PublicwHealthwNursingw10thwEditionwStanhopewTestwBan
k
Chapter 06: Environmental Health
w w w
Stanhope: Public Health Nursing: Population-
w w w w
Centered Health Care in the Community, 10th Edition
w w w w w w w
MULTIPLEwCHOICE
1. Whywiswitwimportantwforwnurseswtowunderstandwthewpremiseswofwenvironmentalwhealth?
a. Nurseswshouldwbewablewtowassesswriskswandwadvocatewforwpolicieswthatwsupportwhealth
ywenvironments.
b. Toxicologistswoftenwconsultwnurseswaboutwenvironmentalwpollutants.
c. PollutantwexposureswsuchwaswleadwarewreportedwbywnurseswtowthewEnvironmentalwProtectio
nwAgencyw(EPA).
d. ManywAmericanswlivewinwareaswthatwdownotwmeetwcurrentwnationalwairwqualitywstandards.
ANS:wA
Potentialwriskswtowhealthwarewconcernswforwprofessionalwnurses.wItwiswthewresponsibilitywofwthew
nursewtowunderstandwaswmuchwaswpossiblewaboutwthesewrisks:whowwtowassesswthem,whowwtoweli
minate/reducewthem,whowwtowcommunicatewandweducatewaboutwthem,wandwhowwtowadvocatewf
orwpolicieswthatwsupportwhealthywenvironments.wToxicologistswdownotwoftenwconsultwnurseswa
boutwenvironmentalwpollutants.wPollutantwexposureswarewnotwroutinelywreportedwbywnurses.wA
lthoughwtherewmaywbewproblemswwithwairwqualitywstandardswinwthewUnitedwStates,wthiswwouldw
notwbewthewprimarywreasonwwhywnurseswshouldwunderstandwenvironmentalwhealth.
DIF: Cognitivewlevel:wUnderstanding
TOP:wNursingwprocess:wEvaluationwMSC:wNCLEX:wSafewandwEffectivew
CarewEnvironment:wSafetywandwInfection
ControlNURSINGTB.COM
2. Whywiswitwimportantwforwawnursewtowhavewknowledgewofwenvironmentalwhealthwandwtheweffectswo
fwchemical,wbiological,wandwradiologicalwmaterials?wa.wTheywarewawmajorwcausewofwglobalwwarmi
ng.
b. Theywarewoftenwfoundwinwthewair,wwater,wandwproductswwewuse.
c. Theywarewfrequentlywlinkedwtowthewdevelopmentwofwchronicwillnesses.
d. Theywarewproductswthatwnurseswworkwwithwdaily.
ANS:wB
Chemical,wbiological,wandwradiologicalwpollutantswarewoftenwfoundwinwthewairwwewbreathe,wthew
waterwwewdrink,wandwthewproductswwewuse.wThesewarewnotwawmajorwcausewofwglobalwwarming.w
Theywarewnotwfrequentlywlinkedwtowthewdevelopmentwofwchronicwillnesses.wThesewarewnotwprod
uctswthatwnurseswworkwwithwdaily.
, PublicwHealthwNursingw10thwEditionwStanhopewTestwBan
k
DIF:w Cognitivewlevel:wUnderstanding
TOP:wNursingwprocess:wAssessmentwMSC
:wNCLEX:wHealthwPromotionwandwMaintenance
3. Awnursewfulfillswthewenvironmentalwhealthwcompetencywofw“assessmentwandwreferral.”wWhichwofwt
hewfollowingwactionswhaswthewnursewmostwlikelywcompleted?wa.wAdvocatingwforwpublicwpolicywcha
nges
b. Understandingwpolicywframeworkwandwmajorwpieceswofwlegislation
c. Completingwanwenvironmentalwhealthwhistory
d. Describingwthewscientificwprincipleswaboutwenvironmentalwhealth
ANS:wC
Assessmentwandwreferralwstateswthatwallwnurseswshouldwbewablewtowsuccessfullywcompletewanwe
nvironmentalwhealthwhistory,wrecognizewthewpotentialwenvironmentalwhazardswandwsentinelwill
nesses,wandwmakewappropriatewreferralswforwconditionswwithwprobablewenvironmentalwcauses.w
Advocatingwforwpublicwpolicywchangeswiswpartwofwadvocacy.wUnderstandingwpolicywframewor
kwandwlegislationwiswpartwofwlegislationwandwregulation.wDescribingwthewscientificwprincipleswo
fwenvironmentalwhealthwiswpartwofwbasicwknowledgewandwconcepts.
