PublicgHealthgNursingg10thgEditiongStanhopegTestgBan
k
Chapterg06:gEnvironmentalgHealth
Stanhope:gPublicgHealthgNursing:gPopulation-
CenteredgHealthgCaregingthegCommunity,g10thgEdition
MULTIPLEgCHOICE
1. Whygisgitgimportantgforgnursesgtogunderstandgthegpremisesgofgenvironmentalghealth?
a. Nursesgshouldgbegablegtogassessgrisksgandgadvocategforgpoliciesgthatgsupportghealth
ygenvironments.
b. Toxicologistsgoftengconsultgnursesgaboutgenvironmentalgpollutants.
c. PollutantgexposuresgsuchgasgleadgaregreportedgbygnursesgtogthegEnvironmentalgProtectio
ngAgencyg(EPA).
d. ManygAmericansglivegingareasgthatgdognotgmeetgcurrentgnationalgairgqualitygstandards.
ANS:gA
Potentialgrisksgtoghealthgaregconcernsgforgprofessionalgnurses.gItgisgthegresponsibilitygofgtheg
nursegtogunderstandgasgmuchgasgpossiblegaboutgthesegrisks:ghowgtogassessgthem,ghowgtogeli
minate/reducegthem,ghowgtogcommunicategandgeducategaboutgthem,gandghowgtogadvocategfo
rgpoliciesgthatgsupportghealthygenvironments.gToxicologistsgdognotgoftengconsultgnursesgabo
utgenvironmentalgpollutants.gPollutantgexposuresgaregnotgroutinelygreportedgbygnurses.gAlth
oughgtheregmaygbegproblemsgwithgairgqualitygstandardsgingthegUnitedgStates,gthisgwouldgnotg
begthegprimarygreasongwhygnursesgshouldgunderstandgenvironmentalghealth.
DIF: Cognitiveglevel:gUnderstanding
TOP:gNursinggprocess:gEvaluationgMSC:gNCLEX:gSafegandgEffectiveg
CaregEnvironment:gSafetygandgInfection
ControlNURSINGTB.COM
2. Whygisgitgimportantgforgagnursegtoghavegknowledgegofgenvironmentalghealthgandgthegeffectsgo
fgchemical,gbiological,gandgradiologicalgmaterials?ga.gTheygaregagmajorgcausegofgglobalgwarmi
ng.
b. Theygaregoftengfoundgingthegair,gwater,gandgproductsgweguse.
c. Theygaregfrequentlyglinkedgtogthegdevelopmentgofgchronicgillnesses.
d. Theygaregproductsgthatgnursesgworkgwithgdaily.
ANS:gB
Chemical,gbiological,gandgradiologicalgpollutantsgaregoftengfoundgingthegairgwegbreathe,gtheg
watergwegdrink,gandgthegproductsgweguse.gThesegaregnotgagmajorgcausegofgglobalgwarming.g
Theygaregnotgfrequentlyglinkedgtogthegdevelopmentgofgchronicgillnesses.gThesegaregnotgprod
uctsgthatgnursesgworkgwithgdaily.
, PublicgHealthgNursingg10thgEditiongStanhopegTestgBan
k
DIF:g Cognitiveglevel:gUnderstanding
TOP:gNursinggprocess:gAssessmentgMSC:
gNCLEX:gHealthgPromotiongandgMaintenance
3. Agnursegfulfillsgthegenvironmentalghealthgcompetencygofg“assessmentgandgreferral.”gWhichgofgth
egfollowinggactionsghasgthegnursegmostglikelygcompleted?ga.gAdvocatinggforgpublicgpolicygchan
ges
b. Understandinggpolicygframeworkgandgmajorgpiecesgofglegislation
c. Completinggangenvironmentalghealthghistory
d. Describinggthegscientificgprinciplesgaboutgenvironmentalghealth
ANS:gC
Assessmentgandgreferralgstatesgthatgallgnursesgshouldgbegablegtogsuccessfullygcompletegange
nvironmentalghealthghistory,grecognizegthegpotentialgenvironmentalghazardsgandgsentinelgill
nesses,gandgmakegappropriategreferralsgforgconditionsgwithgprobablegenvironmentalgcauses.g
Advocatinggforgpublicgpolicygchangesgisgpartgofgadvocacy.gUnderstandinggpolicygframewor
kgandglegislationgisgpartgofglegislationgandgregulation.gDescribinggthegscientificgprinciplesgo
fgenvironmentalghealthgisgpartgofgbasicgknowledgegandgconcepts.
