Chapter 6: Environmental Health Nursing

Chapter 6: Environmental Health Nursing

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. After the oil spill of 2010 in the Gulf of Mexico, which occurred following a hurricane in that same area four years previously, public health officials became particularly concerned about the economic health of the area. What caused this economic concern?

A.	Illnesses due to the quality of the air
B.	Illnesses due to the quality of the water
C.	The habitats of the fishing industry being destroyed
D.	The closing of the recreational industry

 

 

ANS:  C

Objective: 1. Describe the role of nursing in environmental health.

1. 130-131

Heading: Introduction

Integrated Processes: Nursing Process

Client Need: Psychosocial Integrity

Cognitive Level: Application [Applying]

Concept: Trauma; Economics

Difficulty: Easy

	Feedback
A	The illnesses due to the quality of the air hampered the health of the residents, but was not the main blow to the economy.
B	The illnesses due to the quality of the water hampered the health of the residents, but was not the main blow to the economy.
C	The destruction of the habitats of the fishing industry was the major problem for the economy as this had been the main industry for the area.
D	The closing of the recreational industry was a temporary problem and affected only a small portion of the economy.

 

 

PTS:   1                    CON:  Trauma | Economics

 

2. The health effects of the 2010 oil spill in the Gulf of Mexico on the workers and residents, the food supply, and the fishing industry demonstrates the relationship between environmental health and personal health. According to the World Health Organization (WHO), the factors that are addressed in environmental health are:

A.	Water, air, and waste
B.	Economics and governmental structure
C.	Areas that we live, work, and play
D.	Physical, chemical, and biological

 

 

ANS:  D

Objective: 1. Describe the role of nursing in environmental health.

1. 130-131

Heading: Introduction

Integrated Processes: N/A

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive Level: Knowledge [Remembering]

Concept: Trauma; Safety

Difficulty: Moderate

	Feedback
A	Illnesses affecting environmental health could be biologically transmitted through water, air, and waste, but there are broader environmental factors indicated by WHO.
B	Economics and governmental structure are factors that might limit the health problem or make it worse, but these are not the broader environmental factors indicated by WHO.
C	Areas in which we live, work, and play are the settings where environmental problems could take place, but these categories are not the broader environmental factors indicated by WHO.
D	Environmental health addresses the physical, chemical, and biological factors that are external to a person and all the related factors impacting behaviors.

 

 

PTS:   1                    CON:  Trauma | Safety

 

3. A public health nurse (PHN) uses the epidemiological triangle to understand

A.	The environment that brings an agent and host together
B.	The role environment plays in the health of individuals, families, and communities
C.	The role of water, air, and waste in environmental health
D.	Both 1 and 2

 

 

ANS:  D

Objective: 1. Describe the role of nursing in environmental health.

1. 132-134

Heading: The Role of Nursing in Environmental Health > Approaches to Environmental Health

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive Level: Analysis [Analyzing]

Concept: Promoting Health; Safety

Difficulty: Moderate

	Feedback
A	The epidemiological triangle describes the relationship between an agent, host, and environment.
B	The epidemiological triangle is a framework used to examine human-environment interactions and their potential impact on the health of individuals, families, and communities.
C	The role of water, air, and waste in environmental health addresses only one point of the epidemiological triangle.
D	This is correct. The epidemiological triangle helps the PHN understand the environment that brings an agent and host together, as well as the human-environment interactions that impact the health of individuals, families, and communities.

 

 

PTS:   1                    CON:  Promoting Health | Safety

 

4. A PHN is evaluating a community’s pollution, accessible transportation, and outside activities and the maintenance of its neighborhood buildings. The nurse is evaluating the:

A.	Environmental stability
B.	Built environment
C.	Ecological approach
D.	Environmental health

 

 

ANS:  B

Objective: 2. Describe the impact of the built environment on health.

1. 132-134

Heading: The Role of Nursing in Environmental Health > Approaches to Environmental Health

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive Level: Application [Applying]

Concept: Assessment; Promoting Health; Safety

Difficulty: Easy

	Feedback
A	Environmental stability is how well a community is able to maintain the health of a population. This question is referring to the built environment.
B	The built environment, the human-made surroundings created for the daily activities of humans, reflects the range of physical and social elements that make up a community. This question is referring to the built environment.
C	The ecological approach requires an understanding that individuals and populations interact with their environment. This question is referring to the built environment.
D	Environmental health is all the physical, chemical, and biological factors that are external to a person and all the related factors impacting behaviors. This question is referring to the built environment.

 

 

PTS:     1          CON:   Assessment | Promoting Health | Safety