Community Public Health Nursing 7th Edition Nies Test Bank
Chapter 14: Environmental Health
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which statement best describes the relationship between the environment and health?
a. Because of the large number of variables involved, the relationship between
environment and health cannot be researched.
b. Because the environment has such long-term effects on health, research findings
are not yet available.
c. Research shows that a healthy environment has limited impact on one’s health.
d. Research shows that a healthy environment increases quality of life and years of
healthy living.
ANS: D
A healthy environment increases quality of life and years of healthy living. Accumulated
evidence shows that the environmental changes of the past few decades have profoundly
influenced the status of public health. Globally, environmental factors contribute to nearly
25% of all deaths and increase disease burden (World Health Organization, 2016). The safety,
beauty, and life-sustaining capacity of the physical environment are unquestionably of global
consequence.
DIF: Cognitive Level: Understand (Comprehension)
2. When using an environmental perspective, which would be the most important question for a
nurse to ask when assessing potential health problems?
Nhav
a. “Can you tell me how you U
RS I enGfTeeling?
e beN
B.CO ”
M
b. “Can you tell me what you do at work?”
c. “What brings you here today?”
d. “What problems have you been having?”
ANS: B
Because 25% of worldwide preventable illnesses are caused by poor environmental quality,
nurses need to ask critical questions about their clients’ work and home environments to help
discern the contributions of specific hazards to their health. This can be accomplished by an
environmental health history. The other responses do not address a question that would be
addressed during an environmental health history.
DIF: Cognitive Level: Understand (Comprehension)
3. How does critical theory differ from other nursing theories such as the Health Belief Model or
Orem’s self-care deficit theory?
a. Critical theory can be used by professionals other than nurses.
b. Critical theory focuses on oppression and facilitates group action.
c. Critical theory is not directly related to health promotion.
d. Critical theory confronts changing an individual’s beliefs.
ANS: B
, Community Public Health Nursing 7th Edition Nies Test Bank
Critical theory is an approach that raises questions about oppressive situations, involves
community members in the definition and solution of problems, and facilitates group
interventions. The other two theories focus more on individual beliefs and choice of action.
DIF: Cognitive Level: Understand (Comprehension)
4. Which statement best describes why environmental health is more challenging than other
variables related to an individual’s health?
a. Environmental health affects susceptible individuals more than groups.
b. Environmental health demands that individuals be willing to change their beliefs.
c. Environmental health is dependent on social neighborhoods, as well as geography.
d. Environmental health requires social, economic, and political changes to improve.
ANS: D
Intervening to improve environmental conditions requires basic social, economic, and
political changes. Aggregates must work together to create such change. The other responses
do not address the multiple dimensions that must be impacted in order to impact change
within environmental health.
DIF: Cognitive Level: Understand (Comprehension)
5. Which nursing action would be the most helpful to the community’s long-term health?
a. Careful assessment, diagnosis, planning, and giving care to individual patients and
their families
b. Dialogue with community members concerning what health issues are of
importance in that community
c. Focusing on family health through school-based neighborhood clinics
NUateRSpoli
d. Helping the community cre INtica
GTl chang
B.CO M
e through organization, use of media,
legislative lobbying, and mass demonstrations
ANS: D
The ultimate goal is liberating people from health-damaging environmental conditions by
using collective actions. Mechanisms have included strategic organization, litigation, public
hearing testimony, letter-writing campaigns, legislative lobbying, and mass demonstrations.
Helping the community create political change through organization, use of media, legislative
lobbying, and mass demonstrations shows how collective action can be applied. The other
interventions do not demonstrate the use of collective action.
DIF: Cognitive Level: Understand (Comprehension)
6. Which best explains why it is difficult to get others interested in environmental health?
a. Environmental problems just are not interesting or dramatic.
b. It’s difficult to get media interested.
c. People respond more to an acute crisis than chronic environmental problems.
d. People respond more to an individual asking for help than a community asking for
help.
ANS: C
People respond to acute crises with dramatic media coverage (such as hurricanes or
earthquakes), but ongoing consistent pressure is needed to ensure day-to-day environmental
integrity. Chronic environmental problems are rarely addressed effectively.
