Public Health Nursing 10th Edition Stanhope Test Bank
Chapter 06: 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?
T T T T T T T T T T T T
a. Nurses should be able to assess risks and advocate for policies that support healthy
T T T T T T T T T T T T T T
environments. T
b. Toxicologists often consult nurses about environmental pollutants. T T T T T T
c. Pollutant exposures such as lead are reported by nurses to the Environmental Protection
T T T T T T T T T T T T T
Agency (EPA). T
d. Many Americans live in areas that do not meet current national air quality standards.
T T T T T T T T T T T T T
ANS: A T
Potential risks to health are concerns for professional nurses. It is the responsibility of the
T T T T T T T T T T T T T T T
nurse to understand as much as possible about these risks: how to assess them, how to
T T T T T T T T T T T T T T T T
eliminate/reduce them, how to communicate and educate about them, and how to advocate
T T T T T T T T T T T T T
for policies that support healthy environments. Toxicologists do not often consult nurses
T T T T T T T T T T T T
about environmental pollutants. Pollutant exposures are not routinely reported by nurses.
T T T T T T T T T T T
Although there may be problems with air quality standards in the United States, this would
T T T T T T T T T T T T T T T
not be the primary reason why nurses should understand environmental health.
T T T T T T T T T T
DIF: Cognitive level: Understanding T T TOP: Nursing process: EvaluationT T T T
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection
T T T T T T T T T
ControlNURSINGTB.COM
2. Why is it important for a nurse to have knowledge of environmental health and the effects of
T T T T T T T T T T T T T T T T T
chemical, biological, and radiological materials? a. They are a major cause of global warming.
T T T T T T T T T T T T T
b. They are often found in the air, water, and products we use.
T T T T T T T T T T T T
c. They are frequently linked to the development of chronic illnesses.
T T T T T T T T T
d. They are products that nurses work with daily.
T T T T T T T
ANS: B T
Chemical, biological, and radiological pollutants are often found in the air we breathe, the
T T T T T T T T T T T T T T
water we drink, and the products we use. These are not a major cause of global warming.
T T T T T T T T T T T T T T T T T
They are not frequently linked to the development of chronic illnesses. These are not
T T T T T T T T T T T T T T
products that nurses work with daily.
T T T T T
NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
DIF: Cognitive level: Understanding
T TOP: Nursing process: Assessment MSC: T T T T T T T
NCLEX: Health Promotion and Maintenance T T T T
3. A nurse fulfills the environmental health competency of “assessment and referral.” Which of the
T T T T T T T T T T T T T T
following actions has the nurse most likely completed? a. Advocating for public policy changes
T T T T T T T T T T T T T
b. Understanding policy framework and major pieces of legislation T T T T T T T
c. Completing an environmental health history T T T T T
d. Describing the scientific principles about environmental health T T T T T T
ANS: C T
Assessment and referral states that all nurses should be able to successfully complete an
T T T T T T T T T T T T T T
environmental health history, recognize the potential environmental hazards and sentinel
T T T T T T T T T T
illnesses, and make appropriate referrals for conditions with probable environmental causes.
T T T T T T T T T T T
Advocating for public policy changes is part of advocacy. Understanding policy framework
T T T T T T T T T T T T
and legislation is part of legislation and regulation. Describing the scientific principles of
T T T T T T T T T T T T T
environmental health is part of basic knowledge and concepts. T T T T T T T T
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation MSC: NCLEX:
T T T T T T T T T
Safe and Effective Care Environment: Safety and Infection Control
T T T T T T T T
4. How have nurses historically learned to identify a possible relationship between environmental
T T T T T T T T T T T T
chemical exposures and their potential harm? a. Extrapolation by toxicologists
T T T T T T T T T
b. Biomonitoring
c. Completing chemistry courses T T
d. Observing signs and symptoms in clients T T T T T T
ANS: D T
Nurses have historically made discoveries related to chemical exposure when people
T T T T T T T T T T T
presented with signs and symptoms related to known chemical toxicity. Extrapolation by
T T T T T T T T T T T T
toxicologists and biomonitoring are modern methods. Completing a chemistry course does
T T T T T T T T T T T
not show how to identify these possible relationships.
T T T T T T T
DIF: Cognitive level: Understanding
T TOP: Nursing process: Assessment MSC: T T T T T T T
NCLEX: Safe and Effective Care Environment: Safety and Infection Control
T T T T T T T T T
NURSINGTB.COM
5. What term is used to refer to the basic science applied to understanding the health effects
T T T T T T T T T T T T T T T T
associated with chemical exposures? a. Toxicology
T T T T T
b. Pharmacology
c. Chemistry
d. Environmental epidemiology T
NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
ANS: A T
Toxicology is the study of the health effects associated with chemical exposures.
