Question 1

A patient who is planning international travel to a developing country asks the provider about vaccinations. Which is true about pretravel vaccines?&#10;A) Country-specific guidelines are provided by individual embassies.&#10;B) Malaria vaccine is the most important vaccine for worldwide travel.&#10;C) Requirements should be reviewed at least 4 to 6 weeks prior to travel.&#10;D) There are at least five required vaccines for entry into certain countries.

Accepted Answer

Pretravel vaccine requirements may change frequently, so it is important to review the requirements at least 4 to 6 weeks prior to travel to ensure adequate protection. A and D are incorrect as embassies may provide some information, but the Centers for Disease Control and Prevention (CDC) is the primary source for pretravel vaccine guidelines, and there are not typically five required vaccines for entry into certain countries. B is incorrect as there is currently no malaria vaccine available, although preventative measures such as antimalarial medications and mosquito bite prevention are important for those traveling to areas with malaria.

Question 2

What is a goal of the Healthy People initiative?&#10;A) To increase a patient's quality of life&#10;B) To create physical environments that promote proper health&#10;C) To achieve health equality by eliminating disparities&#10;D) To provide free health care to those unable to pay for care&#10;E) To promote healthy behaviors across all life stages

Accepted Answer

The goal of the Healthy People initiative is to achieve health equality by eliminating disparities. This means that the initiative aims to ensure that all individuals have an equal opportunity to achieve good health regardless of their race, ethnicity, socioeconomic status, geographic location, or other factors. The other options may be related to promoting overall health and wellness, but they do not directly align with the specific goal of the Healthy People initiative.

Question 3

An international traveler plans to travel to Kenya in sub-Saharan Africa. Which is an important disease precaution for this person?&#10;A) Carrying chloroquine to take as needed&#10;B) Starting prophylactic doxycycline before travel&#10;C) Taking precautions against Chikungunya fever&#10;D) Understanding how Ebola virus is transmitted

Accepted Answer

Starting prophylactic doxycycline before travel is a recommended precaution for travelers to Kenya to prevent malaria, which is prevalent in the region. Chloroquine is no longer recommended due to high levels of resistance. Chikungunya fever is also present in Kenya, but there is no vaccine or specific prophylaxis for it. Although Ebola virus outbreaks have occurred in neighboring countries, there have been no confirmed cases in Kenya in recent years.

Deck 16: Wellness: an Integrated Perspective