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RADED A+ NEW UPDATE 10TH EDITION
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Chapter 06: Environmental Health k k k
Stanhope: Public Health Nursing: Population- k k k k
Centered Health Care in the Community,10th Edition
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MULTIPLE CHOI k
CE
• A nurse fulfills the environmental health competency of “assessment and referral.”
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Which of thefollowing actions has the nurse most likely completed? a. Advocating f
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or public policy changes
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b. Understanding policy framework and major pieces of leg
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islation k
c. Completing an environmental health history
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d. Describing the scientific principles about environmental health
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ANS: C k
Assessment and referral states that all nurses should be able to successfully compl
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ete an environmental health history, recognize the potential environmental hazard
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s and sentinel illnesses, and make appropriate referrals for conditions with probabl
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e environmental causes.Advocating for public policy changes is part of advocacy.
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Understanding policy frameworkand legislation is part of legislation and regulatio
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n. Describing the scientific principles of environmental health is part of basic kno
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wledge and concepts. k k
DIF: Cognitive level: Analyzing
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TOP: Nursing process: Implementation MSC: N
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CLEX:Safe and Effective Care Environment: Safety and Infection Control
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,• How have nurses historically learned to identify a possible relationship between en
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vironmentalchemical exposures and their potential harm? a. Extrapolation by toxic
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ologists
b. Biomonitoring
c. Completing chemistry courses k k
d. Observing signs and symptoms in clients k k k k k
ANS: D k
Nurses have historically made discoveries related to chemical exposure when pe
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ople presented with signs and symptoms related to known chemical toxicity. Ext
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rapolation by toxicologists and biomonitoring are modern methods. Completing
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a chemistry course doesnot show how to identify these possible relationships.
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DIF: Cognitive level: Understanding
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TOP: Nursing process: Assessment
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MSC:NCLEX: Safe and Effective Care Environment: Safety and Infection
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k Control
• What term is used to refer to the basic science applied to understanding the he
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alth effects associated with chemical exposures? a. Toxicology
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b. Pharmacology
c. Chemistry
d. Environmentalk epidemiology
ANS: A k
Toxicology is the study of the health effects associated with chemical exposures. P
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harmacology is the branch of medicine concerned with the multiple aspects of dru
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, gs.Chemistry is the branch of science with deals with the way that matter is compo
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sed.
Environmental epidemiology is concerned with the discovery of environmental ex
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posures
that cause or protect against illness or disease.
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DIF: Cognitive level: Remembering k k
TOP: Nursing process: Assessment MSC: NCLEX: Safe and Effe
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ctive Care Environment: Safety and Infection Control
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• What statement accurately describes the characteristics of epidemiology?
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a. It is a science that studies the poisonous effects of chemicals.
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b. It explains the association between learning disabilities and exposure to lead-
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based paint at the cellular level.
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c. It helps nurses understand the strength of the association between exp
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osure andhealth effects.
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d. It is a method for tracking the prevalence of health outcomes.
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ANS: C k
Epidemiology studies the incidence and prevalence of disease, helping nurses un
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derstand the strength of the association between exposure and health effects. Tox
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icology is the science that studies the poisonous effects of chemicals. Environme
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ntal surveillance provides data with which to track and analyze the incidence and
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prevalence of health outcomes. k k k
Epidemiology does not examine causes at the cellular level.
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DIF: Cognitive level: Remembering
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TOP: Nursing process: Assessment
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MSC:NCLEX: Safe and Effective Care Environment: Management of Car
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, e
• When researching pesticides, the nurse looks at the “family” of the chemical. What
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similarities are found among chemicals that have been placed in the same family? a.
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k Route of entry into thebody
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b. Actions and associated risks
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c. Effects that they have on the body
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d. Potency and toxicity k k
ANS: B k
Chemicals are grouped so it’s possible to understand the actions and risks associa
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ted with each group. Although some common health risks exist within these fami
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lies of chemicals, the possible health risks for each chemical should be evaluated
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individually when a potentialhuman exposure exists.
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