PublicbHealthbNursingb10thbEditionbStanhopebTestbBank
Chapter 06: Environmental Health
b b b
Stanhope: Public Health Nursing: Population-
b b b b
Centered Health Care in the Community, 10th Edition
b b b b b b b
MULTIPLEbCHOICE
1. Whybisbitbimportantbforbnursesbtobunderstandbthebpremisesbofbenvironmentalbhealth?
a. Nursesbshouldbbebablebtobassessbrisksbandbadvocatebforbpoliciesbthatbsupportbhealthybe
nvironments.
b. Toxicologistsboftenbconsultbnursesbaboutbenvironmentalbpollutants.
c. PollutantbexposuresbsuchbasbleadbarebreportedbbybnursesbtobthebEnvironmentalbProtectionb
Agencyb(EPA).
d. ManybAmericansblivebinbareasbthatbdobnotbmeetbcurrentbnationalbairbqualitybstandards.
ANS:bA
Potentialbrisksbtobhealthbarebconcernsbforbprofessionalbnurses.bItbisbthebresponsibilitybofbthebnur
sebtobunderstandbasbmuchbasbpossiblebaboutbthesebrisks:bhowbtobassessbthem,bhowbtobeliminate/
reducebthem,bhowbtobcommunicatebandbeducatebaboutbthem,bandbhowbtobadvocatebforbpoliciesbt
hatbsupportbhealthybenvironments.bToxicologistsbdobnotboftenbconsultbnursesbaboutbenvironm
entalbpollutants.bPollutantbexposuresbarebnotbroutinelybreportedbbybnurses.bAlthoughbtherebma
ybbebproblemsbwithbairbqualitybstandardsbinbthebUnitedbStates,bthisbwouldbnotbbebthebprimarybre
asonbwhybnursesbshouldbunderstandbenvironmentalbhealth.
DIF: Cognitiveblevel:bUnderstanding
TOP:bNursingbprocess:bEvaluationbMSC:bNCLEX:bSafebandbEffectivebCa
rebEnvironment:bSafetybandbInfection
ControlNURSINGTB.COM
2. Whybisbitbimportantbforbabnursebtobhavebknowledgebofbenvironmentalbhealthbandbthebeffectsbofbch
emical,bbiological,bandbradiologicalbmaterials?ba.bTheybarebabmajorbcausebofbglobalbwarming.
b. Theybareboftenbfoundbinbthebair,bwater,bandbproductsbwebuse.
c. Theybarebfrequentlyblinkedbtobthebdevelopmentbofbchronicbillnesses.
d. Theybarebproductsbthatbnursesbworkbwithbdaily.
ANS:bB
Chemical,bbiological,bandbradiologicalbpollutantsbareboftenbfoundbinbthebairbwebbreathe,bthebwat
erbwebdrink,bandbthebproductsbwebuse.bThesebarebnotbabmajorbcausebofbglobalbwarming.bTheybar
ebnotbfrequentlyblinkedbtobthebdevelopmentbofbchronicbillnesses.bThesebarebnotbproductsbthatbn
ursesbworkbwithbdaily.
, PublicbHealthbNursingb10thbEditionbStanhopebTestbBank
DIF:b Cognitiveblevel:bUnderstanding
TOP:bNursingbprocess:bAssessmentbMSC:b
NCLEX:bHealthbPromotionbandbMaintenance
3. Abnursebfulfillsbthebenvironmentalbhealthbcompetencybofb“assessmentbandbreferral.”bWhichbofbthebf
ollowingbactionsbhasbthebnursebmostblikelybcompleted?ba.bAdvocatingbforbpublicbpolicybchanges
b. Understandingbpolicybframeworkbandbmajorbpiecesbofblegislation
c. Completingbanbenvironmentalbhealthbhistory
d. Describingbthebscientificbprinciplesbaboutbenvironmentalbhealth
ANS:bC
Assessmentbandbreferralbstatesbthatballbnursesbshouldbbebablebtobsuccessfullybcompletebanbenvi
ronmentalbhealthbhistory,brecognizebthebpotentialbenvironmentalbhazardsbandbsentinelbillnesse
s,bandbmakebappropriatebreferralsbforbconditionsbwithbprobablebenvironmentalbcauses.bAdvoca
tingbforbpublicbpolicybchangesbisbpartbofbadvocacy.bUnderstandingbpolicybframeworkbandblegis
lationbisbpartbofblegislationbandbregulation.bDescribingbthebscientificbprinciplesbofbenvironmen
talbhealthbisbpartbofbbasicbknowledgebandbconcepts.
