TEST BANK FOR Public Health Nursing Population-Centered Health Care in the Community 11th Edition by Marcia Stanhope, Jeanette Lancaster ISBN 978-0323882828 COMPLETE GUIDE 100 VERIFIED A+ GRADE

PublichHealthhNursingh10thhEditionhStanhopehTesthBank

Chapter 06: Environmental Health
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Stanhope: Public Health Nursing: Population-
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Centered Health Care in the Community, 10th Edition
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MULTIPLEhCHOICE

1. Whyhishithimportanthforhnurseshtohunderstandhthehpremiseshofhenvironmentalhhealth?
a. Nurseshshouldhbehablehtohassesshriskshandhadvocatehforhpolicieshthathsupporthhealthyhe
nvironments.
b. Toxicologistshoftenhconsulthnurseshabouthenvironmentalhpollutants.
c. PollutanthexposureshsuchhashleadharehreportedhbyhnurseshtohthehEnvironmentalhProtectionh
Agencyh(EPA).
d. ManyhAmericanshlivehinhareashthathdohnothmeethcurrenthnationalhairhqualityhstandards.



ANS:hA
Potentialhriskshtohhealthharehconcernshforhprofessionalhnurses.hIthishthehresponsibilityhofhthehnur
sehtohunderstandhashmuchhashpossiblehabouththesehrisks:hhowhtohassesshthem,hhowhtoheliminate/
reducehthem,hhowhtohcommunicatehandheducatehabouththem,handhhowhtohadvocatehforhpoliciesht
hathsupporthhealthyhenvironments.hToxicologistshdohnothoftenhconsulthnurseshabouthenvironm
entalhpollutants.hPollutanthexposuresharehnothroutinelyhreportedhbyhnurses.hAlthoughhtherehma
yhbehproblemshwithhairhqualityhstandardshinhthehUnitedhStates,hthishwouldhnothbehthehprimaryhre
asonhwhyhnurseshshouldhunderstandhenvironmentalhhealth.

DIF: Cognitivehlevel:hUnderstanding
TOP:hNursinghprocess:hEvaluationhMSC:hNCLEX:hSafehandhEffectivehCa
rehEnvironment:hSafetyhandhInfection

ControlNURSINGTB.COM

2. Whyhishithimportanthforhahnursehtohhavehknowledgehofhenvironmentalhhealthhandhtheheffectshofhch
emical,hbiological,handhradiologicalhmaterials?ha.hTheyharehahmajorhcausehofhglobalhwarming.
b. Theyharehoftenhfoundhinhthehair,hwater,handhproductshwehuse.
c. Theyharehfrequentlyhlinkedhtohthehdevelopmenthofhchronichillnesses.
d. Theyharehproductshthathnurseshworkhwithhdaily.



ANS:hB
Chemical,hbiological,handhradiologicalhpollutantsharehoftenhfoundhinhthehairhwehbreathe,hthehwat
erhwehdrink,handhthehproductshwehuse.hTheseharehnothahmajorhcausehofhglobalhwarming.hTheyhar
ehnothfrequentlyhlinkedhtohthehdevelopmenthofhchronichillnesses.hTheseharehnothproductshthathn
urseshworkhwithhdaily.

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DIF:h Cognitivehlevel:hUnderstanding
TOP:hNursinghprocess:hAssessmenthMSC:h
NCLEX:hHealthhPromotionhandhMaintenance

3. Ahnursehfulfillshthehenvironmentalhhealthhcompetencyhofh“assessmenthandhreferral.”hWhichhofhthehf
ollowinghactionshhashthehnursehmosthlikelyhcompleted?ha.hAdvocatinghforhpublichpolicyhchanges
b. Understandinghpolicyhframeworkhandhmajorhpieceshofhlegislation
c. Completinghanhenvironmentalhhealthhhistory
d. Describinghthehscientifichprincipleshabouthenvironmentalhhealth