DIF:g Cognitiveglevel:gAnalyzing
TOP:gNursinggprocess:gImplementationgMSC:gNCLEX
:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl
4. Howghavegnursesghistoricallyglearnedgtogidentifygagpossiblegrelationshipgbetweengenvironment
algchemicalgexposuresgandgtheirgpotentialgharm?ga.gExtrapolationgbygtoxicologists
b. Biomonitoring
c. Completinggchemistrygcourses
d. Observinggsignsgandgsymptomsgingclients
ANS:gD
Nursesghaveghistoricallygmadegdiscoveriesgrelatedgtogchemicalgexposuregwhengpeoplegprese
ntedgwithgsignsgandgsymptomsgrelatedgtogknowngchemicalgtoxicity.gExtrapolationgbygtoxico
logistsgandgbiomonitoringgaregmoderngmethods.gCompletinggagchemistrygcoursegdoesgnotgsh
owghowgtogidentifygthesegpossiblegrelationships.
DIF:g Cognitiveglevel:gUnderstanding
TOP:gNursinggprocess:gAssessmentgMSC:
gNCLEX:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl
5. Whatgtermgisgusedgtogrefergtogthegbasicgsciencegappliedgtogunderstandinggtheghealthgeffec
tsgassociatedgwithgchemicalgexposures?ga.gToxicology
b. Pharmacology
c. Chemistry
d. Environmentalgepidemiology
, PublicgHealthgNursingg10thgEditiongStanhopegTestgBan
k
ANS:gA
Toxicologygisgthegstudygofgtheghealthgeffectsgassociatedgwithgchemicalgexposures.gPharmac
ologygisgthegbranchgofgmedicinegconcernedgwithgthegmultiplegaspectsgofgdrugs.gChemistrygis
gthegbranchgofgsciencegwithgdealsgwithgthegwaygthatgmattergisgcomposed.
Environmentalgepidemiologygisgconcernedgwithgthegdiscoverygofgenvironmentalgexposuresgt
hatgcausegorgprotectgagainstgillnessgorgdisease.
DIF: Cognitiveglevel:gRemembering
TOP:gNursinggprocess:gAssessmentgMSC:gNCLEX:gSafegandgEffectivegCar
egEnvironment:gSafetygandgInfectiongControl
6. Whatgstatementgaccuratelygdescribesgthegcharacteristicsgofgepidemiology?
a. Itgisgagsciencegthatgstudiesgthegpoisonousgeffectsgofgchemicals.
b. Itgexplainsgthegassociationgbetweenglearninggdisabilitiesgandgexposuregtoglead-
basedgpaintgatgthegcellularglevel.
c. Itghelpsgnursesgunderstandgthegstrengthgofgthegassociationgbetweengexposuregan
dghealthgeffects.
d. Itgisgagmethodgforgtrackinggthegprevalencegofghealthgoutcomes.
ANS:gC
Epidemiologygstudiesgthegincidencegandgprevalencegofgdisease,ghelpinggnursesgunderstandgt
hegstrengthgofgthegassociationgbetweengexposuregandghealthgeffects.gToxicologygisgthegscien
cegthatgstudiesgthegpoisonousgeffectsgofgchemicals.gEnvironmentalgsurveillancegprovidesgdat
agwithgwhichgtogtrackgandganalyzegthegincidencegandgprevalencegofghealthgoutcomes.