T T T T T T T T T T T T
Pharmacology is the branch of medicine concerned with the multiple aspects of drugs. T T T T T T T T T T T T T
Chemistry is the branch of science with deals with the way that matter is composed.
T T T T T T T T T T T T T T
Environmental epidemiology is concerned with the discovery of environmental exposures T T T T T T T T T
that cause or protect against illness or disease.
T T T T T T T
DIF: Cognitive level: Remembering TOP: Nursing process: Assessment T T T T T T
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
T T T T T T T T T T
6. What statement accurately describes the characteristics of epidemiology?
T T T T T T T
a. It is a science that studies the poisonous effects of chemicals.
T T T T T T T T T T
b. It explains the association between learning disabilities and exposure to lead-based paint
T T T T T T T T T T T T
at the cellular level. T T T
c. It helps nurses understand the strength of the association between exposure and
T T T T T T T T T T T TT
health effects. T
d. It is a method for tracking the prevalence of health outcomes.
T T T T T T T T T T
ANS: C T
Epidemiology studies the incidence and prevalence of disease, helping nurses understand the
T T T T T T T T T T T T
strength of the association between exposure and health effects. Toxicology is the science
T T T T T T T T T T T T T
that studies the poisonous effects of chemicals. Environmental surveillance provides data
T T T T T T T T T T T
with which to track and analyze the incidence and prevalence of health outcomes.
T T T T T T T T T T T T
Epidemiology does not examine causes at the cellular level. T T T T T T T T
DIF: Cognitive level: Remembering
T TOP: Nursing process: Assessment MSC: T T T T T T T
NCLEX: Safe and Effective Care Environment: Management of Care
T T T T T T T T
7. When researching pesticides, the nurse looks at the “family” of the chemical. What similarities
T T T T T T T T T T T T T T
are found among chemicals that have been placed in the same family? a. Route of entry into the
T T T T T T T T T T T T T T T T T T
body
b. Actions and associated risks T T T T
c. Effects that they have on the body T T T T T T
d. Potency and toxicity T T
ANS: B T
Chemicals are grouped so it’s possible to understand the actions and risks associated with
T T T T T T T T T T T T T T
each group. Although some common health risks exist within these families of chemicals,
T T T T T T T T T T T T T
the possible health risks for each chemical should be evaluated individually when a potential
T T T T T T T T T T T T T T
human exposure exists. T T
NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
DIF:MSC: Cognitive level: ApplyingNCLEX: Safe and Effective Care Environment: Safety and
T T T T T T T T T T T
Infection ControlNURSINGTB.TOP:COMNursing process: Assessment
T
T T
T T
8. Which example contains the components necessary to form an epidemiologic triangle? a.
T T T T T T T T T T T
Pesticides, water, food T T
b. Lead, mercury, soil T T
c. Trichloroethylene, water, infants T T T
d. Children under 12, elderly, temperature T T T T
ANS: C T
The epidemiologic triangle consists of an agent (chemical), host (community consisting of
T T T T T T T T T T T T
several variants), and environment (air, water, soil, etc.). The other examples do not contain
T T T T T T T T T T T T T T
an agent, host, and environment.
T T T T
DIF: Cognitive level: Analyzing TOP: Nursing process: Evaluation T T T T T T
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
T T T T T T T T T T
9. When would it be appropriate for a nurse to use a Geographic Information System (GIS)?
T T T T T T T T T T T T T T
a. Recording client data collected at a foot clinic T T T T T T T
b. Identifying areas with an increased incidence of lead poisoning T T T T T T T T T
c. Evaluating effectiveness of a farm safety program T T T T T T
d. Scheduling health promotion programs in the community T T T T T T
ANS: B T
The use of a GIS allows the PHN to apply the principles of epidemiology into practice. GIS
T T T T T T T T T T T T T T T T T
allows nurses to code data so that it is related spatially to a place on earth and is helpful in
T T T T T T T T T T T T T T T T T T T T
determining concentrated areas for incidence of disease and illness. An electronic health
T T T T T T T T T T T T
record (EHR) would be the most appropriate place to record client data from a foot clinic.
T T T T T T T T T T T T T T T T
Evaluation of effectiveness of a farm safety program would need to be done through some
T T T T T T T T T T T T T T T
type of assessment or evaluation method—GIS would not be useful to collect this data. GIS is
T T T T T T T T T T T T T T T T
not a scheduling system and would not be helpful when scheduling health promotion
T T T T T T T T T T T T T
programs in the community. T T T
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation MSC: NCLEX:
T T T T T T T T T
Safe and Effective Care Environment: Safety and Infection Control
T T T T T T T T
NURSINGTB.COM
Chapter 06: 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?