ANS:hC
Assessmenthandhreferralhstateshthathallhnurseshshouldhbehablehtohsuccessfullyhcompletehanhenvi
ronmentalhhealthhhistory,hrecognizehthehpotentialhenvironmentalhhazardshandhsentinelhillnesse
s,handhmakehappropriatehreferralshforhconditionshwithhprobablehenvironmentalhcauses.hAdvoca
tinghforhpublichpolicyhchangeshishparthofhadvocacy.hUnderstandinghpolicyhframeworkhandhlegis
lationhishparthofhlegislationhandhregulation.hDescribinghthehscientifichprincipleshofhenvironmen
talhhealthhishparthofhbasichknowledgehandhconcepts.

DIF:h Cognitivehlevel:hAnalyzing
TOP:hNursinghprocess:hImplementationhMSC:hNCLEX:h
SafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControl

4. Howhhavehnurseshhistoricallyhlearnedhtohidentifyhahpossiblehrelationshiphbetweenhenvironmentalh
chemicalhexposureshandhtheirhpotentialhharm?ha.hExtrapolationhbyhtoxicologists
b. Biomonitoring
c. Completinghchemistryhcourses
d. Observinghsignshandhsymptomshinhclients



ANS:hD
Nurseshhavehhistoricallyhmadehdiscoverieshrelatedhtohchemicalhexposurehwhenhpeoplehpresent
edhwithhsignshandhsymptomshrelatedhtohknownhchemicalhtoxicity.hExtrapolationhbyhtoxicologi
stshandhbiomonitoringharehmodernhmethods.hCompletinghahchemistryhcoursehdoeshnothshowhho
whtohidentifyhthesehpossiblehrelationships.

DIF:h Cognitivehlevel:hUnderstanding
TOP:hNursinghprocess:hAssessmenthMSC:h
NCLEX:hSafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControl
5. Whathtermhishusedhtohreferhtohthehbasichsciencehappliedhtohunderstandinghthehhealthheffectsha
ssociatedhwithhchemicalhexposures?ha.hToxicology
b. Pharmacology
c. Chemistry
d. Environmentalhepidemiology

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ANS:hA
Toxicologyhishthehstudyhofhthehhealthheffectshassociatedhwithhchemicalhexposures.hPharmacol
ogyhishthehbranchhofhmedicinehconcernedhwithhthehmultiplehaspectshofhdrugs.hChemistryhishtheh
branchhofhsciencehwithhdealshwithhthehwayhthathmatterhishcomposed.
Environmentalhepidemiologyhishconcernedhwithhthehdiscoveryhofhenvironmentalhexposureshtha
thcausehorhprotecthagainsthillnesshorhdisease.

DIF: Cognitivehlevel:hRemembering
TOP:hNursinghprocess:hAssessmenthMSC:hNCLEX:hSafehandhEffectivehCareh
Environment:hSafetyhandhInfectionhControl

6. Whathstatementhaccuratelyhdescribeshthehcharacteristicshofhepidemiology?
a. Ithishahsciencehthathstudieshthehpoisonousheffectshofhchemicals.
b. Ithexplainshthehassociationhbetweenhlearninghdisabilitieshandhexposurehtohlead-
basedhpainthaththehcellularhlevel.
c. Ithhelpshnurseshunderstandhthehstrengthhofhthehassociationhbetweenhexposurehandh
healthheffects.
d. Ithishahmethodhforhtrackinghthehprevalencehofhhealthhoutcomes.



ANS:hC
Epidemiologyhstudieshthehincidencehandhprevalencehofhdisease,hhelpinghnurseshunderstandhthe
hstrengthhofhthehassociationhbetweenhexposurehandhhealthheffects.hToxicologyhishthehsciencehth

athstudieshthehpoisonousheffectshofhchemicals.hEnvironmentalhsurveillancehprovideshdatahwithh
whichhtohtrackhandhanalyzehthehincidencehandhprevalencehofhhealthhoutcomes.
Epidemiologyhdoeshnothexaminehcauseshaththehcellularhlevel.

