PublichHealthhNursingh10thhEditionhStanhopehTesthBank
Chapter 06: Environmental Health
h h h
Stanhope: Public Health Nursing: Population-
h h h h
Centered Health Care in the Community, 10th Edition
h h h h h h h
MULTIPLEhCHOICE
1. Whyhishithimportanthforhnurseshtohunderstandhthehpremiseshofhenvironmentalhhealth?
a. Nurseshshouldhbehablehtohassesshriskshandhadvocatehforhpolicieshthathsupporthhealthyhe
nvironments.
b. Toxicologistshoftenhconsulthnurseshabouthenvironmentalhpollutants.
c. PollutanthexposureshsuchhashleadharehreportedhbyhnurseshtohthehEnvironmentalhProtectionh
Agencyh(EPA).
d. ManyhAmericanshlivehinhareashthathdohnothmeethcurrenthnationalhairhqualityhstandards.
ANS:hA
Potentialhriskshtohhealthharehconcernshforhprofessionalhnurses.hIthishthehresponsibilityhofhthehnur
sehtohunderstandhashmuchhashpossiblehabouththesehrisks:hhowhtohassesshthem,hhowhtoheliminate/
reducehthem,hhowhtohcommunicatehandheducatehabouththem,handhhowhtohadvocatehforhpoliciesht
hathsupporthhealthyhenvironments.hToxicologistshdohnothoftenhconsulthnurseshabouthenvironm
entalhpollutants.hPollutanthexposuresharehnothroutinelyhreportedhbyhnurses.hAlthoughhtherehma
yhbehproblemshwithhairhqualityhstandardshinhthehUnitedhStates,hthishwouldhnothbehthehprimaryhre
asonhwhyhnurseshshouldhunderstandhenvironmentalhhealth.
DIF: Cognitivehlevel:hUnderstanding
TOP:hNursinghprocess:hEvaluationhMSC:hNCLEX:hSafehandhEffectivehCa
rehEnvironment:hSafetyhandhInfection
ControlNURSINGTB.COM
2. Whyhishithimportanthforhahnursehtohhavehknowledgehofhenvironmentalhhealthhandhtheheffectshofhch
emical,hbiological,handhradiologicalhmaterials?ha.hTheyharehahmajorhcausehofhglobalhwarming.
b. Theyharehoftenhfoundhinhthehair,hwater,handhproductshwehuse.
c. Theyharehfrequentlyhlinkedhtohthehdevelopmenthofhchronichillnesses.
d. Theyharehproductshthathnurseshworkhwithhdaily.
ANS:hB
Chemical,hbiological,handhradiologicalhpollutantsharehoftenhfoundhinhthehairhwehbreathe,hthehwat
erhwehdrink,handhthehproductshwehuse.hTheseharehnothahmajorhcausehofhglobalhwarming.hTheyhar
ehnothfrequentlyhlinkedhtohthehdevelopmenthofhchronichillnesses.hTheseharehnothproductshthathn
urseshworkhwithhdaily.
, PublichHealthhNursingh10thhEditionhStanhopehTesthBank
DIF:h Cognitivehlevel:hUnderstanding
TOP:hNursinghprocess:hAssessmenthMSC:h
NCLEX:hHealthhPromotionhandhMaintenance
3. Ahnursehfulfillshthehenvironmentalhhealthhcompetencyhofh“assessmenthandhreferral.”hWhichhofhthehf
ollowinghactionshhashthehnursehmosthlikelyhcompleted?ha.hAdvocatinghforhpublichpolicyhchanges
b. Understandinghpolicyhframeworkhandhmajorhpieceshofhlegislation
c. Completinghanhenvironmentalhhealthhhistory
d. Describinghthehscientifichprincipleshabouthenvironmentalhhealth
ANS:hC
Assessmenthandhreferralhstateshthathallhnurseshshouldhbehablehtohsuccessfullyhcompletehanhenvi
ronmentalhhealthhhistory,hrecognizehthehpotentialhenvironmentalhhazardshandhsentinelhillnesse
s,handhmakehappropriatehreferralshforhconditionshwithhprobablehenvironmentalhcauses.hAdvoca
tinghforhpublichpolicyhchangeshishparthofhadvocacy.hUnderstandinghpolicyhframeworkhandhlegis
lationhishparthofhlegislationhandhregulation.hDescribinghthehscientifichprincipleshofhenvironmen
talhhealthhishparthofhbasichknowledgehandhconcepts.