Epidemiologygdoesgnotgexaminegcausesgatgthegcellularglevel.
DIF:g Cognitiveglevel:gRemembering
TOP:gNursinggprocess:gAssessmentgMSC:
gNCLEX:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
7. Whengresearchinggpesticides,gthegnurseglooksgatgtheg“family”gofgthegchemical.gWhatgsimilaritie
sgaregfoundgamonggchemicalsgthatghavegbeengplacedgingthegsamegfamily?ga.gRoutegofgentrygintog
thegbody
b. Actionsgandgassociatedgrisks
c. Effectsgthatgtheyghavegongthegbody
d. Potencygandgtoxicity
ANS:gB
Chemicalsgareggroupedgsogit’sgpossiblegtogunderstandgthegactionsgandgrisksgassociatedgwithg
eachggroup.gAlthoughgsomegcommonghealthgrisksgexistgwithingthesegfamiliesgofgchemicals,gt
hegpossibleghealthgrisksgforgeachgchemicalgshouldgbegevaluatedgindividuallygwhengagpotentia
lghumangexposuregexists.
, PublicgHealthgNursingg10thgEditiongStanhopegTestgBan
k
DIF:MSC:gCognitiveglevel:gApplyingNCLEX:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfec
tiongControlNURSgINGTB.TOP:COMgNursinggprocess:gAssessment
8. Whichgexamplegcontainsgthegcomponentsgnecessarygtogformgangepidemiologicgtriangle?ga.
Pesticides,gwater,gfood
b. Lead,gmercury,gsoil
c. Trichloroethylene,gwater,ginfants
d. Childrengunderg12,gelderly,gtemperature
ANS:gC
Thegepidemiologicgtrianglegconsistsgofgangagentg(chemical),ghostg(communitygconsistinggof
gseveralgvariants),gandgenvironmentg(air,gwater,gsoil,getc.).gThegothergexamplesgdognotgcontai
ngangagent,ghost,gandgenvironment.
DIF: Cognitiveglevel:gAnalyzing
TOP:gNursinggprocess:gEvaluationgMSC:gNCLEX:gSafegandgEffectivegCare
gEnvironment:gSafetygandgInfectiongControl
9. WhengwouldgitgbegappropriategforgagnursegtogusegagGeographicgInformationgSystemg(GIS)?
a. Recordinggclientgdatagcollectedgatgagfootgclinic
b. Identifyinggareasgwithgangincreasedgincidencegofgleadgpoisoning
c. Evaluatinggeffectivenessgofgagfarmgsafetygprogram
d. Schedulingghealthgpromotiongprogramsgingthegcommunity
ANS:gB
ThegusegofgagGISgallowsgthegPHNgtogapplygthegprinciplesgofgepidemiologygintogpractice.gGI
Sgallowsgnursesgtogcodegdatagsogthatgitgisgrelatedgspatiallygtogagplacegongearthgandgisghelpful
gingdetermininggconcentratedgareasgforgincidencegofgdiseasegandgillness.gAngelectronicghealt
hgrecordg(EHR)gwouldgbegthegmostgappropriategplacegtogrecordgclientgdatagfromgagfootgclini
c.gEvaluationgofgeffectivenessgofgagfarmgsafetygprogramgwouldgneedgtogbegdonegthroughgso
megtypegofgassessmentgorgevaluationgmethod—
GISgwouldgnotgbegusefulgtogcollectgthisgdata.gGISgisgnotgagschedulinggsystemgandgwouldgnot
gbeghelpfulgwhengschedulingghealthgpromotiongprogramsgingthegcommunity.
