Question 1

Which of the following strategies would a nurse expect to be implemented by a typical state environmental agency? (Select all that apply.)

Accepted Answer

A) Acting, through unannounced inspections, to ensure compliance 
B) Writing permits that help limit toxic hazards 
C) Monitoring hazardous substances to uphold established standards 
D) Obtaining and analyzing samples to confirm compliance 
A) Acting, through unannounced inspections, to ensure compliance 
B) Writing permits that help limit toxic hazards 
C) Monitoring hazardous substances to uphold established standards 
D) Obtaining and analyzing samples to confirm compliance A, C, D

Question 2

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?

Accepted Answer

A) Chemist 
B) Epidemiologist 
C) Pharmacologist 
D) Toxicologist 
A) Chemist 
B) Epidemiologist 
C) Pharmacologist 
D) Toxicologist D

Question 3

Which of the following best describes the purpose of local health departments making unannounced inspections of local restaurants?

Accepted Answer

A) To enforce local laws and regulations 
B) To ensure compliance 
C) To provide exposure to oversight 
D) To monitor employee safety 
A) To enforce local laws and regulations 
B) To ensure compliance 
C) To provide exposure to oversight 
D) To monitor employee safety B

Question 4

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?

Accepted Answer

A) CINAHL 
B) National Library of Medicine 
C) State health department 
D) Closest local library 
A) CINAHL 
B) National Library of Medicine 
C) State health department 
D) Closest local library

Question 5

Which of the following actions would a nurse take when serving as an advocate for the community? (Select all that apply.)

Accepted Answer

A) Asking questions related to health implications at policy meetings 
B) Calling the local health department to report problems at the hospital 
C) Serving as a source of information at public meetings 
D) Volunteering to serve on health-related committees 
A) Asking questions related to health implications at policy meetings 
B) Calling the local health department to report problems at the hospital 
C) Serving as a source of information at public meetings 
D) Volunteering to serve on health-related committees

Question 6

A high school student considering a job in the restaurant industry after graduation asks a nurse about workplace safety issues. Which of the following acts would the nurse most likely discuss with the student?

Accepted Answer

A) Chemical Safety Information, Site Security, and Fuels Regulatory Act 
B) Comprehensive Environmental Response, Compensation, and Liability Act 
C) Food Quality Protection Act 
D) Occupational Safety and Health Act 
A) Chemical Safety Information, Site Security, and Fuels Regulatory Act 
B) Comprehensive Environmental Response, Compensation, and Liability Act 
C) Food Quality Protection Act 
D) Occupational Safety and Health Act

Question 7

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?

Accepted Answer

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 
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

Question 8

A nurse is completing a basic health assessment. Which of the following questions should be asked by an environmentally aware nurse?

Accepted Answer

A) "Is anyone else in your family having these symptoms?" 
B) "Can you tell me about your house or apartment?" 
C) "What jobs have you held longest?" 
D) "Where do you live?" 
A) "Is anyone else in your family having these symptoms?" 
B) "Can you tell me about your house or apartment?" 
C) "What jobs have you held longest?" 
D) "Where do you live?"

Question 9

Which of the following statements about children and environmental hazards is correct?

Accepted Answer

A) The prevalence of autism is directly related to the increase in environmental toxins. 
B) Children are more susceptible to environmental toxins because of their smaller size. 
C) The prevalence of asthma among children has been decreasing. 
D) Children are more susceptible to cancer if they have a family history of the disease. 
A) The prevalence of autism is directly related to the increase in environmental toxins. 
B) Children are more susceptible to environmental toxins because of their smaller size. 
C) The prevalence of asthma among children has been decreasing. 
D) Children are more susceptible to cancer if they have a family history of the disease.

Question 10

Which of the following are the major sources of air pollution in the United States? (Select all that apply.)

Accepted Answer

A) Burning of fossil fuels 
B) Waste incineration 
C) Industrial plants 
D) Motor vehicles 
A) Burning of fossil fuels 
B) Waste incineration 
C) Industrial plants 
D) Motor vehicles

Question 11

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?

