Test Bank For Public Health Nursing 18th Edition (Stanhope, 2024), All Chapters..pdf

PublicwHealthwNursingw10thwEditionwStanhopewTestwBan
k
Chapter 06: Environmental Health
w w w


Stanhope: Public Health Nursing: Population-
w w w w


Centered Health Care in the Community, 10th Edition
w w w w w w w




MULTIPLEwCHOICE

1. Whywiswitwimportantwforwnurseswtowunderstandwthewpremiseswofwenvironmentalwhealth?
a. Nurseswshouldwbewablewtowassesswriskswandwadvocatewforwpolicieswthatwsupportwhealth
ywenvironments.
b. Toxicologistswoftenwconsultwnurseswaboutwenvironmentalwpollutants.
c. PollutantwexposureswsuchwaswleadwarewreportedwbywnurseswtowthewEnvironmentalwProtectio
nwAgencyw(EPA).
d. ManywAmericanswlivewinwareaswthatwdownotwmeetwcurrentwnationalwairwqualitywstandards.



ANS:wA
Potentialwriskswtowhealthwarewconcernswforwprofessionalwnurses.wItwiswthewresponsibilitywofwthew
nursewtowunderstandwaswmuchwaswpossiblewaboutwthesewrisks:whowwtowassesswthem,whowwtoweli
minate/reducewthem,whowwtowcommunicatewandweducatewaboutwthem,wandwhowwtowadvocatewf
orwpolicieswthatwsupportwhealthywenvironments.wToxicologistswdownotwoftenwconsultwnurseswa
boutwenvironmentalwpollutants.wPollutantwexposureswarewnotwroutinelywreportedwbywnurses.wA
lthoughwtherewmaywbewproblemswwithwairwqualitywstandardswinwthewUnitedwStates,wthiswwouldw
notwbewthewprimarywreasonwwhywnurseswshouldwunderstandwenvironmentalwhealth.

DIF: Cognitivewlevel:wUnderstanding
TOP:wNursingwprocess:wEvaluationwMSC:wNCLEX:wSafewandwEffectivew
CarewEnvironment:wSafetywandwInfection

ControlNURSINGTB.COM

2. Whywiswitwimportantwforwawnursewtowhavewknowledgewofwenvironmentalwhealthwandwtheweffectswo
fwchemical,wbiological,wandwradiologicalwmaterials?wa.wTheywarewawmajorwcausewofwglobalwwarmi
ng.
b. Theywarewoftenwfoundwinwthewair,wwater,wandwproductswwewuse.
c. Theywarewfrequentlywlinkedwtowthewdevelopmentwofwchronicwillnesses.
d. Theywarewproductswthatwnurseswworkwwithwdaily.



ANS:wB
Chemical,wbiological,wandwradiologicalwpollutantswarewoftenwfoundwinwthewairwwewbreathe,wthew
waterwwewdrink,wandwthewproductswwewuse.wThesewarewnotwawmajorwcausewofwglobalwwarming.w
Theywarewnotwfrequentlywlinkedwtowthewdevelopmentwofwchronicwillnesses.wThesewarewnotwprod
uctswthatwnurseswworkwwithwdaily.

, PublicwHealthwNursingw10thwEditionwStanhopewTestwBan
k
DIF:w Cognitivewlevel:wUnderstanding
TOP:wNursingwprocess:wAssessmentwMSC
:wNCLEX:wHealthwPromotionwandwMaintenance

3. Awnursewfulfillswthewenvironmentalwhealthwcompetencywofw“assessmentwandwreferral.”wWhichwofwt
hewfollowingwactionswhaswthewnursewmostwlikelywcompleted?wa.wAdvocatingwforwpublicwpolicywcha
nges
b. Understandingwpolicywframeworkwandwmajorwpieceswofwlegislation
c. Completingwanwenvironmentalwhealthwhistory
d. Describingwthewscientificwprincipleswaboutwenvironmentalwhealth