T T T T T T T T T T T T
a. Nurses should be able to assess risks and advocate for policies that support healthy
T T T T T T T T T T T T T T
environments. T
b. Toxicologists often consult nurses about environmental pollutants. T T T T T T
c. Pollutant exposures such as lead are reported by nurses to the Environmental Protection
T T T T T T T T T T T T T
Agency (EPA). T
d. Many Americans live in areas that do not meet current national air quality standards.
T T T T T T T T T T T T T
ANS: A T
Potential risks to health are concerns for professional nurses. It is the responsibility of the
T T T T T T T T T T T T T T T
nurse to understand as much as possible about these risks: how to assess them, how to
T T T T T T T T T T T T T T T T
eliminate/reduce them, how to communicate and educate about them, and how to advocate
T T T T T T T T T T T T T
for policies that support healthy environments. Toxicologists do not often consult nurses
T T T T T T T T T T T T
about environmental pollutants. Pollutant exposures are not routinely reported by nurses.
T T T T T T T T T T T
Although there may be problems with air quality standards in the United States, this would
T T T T T T T T T T T T T T T
not be the primary reason why nurses should understand environmental health.
T T T T T T T T T T
DIF: Cognitive level: Understanding T T TOP: Nursing process: EvaluationT T T T
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection
T T T T T T T T T
ControlNURSINGTB.COM
2. Why is it important for a nurse to have knowledge of environmental health and the effects of
T T T T T T T T T T T T T T T T T
chemical, biological, and radiological materials? a. They are a major cause of global warming.
T T T T T T T T T T T T T
b. They are often found in the air, water, and products we use.
T T T T T T T T T T T T
c. They are frequently linked to the development of chronic illnesses.
T T T T T T T T T
d. They are products that nurses work with daily.
T T T T T T T
ANS: B T
Chemical, biological, and radiological pollutants are often found in the air we breathe, the
T T T T T T T T T T T T T T
water we drink, and the products we use. These are not a major cause of global warming.
T T T T T T T T T T T T T T T T T
They are not frequently linked to the development of chronic illnesses. These are not
T T T T T T T T T T T T T T
products that nurses work with daily.
T T T T T
NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
DIF: Cognitive level: Understanding
T TOP: Nursing process: Assessment MSC: T T T T T T T
NCLEX: Health Promotion and Maintenance T T T T
3. A nurse fulfills the environmental health competency of “assessment and referral.” Which of the
T T T T T T T T T T T T T T
following actions has the nurse most likely completed? a. Advocating for public policy changes
T T T T T T T T T T T T T
b. Understanding policy framework and major pieces of legislation T T T T T T T
c. Completing an environmental health history T T T T T
d. Describing the scientific principles about environmental health T T T T T T
ANS: C T
Assessment and referral states that all nurses should be able to successfully complete an
T T T T T T T T T T T T T T
environmental health history, recognize the potential environmental hazards and sentinel
T T T T T T T T T T
illnesses, and make appropriate referrals for conditions with probable environmental causes.
T T T T T T T T T T T
Advocating for public policy changes is part of advocacy. Understanding policy framework
T T T T T T T T T T T T
and legislation is part of legislation and regulation. Describing the scientific principles of
T T T T T T T T T T T T T
environmental health is part of basic knowledge and concepts. T T T T T T T T
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation MSC: NCLEX:
T T T T T T T T T
Safe and Effective Care Environment: Safety and Infection Control
T T T T T T T T
4. How have nurses historically learned to identify a possible relationship between environmental
T T T T T T T T T T T T
chemical exposures and their potential harm? a. Extrapolation by toxicologists
T T T T T T T T T
b. Biomonitoring
c. Completing chemistry courses T T
d. Observing signs and symptoms in clients T T T T T T
ANS: D T
Nurses have historically made discoveries related to chemical exposure when people
T T T T T T T T T T T
presented with signs and symptoms related to known chemical toxicity. Extrapolation by
T T T T T T T T T T T T
toxicologists and biomonitoring are modern methods. Completing a chemistry course does
T T T T T T T T T T T
not show how to identify these possible relationships.
T T T T T T T
DIF: Cognitive level: Understanding
T TOP: Nursing process: Assessment MSC: T T T T T T T
NCLEX: Safe and Effective Care Environment: Safety and Infection Control
T T T T T T T T T
NURSINGTB.COM
5. What term is used to refer to the basic science applied to understanding the health effects
T T T T T T T T T T T T T T T T
associated with chemical exposures? a. Toxicology
T T T T T
b. Pharmacology
c. Chemistry
d. Environmental epidemiology T
NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
ANS: A T
Toxicology is the study of the health effects associated with chemical exposures.
