Test Bank Environmental Health Stanhope: Public Health Nursing:
Population-Centered Health Care in the Community, 10th Edition
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.
DIF: Cognitive level: Understanding TOP: Nursing process:
Evaluation MSC: NCLEX: Safe and Effective Care Environment: Safety
and Infection
ControlNURSINGTB.COM
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.
ANS: B
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, Public Health Nursing 10th Edition Stanhope Test Bank
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 frequently linked to the development of
chronic illnesses. These are not products that nurses work with daily.
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, Public Health Nursing 10th Edition Stanhope Test Bank
DIF: Cognitive level: Understanding TOP: Nursing process:
Assessment MSC: NCLEX: Health Promotion and Maintenance
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.
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection
Control
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.
DIF: Cognitive level: Understanding TOP: Nursing process:
Assessment MSC: NCLEX: Safe and Effective Care Environment: Safety
and Infection Control
NURSINGTB.COM
NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
5. What term is used to refer to the basic science applied to understanding the
health effects associated with chemical exposures? a. Toxicology
b. Pharmacology
c. Chemistry
d. Environmental epidemiology
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