ANS:wC
Assessmentwandwreferralwstateswthatwallwnurseswshouldwbewablewtowsuccessfullywcompletewanwe
nvironmentalwhealthwhistory,wrecognizewthewpotentialwenvironmentalwhazardswandwsentinelwill
nesses,wandwmakewappropriatewreferralswforwconditionswwithwprobablewenvironmentalwcauses.w
Advocatingwforwpublicwpolicywchangeswiswpartwofwadvocacy.wUnderstandingwpolicywframewor
kwandwlegislationwiswpartwofwlegislationwandwregulation.wDescribingwthewscientificwprincipleswo
fwenvironmentalwhealthwiswpartwofwbasicwknowledgewandwconcepts.

DIF:w Cognitivewlevel:wAnalyzing
TOP:wNursingwprocess:wImplementationwMSC:wNCLEX
:wSafewandwEffectivewCarewEnvironment:wSafetywandwInfectionwControl

4. Howwhavewnurseswhistoricallywlearnedwtowidentifywawpossiblewrelationshipwbetweenwenvironment
alwchemicalwexposureswandwtheirwpotentialwharm?wa.wExtrapolationwbywtoxicologists
b. Biomonitoring
c. Completingwchemistrywcourses
d. Observingwsignswandwsymptomswinwclients



ANS:wD
Nurseswhavewhistoricallywmadewdiscoverieswrelatedwtowchemicalwexposurewwhenwpeoplewprese
ntedwwithwsignswandwsymptomswrelatedwtowknownwchemicalwtoxicity.wExtrapolationwbywtoxic
ologistswandwbiomonitoringwarewmodernwmethods.wCompletingwawchemistrywcoursewdoeswnotws
howwhowwtowidentifywthesewpossiblewrelationships.

DIF:w Cognitivewlevel:wUnderstanding
TOP:wNursingwprocess:wAssessmentwMSC
:wNCLEX:wSafewandwEffectivewCarewEnvironment:wSafetywandwInfectionwControl
5. Whatwtermwiswusedwtowreferwtowthewbasicwsciencewappliedwtowunderstandingwthewhealthweffec
tswassociatedwwithwchemicalwexposures?wa.wToxicology
b. Pharmacology
c. Chemistry
d. Environmentalwepidemiology

, PublicwHealthwNursingw10thwEditionwStanhopewTestwBan
k


ANS:wA
Toxicologywiswthewstudywofwthewhealthweffectswassociatedwwithwchemicalwexposures.wPharmac
ologywiswthewbranchwofwmedicinewconcernedwwithwthewmultiplewaspectswofwdrugs.wChemistrywis
wthewbranchwofwsciencewwithwdealswwithwthewwaywthatwmatterwiswcomposed.

Environmentalwepidemiologywiswconcernedwwithwthewdiscoverywofwenvironmentalwexposureswt
hatwcauseworwprotectwagainstwillnessworwdisease.

DIF: Cognitivewlevel:wRemembering
TOP:wNursingwprocess:wAssessmentwMSC:wNCLEX:wSafewandwEffectivewCar
ewEnvironment:wSafetywandwInfectionwControl

6. Whatwstatementwaccuratelywdescribeswthewcharacteristicswofwepidemiology?
a. Itwiswawsciencewthatwstudieswthewpoisonousweffectswofwchemicals.
b. Itwexplainswthewassociationwbetweenwlearningwdisabilitieswandwexposurewtowlead-
basedwpaintwatwthewcellularwlevel.
c. Itwhelpswnurseswunderstandwthewstrengthwofwthewassociationwbetweenwexposurewan
dwhealthweffects.
d. Itwiswawmethodwforwtrackingwthewprevalencewofwhealthwoutcomes.



ANS:wC
Epidemiologywstudieswthewincidencewandwprevalencewofwdisease,whelpingwnurseswunderstandwt
hewstrengthwofwthewassociationwbetweenwexposurewandwhealthweffects.wToxicologywiswthewscie
ncewthatwstudieswthewpoisonousweffectswofwchemicals.wEnvironmentalwsurveillancewprovideswd
atawwithwwhichwtowtrackwandwanalyzewthewincidencewandwprevalencewofwhealthwoutcomes.
Epidemiologywdoeswnotwexaminewcauseswatwthewcellularwlevel.