DIF:h Cognitivehlevel:hAnalyzing
TOP:hNursinghprocess:hImplementationhMSC:hNCLEX:h
SafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControl
4. Howhhavehnurseshhistoricallyhlearnedhtohidentifyhahpossiblehrelationshiphbetweenhenvironmentalh
chemicalhexposureshandhtheirhpotentialhharm?ha.hExtrapolationhbyhtoxicologists
b. Biomonitoring
c. Completinghchemistryhcourses
d. Observinghsignshandhsymptomshinhclients
ANS:hD
Nurseshhavehhistoricallyhmadehdiscoverieshrelatedhtohchemicalhexposurehwhenhpeoplehpresent
edhwithhsignshandhsymptomshrelatedhtohknownhchemicalhtoxicity.hExtrapolationhbyhtoxicologi
stshandhbiomonitoringharehmodernhmethods.hCompletinghahchemistryhcoursehdoeshnothshowhho
whtohidentifyhthesehpossiblehrelationships.
DIF:h Cognitivehlevel:hUnderstanding
TOP:hNursinghprocess:hAssessmenthMSC:h
NCLEX:hSafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControl
5. Whathtermhishusedhtohreferhtohthehbasichsciencehappliedhtohunderstandinghthehhealthheffectsha
ssociatedhwithhchemicalhexposures?ha.hToxicology
b. Pharmacology
c. Chemistry
d. Environmentalhepidemiology
, PublichHealthhNursingh10thhEditionhStanhopehTesthBank
ANS:hA
Toxicologyhishthehstudyhofhthehhealthheffectshassociatedhwithhchemicalhexposures.hPharmacol
ogyhishthehbranchhofhmedicinehconcernedhwithhthehmultiplehaspectshofhdrugs.hChemistryhishtheh
branchhofhsciencehwithhdealshwithhthehwayhthathmatterhishcomposed.
Environmentalhepidemiologyhishconcernedhwithhthehdiscoveryhofhenvironmentalhexposureshtha
thcausehorhprotecthagainsthillnesshorhdisease.
DIF: Cognitivehlevel:hRemembering
TOP:hNursinghprocess:hAssessmenthMSC:hNCLEX:hSafehandhEffectivehCareh
Environment:hSafetyhandhInfectionhControl
6. Whathstatementhaccuratelyhdescribeshthehcharacteristicshofhepidemiology?
a. Ithishahsciencehthathstudieshthehpoisonousheffectshofhchemicals.
b. Ithexplainshthehassociationhbetweenhlearninghdisabilitieshandhexposurehtohlead-
basedhpainthaththehcellularhlevel.
c. Ithhelpshnurseshunderstandhthehstrengthhofhthehassociationhbetweenhexposurehandh
healthheffects.
d. Ithishahmethodhforhtrackinghthehprevalencehofhhealthhoutcomes.
ANS:hC
Epidemiologyhstudieshthehincidencehandhprevalencehofhdisease,hhelpinghnurseshunderstandhthe
hstrengthhofhthehassociationhbetweenhexposurehandhhealthheffects.hToxicologyhishthehsciencehth
athstudieshthehpoisonousheffectshofhchemicals.hEnvironmentalhsurveillancehprovideshdatahwithh
whichhtohtrackhandhanalyzehthehincidencehandhprevalencehofhhealthhoutcomes.