DIF:b Cognitiveblevel:bAnalyzing
TOP:bNursingbprocess:bImplementationbMSC:bNCLEX:b
SafebandbEffectivebCarebEnvironment:bSafetybandbInfectionbControl
4. Howbhavebnursesbhistoricallyblearnedbtobidentifybabpossiblebrelationshipbbetweenbenvironmentalb
chemicalbexposuresbandbtheirbpotentialbharm?ba.bExtrapolationbbybtoxicologists
b. Biomonitoring
c. Completingbchemistrybcourses
d. Observingbsignsbandbsymptomsbinbclients
ANS:bD
Nursesbhavebhistoricallybmadebdiscoveriesbrelatedbtobchemicalbexposurebwhenbpeoplebpresent
edbwithbsignsbandbsymptomsbrelatedbtobknownbchemicalbtoxicity.bExtrapolationbbybtoxicologi
stsbandbbiomonitoringbarebmodernbmethods.bCompletingbabchemistrybcoursebdoesbnotbshowbho
wbtobidentifybthesebpossiblebrelationships.
DIF:b Cognitiveblevel:bUnderstanding
TOP:bNursingbprocess:bAssessmentbMSC:b
NCLEX:bSafebandbEffectivebCarebEnvironment:bSafetybandbInfectionbControl
5. Whatbtermbisbusedbtobreferbtobthebbasicbsciencebappliedbtobunderstandingbthebhealthbeffectsba
ssociatedbwithbchemicalbexposures?ba.bToxicology
b. Pharmacology
c. Chemistry
d. Environmentalbepidemiology
, PublicbHealthbNursingb10thbEditionbStanhopebTestbBank
ANS:bA
Toxicologybisbthebstudybofbthebhealthbeffectsbassociatedbwithbchemicalbexposures.bPharmacol
ogybisbthebbranchbofbmedicinebconcernedbwithbthebmultiplebaspectsbofbdrugs.bChemistrybisbtheb
branchbofbsciencebwithbdealsbwithbthebwaybthatbmatterbisbcomposed.
Environmentalbepidemiologybisbconcernedbwithbthebdiscoverybofbenvironmentalbexposuresbtha
tbcauseborbprotectbagainstbillnessborbdisease.
DIF: Cognitiveblevel:bRemembering
TOP:bNursingbprocess:bAssessmentbMSC:bNCLEX:bSafebandbEffectivebCareb
Environment:bSafetybandbInfectionbControl
6. Whatbstatementbaccuratelybdescribesbthebcharacteristicsbofbepidemiology?
a. Itbisbabsciencebthatbstudiesbthebpoisonousbeffectsbofbchemicals.
b. Itbexplainsbthebassociationbbetweenblearningbdisabilitiesbandbexposurebtoblead-
basedbpaintbatbthebcellularblevel.
c. Itbhelpsbnursesbunderstandbthebstrengthbofbthebassociationbbetweenbexposurebandb
healthbeffects.
d. Itbisbabmethodbforbtrackingbthebprevalencebofbhealthboutcomes.
ANS:bC
Epidemiologybstudiesbthebincidencebandbprevalencebofbdisease,bhelpingbnursesbunderstandbthe
bstrength bofbthebassociationbbetweenbexposurebandbhealthbeffects.bToxicologybisbthebsciencebth
atbstudiesbthebpoisonousbeffectsbofbchemicals.bEnvironmentalbsurveillancebprovidesbdatabwithb
whichbtobtrackbandbanalyzebthebincidencebandbprevalencebofbhealthboutcomes.