DIF:h Cognitivehlevel:hRemembering
TOP:hNursinghprocess:hAssessmenthMSC:h
NCLEX:hSafehandhEffectivehCarehEnvironment:hManagementhofhCare

7. Whenhresearchinghpesticides,hthehnursehlookshaththeh“family”hofhthehchemical.hWhathsimilaritiesha
rehfoundhamonghchemicalshthathhavehbeenhplacedhinhthehsamehfamily?ha.hRoutehofhentryhintohthehbo
dy
b. Actionshandhassociatedhrisks
c. Effectshthaththeyhhavehonhthehbody
d. Potencyhandhtoxicity



ANS:hB
Chemicalsharehgroupedhsohit’shpossiblehtohunderstandhthehactionshandhriskshassociatedhwithheac
hhgroup.hAlthoughhsomehcommonhhealthhriskshexisthwithinhthesehfamilieshofhchemicals,hthehpo
ssiblehhealthhriskshforheachhchemicalhshouldhbehevaluatedhindividuallyhwhenhahpotentialhhumanh
exposurehexists.

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DIF:MSC:hCognitivehlevel:hApplyingNCLEX:hSafehandhEffectivehCarehEnvironment:hSafetyhandhInfectio

nhControlNURShINGTB.TOP:COMhNursinghprocess:hAssessment

8. Whichhexamplehcontainshthehcomponentshnecessaryhtohformhanhepidemiologichtriangle?ha.
Pesticides,hwater,hfood
b. Lead,hmercury,hsoil
c. Trichloroethylene,hwater,hinfants
d. Childrenhunderh12,helderly,htemperature



ANS:hC
Thehepidemiologichtrianglehconsistshofhanhagenth(chemical),hhosth(communityhconsistinghofhse
veralhvariants),handhenvironmenth(air,hwater,hsoil,hetc.).hThehotherhexampleshdohnothcontainhanha
gent,hhost,handhenvironment.

DIF: Cognitivehlevel:hAnalyzing
TOP:hNursinghprocess:hEvaluationhMSC:hNCLEX:hSafehandhEffectivehCarehE
nvironment:hSafetyhandhInfectionhControl

9. WhenhwouldhithbehappropriatehforhahnursehtohusehahGeographich InformationhSystemh(GIS)?
a. Recordinghclienthdatahcollectedhathahfoothclinic
b. Identifyinghareashwithhanhincreasedhincidencehofhleadhpoisoning
c. Evaluatingheffectivenesshofhahfarmhsafetyhprogram
d. Schedulinghhealthhpromotionhprogramshinhthehcommunity



ANS:hB
ThehusehofhahGIShallowshthehPHNhtohapplyhthehprincipleshofhepidemiologyhintohpractice.hGIShal
lowshnurseshtohcodehdatahsohthathithishrelatedhspatiallyhtohahplacehonhearthhandhishhelpfulhinhdeter
mininghconcentratedhareashforhincidencehofhdiseasehandhillness.hAnhelectronichhealthhrecordh(E
HR)hwouldhbehthehmosthappropriatehplacehtohrecordhclienthdatahfromhahfoothclinic.hEvaluationh
ofheffectivenesshofhahfarmhsafetyhprogramhwouldhneedhtohbehdonehthroughhsomehtypehofhassess
menthorhevaluationhmethod—
GIShwouldhnothbehusefulhtohcollecththishdata.hGIShishnothahschedulinghsystemhandhwouldhnothbeh
helpfulhwhenhschedulinghhealthhpromotionhprogramshinhthehcommunity.

DIF:h Cognitivehlevel:hAnalyzing
TOP:hNursinghprocess:hImplementationhMSC:hNCLEX:h
SafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControl