Population-Centered Health Care in the Community,11th 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
healthyenvironments.
b. Toxicologists often consult nurses about environmental pollutants.
c. Pollutant exposures such as lead are reported by nurses to the
Environmental ProtectionAgency (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
advocatefor 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
wouldnot be the primary reason why nurses should understand environmental health.
DIF: Cognitive level: Understanding TOP: Nursing process:
EvaluationMSC: NCLEX: Safe and Effective Care Environment: Safety and
Infection
Control
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
,Chemical, biological, and radiological pollutants are often found in the air we breathe,
thewater 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.
, 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
thefollowing actions has the nurse most likely completed? a.
Advocating for public policy changes
b. Understanding policy framework and major pieces of
legislationc. 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
frameworkand 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
environmentalchemical exposures and their potential harm? a. Extrapolation by toxicologists
b. Biomonitoring
c. Completing chemistry courses
d. Observing signs and symptoms in clients
ANS: D [Type a quote from the document or the
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DIF: Cognitive level: Understanding TOP: Nursing process: Assessment
MSC:NCLEX: Safe and Effective Care Environment: Safety and Infection Control