Epidemiologyhdoeshnothexaminehcauseshaththehcellularhlevel.
DIF:h Cognitivehlevel:hRemembering
TOP:hNursinghprocess:hAssessmenthMSC:h
NCLEX:hSafehandhEffectivehCarehEnvironment:hManagementhofhCare
7. Whenhresearchinghpesticides,hthehnursehlookshaththeh“family”hofhthehchemical.hWhathsimilaritiesha
rehfoundhamonghchemicalshthathhavehbeenhplacedhinhthehsamehfamily?ha.hRoutehofhentryhintohthehbo
dy
b. Actionshandhassociatedhrisks
c. Effectshthaththeyhhavehonhthehbody
d. Potencyhandhtoxicity
ANS:hB
Chemicalsharehgroupedhsohit’shpossiblehtohunderstandhthehactionshandhriskshassociatedhwithheac
hhgroup.hAlthoughhsomehcommonhhealthhriskshexisthwithinhthesehfamilieshofhchemicals,hthehpo
ssiblehhealthhriskshforheachhchemicalhshouldhbehevaluatedhindividuallyhwhenhahpotentialhhumanh
exposurehexists.
, PublichHealthhNursingh10thhEditionhStanhopehTesthBank
DIF:MSC:hCognitivehlevel:hApplyingNCLEX:hSafehandhEffectivehCarehEnvironment:hSafetyhandhInfectio
nhControlNURShINGTB.TOP:COMhNursinghprocess:hAssessment
8. Whichhexamplehcontainshthehcomponentshnecessaryhtohformhanhepidemiologichtriangle?ha.
Pesticides,hwater,hfood
b. Lead,hmercury,hsoil
c. Trichloroethylene,hwater,hinfants
d. Childrenhunderh12,helderly,htemperature
ANS:hC
Thehepidemiologichtrianglehconsistshofhanhagenth(chemical),hhosth(communityhconsistinghofhse
veralhvariants),handhenvironmenth(air,hwater,hsoil,hetc.).hThehotherhexampleshdohnothcontainhanha
gent,hhost,handhenvironment.
DIF: Cognitivehlevel:hAnalyzing
TOP:hNursinghprocess:hEvaluationhMSC:hNCLEX:hSafehandhEffectivehCarehE
nvironment:hSafetyhandhInfectionhControl
9. WhenhwouldhithbehappropriatehforhahnursehtohusehahGeographich InformationhSystemh(GIS)?
a. Recordinghclienthdatahcollectedhathahfoothclinic
b. Identifyinghareashwithhanhincreasedhincidencehofhleadhpoisoning
c. Evaluatingheffectivenesshofhahfarmhsafetyhprogram
d. Schedulinghhealthhpromotionhprogramshinhthehcommunity
ANS:hB
ThehusehofhahGIShallowshthehPHNhtohapplyhthehprincipleshofhepidemiologyhintohpractice.hGIShal
lowshnurseshtohcodehdatahsohthathithishrelatedhspatiallyhtohahplacehonhearthhandhishhelpfulhinhdeter
mininghconcentratedhareashforhincidencehofhdiseasehandhillness.hAnhelectronichhealthhrecordh(E
HR)hwouldhbehthehmosthappropriatehplacehtohrecordhclienthdatahfromhahfoothclinic.hEvaluationh
ofheffectivenesshofhahfarmhsafetyhprogramhwouldhneedhtohbehdonehthroughhsomehtypehofhassess
menthorhevaluationhmethod—
GIShwouldhnothbehusefulhtohcollecththishdata.hGIShishnothahschedulinghsystemhandhwouldhnothbeh
helpfulhwhenhschedulinghhealthhpromotionhprogramshinhthehcommunity.