Epidemiologybdoesbnotbexaminebcausesbatbthebcellularblevel.
DIF:b Cognitiveblevel:bRemembering
TOP:bNursingbprocess:bAssessmentbMSC:b
NCLEX:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
7. Whenbresearchingbpesticides,bthebnurseblooksbatbtheb“family”bofbthebchemical.bWhatbsimilaritiesba
rebfoundbamongbchemicalsbthatbhavebbeenbplacedbinbthebsamebfamily?ba.bRoutebofbentrybintobthebbo
dy
b. Actionsbandbassociatedbrisks
c. Effectsbthatbtheybhavebonbthebbody
d. Potencybandbtoxicity
ANS:bB
Chemicalsbarebgroupedbsobit’sbpossiblebtobunderstandbthebactionsbandbrisksbassociatedbwithbeac
hbgroup.bAlthoughbsomebcommonbhealthbrisksbexistbwithinbthesebfamiliesbofbchemicals,bthebpo
ssiblebhealthbrisksbforbeachbchemicalbshouldbbebevaluatedbindividuallybwhenbabpotentialbhumanb
exposurebexists.
, PublicbHealthbNursingb10thbEditionbStanhopebTestbBank
DIF:MSC:bCognitiveblevel:bApplyingNCLEX:bSafebandbEffectivebCarebEnvironment:bSafetybandbInfectio
nbControlNURSbINGTB.TOP:COMbNursingbprocess:bAssessment
8. Whichbexamplebcontainsbthebcomponentsbnecessarybtobformbanbepidemiologicbtriangle?ba.
Pesticides,bwater,bfood
b. Lead,bmercury,bsoil
c. Trichloroethylene,bwater,binfants
d. Childrenbunderb12,belderly,btemperature
ANS:bC
Thebepidemiologicbtrianglebconsistsbofbanbagentb(chemical),bhostb(communitybconsistingbofbse
veralbvariants),bandbenvironmentb(air,bwater,bsoil,betc.).bThebotherbexamplesbdobnotbcontainbanba
gent,bhost,bandbenvironment.
DIF: Cognitiveblevel:bAnalyzing
TOP:bNursingbprocess:bEvaluationbMSC:bNCLEX:bSafebandbEffectivebCarebE
nvironment:bSafetybandbInfectionbControl
9. WhenbwouldbitbbebappropriatebforbabnursebtobusebabGeographicbInformationbSystemb(GIS)?
a. Recordingbclientbdatabcollectedbatbabfootbclinic
b. Identifyingbareasbwithbanbincreasedbincidencebofbleadbpoisoning
c. Evaluatingbeffectivenessbofbabfarmbsafetybprogram
d. Schedulingbhealthbpromotionbprogramsbinbthebcommunity
ANS:bB
ThebusebofbabGISballowsbthebPHNbtobapplybthebprinciplesbofbepidemiologybintobpractice.bGISbal
lowsbnursesbtobcodebdatabsobthatbitbisbrelatedbspatiallybtobabplacebonbearthbandbisbhelpfulbinbdeter
miningbconcentratedbareasbforbincidencebofbdiseasebandbillness.bAnbelectronicbhealthbrecordb(E
HR)bwouldbbebthebmostbappropriatebplacebtobrecordbclientbdatabfrombabfootbclinic.bEvaluationb
ofbeffectivenessbofbabfarmbsafetybprogrambwouldbneedbtobbebdonebthroughbsomebtypebofbassess
mentborbevaluationbmethod—
GISbwouldbnotbbebusefulbtobcollectbthisbdata.bGISbisbnotbabschedulingbsystembandbwouldbnotbbeb
helpfulbwhenbschedulingbhealthbpromotionbprogramsbinbthebcommunity.