DIF:g Cognitiveglevel:gAnalyzing
TOP:gNursinggprocess:gImplementationgMSC:gNCLEX
:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl
k
Chapterg06:gEnvironmentalgHealth
Stanhope:gPublicgHealthgNursing:gPopulation-
CenteredgHealthgCaregingthegCommunity,g10thgEdition
MULTIPLEgCHOICE
1. Whygisgitgimportantgforgnursesgtogunderstandgthegpremisesgofgenvironmentalghealth?
a. Nursesgshouldgbegablegtogassessgrisksgandgadvocategforgpoliciesgthatgsupportghealth
ygenvironments.
b. Toxicologistsgoftengconsultgnursesgaboutgenvironmentalgpollutants.
c. PollutantgexposuresgsuchgasgleadgaregreportedgbygnursesgtogthegEnvironmentalgProtectio
ngAgencyg(EPA).
d. ManygAmericansglivegingareasgthatgdognotgmeetgcurrentgnationalgairgqualitygstandards.
ANS:gA
Potentialgrisksgtoghealthgaregconcernsgforgprofessionalgnurses.gItgisgthegresponsibilitygofgtheg
nursegtogunderstandgasgmuchgasgpossiblegaboutgthesegrisks:ghowgtogassessgthem,ghowgtogeli
minate/reducegthem,ghowgtogcommunicategandgeducategaboutgthem,gandghowgtogadvocategfo
rgpoliciesgthatgsupportghealthygenvironments.gToxicologistsgdognotgoftengconsultgnursesgabo
utgenvironmentalgpollutants.gPollutantgexposuresgaregnotgroutinelygreportedgbygnurses.gAlth
oughgtheregmaygbegproblemsgwithgairgqualitygstandardsgingthegUnitedgStates,gthisgwouldgnotg
begthegprimarygreasongwhygnursesgshouldgunderstandgenvironmentalghealth.
DIF: Cognitiveglevel:gUnderstanding
TOP:gNursinggprocess:gEvaluationgMSC:gNCLEX:gSafegandgEffectiveg
CaregEnvironment:gSafetygandgInfection
ControlNURSINGTB.COM
2. Whygisgitgimportantgforgagnursegtoghavegknowledgegofgenvironmentalghealthgandgthegeffectsgo
fgchemical,gbiological,gandgradiologicalgmaterials?ga.gTheygaregagmajorgcausegofgglobalgwarmi
ng.
b. Theygaregoftengfoundgingthegair,gwater,gandgproductsgweguse.
c. Theygaregfrequentlyglinkedgtogthegdevelopmentgofgchronicgillnesses.
d. Theygaregproductsgthatgnursesgworkgwithgdaily.
ANS:gB
Chemical,gbiological,gandgradiologicalgpollutantsgaregoftengfoundgingthegairgwegbreathe,gtheg
watergwegdrink,gandgthegproductsgweguse.gThesegaregnotgagmajorgcausegofgglobalgwarming.g
Theygaregnotgfrequentlyglinkedgtogthegdevelopmentgofgchronicgillnesses.gThesegaregnotgprod
uctsgthatgnursesgworkgwithgdaily.
, PublicgHealthgNursingg10thgEditiongStanhopegTestgBan
k
DIF:g Cognitiveglevel:gUnderstanding
TOP:gNursinggprocess:gAssessmentgMSC:
gNCLEX:gHealthgPromotiongandgMaintenance
3. Agnursegfulfillsgthegenvironmentalghealthgcompetencygofg“assessmentgandgreferral.”gWhichgofgth
egfollowinggactionsghasgthegnursegmostglikelygcompleted?ga.gAdvocatinggforgpublicgpolicygchan
ges
b. Understandinggpolicygframeworkgandgmajorgpiecesgofglegislation
c. Completinggangenvironmentalghealthghistory
d. Describinggthegscientificgprinciplesgaboutgenvironmentalghealth
ANS:gC
Assessmentgandgreferralgstatesgthatgallgnursesgshouldgbegablegtogsuccessfullygcompletegange
nvironmentalghealthghistory,grecognizegthegpotentialgenvironmentalghazardsgandgsentinelgill
nesses,gandgmakegappropriategreferralsgforgconditionsgwithgprobablegenvironmentalgcauses.g
Advocatinggforgpublicgpolicygchangesgisgpartgofgadvocacy.gUnderstandinggpolicygframewor
kgandglegislationgisgpartgofglegislationgandgregulation.gDescribinggthegscientificgprinciplesgo
fgenvironmentalghealthgisgpartgofgbasicgknowledgegandgconcepts.