DIF:h Cognitivehlevel:hAnalyzing
TOP:hNursinghprocess:hImplementationhMSC:hNCLEX:h
SafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControl
Chapter 06: Environmental Health
h h h
Stanhope: Public Health Nursing: Population-
h h h h
Centered Health Care in the Community, 10th Edition
h h h h h h h
MULTIPLEhCHOICE
1. Whyhishithimportanthforhnurseshtohunderstandhthehpremiseshofhenvironmentalhhealth?
a. Nurseshshouldhbehablehtohassesshriskshandhadvocatehforhpolicieshthathsupporthhealthyhe
nvironments.
b. Toxicologistshoftenhconsulthnurseshabouthenvironmentalhpollutants.
c. PollutanthexposureshsuchhashleadharehreportedhbyhnurseshtohthehEnvironmentalhProtectionh
Agencyh(EPA).
d. ManyhAmericanshlivehinhareashthathdohnothmeethcurrenthnationalhairhqualityhstandards.
ANS:hA
Potentialhriskshtohhealthharehconcernshforhprofessionalhnurses.hIthishthehresponsibilityhofhthehnur
sehtohunderstandhashmuchhashpossiblehabouththesehrisks:hhowhtohassesshthem,hhowhtoheliminate/
reducehthem,hhowhtohcommunicatehandheducatehabouththem,handhhowhtohadvocatehforhpoliciesht
hathsupporthhealthyhenvironments.hToxicologistshdohnothoftenhconsulthnurseshabouthenvironm
entalhpollutants.hPollutanthexposuresharehnothroutinelyhreportedhbyhnurses.hAlthoughhtherehma
yhbehproblemshwithhairhqualityhstandardshinhthehUnitedhStates,hthishwouldhnothbehthehprimaryhre
asonhwhyhnurseshshouldhunderstandhenvironmentalhhealth.
DIF: Cognitivehlevel:hUnderstanding
TOP:hNursinghprocess:hEvaluationhMSC:hNCLEX:hSafehandhEffectivehCa
rehEnvironment:hSafetyhandhInfection
ControlNURSINGTB.COM
2. Whyhishithimportanthforhahnursehtohhavehknowledgehofhenvironmentalhhealthhandhtheheffectshofhch
emical,hbiological,handhradiologicalhmaterials?ha.hTheyharehahmajorhcausehofhglobalhwarming.
b. Theyharehoftenhfoundhinhthehair,hwater,handhproductshwehuse.
c. Theyharehfrequentlyhlinkedhtohthehdevelopmenthofhchronichillnesses.
d. Theyharehproductshthathnurseshworkhwithhdaily.
ANS:hB
Chemical,hbiological,handhradiologicalhpollutantsharehoftenhfoundhinhthehairhwehbreathe,hthehwat
erhwehdrink,handhthehproductshwehuse.hTheseharehnothahmajorhcausehofhglobalhwarming.hTheyhar
ehnothfrequentlyhlinkedhtohthehdevelopmenthofhchronichillnesses.hTheseharehnothproductshthathn
urseshworkhwithhdaily.
, PublichHealthhNursingh10thhEditionhStanhopehTesthBank
DIF:h Cognitivehlevel:hUnderstanding
TOP:hNursinghprocess:hAssessmenthMSC:h
NCLEX:hHealthhPromotionhandhMaintenance
3. Ahnursehfulfillshthehenvironmentalhhealthhcompetencyhofh“assessmenthandhreferral.”hWhichhofhthehf
ollowinghactionshhashthehnursehmosthlikelyhcompleted?ha.hAdvocatinghforhpublichpolicyhchanges
b. Understandinghpolicyhframeworkhandhmajorhpieceshofhlegislation
c. Completinghanhenvironmentalhhealthhhistory
d. Describinghthehscientifichprincipleshabouthenvironmentalhhealth
ANS:hC
Assessmenthandhreferralhstateshthathallhnurseshshouldhbehablehtohsuccessfullyhcompletehanhenvi
ronmentalhhealthhhistory,hrecognizehthehpotentialhenvironmentalhhazardshandhsentinelhillnesse
s,handhmakehappropriatehreferralshforhconditionshwithhprobablehenvironmentalhcauses.hAdvoca
tinghforhpublichpolicyhchangeshishparthofhadvocacy.hUnderstandinghpolicyhframeworkhandhlegis
lationhishparthofhlegislationhandhregulation.hDescribinghthehscientifichprincipleshofhenvironmen
talhhealthhishparthofhbasichknowledgehandhconcepts.