DIF:b Cognitiveblevel:bAnalyzing
TOP:bNursingbprocess:bImplementationbMSC:bNCLEX:b
SafebandbEffectivebCarebEnvironment:bSafetybandbInfectionbControl
Chapter 06: Environmental Health
b b b
Stanhope: Public Health Nursing: Population-
b b b b
Centered Health Care in the Community, 10th Edition
b b b b b b b
MULTIPLEbCHOICE
1. Whybisbitbimportantbforbnursesbtobunderstandbthebpremisesbofbenvironmentalbhealth?
a. Nursesbshouldbbebablebtobassessbrisksbandbadvocatebforbpoliciesbthatbsupportbhealthybe
nvironments.
b. Toxicologistsboftenbconsultbnursesbaboutbenvironmentalbpollutants.
c. PollutantbexposuresbsuchbasbleadbarebreportedbbybnursesbtobthebEnvironmentalbProtectionb
Agencyb(EPA).
d. ManybAmericansblivebinbareasbthatbdobnotbmeetbcurrentbnationalbairbqualitybstandards.
ANS:bA
Potentialbrisksbtobhealthbarebconcernsbforbprofessionalbnurses.bItbisbthebresponsibilitybofbthebnur
sebtobunderstandbasbmuchbasbpossiblebaboutbthesebrisks:bhowbtobassessbthem,bhowbtobeliminate/
reducebthem,bhowbtobcommunicatebandbeducatebaboutbthem,bandbhowbtobadvocatebforbpoliciesbt
hatbsupportbhealthybenvironments.bToxicologistsbdobnotboftenbconsultbnursesbaboutbenvironm
entalbpollutants.bPollutantbexposuresbarebnotbroutinelybreportedbbybnurses.bAlthoughbtherebma
ybbebproblemsbwithbairbqualitybstandardsbinbthebUnitedbStates,bthisbwouldbnotbbebthebprimarybre
asonbwhybnursesbshouldbunderstandbenvironmentalbhealth.
DIF: Cognitiveblevel:bUnderstanding
TOP:bNursingbprocess:bEvaluationbMSC:bNCLEX:bSafebandbEffectivebCa
rebEnvironment:bSafetybandbInfection
ControlNURSINGTB.COM
2. Whybisbitbimportantbforbabnursebtobhavebknowledgebofbenvironmentalbhealthbandbthebeffectsbofbch
emical,bbiological,bandbradiologicalbmaterials?ba.bTheybarebabmajorbcausebofbglobalbwarming.
b. Theybareboftenbfoundbinbthebair,bwater,bandbproductsbwebuse.
c. Theybarebfrequentlyblinkedbtobthebdevelopmentbofbchronicbillnesses.
d. Theybarebproductsbthatbnursesbworkbwithbdaily.
ANS:bB
Chemical,bbiological,bandbradiologicalbpollutantsbareboftenbfoundbinbthebairbwebbreathe,bthebwat
erbwebdrink,bandbthebproductsbwebuse.bThesebarebnotbabmajorbcausebofbglobalbwarming.bTheybar
ebnotbfrequentlyblinkedbtobthebdevelopmentbofbchronicbillnesses.bThesebarebnotbproductsbthatbn
ursesbworkbwithbdaily.
, PublicbHealthbNursingb10thbEditionbStanhopebTestbBank
DIF:b Cognitiveblevel:bUnderstanding
TOP:bNursingbprocess:bAssessmentbMSC:b
NCLEX:bHealthbPromotionbandbMaintenance
3. Abnursebfulfillsbthebenvironmentalbhealthbcompetencybofb“assessmentbandbreferral.”bWhichbofbthebf
ollowingbactionsbhasbthebnursebmostblikelybcompleted?ba.bAdvocatingbforbpublicbpolicybchanges
b. Understandingbpolicybframeworkbandbmajorbpiecesbofblegislation
c. Completingbanbenvironmentalbhealthbhistory
d. Describingbthebscientificbprinciplesbaboutbenvironmentalbhealth
ANS:bC
Assessmentbandbreferralbstatesbthatballbnursesbshouldbbebablebtobsuccessfullybcompletebanbenvi
ronmentalbhealthbhistory,brecognizebthebpotentialbenvironmentalbhazardsbandbsentinelbillnesse
s,bandbmakebappropriatebreferralsbforbconditionsbwithbprobablebenvironmentalbcauses.bAdvoca
tingbforbpublicbpolicybchangesbisbpartbofbadvocacy.bUnderstandingbpolicybframeworkbandblegis
lationbisbpartbofblegislationbandbregulation.bDescribingbthebscientificbprinciplesbofbenvironmen
talbhealthbisbpartbofbbasicbknowledgebandbconcepts.
