Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
Chapter 06: Environmental Health .
Stanhope: Foundations for Population Health in Community/Public Health Nursing,
5th Edition
MULTIPLE CHOICE
1. A nurse wants to have a better understanding of the physiological effects of selected
chemicals. Which of the following individuals would provide the most useful information to
the nurse?
a. Chemist
b. Epidemiologist
c. Pharmacist
d. Toxicologist
ANS: D
Toxicology is the basic science that studies the health effects associated with chemical
exposures. A chemist, epidemiologist, or pharmacist would probably be able to provide some
information, but the toxicologist would most likely provide information related to
physiological processes.
2. A nurse wants to find information about environmental threats that are present in the
community. Which of the following would be the best source of data for the nurse?
a. Cumulative Index of Nursing and Allied Health (CINAHL) database
b. National Library of Medicine
c. State health department
d. Closest local library N R I G B.C MU S N T O
ANS: B
Technology helps us understand environmental threats. The National Library of Medicine
(NLM) databases are user-friendly and accessible on the Internet. The NLM website provides
access to medical databases such as PubMed and GratefulMed, which can be searched for
possible environmental linkages to illnesses using key terms. The CINAHL database provides
access to literature related to nursing and allied health journals and would not be as
comprehensive as the National Library of Medicine. It would be difficult to access
information easily through the heatlh department. The information that is available at the local
library would be dependent on the community in which one lived.
3. A nurse is assessing potential environmental health risks in the community. Which of the
following would be the first step that the nurse should take?
a. Conduct health risk assessments of randomly selected individuals
b. Perform a windshield survey
c. Review facility permits and consumer confidence reports
d. Survey community members
ANS: B
This study source was downloaded by 100000841689952 from CourseHero.com on 04-30-2022 15:25:03 GMT -05:00
https://www.coursehero.com/file/58535239/06pdf/ NURSINGTB.COM
, Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
Conducting a windshield survey is a useful first step to understanding potential environmental
health risks. This provides firsthand information about the community and areas of concern
that must be investigated. Conducting health risk assessments of randomly seleced individuals
or surveying community members does not give the nurse a good assessment of potential
environmental health risks of the entire community. Reviewing facility permits and consumer
confidence reports would not provide enough information to assess the environment of a
community.
4. A community citizen reports to the public health nurse that the city water in one neighborhood
has had an unusual taste for the past few months. Which of the following actions should the
nurse take first?
a. Check the most recent consumer confidence report.
b. Consult the Centers for Disease Control and Prevention.
c. Notify the Environmental Protection Agency (EPA).
d. Place a call to the poison control center.
ANS: A
The consumer confidence report (also known as the right-to-know report) reports the
condition of drinking water. Because this is only one citizen, whose sense of taste may be
affected by many conditions, it would not be appropriate to overreact by calling in
governmental agencies first. Even so, in case one needed to contact an authority, it would be
appropriate to start with local governmental agencies such as the city water department rather
than federal agencies.
5. A nurse who works at the local hospital asks a public health nurse what might be causing her
hands to become very sore and sensitive. Which of the following statements would be the
most appropriate response byNtheRpublic health nurse?
a. “Ask the staff in employeeU SIifNG
health TB.C
there
M
haveObeen any other complaints.”
b. “Call the local health department about any recent problems at the hospital.”
c. “Check the material safety data sheet on any chemicals you have used recently.”
d. “See the nurse’s health care provider for a complete work-up.”
ANS: C
Employees have the right to know about hazardous chemicals with which they work.
Employers must maintain a list of all hazardous chemicals used on the premises, along with a
material safety data sheet that addresses health risks related to these chemicals, as well as
information about safe use and handling. After checking the material safety data sheets, the
next steps would be to connect with a health care provider which could include staff in
employee health, a local health department, or one’s own health care care provider. The first
step should be to determine what exposure occurred.
6. Which of the following statements about children and environmental hazards is correct?
a. The prevalence of autism is directly related to the increase in environmental toxins.
b. Children are more susceptible to environmental toxins because of their smaller
size.
c. The incidence of asthma among children has been decreasing.
d. Children are more susceptible to cancer if they have a family history of the disease.
ANS: B
This study source was downloaded by 100000841689952 from CourseHero.com on 04-30-2022 15:25:03 GMT -05:00
https://www.coursehero.com/file/58535239/06pdf/ NURSINGTB.COM
Chapter 06: Environmental Health .