Accepted Answer

A) Check the most recent consumer confidence report. 
B) Consult the Centers for Disease Control and Prevention. 
C) Notify the Environmental Protection Agency (EP
A) . 
D) Place a call to the poison control center. 
A) Check the most recent consumer confidence report. 
B) Consult the Centers for Disease Control and Prevention. 
C) Notify the Environmental Protection Agency (EP
A) . 
D) Place a call to the poison control center.

Question 12

An occupational health nurse at a local factory is using primary prevention strategies to reduce the environmental health risks among the employees. Which of the following activities would the nurse most likely implement?

Accepted Answer

A) Checking radiation detectors to monitor for unsafe levels of radiation exposure 
B) Irrigating the eyes of an employee who has had a chemical splash to the face 
C) Teaching new employees who will work outdoors about the signs and symptoms of heat-related illness 
D) Using spirometry to rule out obstructive or restrictive lung disease for workers who will be wearing mask respirators 
A) Checking radiation detectors to monitor for unsafe levels of radiation exposure 
B) Irrigating the eyes of an employee who has had a chemical splash to the face 
C) Teaching new employees who will work outdoors about the signs and symptoms of heat-related illness 
D) Using spirometry to rule out obstructive or restrictive lung disease for workers who will be wearing mask respirators

Question 13

A nurse who works at the local hospital asks a public health nurse what might be causing her hands to become very sore and sensitive. Which of the following statements would be the most appropriate response by the public health nurse?

Accepted Answer

A) "Ask the staff in employee health if there have been any other complaints." 
B) "Call the local health department about any recent problems at the hospital." 
C) "Check the material safety data sheet on any chemicals you have used recently." 
D) "See the nurse's health care provider for a complete work-up." 
A) "Ask the staff in employee health if there have been any other complaints." 
B) "Call the local health department about any recent problems at the hospital." 
C) "Check the material safety data sheet on any chemicals you have used recently." 
D) "See the nurse's health care provider for a complete work-up."

Question 14

A public health nurse is assisting the community in dealing with the effects of lead paint poisoning. Which of the following activities would the nurse most likely complete? (Select all that apply.)

Accepted Answer

A) Administering medications to those with signs of lead poisoning 
B) Assessing community members for any health problems 
C) Setting up a blood screening program with the local health department 
D) Encouraging local landlords to improve the condition of their housing 
A) Administering medications to those with signs of lead poisoning 
B) Assessing community members for any health problems 
C) Setting up a blood screening program with the local health department 
D) Encouraging local landlords to improve the condition of their housing

Question 15

A nurse wants to help keep the community environment safe. Which of the following is the most appropriate action for the nurse to take?

Accepted Answer

A) Conserve water by bathing less often. 
B) Downsize to a smaller living space. 
C) Reduce, reuse, and recycle. 
D) Replace all his appliances with new energy-efficient ones. 
A) Conserve water by bathing less often. 
B) Downsize to a smaller living space. 
C) Reduce, reuse, and recycle. 
D) Replace all his appliances with new energy-efficient ones.

Question 16

A nurse wants to use the principles of risk and outrage to improve an environmental hazard in the community. To accomplish this, which of the following actions would be taken by the nurse? (Select all that apply.)

Accepted Answer

A) Advertise in the media throughout the entire surrounding area. 
B) Communicate the correct information in a timely fashion. 
C) Share all the data found on the community assessment. 
D) Talk to those affected or those worried about the situation. 
A) Advertise in the media throughout the entire surrounding area. 
B) Communicate the correct information in a timely fashion. 
C) Share all the data found on the community assessment. 
D) Talk to those affected or those worried about the situation.

Question 17

A nurse practitioner has established a mobile clinic to vaccinate noninstitutionalized adults against influenza. Which of the following phases of the nursing process is being implemented?

Accepted Answer

A) Assessment 
B) Planning 
C) Intervention 
D) Evaluation 
A) Assessment 
B) Planning 
C) Intervention 
D) Evaluation

Question 18

Which of the following actions represents the use of secondary prevention to reduce environmental health risks?