DIF:w Cognitivewlevel:wAnalyzing
TOP:wNursingwprocess:wImplementationwMSC:wNCLEX
:wSafewandwEffectivewCarewEnvironment:wSafetywandwInfectionwControl
4. Howwhavewnurseswhistoricallywlearnedwtowidentifywawpossiblewrelationshipwbetweenwenvironment
alwchemicalwexposureswandwtheirwpotentialwharm?wa.wExtrapolationwbywtoxicologists
b. Biomonitoring
c. Completingwchemistrywcourses
d. Observingwsignswandwsymptomswinwclients
ANS:wD
Nurseswhavewhistoricallywmadewdiscoverieswrelatedwtowchemicalwexposurewwhenwpeoplewprese
ntedwwithwsignswandwsymptomswrelatedwtowknownwchemicalwtoxicity.wExtrapolationwbywtoxic
ologistswandwbiomonitoringwarewmodernwmethods.wCompletingwawchemistrywcoursewdoeswnotws
howwhowwtowidentifywthesewpossiblewrelationships.
DIF:w Cognitivewlevel:wUnderstanding
TOP:wNursingwprocess:wAssessmentwMSC
:wNCLEX:wSafewandwEffectivewCarewEnvironment:wSafetywandwInfectionwControl
5. Whatwtermwiswusedwtowreferwtowthewbasicwsciencewappliedwtowunderstandingwthewhealthweffec
tswassociatedwwithwchemicalwexposures?wa.wToxicology
b. Pharmacology
c. Chemistry
d. Environmentalwepidemiology
, PublicwHealthwNursingw10thwEditionwStanhopewTestwBan
k
ANS:wA
Toxicologywiswthewstudywofwthewhealthweffectswassociatedwwithwchemicalwexposures.wPharmac
ologywiswthewbranchwofwmedicinewconcernedwwithwthewmultiplewaspectswofwdrugs.wChemistrywis
wthewbranchwofwsciencewwithwdealswwithwthewwaywthatwmatterwiswcomposed.
Environmentalwepidemiologywiswconcernedwwithwthewdiscoverywofwenvironmentalwexposureswt
hatwcauseworwprotectwagainstwillnessworwdisease.
DIF: Cognitivewlevel:wRemembering
TOP:wNursingwprocess:wAssessmentwMSC:wNCLEX:wSafewandwEffectivewCar
ewEnvironment:wSafetywandwInfectionwControl
6. Whatwstatementwaccuratelywdescribeswthewcharacteristicswofwepidemiology?
a. Itwiswawsciencewthatwstudieswthewpoisonousweffectswofwchemicals.
b. Itwexplainswthewassociationwbetweenwlearningwdisabilitieswandwexposurewtowlead-
basedwpaintwatwthewcellularwlevel.
c. Itwhelpswnurseswunderstandwthewstrengthwofwthewassociationwbetweenwexposurewan
dwhealthweffects.
d. Itwiswawmethodwforwtrackingwthewprevalencewofwhealthwoutcomes.
ANS:wC
Epidemiologywstudieswthewincidencewandwprevalencewofwdisease,whelpingwnurseswunderstandwt
hewstrengthwofwthewassociationwbetweenwexposurewandwhealthweffects.wToxicologywiswthewscie
ncewthatwstudieswthewpoisonousweffectswofwchemicals.wEnvironmentalwsurveillancewprovideswd
atawwithwwhichwtowtrackwandwanalyzewthewincidencewandwprevalencewofwhealthwoutcomes.
