NURS 432 Test Bank – Exam Questions & Answers, Updated Study Guide

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Chapter 06: Environmental Health
Stanhope: Public Health Nursing: Population-Centered Health Care in the
Community,10th Edition

MULTIPLE
CHOICE
 A nurse fulfills the environmental health competency of “assessment and referral.”
Which of the following actions has the nurse most likely completed? a.
Advocating for public policy changes
b. Understanding policy framework and major pieces of
legislation c. Completing an environmental health history
d. Describing the scientific principles about environmental health




ANS: C
Assessment and referral states that all nurses should be able to successfully
complete an environmental health history, recognize the potential environmental
hazards and sentinel illnesses, and make appropriate referrals for conditions with
probable environmental causes. Advocating for public policy changes is part of
advocacy. Understanding policy framework and legislation is part of legislation
and regulation. Describing the scientific principles of environmental health is
part of basic knowledge and concepts.


DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection
Control


 How have nurses historically learned to identify a possible relationship between

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environmental chemical exposures and their potential harm? a. Extrapolation by
toxicologists
b. Biomonitoring
c. Completing chemistry courses
d. Observing signs and symptoms in clients




ANS: D
Nurses have historically made discoveries related to chemical exposure when
people presented with signs and symptoms related to known chemical toxicity.
Extrapolation by toxicologists and biomonitoring are modern methods.
Completing a chemistry course does not show how to identify these possible
relationships.


DIF: Cognitive level: Understanding TOP: Nursing process:
Assessment MSC: NCLEX: Safe and Effective Care Environment: Safety
and Infection Control


 What term is used to refer to the basic science applied to understanding the
health effects associated with chemical exposures? a. Toxicology
b. Pharmacology

c. Chemistry

d. Environmental epidemiology




ANS: A
Toxicology is the study of the health effects associated with chemical exposures.
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Pharmacology is the branch of medicine concerned with the multiple aspects of
drugs. Chemistry is the branch of science with deals with the way that matter is
composed.
Environmental epidemiology is concerned with the discovery of environmental
exposures
that cause or protect against illness or disease.


DIF: Cognitive level: Remembering TOP: Nursing process:
Assessment MSC: NCLEX: Safe and Effective Care Environment:
Safety and Infection Control


 What statement accurately describes the characteristics of epidemiology?
a. It is a science that studies the poisonous effects of chemicals.
b. It explains the association between learning disabilities and exposure to
lead-based paint at the cellular level.
c. It helps nurses understand the strength of the association between
exposure and health effects.
d. It is a method for tracking the prevalence of health outcomes.




ANS: C
Epidemiology studies the incidence and prevalence of disease, helping nurses
understand the strength of the association between exposure and health effects.
Toxicology is the science that studies the poisonous effects of chemicals.
Environmental surveillance provides data with which to track and analyze the
incidence and prevalence of health outcomes.
Epidemiology does not examine causes at the cellular level.

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DIF: Cognitive level: Remembering TOP: Nursing process: Assessment
MSC: NCLEX: Safe and Effective Care Environment: Management of
Care


 When researching pesticides, the nurse looks at the “family” of the chemical.
What similarities are found among chemicals that have been placed in the same
family? a. Route of entry into the body
b. Actions and associated risks
c. Effects that they have on the body
d. Potency and toxicity




ANS: B
Chemicals are grouped so it’s possible to understand the actions and risks
associated with each group. Although some common health risks exist within
these families of chemicals, the possible health risks for each chemical should
be evaluated individually when a potential human exposure exists.




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