DIF:h Cognitivehlevel:hAnalyzing
TOP:hNursinghprocess:hImplementationhMSC:hNCLEX:h
SafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControl
4. Howhhavehnurseshhistoricallyhlearnedhtohidentifyhahpossiblehrelationshiphbetweenhenvironmentalh
chemicalhexposureshandhtheirhpotentialhharm?ha.hExtrapolationhbyhtoxicologists
b. Biomonitoring
c. Completinghchemistryhcourses
d. Observinghsignshandhsymptomshinhclients
ANS:hD
Nurseshhavehhistoricallyhmadehdiscoverieshrelatedhtohchemicalhexposurehwhenhpeoplehpresent
edhwithhsignshandhsymptomshrelatedhtohknownhchemicalhtoxicity.hExtrapolationhbyhtoxicologi
stshandhbiomonitoringharehmodernhmethods.hCompletinghahchemistryhcoursehdoeshnothshowhho
whtohidentifyhthesehpossiblehrelationships.
DIF:h Cognitivehlevel:hUnderstanding
TOP:hNursinghprocess:hAssessmenthMSC:h
NCLEX:hSafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControl
5. Whathtermhishusedhtohreferhtohthehbasichsciencehappliedhtohunderstandinghthehhealthheffectsha
ssociatedhwithhchemicalhexposures?ha.hToxicology
b. Pharmacology
c. Chemistry
d. Environmentalhepidemiology
, PublichHealthhNursingh10thhEditionhStanhopehTesthBank
ANS:hA
Toxicologyhishthehstudyhofhthehhealthheffectshassociatedhwithhchemicalhexposures.hPharmacol
ogyhishthehbranchhofhmedicinehconcernedhwithhthehmultiplehaspectshofhdrugs.hChemistryhishtheh
branchhofhsciencehwithhdealshwithhthehwayhthathmatterhishcomposed.
Environmentalhepidemiologyhishconcernedhwithhthehdiscoveryhofhenvironmentalhexposureshtha
thcausehorhprotecthagainsthillnesshorhdisease.
DIF: Cognitivehlevel:hRemembering
TOP:hNursinghprocess:hAssessmenthMSC:hNCLEX:hSafehandhEffectivehCareh
Environment:hSafetyhandhInfectionhControl
6. Whathstatementhaccuratelyhdescribeshthehcharacteristicshofhepidemiology?
a. Ithishahsciencehthathstudieshthehpoisonousheffectshofhchemicals.
b. Ithexplainshthehassociationhbetweenhlearninghdisabilitieshandhexposurehtohlead-
basedhpainthaththehcellularhlevel.
c. Ithhelpshnurseshunderstandhthehstrengthhofhthehassociationhbetweenhexposurehandh
healthheffects.
d. Ithishahmethodhforhtrackinghthehprevalencehofhhealthhoutcomes.
ANS:hC
Epidemiologyhstudieshthehincidencehandhprevalencehofhdisease,hhelpinghnurseshunderstandhthe
hstrengthhofhthehassociationhbetweenhexposurehandhhealthheffects.hToxicologyhishthehsciencehth
athstudieshthehpoisonousheffectshofhchemicals.hEnvironmentalhsurveillancehprovideshdatahwithh
whichhtohtrackhandhanalyzehthehincidencehandhprevalencehofhhealthhoutcomes.
Epidemiologyhdoeshnothexaminehcauseshaththehcellularhlevel.