DIF:w Cognitivewlevel:wRemembering
TOP:wNursingwprocess:wAssessmentwMSC
:wNCLEX:wSafewandwEffectivewCarewEnvironment:wManagementwofwCare

7. Whenwresearchingwpesticides,wthewnursewlookswatwthew“family”wofwthewchemical.wWhatwsimilariti
eswarewfoundwamongwchemicalswthatwhavewbeenwplacedwinwthewsamewfamily?wa.wRoutewofwentrywint
owthewbody
b. Actionswandwassociatedwrisks
c. Effectswthatwtheywhavewonwthewbody
d. Potencywandwtoxicity



ANS:wB
Chemicalswarewgroupedwsowit’swpossiblewtowunderstandwthewactionswandwriskswassociatedwwithw
eachwgroup.wAlthoughwsomewcommonwhealthwriskswexistwwithinwthesewfamilieswofwchemicals,w
thewpossiblewhealthwriskswforweachwchemicalwshouldwbewevaluatedwindividuallywwhenwawpotenti
alwhumanwexposurewexists.

, PublicwHealthwNursingw10thwEditionwStanhopewTestwBan
k


DIF:MSC:wCognitivewlevel:wApplyingNCLEX:wSafewandwEffectivewCarewEnvironment:wSafetywandwInfec

tionwControlNURSwINGTB.TOP:COMwNursingwprocess:wAssessment

8. Whichwexamplewcontainswthewcomponentswnecessarywtowformwanwepidemiologicwtriangle?wa.
Pesticides,wwater,wfood
b. Lead,wmercury,wsoil
c. Trichloroethylene,wwater,winfants
d. Childrenwunderw12,welderly,wtemperature



ANS:wC
Thewepidemiologicwtrianglewconsistswofwanwagentw(chemical),whostw(communitywconsistingwof
wseveral wvariants), wandwenvironmentw(air,wwater,wsoil,wetc.).wThewotherwexampleswdownotwconta

inwanwagent,whost,wandwenvironment.

DIF: Cognitivewlevel:wAnalyzing
TOP:wNursingwprocess:wEvaluationwMSC:wNCLEX:wSafewandwEffectivewCare
wEnvironment:wSafetywandwInfectionwControl




9. WhenwwouldwitwbewappropriatewforwawnursewtowusewawGeographicwInformationwSystemw(GIS)?
a. Recordingwclientwdatawcollectedwatwawfootwclinic
b. Identifyingwareaswwithwanwincreasedwincidencewofwleadwpoisoning
c. Evaluatingweffectivenesswofwawfarmwsafetywprogram
d. Schedulingwhealthwpromotionwprogramswinwthewcommunity



ANS:wB
ThewusewofwawGISwallowswthewPHNwtowapplywthewprincipleswofwepidemiologywintowpractice.wGI
Swallowswnurseswtowcodewdatawsowthatwitwiswrelatedwspatiallywtowawplacewonwearthwandwiswhelpful
winwdeterminingwconcentratedwareaswforwincidencewofwdiseasewandwillness.wAnwelectronicwhealt

hwrecordw(EHR)wwouldwbewthewmostwappropriatewplacewtowrecordwclientwdatawfromwawfootwclin
ic.wEvaluationwofweffectivenesswofwawfarmwsafetywprogramwwouldwneedwtowbewdonewthroughws
omewtypewofwassessmentworwevaluationwmethod—
GISwwouldwnotwbewusefulwtowcollectwthiswdata.wGISwiswnotwawschedulingwsystemwandwwouldwno
twbewhelpfulwwhenwschedulingwhealthwpromotionwprogramswinwthewcommunity.

DIF:w Cognitivewlevel:wAnalyzing
TOP:wNursingwprocess:wImplementationwMSC:wNCLEX
:wSafewandwEffectivewCarewEnvironment:wSafetywandwInfectionwControl