HHI Healthcare Acquired Infections (HAI) - Session 2: Epidemiology and Surveillance: HHI Quiz

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* 1. Date of Course:

Date

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* 2. Name of Instructor:

A. Kris Mastrangelo, OTR/L, LNHA, MBA, HHI President and CEO

B. Joyce Sadewicz, PT, RAC-CT, HHI Senior Vice President of Field Operations

C. Pam Duchene, PhD, APRN-BC, NEA, FACHE, HHI Senior VP of Education and Training

D. Kathy Monahan, OTR/L, HHI Senior Executive Consultant

E. Other

Other (please specify)

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* 3. Attendee Demographics:

Name *

Title *

Discipline and License Number *

Address

City / Town *

State / Province *

Zip / Postal Code *

Facility Name and Parent Company

Email Address *

Phone Number *

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* 4. In investigating an outbreak or reviewing a pattern of disease, which of the following would NOT be considered:

a. Health related states or events such as environmental factors

b. Number of persons exposed

c. Behaviors related to well-being

d. All illnesses in a population

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* 5. The point prevalence of residents treated with an antibiotic is determined through which of the following equations?

a. Number of residents with an infection/number of residents treated with an antibiotic x 100

b. Number of residents receiving an antibiotic/number of residents with an infection x 100

c. Number of residents receiving an antibiotic/number of residents in the facility on that day x 100

d. Number of residents in the facility/number of residents with an infection x 100

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* 6. Epidemiology is a study investing the distribution and determinants of health-related states or events. Which of the following characteristics would be considered in looking at an outbreak of a respiratory infection in a nursing home?

a. Frequency and pattern of cases in the nursing home

b. Patient satisfaction with hand hygiene practices of the staff

c. Number of traveler staff in the nursing home

d. Visitor policies and practices in the nursing home

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* 7. A key principle in reviewing an outbreak or pattern of disease is:

a. Clostridium difficile develops from spores in the colon

b. Antibiotic stewardship is critical to reducing the incidence of Clostridium difficile

c. Lactobacillus can replace the good bacteria following treatment with antibiotics

d. Illness does not occur randomly in a population

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* 8. In review of an outbreak in a specific population, one should consider which of the following?

a. The exposure or source that caused the illness

b. How many other persons may have been exposed

c. Potential for future spread of the illness to others

d. All of the above

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* 9. For which of the following situations would you expect the CDC to initiate a full outbreak investigation?

a. Two residents with healthcare acquired pneumonia sharing the same room

b. Six deaths in three states linked with severe gastroenteritis

c. Six nursing homes report patients with healthcare acquired pressure injuries

d. Deaths due to falls in individuals over 65 has increased by 55% since 1970

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* 10. Gastroenteritis increased in New Orleans following September 2021. The likely cause, following investigation may have been:

a. High cost of gas prices so that residents needed to go to Mississippi for gas

b. Inability to get ice for their mint julep drinks

c. Power outage and eating spoiled food following Hurricane Ida

d. Lack of antibiotics to treat diarrhea

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* 11. Investigating outbreaks can be an expensive and arduous task. The reasons for justifying the expense and work of the investigation do NOT include which the following?

a. Control or prevention of a health problem

b. Opportunity to learn

c. Public, political or legal concerns

d. Curiosity

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* 12. Following an extensive performance improvement on reducing catheter associated urinary tract infections, the QAPI committee reviews the process control chart. Which of the following is a sign that the performance improvement initiative is working to decrease the risk of catheter associated urinary tract infections?

a. The rate of CAUTI per 1000 foley days decreased below the mean (center line)

b. The upper and lower control limits have narrowed and the trend line has dropped

c. The standard deviation is higher in number

d. There are more dots above the line than below it

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* 13. Which of the following initiatives might the QAPI committee use for a surveillance of infection prevention performance?

a. Healthcare acquired urinary tract infections

b. Medication errors

c. COVID + cases in the region

d. Workforce shortages and call out rates for staff