T T T T T T T T T T T T
Pharmacology is the branch of medicine concerned with the multiple aspects of drugs. T T T T T T T T T T T T T
Chemistry is the branch of science with deals with the way that matter is composed.
T T T T T T T T T T T T T T
Environmental epidemiology is concerned with the discovery of environmental exposures T T T T T T T T T
that cause or protect against illness or disease.
T T T T T T T
DIF: Cognitive level: Remembering TOP: Nursing process: Assessment T T T T T T
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
T T T T T T T T T T
6. What statement accurately describes the characteristics of epidemiology?
T T T T T T T
a. It is a science that studies the poisonous effects of chemicals.
T T T T T T T T T T
b. It explains the association between learning disabilities and exposure to lead-based paint
T T T T T T T T T T T T
at the cellular level. T T T
c. It helps nurses understand the strength of the association between exposure and
T T T T T T T T T T T TT
health effects. T
d. It is a method for tracking the prevalence of health outcomes.
T T T T T T T T T T
ANS: C T
Epidemiology studies the incidence and prevalence of disease, helping nurses understand the
T T T T T T T T T T T T
strength of the association between exposure and health effects. Toxicology is the science
T T T T T T T T T T T T T
that studies the poisonous effects of chemicals. Environmental surveillance provides data
T T T T T T T T T T T
with which to track and analyze the incidence and prevalence of health outcomes.
T T T T T T T T T T T T
Epidemiology does not examine causes at the cellular level. T T T T T T T T
DIF: Cognitive level: Remembering
T TOP: Nursing process: Assessment MSC: T T T T T T T
NCLEX: Safe and Effective Care Environment: Management of Care
T T T T T T T T
7. When researching pesticides, the nurse looks at the “family” of the chemical. What similarities
T T T T T T T T T T T T T T
are found among chemicals that have been placed in the same family? a. Route of entry into the
T T T T T T T T T T T T T T T T T T
body
b. Actions and associated risks T T T T
c. Effects that they have on the body T T T T T T
d. Potency and toxicity T T
ANS: B T
Chemicals are grouped so it’s possible to understand the actions and risks associated with
T T T T T T T T T T T T T T
each group. Although some common health risks exist within these families of chemicals,
T T T T T T T T T T T T T
the possible health risks for each chemical should be evaluated individually when a potential
T T T T T T T T T T T T T T
human exposure exists. T T
NURSINGTB.COM
, Public Health Nursing 10th Edition Stanhope Test Bank
DIF:MSC: Cognitive level: ApplyingNCLEX: Safe and Effective Care Environment: Safety and
T T T T T T T T T T T
Infection ControlNURSINGTB.TOP:COMNursing process: Assessment
T
T T
T T
8. Which example contains the components necessary to form an epidemiologic triangle? a.
T T T T T T T T T T T
Pesticides, water, food T T
b. Lead, mercury, soil T T
c. Trichloroethylene, water, infants T T T
d. Children under 12, elderly, temperature T T T T
ANS: C T
The epidemiologic triangle consists of an agent (chemical), host (community consisting of
T T T T T T T T T T T T
several variants), and environment (air, water, soil, etc.). The other examples do not contain
T T T T T T T T T T T T T T
an agent, host, and environment.
T T T T
DIF: Cognitive level: Analyzing TOP: Nursing process: Evaluation T T T T T T
MSC: NCLEX: Safe and Effective Care Environment: Safety and Infection Control
T T T T T T T T T T
9. When would it be appropriate for a nurse to use a Geographic Information System (GIS)?
T T T T T T T T T T T T T T
a. Recording client data collected at a foot clinic T T T T T T T
b. Identifying areas with an increased incidence of lead poisoning T T T T T T T T T
c. Evaluating effectiveness of a farm safety program T T T T T T
d. Scheduling health promotion programs in the community T T T T T T
ANS: B T
The use of a GIS allows the PHN to apply the principles of epidemiology into practice. GIS
T T T T T T T T T T T T T T T T T
allows nurses to code data so that it is related spatially to a place on earth and is helpful in
T T T T T T T T T T T T T T T T T T T T
determining concentrated areas for incidence of disease and illness. An electronic health
T T T T T T T T T T T T
record (EHR) would be the most appropriate place to record client data from a foot clinic.
T T T T T T T T T T T T T T T T
Evaluation of effectiveness of a farm safety program would need to be done through some
T T T T T T T T T T T T T T T
type of assessment or evaluation method—GIS would not be useful to collect this data. GIS is
T T T T T T T T T T T T T T T T
not a scheduling system and would not be helpful when scheduling health promotion
T T T T T T T T T T T T T
programs in the community. T T T
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation MSC: NCLEX:
T T T T T T T T T
Safe and Effective Care Environment: Safety and Infection Control
T T T T T T T T
NURSINGTB.COM