Stanhope: Foundations for Population Health in Community/Public Health Nursing,
5th Edition
MULTIPLE CHOICE
1. A nurse wants to have a better understanding of the physiological effects of selected
chemicals. Which of the following individuals would provide the most useful information to
the nurse?
a. Chemist
b. Epidemiologist
c. Pharmacist
d. Toxicologist
ANS: D
Toxicology is the basic science that studies the health effects associated with chemical
exposures. A chemist, epidemiologist, or pharmacist would probably be able to provide some
information, but the toxicologist would most likely provide information related to
physiological processes.
2. A nurse wants to find information about environmental threats that are present in the
community. Which of the following would be the best source of data for the nurse?
a. Cumulative Index of Nursing and Allied Health (CINAHL) database
b. National Library of Medicine
c. State health department
d. Closest local library N R I G B.C MU S N T O
ANS: B
Technology helps us understand environmental threats. The National Library of Medicine
(NLM) databases are user-friendly and accessible on the Internet. The NLM website provides
access to medical databases such as PubMed and GratefulMed, which can be searched for
possible environmental linkages to illnesses using key terms. The CINAHL database provides
access to literature related to nursing and allied health journals and would not be as
comprehensive as the National Library of Medicine. It would be difficult to access
information easily through the heatlh department. The information that is available at the local
library would be dependent on the community in which one lived.
3. A nurse is assessing potential environmental health risks in the community. Which of the
following would be the first step that the nurse should take?
a. Conduct health risk assessments of randomly selected individuals
b. Perform a windshield survey
c. Review facility permits and consumer confidence reports
d. Survey community members
ANS: B
This study source was downloaded by 100000841689952 from CourseHero.com on 04-30-2022 15:25:03 GMT -05:00
https://www.coursehero.com/file/58535239/06pdf/ NURSINGTB.COM
, Foundations for Population Health in Community Public Health Nursing 5th Edition Stanhope Test Bank
Conducting a windshield survey is a useful first step to understanding potential environmental
health risks. This provides firsthand information about the community and areas of concern
that must be investigated. Conducting health risk assessments of randomly seleced individuals
or surveying community members does not give the nurse a good assessment of potential
environmental health risks of the entire community. Reviewing facility permits and consumer
confidence reports would not provide enough information to assess the environment of a
community.
4. A community citizen reports to the public health nurse that the city water in one neighborhood
has had an unusual taste for the past few months. Which of the following actions should the
nurse take first?
a. Check the most recent consumer confidence report.
b. Consult the Centers for Disease Control and Prevention.
c. Notify the Environmental Protection Agency (EPA).
d. Place a call to the poison control center.
ANS: A
The consumer confidence report (also known as the right-to-know report) reports the
condition of drinking water. Because this is only one citizen, whose sense of taste may be
affected by many conditions, it would not be appropriate to overreact by calling in
governmental agencies first. Even so, in case one needed to contact an authority, it would be
appropriate to start with local governmental agencies such as the city water department rather
than federal agencies.
5. A nurse who works at the local hospital asks a public health nurse what might be causing her
hands to become very sore and sensitive. Which of the following statements would be the
most appropriate response byNtheRpublic health nurse?
a. “Ask the staff in employeeU SIifNG
health TB.C
there
M
haveObeen any other complaints.”
b. “Call the local health department about any recent problems at the hospital.”
c. “Check the material safety data sheet on any chemicals you have used recently.”
d. “See the nurse’s health care provider for a complete work-up.”
ANS: C
Employees have the right to know about hazardous chemicals with which they work.
Employers must maintain a list of all hazardous chemicals used on the premises, along with a
material safety data sheet that addresses health risks related to these chemicals, as well as
information about safe use and handling. After checking the material safety data sheets, the
next steps would be to connect with a health care provider which could include staff in
employee health, a local health department, or one’s own health care care provider. The first
step should be to determine what exposure occurred.
6. Which of the following statements about children and environmental hazards is correct?
a. The prevalence of autism is directly related to the increase in environmental toxins.
b. Children are more susceptible to environmental toxins because of their smaller
size.
c. The incidence of asthma among children has been decreasing.
d. Children are more susceptible to cancer if they have a family history of the disease.
ANS: B
This study source was downloaded by 100000841689952 from CourseHero.com on 04-30-2022 15:25:03 GMT -05:00
https://www.coursehero.com/file/58535239/06pdf/ NURSINGTB.COM