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COMMUNITY HEALTH NR442 EXAM 1 QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++
Terms in this set (199)
Which of the following statements best ANS: D
describes the relationship between the A healthy environment increases quality of life and years of healthy living.
environment and health? Accumulated evidence shows that the environmental changes of the past few
a. Because of the large number decades have profoundly influenced the status of public health. Globally,
of variables involved, the environmental factors contribute to nearly 25% of all deaths and increase
relationship disease burden (World Health Organization, 2006). The safety, beauty, and life-
between environment and health cannot sustaining capacity of the physical environment are unquestionably of global
be researched. consequence.
b. Because the environment has
such long-term effects on health, DIF: Cognitive Level: Understand (Comprehension) REF: p. 250
research findings are not yet
available.
c. Research shows that a healthy
environment has limited impact on one's
health.
d. Research shows that a healthy
environment increases quality of life and
years of healthy living.
When using an environmental ANS: B
perspective, which of the following would Because 25% of worldwide preventable illnesses are caused by poor
be the most important question for a environmental quality, nurses need to ask critical questions about their clients'
nurse to ask when assessing potential work and home environments to help discern the contributions of specific
health problems? hazards to their health. This can be accomplished by an environmental health
a."Can you tell me how you have history. The other responses do not address a question that would be addressed
been feeling?" during an environmental health history.
b. "Can you tell me what you do at work?"
c. "What brings you here today?" DIF: Cognitive Level: Understand (Comprehension) REF: p. 250
d. "What problems have you
been having?"
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How does critical theory differ from other ANS: B
nursing theories such as the health belief Critical theory is an approach that raises questions about oppressive situations,
model or Orem's self-care deficit involves community members in the definition and solution of problems, and
theory? facilitates group interventions. The other two theories focus more on individual
a.Critical theory can be used by beliefs and choice of action.
professionals other than nurses.
b.Critical theory focuses on oppression DIF: Cognitive Level: Understand (Comprehension) REF: p. 250
and facilitates group action.
c. Critical theory is not directly related to
health promotion.
d. Critical theory confronts changing an
individual's beliefs.
Which of the following statements best ANS: D
describe why environmental health Intervening to improve environmental conditions requires basic social, economic,
is more challenging than other and political changes. Aggregates must work together to create such change.
variables related to an individual's The other responses do not address the multiple dimensions that must be
health? impacted in order to impact change within environmental health.
a.Environmental health affects
susceptible individuals more than groups. DIF: Cognitive Level: Understand (Comprehension) REF: p. 250
b. Environmental health demands that
individuals be willing to change their
beliefs.
c. Environmental health is dependent
on social neighborhoods, as well as
geography.
d. Environmental health requires social,
economic, and political changes to
improve.
Which of the following nursing actions ANS: D
would be the most helpful to the The ultimate goal is liberating people from health-damaging
community's long-term health? environmental conditions by using collective actions. Mechanisms have
a.Careful assessment, diagnosis, included strategic organization, litigation, public hearing testimony, letter-
planning, and giving care to individual writing campaigns,
patients and their families legislative lobbying, and mass demonstrations. Helping the community
b. Dialogue with community create political change through organization, use of media, legislative
members concerning what health lobbying, and mass demonstrations shows how collective action can be
issues are of applied. The other
importance in that community interventions do not demonstrate the use of collective action.
c. Focusing on family health
through school-based DIF: Cognitive Level: Understand (Comprehension) REF: p. 251
neighborhood clinics
d. Helping the community create political
change through organization, use of
media, legislative lobbying, and
mass demonstrations
Which of the following best explains why ANS: C
it is difficult to get others interested in People respond to acute crises with dramatic media coverage (such as hurricanes
environmental health? or earthquakes), but ongoing consistent pressure is needed to ensure day-to-day
a.Environmental problems just are not environmental integrity. Chronic environmental problems are rarely addressed
interesting or dramatic. effectively.
b. It's difficult to get media interested.
c. People respond more to an acute crisis DIF: Cognitive Level: Understand (Comprehension) REF: pp. 251-252
than chronic environmental problems.
d. People respond more to an individual
asking for help than a community
asking for help.