DIF:b Cognitiveblevel:bAnalyzing
TOP:bNursingbprocess:bImplementationbMSC:bNCLEX:b
SafebandbEffectivebCarebEnvironment:bSafetybandbInfectionbControl
4. Howbhavebnursesbhistoricallyblearnedbtobidentifybabpossiblebrelationshipbbetweenbenvironmentalb
chemicalbexposuresbandbtheirbpotentialbharm?ba.bExtrapolationbbybtoxicologists
b. Biomonitoring
c. Completingbchemistrybcourses
d. Observingbsignsbandbsymptomsbinbclients
ANS:bD
Nursesbhavebhistoricallybmadebdiscoveriesbrelatedbtobchemicalbexposurebwhenbpeoplebpresent
edbwithbsignsbandbsymptomsbrelatedbtobknownbchemicalbtoxicity.bExtrapolationbbybtoxicologi
stsbandbbiomonitoringbarebmodernbmethods.bCompletingbabchemistrybcoursebdoesbnotbshowbho
wbtobidentifybthesebpossiblebrelationships.
DIF:b Cognitiveblevel:bUnderstanding
TOP:bNursingbprocess:bAssessmentbMSC:b
NCLEX:bSafebandbEffectivebCarebEnvironment:bSafetybandbInfectionbControl
5. Whatbtermbisbusedbtobreferbtobthebbasicbsciencebappliedbtobunderstandingbthebhealthbeffectsba
ssociatedbwithbchemicalbexposures?ba.bToxicology
b. Pharmacology
c. Chemistry
d. Environmentalbepidemiology
, PublicbHealthbNursingb10thbEditionbStanhopebTestbBank
ANS:bA
Toxicologybisbthebstudybofbthebhealthbeffectsbassociatedbwithbchemicalbexposures.bPharmacol
ogybisbthebbranchbofbmedicinebconcernedbwithbthebmultiplebaspectsbofbdrugs.bChemistrybisbtheb
branchbofbsciencebwithbdealsbwithbthebwaybthatbmatterbisbcomposed.
Environmentalbepidemiologybisbconcernedbwithbthebdiscoverybofbenvironmentalbexposuresbtha
tbcauseborbprotectbagainstbillnessborbdisease.
DIF: Cognitiveblevel:bRemembering
TOP:bNursingbprocess:bAssessmentbMSC:bNCLEX:bSafebandbEffectivebCareb
Environment:bSafetybandbInfectionbControl
6. Whatbstatementbaccuratelybdescribesbthebcharacteristicsbofbepidemiology?
a. Itbisbabsciencebthatbstudiesbthebpoisonousbeffectsbofbchemicals.
b. Itbexplainsbthebassociationbbetweenblearningbdisabilitiesbandbexposurebtoblead-
basedbpaintbatbthebcellularblevel.
c. Itbhelpsbnursesbunderstandbthebstrengthbofbthebassociationbbetweenbexposurebandb
healthbeffects.
d. Itbisbabmethodbforbtrackingbthebprevalencebofbhealthboutcomes.
ANS:bC
Epidemiologybstudiesbthebincidencebandbprevalencebofbdisease,bhelpingbnursesbunderstandbthe
bstrength bofbthebassociationbbetweenbexposurebandbhealthbeffects.bToxicologybisbthebsciencebth
atbstudiesbthebpoisonousbeffectsbofbchemicals.bEnvironmentalbsurveillancebprovidesbdatabwithb
whichbtobtrackbandbanalyzebthebincidencebandbprevalencebofbhealthboutcomes.