Epidemiologywdoeswnotwexaminewcauseswatwthewcellularwlevel.
DIF:w Cognitivewlevel:wRemembering
TOP:wNursingwprocess:wAssessmentwMSC
:wNCLEX:wSafewandwEffectivewCarewEnvironment:wManagementwofwCare
7. Whenwresearchingwpesticides,wthewnursewlookswatwthew“family”wofwthewchemical.wWhatwsimilariti
eswarewfoundwamongwchemicalswthatwhavewbeenwplacedwinwthewsamewfamily?wa.wRoutewofwentrywint
owthewbody
b. Actionswandwassociatedwrisks
c. Effectswthatwtheywhavewonwthewbody
d. Potencywandwtoxicity
ANS:wB
Chemicalswarewgroupedwsowit’swpossiblewtowunderstandwthewactionswandwriskswassociatedwwithw
eachwgroup.wAlthoughwsomewcommonwhealthwriskswexistwwithinwthesewfamilieswofwchemicals,w
thewpossiblewhealthwriskswforweachwchemicalwshouldwbewevaluatedwindividuallywwhenwawpotenti
alwhumanwexposurewexists.
, PublicwHealthwNursingw10thwEditionwStanhopewTestwBan
k
DIF:MSC:wCognitivewlevel:wApplyingNCLEX:wSafewandwEffectivewCarewEnvironment:wSafetywandwInfec
tionwControlNURSwINGTB.TOP:COMwNursingwprocess:wAssessment
8. Whichwexamplewcontainswthewcomponentswnecessarywtowformwanwepidemiologicwtriangle?wa.
Pesticides,wwater,wfood
b. Lead,wmercury,wsoil
c. Trichloroethylene,wwater,winfants
d. Childrenwunderw12,welderly,wtemperature
ANS:wC
Thewepidemiologicwtrianglewconsistswofwanwagentw(chemical),whostw(communitywconsistingwof
wseveral wvariants), wandwenvironmentw(air,wwater,wsoil,wetc.).wThewotherwexampleswdownotwconta
inwanwagent,whost,wandwenvironment.
DIF: Cognitivewlevel:wAnalyzing
TOP:wNursingwprocess:wEvaluationwMSC:wNCLEX:wSafewandwEffectivewCare
wEnvironment:wSafetywandwInfectionwControl
9. WhenwwouldwitwbewappropriatewforwawnursewtowusewawGeographicwInformationwSystemw(GIS)?
a. Recordingwclientwdatawcollectedwatwawfootwclinic
b. Identifyingwareaswwithwanwincreasedwincidencewofwleadwpoisoning
c. Evaluatingweffectivenesswofwawfarmwsafetywprogram
d. Schedulingwhealthwpromotionwprogramswinwthewcommunity
ANS:wB
ThewusewofwawGISwallowswthewPHNwtowapplywthewprincipleswofwepidemiologywintowpractice.wGI
Swallowswnurseswtowcodewdatawsowthatwitwiswrelatedwspatiallywtowawplacewonwearthwandwiswhelpful
winwdeterminingwconcentratedwareaswforwincidencewofwdiseasewandwillness.wAnwelectronicwhealt
hwrecordw(EHR)wwouldwbewthewmostwappropriatewplacewtowrecordwclientwdatawfromwawfootwclin
ic.wEvaluationwofweffectivenesswofwawfarmwsafetywprogramwwouldwneedwtowbewdonewthroughws
omewtypewofwassessmentworwevaluationwmethod—
GISwwouldwnotwbewusefulwtowcollectwthiswdata.wGISwiswnotwawschedulingwsystemwandwwouldwno
twbewhelpfulwwhenwschedulingwhealthwpromotionwprogramswinwthewcommunity.