Accepted Answer

A) Collecting blood specimens from preschool children to check for lead levels 
B) Meeting with local government officials to request that the city clean up a hazardous vacant lot 
C) Referring a child with toxic lead levels to a neurologist 
D) Teaching parents of a 2-year-old about the dangers of lead-based paint in older homes 
A) Collecting blood specimens from preschool children to check for lead levels 
B) Meeting with local government officials to request that the city clean up a hazardous vacant lot 
C) Referring a child with toxic lead levels to a neurologist 
D) Teaching parents of a 2-year-old about the dangers of lead-based paint in older homes

Question 19

A city has announced its plans to build a city dump near a community of poor and predominantly African-American citizens. Which of the following principles would the nurse be using when vocalizing opposition for this plan?

Accepted Answer

A) Environmental justice 
B) Equal rights 
C) Primary prevention 
D) Risk protection 
A) Environmental justice 
B) Equal rights 
C) Primary prevention 
D) Risk protection

Question 20

The nurse is examining blood lead levels in school-age children 1 year after a community-wide education intervention. Which of the following phases of the nursing process is being implemented?

Accepted Answer

A) Assessment 
B) Diagnosis 
C) Intervention 
D) Evaluation 
A) Assessment 
B) Diagnosis 
C) Intervention 
D) Evaluation

Exam 6: Environmental Health

Which of the following strategies would a nurse expect to be implemented by a typical state environmental agency? (Select all that apply.)

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?

Which of the following best describes the purpose of local health departments making unannounced inspections of local restaurants?

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?

Which of the following actions would a nurse take when serving as an advocate for the community? (Select all that apply.)

A high school student considering a job in the restaurant industry after graduation asks a nurse about workplace safety issues. Which of the following acts would the nurse most likely discuss with the student?

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 nurse is completing a basic health assessment. Which of the following questions should be asked by an environmentally aware nurse?

Which of the following statements about children and environmental hazards is correct?

Which of the following are the major sources of air pollution in the United States? (Select all that apply.)

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?

An occupational health nurse at a local factory is using primary prevention strategies to reduce the environmental health risks among the employees. Which of the following activities would the nurse most likely implement?

A nurse who works at the local hospital asks a public health nurse what might be causing her hands to become very sore and sensitive. Which of the following statements would be the most appropriate response by the public health nurse?

A public health nurse is assisting the community in dealing with the effects of lead paint poisoning. Which of the following activities would the nurse most likely complete? (Select all that apply.)

A nurse wants to help keep the community environment safe. Which of the following is the most appropriate action for the nurse to take?

A nurse wants to use the principles of risk and outrage to improve an environmental hazard in the community. To accomplish this, which of the following actions would be taken by the nurse? (Select all that apply.)

A nurse practitioner has established a mobile clinic to vaccinate noninstitutionalized adults against influenza. Which of the following phases of the nursing process is being implemented?

Which of the following actions represents the use of secondary prevention to reduce environmental health risks?

A city has announced its plans to build a city dump near a community of poor and predominantly African-American citizens. Which of the following principles would the nurse be using when vocalizing opposition for this plan?

The nurse is examining blood lead levels in school-age children 1 year after a community-wide education intervention. Which of the following phases of the nursing process is being implemented?

Community-Oriented Nursing and Community-Based Nursing

The History of Public Health and Public and Community Health Nursing

The Us Health and Public Health Care Systems

Ethics in Community Health Nursing Practice

Cultural Influences in Nursing in Community Health

Government, the Law, and Policy Activism

Economic Influences

Epidemiological Applications

Evidence-Based Practice

Using Health Education and Groups in the Community

Community Assessment and Evaluation

Case Management

Disaster Management

Surveillance and Outbreak Investigation

Program Management

Managing Quality and Safety

Family Development and Family Nursing Assessment

Family Health Risks

Health Risks Across the Life Span

Vulnerability and Vulnerable Populations: an Overview

Rural Health and Migrant Health

Poverty, Homelessness, Mental Illness, and Teen Pregnancy

Alcohol, Tobacco, and Other Drug Problems in the Community

Violence and Human Abuse

Infectious Disease Prevention and Control

HIV Infection, Hepatitis, Tuberculosis, and Sexually Transmitted Diseases

Nursing Practice at the Local, State, and National Levels in Public Health

The Faith Community Nurse

The Nurse in Home Health and Hospice

The Nurse in the Schools

The Nurse in Occupational Health

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