Test Bank Environmental Health Stanhope:
Public Health Nursing: Population-Centered
All Chapters with Answers|A+ Graded
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ronmental Health
MULTIPLE CHOICE
1. Why is it important for nurses to understand the premises of environmental health?
a. Nurses should be able to assess risks and advocate for policies that support healthy
environments.
b. Toxicologists often consult nurses about environmental pollutants.
c. Pollutant exposures such as lead are reported by nurses to the Environmental Protection
Agency (EPA).
d. Many Americans live in areas that do not meet current national air quality standards.
ANS: A
Potential risks to health are concerns for professional nurses. It is the responsibility of the nurse
to understand as much as possible about these risks: how to assess them, how to eliminate/reduce
them, how to communicate and educate about them, and how to advocate for policies that
support healthy environments. Toxicologists do not often consult nurses about environmental
pollutants. Pollutant exposures are not routinely reported by nurses. Although there may be
problems with air quality standards in the United States, this would not be the primary reason
why nurses should understand environmental health.
2.Why is it important for a nurse to have knowledge of environmental health and the effects of
chemical, biological, and radiological materials?
a. They are a major cause of global warming.
b. They are often found in the air, water, and products we
use.
c. They are frequently linked to the development of chronic illnesses.
d. They are products that nurses work with daily.
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ANS: B
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Chemical, biological, and radiological pollutants are often found in the air we breathe, the water
we drink, and the products we use. These are not a major cause of global warming. They are not
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frequently linked to the development of chronic illnesses. These are not products that nurses
work with daily.
3.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.
4.How have nurses historically learned to identify a possible relationship between 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.
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5.What term is used to refer to the basic science applied to understanding the health effects
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associated with
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a. Chemical exposures?
b. Pharmacology
c. Chemistry
d. Environmental epidemiology
ANS: A
Toxicology is the study of the health effects associated with chemical exposures. 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.
6.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.
7.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
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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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