DIF:w Cognitivewlevel:wAnalyzing
TOP:wNursingwprocess:wImplementationwMSC:wNCLEX
:wSafewandwEffectivewCarewEnvironment:wSafetywandwInfectionwControl
k
Chapter 06: Environmental Health
w w w
Stanhope: Public Health Nursing: Population-
w w w w
Centered Health Care in the Community, 10th Edition
w w w w w w w
MULTIPLEwCHOICE
1. Whywiswitwimportantwforwnurseswtowunderstandwthewpremiseswofwenvironmentalwhealth?
a. Nurseswshouldwbewablewtowassesswriskswandwadvocatewforwpolicieswthatwsupportwhealth
ywenvironments.
b. Toxicologistswoftenwconsultwnurseswaboutwenvironmentalwpollutants.
c. PollutantwexposureswsuchwaswleadwarewreportedwbywnurseswtowthewEnvironmentalwProtectio
nwAgencyw(EPA).
d. ManywAmericanswlivewinwareaswthatwdownotwmeetwcurrentwnationalwairwqualitywstandards.
ANS:wA
Potentialwriskswtowhealthwarewconcernswforwprofessionalwnurses.wItwiswthewresponsibilitywofwthew
nursewtowunderstandwaswmuchwaswpossiblewaboutwthesewrisks:whowwtowassesswthem,whowwtoweli
minate/reducewthem,whowwtowcommunicatewandweducatewaboutwthem,wandwhowwtowadvocatewf
orwpolicieswthatwsupportwhealthywenvironments.wToxicologistswdownotwoftenwconsultwnurseswa
boutwenvironmentalwpollutants.wPollutantwexposureswarewnotwroutinelywreportedwbywnurses.wA
lthoughwtherewmaywbewproblemswwithwairwqualitywstandardswinwthewUnitedwStates,wthiswwouldw
notwbewthewprimarywreasonwwhywnurseswshouldwunderstandwenvironmentalwhealth.
DIF: Cognitivewlevel:wUnderstanding
TOP:wNursingwprocess:wEvaluationwMSC:wNCLEX:wSafewandwEffectivew
CarewEnvironment:wSafetywandwInfection
ControlNURSINGTB.COM
2. Whywiswitwimportantwforwawnursewtowhavewknowledgewofwenvironmentalwhealthwandwtheweffectswo
fwchemical,wbiological,wandwradiologicalwmaterials?wa.wTheywarewawmajorwcausewofwglobalwwarmi
ng.
b. Theywarewoftenwfoundwinwthewair,wwater,wandwproductswwewuse.
c. Theywarewfrequentlywlinkedwtowthewdevelopmentwofwchronicwillnesses.
d. Theywarewproductswthatwnurseswworkwwithwdaily.
ANS:wB
Chemical,wbiological,wandwradiologicalwpollutantswarewoftenwfoundwinwthewairwwewbreathe,wthew
waterwwewdrink,wandwthewproductswwewuse.wThesewarewnotwawmajorwcausewofwglobalwwarming.w
Theywarewnotwfrequentlywlinkedwtowthewdevelopmentwofwchronicwillnesses.wThesewarewnotwprod
uctswthatwnurseswworkwwithwdaily.
, PublicwHealthwNursingw10thwEditionwStanhopewTestwBan
k
DIF:w Cognitivewlevel:wUnderstanding
TOP:wNursingwprocess:wAssessmentwMSC
:wNCLEX:wHealthwPromotionwandwMaintenance
3. Awnursewfulfillswthewenvironmentalwhealthwcompetencywofw“assessmentwandwreferral.”wWhichwofwt
hewfollowingwactionswhaswthewnursewmostwlikelywcompleted?wa.wAdvocatingwforwpublicwpolicywcha
nges
b. Understandingwpolicywframeworkwandwmajorwpieceswofwlegislation
c. Completingwanwenvironmentalwhealthwhistory
d. Describingwthewscientificwprincipleswaboutwenvironmentalwhealth
ANS:wC
Assessmentwandwreferralwstateswthatwallwnurseswshouldwbewablewtowsuccessfullywcompletewanwe
nvironmentalwhealthwhistory,wrecognizewthewpotentialwenvironmentalwhazardswandwsentinelwill
nesses,wandwmakewappropriatewreferralswforwconditionswwithwprobablewenvironmentalwcauses.w
Advocatingwforwpublicwpolicywchangeswiswpartwofwadvocacy.wUnderstandingwpolicywframewor
kwandwlegislationwiswpartwofwlegislationwandwregulation.wDescribingwthewscientificwprincipleswo
fwenvironmentalwhealthwiswpartwofwbasicwknowledgewandwconcepts.
