Chapter 06: Environmental Health

Foundations of Nursing in the Community 4e by Marcia Stanhope

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Chapter 06: Environmental Health

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

  1. A nurse wants to have a better understanding of the physiological effects of selected chemicals. Which of the following individuals would provide the most useful information to the nurse?
a. Chemist
b. Epidemiologist
c. Pharmacologist
d. Toxicologist

 

 

ANS:  D

Toxicology is the basic science that studies the health effects associated with chemical exposures. The other specialists would probably be able to provide some information, but the toxicologist would most likely provide information related to physiological processes.

 

DIF:    Cognitive Level: Apply (Application)                               REF:   p. 92

 

  1. A nurse wants to find information about environmental threats that are present in the community. Which of the following would be the best source of data for the nurse?
a. CINAHL
b. National Library of Medicine
c. State health department
d. Closest local library

 

 

ANS:  B

Technology helps us understand environmental threats. The National Library of Medicine (NLM) databases are user-friendly and accessible on the Internet. The NLM website provides access to medical databases such as PubMed and GratefulMed, which can be searched for possible environmental linkages to illnesses using key terms.

 

DIF:    Cognitive Level: Remember (Knowledge)                         REF:   p. 93

 

  1. A nurse is assessing potential environmental health risks in the community. Which of the following would be the first step that the nurse should take?
a. Conduct health risk assessments of randomly selected individuals
b. Perform a windshield survey
c. Review facility permits and consumer confidence reports
d. Survey community members

 

 

ANS:  B

Conducting a windshield survey is a useful first step to understanding potential environmental health risks. This provides first-hand information about the community and areas of concern that must be investigated.

 

DIF:    Cognitive Level: Apply (Application)                               REF:   p. 94

 

  1. A community citizen reports to the public health nurse that the city water in one neighborhood has had an unusual taste for the past few months. Which of the following actions should the nurse take first?
a. Check the most recent consumer confidence report.
b. Consult the Centers for Disease Control and Prevention.
c. Notify the Environmental Protection Agency (EPA).
d. Place a call to the poison control center.

 

 

ANS:  A

The consumer confidence report (also known as the right-to-know report) reports the condition of drinking water. Because this is only one citizen, whose sense of taste may be affected by many conditions, it would not be appropriate to overreact by calling in governmental agencies first. Even so, in case one needed to contact an authority, it would be appropriate to start with local governmental agencies such as the city water department rather than federal agencies.

 

DIF:     Cognitive Level: Apply (Application)                REF:    p. 97

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