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ANS: B
What would be an appropriate term for
The built environment is the connection between people, communities, and their
intoxicated drivers, secondhand
surrounding environments that affect health habits and behaviors, interpersonal
smoke, urban crowding, noise, and
relationships, cultural values, and customs. Most people live within areas that
mechanization?
require almost daily contact with potential health risks and threats, such
a.Risks of living style
as intoxicated or impaired drivers, secondhand smoke, urban crowding,
b. Risks in the built environment
noise exposure, unabated traffic, and the stress of increased
c. Personal health risks
mechanization.
d. Modern day health risks
DIF: Cognitive Level: Understand (Comprehension) REF: p. 253
What is meant by discriminatory land use? ANS: C
a.Backlash against companies that do Discriminatory land use ensures that many impoverished and marginalized groups,
not protect the environment especially people of color, live in close proximity to industrial contamination.
b. Daily insults to people who live in a Members of these communities are at risk for illness and injury. The other
particular community responses do not correctly define discriminatory land use.
c. Locating industrial hazards in low-
income communities DIF: Cognitive Level: Understand (Comprehension) REF: p. 253
d. Political recognition that companies
support a safe environment
It has been learned that a particular ANS: B
industry has vastly polluted the Residents may be unwilling to disrupt family ties and cultural roots to start over
surrounding neighborhood. Which of the elsewhere, or they may be unable to afford to move. Residents are revictimized
following actions would most likely be by the difficulty in obtaining compensation. Attempting to shut the industry down,
taken by those living in the seeking reimbursement for the hazard exposure, and immediately moving to a
neighborhood? different neighborhood are all costly interventions and in most cases cannot be
a.Band together to shut the easily accomplished by most residents.
industry down
b. Nothing, because of family ties and DIF: Cognitive Level: Apply (Application) REF: p. 254
cost of relocation
c. Immediately move to a different
neighborhood
d. Seek legal reimbursement for
the hazard exposure
Which of the following statements ANS: C
supports why it is believed that the Statistics do not reflect unreported health problems. Collective problems related
risks of various employment to employment or occupation are often perceived as individualized injuries, and
positions are no one "connects the dots." Companies are willing to share employee injury
inaccurate? information and recognize the risks of employment, but the information may be
a.Companies refuse to share employee inaccurate because of the perception of individualized injuries.
injury information.
b. Because factories reimburse DIF: Cognitive Level: Understand (Comprehension) REF: p. 254 | p. 256
employees directly, the injury is not
reported.
c. Individuals assume it is a personal
problem, not an employment issue.
d. Most employment positions do not
have known risks.
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Why are health care providers concerned ANS: A
over such social issues as mass transit, All three (mass transit, clean power, and industry) emit air pollutants, which result
clean power, and the farming industry? in smog, the most common outdoor air pollutant in the United States.
a.Because air pollutants are Atmospheric pollutants cause or contribute to asthma, allergic reactions,
contributors to asthma and other bronchitis, lung cancer, chronic respiratory disease, and death. They also harm
health problems. animals and plants. The most inclusive answer refers to air pollutants, although
b. Clean power would reduce the certainly, the others are true in society today.
pollution that results from burning
of high-sulfur coal. DIF: Cognitive Level: Understand (Comprehension) REF: pp. 256-257
c. Manure runoff from industrial farming is
polluting water and killing fish throughout
the United States.
d. Mass transit would remove the
problem of so many Americans being
killed or
injured by drunken or impaired drivers.
Which of the following statements best ANS: C
describes what has happened to air These chemicals, which were in widespread use, remain in the atmosphere. Thus,
quality since the United States air quality has not improved. This is a global concern and is being
outlawed the use of addressed
chlorofluorocarbons, halons, and worldwide by the World Health Organization.
carbon tetrachloride?
a.Air quality immediately improved. DIF: Cognitive Level: Understand (Comprehension) REF: p. 257
b.Air quality is slowly improving.
c. Little change occurred because these
chemicals remain in the atmosphere.
d. Nothing has happened because other
countries worldwide continue to
extensively use these products.
Which of the following is the leading ANS: D
cause of lung cancer among Radon exposure is the leading cause of lung cancer among nonsmokers in the
nonsmokers? United States. It is estimated that radon causes an estimated 21,000 lung cancer
a.Secondhand smoke deaths every year.
b. Living near a nuclear power plant
c. Exposure to pesticides DIF: Cognitive Level: Understand (Comprehension) REF: p. 258
d. Radon gas
Which of the following best describes a ANS: C
food desert? A food desert is a neighborhood with little or no access to healthy foods. There
a.The inability to store foods at are significant disparities in access to healthy and fresh food supplies, with poor
an acceptable temperature minority families being more likely to live in a food desert. The other responses
b.The inability to have healthy foods are not the correct definition of a food desert.
at home
c. A neighborhood with little to no DIF: Cognitive Level: Understand (Comprehension) REF: p. 259
access to healthy foods
d. A neighborhood that has
experienced a recent food-borne
illness
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