DIF:w Cognitivewlevel:wAnalyzing
TOP:wNursingwprocess:wImplementationwMSC:wNCLEX
:wSafewandwEffectivewCarewEnvironment:wSafetywandwInfectionwControl
4. Howwhavewnurseswhistoricallywlearnedwtowidentifywawpossiblewrelationshipwbetweenwenvironment
alwchemicalwexposureswandwtheirwpotentialwharm?wa.wExtrapolationwbywtoxicologists
b. Biomonitoring
c. Completingwchemistrywcourses
d. Observingwsignswandwsymptomswinwclients
ANS:wD
Nurseswhavewhistoricallywmadewdiscoverieswrelatedwtowchemicalwexposurewwhenwpeoplewprese
ntedwwithwsignswandwsymptomswrelatedwtowknownwchemicalwtoxicity.wExtrapolationwbywtoxic
ologistswandwbiomonitoringwarewmodernwmethods.wCompletingwawchemistrywcoursewdoeswnotws
howwhowwtowidentifywthesewpossiblewrelationships.
DIF:w Cognitivewlevel:wUnderstanding
TOP:wNursingwprocess:wAssessmentwMSC
:wNCLEX:wSafewandwEffectivewCarewEnvironment:wSafetywandwInfectionwControl
5. Whatwtermwiswusedwtowreferwtowthewbasicwsciencewappliedwtowunderstandingwthewhealthweffec
tswassociatedwwithwchemicalwexposures?wa.wToxicology
b. Pharmacology
c. Chemistry
d. Environmentalwepidemiology
, PublicwHealthwNursingw10thwEditionwStanhopewTestwBan
k
ANS:wA
Toxicologywiswthewstudywofwthewhealthweffectswassociatedwwithwchemicalwexposures.wPharmac
ologywiswthewbranchwofwmedicinewconcernedwwithwthewmultiplewaspectswofwdrugs.wChemistrywis
wthewbranchwofwsciencewwithwdealswwithwthewwaywthatwmatterwiswcomposed.
Environmentalwepidemiologywiswconcernedwwithwthewdiscoverywofwenvironmentalwexposureswt
hatwcauseworwprotectwagainstwillnessworwdisease.
DIF: Cognitivewlevel:wRemembering
TOP:wNursingwprocess:wAssessmentwMSC:wNCLEX:wSafewandwEffectivewCar
ewEnvironment:wSafetywandwInfectionwControl
6. Whatwstatementwaccuratelywdescribeswthewcharacteristicswofwepidemiology?
a. Itwiswawsciencewthatwstudieswthewpoisonousweffectswofwchemicals.
b. Itwexplainswthewassociationwbetweenwlearningwdisabilitieswandwexposurewtowlead-
basedwpaintwatwthewcellularwlevel.
c. Itwhelpswnurseswunderstandwthewstrengthwofwthewassociationwbetweenwexposurewan
dwhealthweffects.
d. Itwiswawmethodwforwtrackingwthewprevalencewofwhealthwoutcomes.
ANS:wC
Epidemiologywstudieswthewincidencewandwprevalencewofwdisease,whelpingwnurseswunderstandwt
hewstrengthwofwthewassociationwbetweenwexposurewandwhealthweffects.wToxicologywiswthewscie
ncewthatwstudieswthewpoisonousweffectswofwchemicals.wEnvironmentalwsurveillancewprovideswd
atawwithwwhichwtowtrackwandwanalyzewthewincidencewandwprevalencewofwhealthwoutcomes.