DIF:g Cognitiveglevel:gAnalyzing
TOP:gNursinggprocess:gImplementationgMSC:gNCLEX
:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl
4. Howghavegnursesghistoricallyglearnedgtogidentifygagpossiblegrelationshipgbetweengenvironment
algchemicalgexposuresgandgtheirgpotentialgharm?ga.gExtrapolationgbygtoxicologists
b. Biomonitoring
c. Completinggchemistrygcourses
d. Observinggsignsgandgsymptomsgingclients
ANS:gD
Nursesghaveghistoricallygmadegdiscoveriesgrelatedgtogchemicalgexposuregwhengpeoplegprese
ntedgwithgsignsgandgsymptomsgrelatedgtogknowngchemicalgtoxicity.gExtrapolationgbygtoxico
logistsgandgbiomonitoringgaregmoderngmethods.gCompletinggagchemistrygcoursegdoesgnotgsh
owghowgtogidentifygthesegpossiblegrelationships.
DIF:g Cognitiveglevel:gUnderstanding
TOP:gNursinggprocess:gAssessmentgMSC:
gNCLEX:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl
5. Whatgtermgisgusedgtogrefergtogthegbasicgsciencegappliedgtogunderstandinggtheghealthgeffec
tsgassociatedgwithgchemicalgexposures?ga.gToxicology
b. Pharmacology
c. Chemistry
d. Environmentalgepidemiology
, PublicgHealthgNursingg10thgEditiongStanhopegTestgBan
k
ANS:gA
Toxicologygisgthegstudygofgtheghealthgeffectsgassociatedgwithgchemicalgexposures.gPharmac
ologygisgthegbranchgofgmedicinegconcernedgwithgthegmultiplegaspectsgofgdrugs.gChemistrygis
gthegbranchgofgsciencegwithgdealsgwithgthegwaygthatgmattergisgcomposed.
Environmentalgepidemiologygisgconcernedgwithgthegdiscoverygofgenvironmentalgexposuresgt
hatgcausegorgprotectgagainstgillnessgorgdisease.
DIF: Cognitiveglevel:gRemembering
TOP:gNursinggprocess:gAssessmentgMSC:gNCLEX:gSafegandgEffectivegCar
egEnvironment:gSafetygandgInfectiongControl
6. Whatgstatementgaccuratelygdescribesgthegcharacteristicsgofgepidemiology?
a. Itgisgagsciencegthatgstudiesgthegpoisonousgeffectsgofgchemicals.
b. Itgexplainsgthegassociationgbetweenglearninggdisabilitiesgandgexposuregtoglead-
basedgpaintgatgthegcellularglevel.
c. Itghelpsgnursesgunderstandgthegstrengthgofgthegassociationgbetweengexposuregan
dghealthgeffects.
d. Itgisgagmethodgforgtrackinggthegprevalencegofghealthgoutcomes.
ANS:gC
Epidemiologygstudiesgthegincidencegandgprevalencegofgdisease,ghelpinggnursesgunderstandgt
hegstrengthgofgthegassociationgbetweengexposuregandghealthgeffects.gToxicologygisgthegscien
cegthatgstudiesgthegpoisonousgeffectsgofgchemicals.gEnvironmentalgsurveillancegprovidesgdat
agwithgwhichgtogtrackgandganalyzegthegincidencegandgprevalencegofghealthgoutcomes.
