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MANDATING HPV VACCINATION: What Are the Arguments?

doi: 10.1097/01.CNJ.0000314583.74158.3c
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CE TEST QUESTIONS

General Purpose

To provide the registered professional nurse with an overview of the controversy between Gardisil as a cancer prevention vaccine versus Gardisil providing a safe sex message for young girls.

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Learning Objectives

After reading this article and taking the test, the reader will:

  1. Explain the action and efficacy of the HPV vaccine, Gardisil.
  2. List the controversial arguments for and against the HPV vaccine mandate.

1. All of the following statements regarding human papillomavirus (HPV) are trueexcept /i>that

a. it is the most common sexually transmitted illness.

b. 6.2 million cases are diagnosed each year.

c. HPV is a symptomatic infection.

d. 50% of sexually active people will get HPV.

2. Which statement about HPV is most accurate?

a. HPV is curable.

b. Unresolved HPV infection can change the cells of the cervix.

c. Condoms always prevent the spread of infection.

d. HPV is only spread through vaginal sex.

3. What type of cancers can HPV subtypes 16 and 18 cause?

a. penile

b. vulvular

c. head and neck

d. cervical

4. What type of cancers can HPV subtypes 6 and 11 cause?

a. genital warts

b. cervical cancer

c. anal cancer

d. penile cancer

5. Which statement regarding the HPV vaccine Gardasil is least accurate?

a. targets subtypes 6,11,16,18

b. given as IM injection

c. recommended for use in pregnancy

d. common side effect is pain at injection site

6. Studies show that after 3 years the Gardisil vaccine is

a. 100% effective.

b. 96% effective.

c. not effective.

d. 50% effective.

7. How old should a girl be to received Gardisil based on the recommendations of the American Cancer Society (ACS) and Advisory Committee on Immunization Practices (ACIP)?

a. 11

b. 9

c. 13

d. 19

8. At what age is it recommended that Gardisil vaccine should be given as a routine vaccination to girls?

a. 11–12

b. 13–18

c. 19–16

d. 7–9

9. Which organization in addition to the Christian ministry, Focus on Family, opposes the mandate of HPV vaccination with respect to the violation of parental rights?

a. Concerned Women for America (CWFA)

b. Advisory Committee on Immunization Practices (ACIP)

c. American Cancer Society (ACS)

d. American College of Pediatrics (ACP)

10. According to Saslow et al., studies indicate that the availability of the HPV vaccine will

a. promote sexual activity.

b. not promote sexual activity.

c. promote coercive sexual activity.

d. have no effect on sexual activity.

11. Data indicating Gardisil safety shows that the majority of adverse effects are pain or swelling at the injection site and

a. Guillian Barre Syndrome.

b. death.

c. fever.

d. no immunity.

12. To support the argument for mandating the HPV vaccine, what is the mode of transmission of the virus compared to?

a. measles

b. varicella

c. pertussis

d. hepatitis B

13. Which group is the HPV vaccine currently recommended for?

a. boys

b. women over age 26

c. females up through age 26

d. women over age 60

14. Many groups do not support mandating HPV vaccination but do support all except

a. universal availability.

b. a cautious approach to mandated use.

c. further research on Gardisil.

d. violation of parental rights.

15. HPV vaccine is received at a reduced cost or is free when recommended by which of the following organizations?

a. American Cancer Society (ACS)

b. Advisory Committee on Immunization Practices (ACIP)

c. Concerned Women for America (CWFA)

d. Center for Disease Control (CDC)

16. Research suggests that better immunity with Gardisil occurs when treatment is given at what age?

a. 16–26

b. 60 or older

c. 7 to 9

d. 9–15

17. The concern for mandating HPV vaccine is centered around the arguments pertaining to promiscuity and

a. expense.

b. prevention.

c. parental rights.

d. safety.

18. Nurses can promote the use of HPV vaccine in all of the following waysexcept

a. encourage parental discussions.

b. promote family relationships.

c. promote vaccine for safe sex.

d. promote vaccine as cancer prevention.

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