Epidemiologywdoeswnotwexaminewcauseswatwthewcellularwlevel.
DIF:w Cognitivewlevel:wRemembering
TOP:wNursingwprocess:wAssessmentwMSC
:wNCLEX:wSafewandwEffectivewCarewEnvironment:wManagementwofwCare
7. Whenwresearchingwpesticides,wthewnursewlookswatwthew“family”wofwthewchemical.wWhatwsimilariti
eswarewfoundwamongwchemicalswthatwhavewbeenwplacedwinwthewsamewfamily?wa.wRoutewofwentrywint
owthewbody
b. Actionswandwassociatedwrisks
c. Effectswthatwtheywhavewonwthewbody
d. Potencywandwtoxicity
ANS:wB
Chemicalswarewgroupedwsowit’swpossiblewtowunderstandwthewactionswandwriskswassociatedwwithw
eachwgroup.wAlthoughwsomewcommonwhealthwriskswexistwwithinwthesewfamilieswofwchemicals,w
thewpossiblewhealthwriskswforweachwchemicalwshouldwbewevaluatedwindividuallywwhenwawpotenti
alwhumanwexposurewexists.
, PublicwHealthwNursingw10thwEditionwStanhopewTestwBan
k
DIF:MSC:wCognitivewlevel:wApplyingNCLEX:wSafewandwEffectivewCarewEnvironment:wSafetywandwInfec
tionwControlNURSwINGTB.TOP:COMwNursingwprocess:wAssessment
8. Whichwexamplewcontainswthewcomponentswnecessarywtowformwanwepidemiologicwtriangle?wa.
Pesticides,wwater,wfood
b. Lead,wmercury,wsoil
c. Trichloroethylene,wwater,winfants
d. Childrenwunderw12,welderly,wtemperature
ANS:wC
Thewepidemiologicwtrianglewconsistswofwanwagentw(chemical),whostw(communitywconsistingwof
wseveral wvariants), wandwenvironmentw(air,wwater,wsoil,wetc.).wThewotherwexampleswdownotwconta
inwanwagent,whost,wandwenvironment.
DIF: Cognitivewlevel:wAnalyzing
TOP:wNursingwprocess:wEvaluationwMSC:wNCLEX:wSafewandwEffectivewCare
wEnvironment:wSafetywandwInfectionwControl
9. WhenwwouldwitwbewappropriatewforwawnursewtowusewawGeographicwInformationwSystemw(GIS)?
a. Recordingwclientwdatawcollectedwatwawfootwclinic
b. Identifyingwareaswwithwanwincreasedwincidencewofwleadwpoisoning
c. Evaluatingweffectivenesswofwawfarmwsafetywprogram
d. Schedulingwhealthwpromotionwprogramswinwthewcommunity
ANS:wB
ThewusewofwawGISwallowswthewPHNwtowapplywthewprincipleswofwepidemiologywintowpractice.wGI
Swallowswnurseswtowcodewdatawsowthatwitwiswrelatedwspatiallywtowawplacewonwearthwandwiswhelpful
winwdeterminingwconcentratedwareaswforwincidencewofwdiseasewandwillness.wAnwelectronicwhealt
hwrecordw(EHR)wwouldwbewthewmostwappropriatewplacewtowrecordwclientwdatawfromwawfootwclin
ic.wEvaluationwofweffectivenesswofwawfarmwsafetywprogramwwouldwneedwtowbewdonewthroughws
omewtypewofwassessmentworwevaluationwmethod—
GISwwouldwnotwbewusefulwtowcollectwthiswdata.wGISwiswnotwawschedulingwsystemwandwwouldwno
twbewhelpfulwwhenwschedulingwhealthwpromotionwprogramswinwthewcommunity.
DIF:w Cognitivewlevel:wAnalyzing
TOP:wNursingwprocess:wImplementationwMSC:wNCLEX
:wSafewandwEffectivewCarewEnvironment:wSafetywandwInfectionwControl