Epidemiologybdoesbnotbexaminebcausesbatbthebcellularblevel.
DIF:b Cognitiveblevel:bRemembering
TOP:bNursingbprocess:bAssessmentbMSC:b
NCLEX:bSafebandbEffectivebCarebEnvironment:bManagementbofbCare
7. Whenbresearchingbpesticides,bthebnurseblooksbatbtheb“family”bofbthebchemical.bWhatbsimilaritiesba
rebfoundbamongbchemicalsbthatbhavebbeenbplacedbinbthebsamebfamily?ba.bRoutebofbentrybintobthebbo
dy
b. Actionsbandbassociatedbrisks
c. Effectsbthatbtheybhavebonbthebbody
d. Potencybandbtoxicity
ANS:bB
Chemicalsbarebgroupedbsobit’sbpossiblebtobunderstandbthebactionsbandbrisksbassociatedbwithbeac
hbgroup.bAlthoughbsomebcommonbhealthbrisksbexistbwithinbthesebfamiliesbofbchemicals,bthebpo
ssiblebhealthbrisksbforbeachbchemicalbshouldbbebevaluatedbindividuallybwhenbabpotentialbhumanb
exposurebexists.
, PublicbHealthbNursingb10thbEditionbStanhopebTestbBank
DIF:MSC:bCognitiveblevel:bApplyingNCLEX:bSafebandbEffectivebCarebEnvironment:bSafetybandbInfectio
nbControlNURSbINGTB.TOP:COMbNursingbprocess:bAssessment
8. Whichbexamplebcontainsbthebcomponentsbnecessarybtobformbanbepidemiologicbtriangle?ba.
Pesticides,bwater,bfood
b. Lead,bmercury,bsoil
c. Trichloroethylene,bwater,binfants
d. Childrenbunderb12,belderly,btemperature
ANS:bC
Thebepidemiologicbtrianglebconsistsbofbanbagentb(chemical),bhostb(communitybconsistingbofbse
veralbvariants),bandbenvironmentb(air,bwater,bsoil,betc.).bThebotherbexamplesbdobnotbcontainbanba
gent,bhost,bandbenvironment.
DIF: Cognitiveblevel:bAnalyzing
TOP:bNursingbprocess:bEvaluationbMSC:bNCLEX:bSafebandbEffectivebCarebE
nvironment:bSafetybandbInfectionbControl
9. WhenbwouldbitbbebappropriatebforbabnursebtobusebabGeographicbInformationbSystemb(GIS)?
a. Recordingbclientbdatabcollectedbatbabfootbclinic
b. Identifyingbareasbwithbanbincreasedbincidencebofbleadbpoisoning
c. Evaluatingbeffectivenessbofbabfarmbsafetybprogram
d. Schedulingbhealthbpromotionbprogramsbinbthebcommunity
ANS:bB
ThebusebofbabGISballowsbthebPHNbtobapplybthebprinciplesbofbepidemiologybintobpractice.bGISbal
lowsbnursesbtobcodebdatabsobthatbitbisbrelatedbspatiallybtobabplacebonbearthbandbisbhelpfulbinbdeter
miningbconcentratedbareasbforbincidencebofbdiseasebandbillness.bAnbelectronicbhealthbrecordb(E
HR)bwouldbbebthebmostbappropriatebplacebtobrecordbclientbdatabfrombabfootbclinic.bEvaluationb
ofbeffectivenessbofbabfarmbsafetybprogrambwouldbneedbtobbebdonebthroughbsomebtypebofbassess
mentborbevaluationbmethod—
GISbwouldbnotbbebusefulbtobcollectbthisbdata.bGISbisbnotbabschedulingbsystembandbwouldbnotbbeb
helpfulbwhenbschedulingbhealthbpromotionbprogramsbinbthebcommunity.
DIF:b Cognitiveblevel:bAnalyzing
TOP:bNursingbprocess:bImplementationbMSC:bNCLEX:b
SafebandbEffectivebCarebEnvironment:bSafetybandbInfectionbControl
