Stanhope Chapter 6
A public health nurse has been recruited to lead a community environmental lead exposure
reduction program. What action by this nurse is best?
a. Advocate for funding at the state and federal levels.
b. Create a multidisciplinary team to work on different aspects of the problem.
c. Determine how other cities and counties have managed this problem.
d. Research the number of houses likely to contain lead-based paint.
ANS: B
All actions could lead to the success of this program; however, environmental health-risk
identification and risk-reduction intervention require a multidisciplinary team. The nurse
would put together a multidisciplinary team to address the problem from many different
perspectives.
An occupational health nurse is conducting employee toxic exposure histories at a dog food
manufacturing plant. Using the I PREPARE model, what question does the nurse ask?
a. Do you eat your lunch inside or outside the building?
b. Does your job include soldering any metals?
c. Have you ever served in the military?
d. What is the intensity of your exposure to chemicals?
I PREPARE stands for Investigate potential exposures, present work, residence,
environmental concerns, past work, activities, referrals and resources, and educate. The
best question to ask to gain information about exposures at the dog food plant would be to
ask about soldering metal. A history of military service is another area for assessment, but is
not related to the person's current place of employment.
A college health nurse is working to improve environmental air quality on campus. Using the
precautionary principle, what action does the nurse take?
a. Develop a bike-rental program for students, staff, and faculty.
b. Install "smart thermostats" and motion-generated lights in buildings.
c. Make the entire campus a smoke-free zone.
d. Raise the parking fees to discourage people from driving to campus.
ANS: A
The precautionary principle calls for action to reduce potentially toxic exposure to humans in
light of data or other indicators, rather than delaying until more "conclusive" studies are
performed. The burning of fossil fuels to power automobiles and buses and to generate
electricity is the single greatest source of air pollution in the United States, so using this
principle to connect air pollution and health, the nurse would establish a bike-rental program.
Campaigns to decrease the inequitable burden of environmental risks on the poor and
people of color in the United States strive to apply which ethical principle?
, a. Societal justice
b. Nonmaleficence
c. Beneficence
d. Environmental justice
ANS: D
Environmental health risks notably have disproportionately affected poor people and people
of color in the United States. Low-income citizens and people of color are more likely to live
near a hazardous waste site, and increased incidence of childhood lead poisoning and
increased rates of childhood asthma are seen in these groups. Environmental justice is the
principle of assuring that no group is more at risk of harmful exposure than another.
A community health nurse manager has integrated exposure history elements into the
assessment practices of the health department that are relevant to the urban industrial
community served. This strategy indicates that the nurse manager is aware of the
relationship between:
a. community strengths and weaknesses.
b. environment and human health/disease.
c. toxicology studies and the environment.
d. federal and state environmental regulations.
ANS: B
Understanding the relationship between the environment and human health and disease has
become more important over the years. The environment is now known to play a role as a
determinant of health status, an explanation of disease, an influence on health risk, and a
cause of human toxicity and the ever-increasing burden of potentially toxic synthetic
chemicals that our bodies carry.
A family with a small child lives in a home on a Brownfield site. What action does the public
health nurse take when conducting a home visit?
a. Assess the child for meeting developmental milestones.
b. Have the parent complete a 3-day food diary.
c. Request the child's immunization records.
d. Watch the child during therapeutic play.
ANS: A
Brownfield sites are lands that have been previously used and are now being developed for
another purpose, such as housing. Due to their history, they may contain soil contaminated
with various toxins. The nurse would assess the child for meeting developmental milestones
as many toxins affect growth and development in children.
Monitoring and public reporting of air quality in a local community to assist individuals with
asthma or other respiratory conditions best illustrates the application of:
a. compliance and enforcement.
b. environmental epidemiology.
A public health nurse has been recruited to lead a community environmental lead exposure
reduction program. What action by this nurse is best?
a. Advocate for funding at the state and federal levels.
b. Create a multidisciplinary team to work on different aspects of the problem.
c. Determine how other cities and counties have managed this problem.
d. Research the number of houses likely to contain lead-based paint.
ANS: B
All actions could lead to the success of this program; however, environmental health-risk
identification and risk-reduction intervention require a multidisciplinary team. The nurse
would put together a multidisciplinary team to address the problem from many different
perspectives.
An occupational health nurse is conducting employee toxic exposure histories at a dog food
manufacturing plant. Using the I PREPARE model, what question does the nurse ask?
a. Do you eat your lunch inside or outside the building?
b. Does your job include soldering any metals?
c. Have you ever served in the military?
d. What is the intensity of your exposure to chemicals?
I PREPARE stands for Investigate potential exposures, present work, residence,
environmental concerns, past work, activities, referrals and resources, and educate. The
best question to ask to gain information about exposures at the dog food plant would be to
ask about soldering metal. A history of military service is another area for assessment, but is
not related to the person's current place of employment.
A college health nurse is working to improve environmental air quality on campus. Using the
precautionary principle, what action does the nurse take?
a. Develop a bike-rental program for students, staff, and faculty.
b. Install "smart thermostats" and motion-generated lights in buildings.
c. Make the entire campus a smoke-free zone.
d. Raise the parking fees to discourage people from driving to campus.
ANS: A
The precautionary principle calls for action to reduce potentially toxic exposure to humans in
light of data or other indicators, rather than delaying until more "conclusive" studies are
performed. The burning of fossil fuels to power automobiles and buses and to generate
electricity is the single greatest source of air pollution in the United States, so using this
principle to connect air pollution and health, the nurse would establish a bike-rental program.
Campaigns to decrease the inequitable burden of environmental risks on the poor and
people of color in the United States strive to apply which ethical principle?
, a. Societal justice
b. Nonmaleficence
c. Beneficence
d. Environmental justice
ANS: D
Environmental health risks notably have disproportionately affected poor people and people
of color in the United States. Low-income citizens and people of color are more likely to live
near a hazardous waste site, and increased incidence of childhood lead poisoning and
increased rates of childhood asthma are seen in these groups. Environmental justice is the
principle of assuring that no group is more at risk of harmful exposure than another.
A community health nurse manager has integrated exposure history elements into the
assessment practices of the health department that are relevant to the urban industrial
community served. This strategy indicates that the nurse manager is aware of the
relationship between:
a. community strengths and weaknesses.
b. environment and human health/disease.
c. toxicology studies and the environment.
d. federal and state environmental regulations.
ANS: B
Understanding the relationship between the environment and human health and disease has
become more important over the years. The environment is now known to play a role as a
determinant of health status, an explanation of disease, an influence on health risk, and a
cause of human toxicity and the ever-increasing burden of potentially toxic synthetic
chemicals that our bodies carry.
A family with a small child lives in a home on a Brownfield site. What action does the public
health nurse take when conducting a home visit?
a. Assess the child for meeting developmental milestones.
b. Have the parent complete a 3-day food diary.
c. Request the child's immunization records.
d. Watch the child during therapeutic play.
ANS: A
Brownfield sites are lands that have been previously used and are now being developed for
another purpose, such as housing. Due to their history, they may contain soil contaminated
with various toxins. The nurse would assess the child for meeting developmental milestones
as many toxins affect growth and development in children.
Monitoring and public reporting of air quality in a local community to assist individuals with
asthma or other respiratory conditions best illustrates the application of:
a. compliance and enforcement.
b. environmental epidemiology.
