptoms, positive Mantoux test, and travel history are indicative of active TB, which requires reporting to public health authorities for proper tracking and management.
E. Chlamydia is a reportable sexually transmitted infection (STI). Positive tests need to be reported to ensure public health measures can be taken to prevent the spread and provide treatment to affected individuals.
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Related Questions
Correct Answer is A
Explanation
A. In a health maintenance organization (HMO), providers typically receive a fixed sum (capitation) for each client enrolled, regardless of the services provided.
B. Billing the client directly for services rendered is more typical of fee-for-service or cost-sharing arrangements.
C. This option describes a cost-sharing model where the client pays a portion of the service costs, common in some insurance plans but not HMOs.
D. Fee-for-service insurance involves providers billing for each service provided, not typical in HMOs where payments are typically fixed.
Correct Answer is C
Explanation
A. The local Red Cross chapter typically handles emergency and disaster relief, not the reporting of infectious diseases.
B. The hospital infection control department may collect data on infectious diseases but does not directly report to the CDC.
C. The state health department is responsible for collecting and voluntarily reporting cases of Lyme disease and other reportable diseases to the Centers for Disease Control and Prevention (CDC).
D. The Office of the Surgeon General focuses on public health initiatives and education, not the direct reporting of specific disease cases.
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