Chapter 14: Environmental Health
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
1. Which statement best describes the relationship between the environment and health?
a. Because of the large number of variables involved, the relationship between
environment and health cannot be researched.
b. Because the environment has such long-term effects on health, research findings
are not yet available.
c. Research shows that a healthy environment has limited impact on one’s health.
d. Research shows that a healthy environment increases quality of life and years of
healthy living.
ANS: D
A healthy environment increases quality of life and years of healthy living. Accumulated
evidence shows that the environmental changes of the past few decades have profoundly
influenced the status of public health. Globally, environmental factors contribute to nearly
25% of all deaths and increase disease burden (World Health Organization, 2016). The safety,
beauty, and life-sustaining capacity of the physical environment are unquestionably of global
consequence.
DIF: Cognitive Level: Understand (Comprehension)
2. When using an environmental perspective, which would be the most important question for a
nurse to ask when assessing potential health problems?
Nhav
a. “Can you tell me how you U
RS I enGfTeeling?
e beN
B.CO ”
M
b. “Can you tell me what you do at work?”
c. “What brings you here today?”
d. “What problems have you been having?”
ANS: B
Because 25% of worldwide preventable illnesses are caused by poor environmental quality,
nurses need to ask critical questions about their clients’ work and home environments to help
discern the contributions of specific hazards to their health. This can be accomplished by an
environmental health history. The other responses do not address a question that would be
addressed during an environmental health history.
DIF: Cognitive Level: Understand (Comprehension)
3. How does critical theory differ from other nursing theories such as the Health Belief Model or
Orem’s self-care deficit theory?
a. Critical theory can be used by professionals other than nurses.
b. Critical theory focuses on oppression and facilitates group action.
c. Critical theory is not directly related to health promotion.
d. Critical theory confronts changing an individual’s beliefs.
ANS: B
, Community Public Health Nursing 7th Edition Nies Test Bank
Critical theory is an approach that raises questions about oppressive situations, involves
community members in the definition and solution of problems, and facilitates group
interventions. The other two theories focus more on individual beliefs and choice of action.
DIF: Cognitive Level: Understand (Comprehension)
4. Which statement best describes why environmental health is more challenging than other
variables related to an individual’s health?
a. Environmental health affects susceptible individuals more than groups.
b. Environmental health demands that individuals be willing to change their beliefs.
c. Environmental health is dependent on social neighborhoods, as well as geography.
d. Environmental health requires social, economic, and political changes to improve.
ANS: D
Intervening to improve environmental conditions requires basic social, economic, and
political changes. Aggregates must work together to create such change. The other responses
do not address the multiple dimensions that must be impacted in order to impact change
within environmental health.
DIF: Cognitive Level: Understand (Comprehension)
5. Which nursing action would be the most helpful to the community’s long-term health?
a. Careful assessment, diagnosis, planning, and giving care to individual patients and
their families
b. Dialogue with community members concerning what health issues are of
importance in that community
c. Focusing on family health through school-based neighborhood clinics
NUateRSpoli
d. Helping the community cre INtica
GTl chang
B.CO M
e through organization, use of media,
legislative lobbying, and mass demonstrations
ANS: D
The ultimate goal is liberating people from health-damaging environmental conditions by
using collective actions. Mechanisms have included strategic organization, litigation, public
hearing testimony, letter-writing campaigns, legislative lobbying, and mass demonstrations.
Helping the community create political change through organization, use of media, legislative
lobbying, and mass demonstrations shows how collective action can be applied. The other
interventions do not demonstrate the use of collective action.
DIF: Cognitive Level: Understand (Comprehension)
6. Which best explains why it is difficult to get others interested in environmental health?
a. Environmental problems just are not interesting or dramatic.
b. It’s difficult to get media interested.
c. People respond more to an acute crisis than chronic environmental problems.
d. People respond more to an individual asking for help than a community asking for
help.
ANS: C
People respond to acute crises with dramatic media coverage (such as hurricanes or
earthquakes), but ongoing consistent pressure is needed to ensure day-to-day environmental
integrity. Chronic environmental problems are rarely addressed effectively.