DIF:h Cognitivehlevel:hRemembering
TOP:hNursinghprocess:hAssessmenthMSC:h
NCLEX:hSafehandhEffectivehCarehEnvironment:hManagementhofhCare
7. Whenhresearchinghpesticides,hthehnursehlookshaththeh“family”hofhthehchemical.hWhathsimilaritiesha
rehfoundhamonghchemicalshthathhavehbeenhplacedhinhthehsamehfamily?ha.hRoutehofhentryhintohthehbo
dy
b. Actionshandhassociatedhrisks
c. Effectshthaththeyhhavehonhthehbody
d. Potencyhandhtoxicity
ANS:hB
Chemicalsharehgroupedhsohit’shpossiblehtohunderstandhthehactionshandhriskshassociatedhwithheac
hhgroup.hAlthoughhsomehcommonhhealthhriskshexisthwithinhthesehfamilieshofhchemicals,hthehpo
ssiblehhealthhriskshforheachhchemicalhshouldhbehevaluatedhindividuallyhwhenhahpotentialhhumanh
exposurehexists.
, PublichHealthhNursingh10thhEditionhStanhopehTesthBank
DIF:MSC:hCognitivehlevel:hApplyingNCLEX:hSafehandhEffectivehCarehEnvironment:hSafetyhandhInfectio
nhControlNURShINGTB.TOP:COMhNursinghprocess:hAssessment
8. Whichhexamplehcontainshthehcomponentshnecessaryhtohformhanhepidemiologichtriangle?ha.
Pesticides,hwater,hfood
b. Lead,hmercury,hsoil
c. Trichloroethylene,hwater,hinfants
d. Childrenhunderh12,helderly,htemperature
ANS:hC
Thehepidemiologichtrianglehconsistshofhanhagenth(chemical),hhosth(communityhconsistinghofhse
veralhvariants),handhenvironmenth(air,hwater,hsoil,hetc.).hThehotherhexampleshdohnothcontainhanha
gent,hhost,handhenvironment.
DIF: Cognitivehlevel:hAnalyzing
TOP:hNursinghprocess:hEvaluationhMSC:hNCLEX:hSafehandhEffectivehCarehE
nvironment:hSafetyhandhInfectionhControl
9. WhenhwouldhithbehappropriatehforhahnursehtohusehahGeographich InformationhSystemh(GIS)?
a. Recordinghclienthdatahcollectedhathahfoothclinic
b. Identifyinghareashwithhanhincreasedhincidencehofhleadhpoisoning
c. Evaluatingheffectivenesshofhahfarmhsafetyhprogram
d. Schedulinghhealthhpromotionhprogramshinhthehcommunity
ANS:hB
ThehusehofhahGIShallowshthehPHNhtohapplyhthehprincipleshofhepidemiologyhintohpractice.hGIShal
lowshnurseshtohcodehdatahsohthathithishrelatedhspatiallyhtohahplacehonhearthhandhishhelpfulhinhdeter
mininghconcentratedhareashforhincidencehofhdiseasehandhillness.hAnhelectronichhealthhrecordh(E
HR)hwouldhbehthehmosthappropriatehplacehtohrecordhclienthdatahfromhahfoothclinic.hEvaluationh
ofheffectivenesshofhahfarmhsafetyhprogramhwouldhneedhtohbehdonehthroughhsomehtypehofhassess
menthorhevaluationhmethod—
GIShwouldhnothbehusefulhtohcollecththishdata.hGIShishnothahschedulinghsystemhandhwouldhnothbeh
helpfulhwhenhschedulinghhealthhpromotionhprogramshinhthehcommunity.
DIF:h Cognitivehlevel:hAnalyzing
TOP:hNursinghprocess:hImplementationhMSC:hNCLEX:h
SafehandhEffectivehCarehEnvironment:hSafetyhandhInfectionhControl