Epidemiologygdoesgnotgexaminegcausesgatgthegcellularglevel.
DIF:g Cognitiveglevel:gRemembering
TOP:gNursinggprocess:gAssessmentgMSC:
gNCLEX:gSafegandgEffectivegCaregEnvironment:gManagementgofgCare
7. Whengresearchinggpesticides,gthegnurseglooksgatgtheg“family”gofgthegchemical.gWhatgsimilaritie
sgaregfoundgamonggchemicalsgthatghavegbeengplacedgingthegsamegfamily?ga.gRoutegofgentrygintog
thegbody
b. Actionsgandgassociatedgrisks
c. Effectsgthatgtheyghavegongthegbody
d. Potencygandgtoxicity
ANS:gB
Chemicalsgareggroupedgsogit’sgpossiblegtogunderstandgthegactionsgandgrisksgassociatedgwithg
eachggroup.gAlthoughgsomegcommonghealthgrisksgexistgwithingthesegfamiliesgofgchemicals,gt
hegpossibleghealthgrisksgforgeachgchemicalgshouldgbegevaluatedgindividuallygwhengagpotentia
lghumangexposuregexists.
, PublicgHealthgNursingg10thgEditiongStanhopegTestgBan
k
DIF:MSC:gCognitiveglevel:gApplyingNCLEX:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfec
tiongControlNURSgINGTB.TOP:COMgNursinggprocess:gAssessment
8. Whichgexamplegcontainsgthegcomponentsgnecessarygtogformgangepidemiologicgtriangle?ga.
Pesticides,gwater,gfood
b. Lead,gmercury,gsoil
c. Trichloroethylene,gwater,ginfants
d. Childrengunderg12,gelderly,gtemperature
ANS:gC
Thegepidemiologicgtrianglegconsistsgofgangagentg(chemical),ghostg(communitygconsistinggof
gseveralgvariants),gandgenvironmentg(air,gwater,gsoil,getc.).gThegothergexamplesgdognotgcontai
ngangagent,ghost,gandgenvironment.
DIF: Cognitiveglevel:gAnalyzing
TOP:gNursinggprocess:gEvaluationgMSC:gNCLEX:gSafegandgEffectivegCare
gEnvironment:gSafetygandgInfectiongControl
9. WhengwouldgitgbegappropriategforgagnursegtogusegagGeographicgInformationgSystemg(GIS)?
a. Recordinggclientgdatagcollectedgatgagfootgclinic
b. Identifyinggareasgwithgangincreasedgincidencegofgleadgpoisoning
c. Evaluatinggeffectivenessgofgagfarmgsafetygprogram
d. Schedulingghealthgpromotiongprogramsgingthegcommunity
ANS:gB
ThegusegofgagGISgallowsgthegPHNgtogapplygthegprinciplesgofgepidemiologygintogpractice.gGI
Sgallowsgnursesgtogcodegdatagsogthatgitgisgrelatedgspatiallygtogagplacegongearthgandgisghelpful
gingdetermininggconcentratedgareasgforgincidencegofgdiseasegandgillness.gAngelectronicghealt
hgrecordg(EHR)gwouldgbegthegmostgappropriategplacegtogrecordgclientgdatagfromgagfootgclini
c.gEvaluationgofgeffectivenessgofgagfarmgsafetygprogramgwouldgneedgtogbegdonegthroughgso
megtypegofgassessmentgorgevaluationgmethod—
GISgwouldgnotgbegusefulgtogcollectgthisgdata.gGISgisgnotgagschedulinggsystemgandgwouldgnot
gbeghelpfulgwhengschedulingghealthgpromotiongprogramsgingthegcommunity.
DIF:g Cognitiveglevel:gAnalyzing
TOP:gNursinggprocess:gImplementationgMSC:gNCLEX
:gSafegandgEffectivegCaregEnvironment:gSafetygandgInfectiongControl
