Chapter 06: Environmental Health 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? Toxicologist 2. 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? National Library of Medicine 3. 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? Perform a windshield survey 4. 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? Check the most recent consumer confidence report. 5. 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? Check the material safety data sheet on any chemicals you have used recently. 6. Which of the following statements about children and environmental hazards is correct? Children are more susceptible to environmental toxins because of their smaller size. 7. Which of the following actions represents the use of secondary prevention to reduce environmental health risks? Collecting blood specimens from preschool children to check for lead levels 8. 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? Teaching new employees who will work outdoors about the signs and symptoms of heatrelated illness 9. A nurse wants to help keep the community environment safe. Which of the following is the most appropriate action for the nurse to take? Reduce, reuse, and recycle. 10. Which of the following best describes the purpose of local health departments making unannounced inspections of local restaurants? To ensure compliance 11. 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? Environmental justice 12. A nurse is completing a basic health assessment. Which of the following questions should be asked by an environmentally aware nurse? What jobs have you held longest? 13. 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? d. Occupational Safety and Health Act 14. 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? d. Evaluation 15. 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? c. Intervention Giving immunizations is an intervention that will increase the number of people who will be vaccinated. Intervention includes coordinating medical, nursing, and public health actions to meet the clients needs. MULTIPLE RESPONSE 1. 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.) c. Setting up a blood screening program with the local health department d. Encouraging local landlords to improve the condition of their housing 2. Which of the following are the major sources of air pollution in the United States? (Select all that apply.) a. Burning of fossil fuels b. Waste incineration d. Motor vehicles 3. 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.) b. Communicate the correct information in a timely fashion. d. Talk to those affected or those worried about the situation. 4. Which of the following strategies would a nurse expect to be implemented by a typical state environmental agency? (Select all that apply.) a. Acting, through unannounced inspections, to ensure compliance c. Monitoring hazardous substances to uphold established standards d. Obtaining and analyzing samples to confirm compliance 5. Which of the following actions would a nurse take when serving as an advocate for the community? (Select all that apply.) a. Asking questions related to health implications at policy meetings c. Serving as a source of information at public meetings d. Volunteering to serve on health-related committees Chapter 09: Epidemiological Applications Test Bank MULTIPLE CHOICE 1. A nurse is using analytic epidemiology when conducting a research project. Which of the following projects is the nurse most likely completing? b. Determining factors contributing to childhood obesity 2. A nurse is employed as a nurse epidemiologist. Which of the following activities would most likely be completed by the nurse? Evaluating the number of clients presenting with similar diseases 3. Which of the following actions by Florence Nightingale demonstrates her role as an epidemiologist? b. She demonstrated that a safer environment resulted in decreased mortality rate. 4. Which of the following statements describes how nursing in the community is more challenging than nursing in an acute care setting? It is more challenging to control the environment in the community. 5. Several small communities have applied for grant funding from the state department of health to help decrease their teenage pregnancy rate. Which of the following communities should the nurse suggest receiving funding first? d. Community Dwith 90 single teenage pregnancies in a city of 1500 6. Between 2000 and 2005, 1000 of 10,000 young women ages 17 to 20 years at a university tested positive for a sexually transmitted infection (STI). Of the 1000 diagnosed STIs, 300 were gonorrhea and 500 were chlamydia. Which of the following statements best summarizes these findings? The proportion of STIs to the total population was 100:1000. 7. The nursing staff has attempted to screen the entire African-American population in the community for diabetes. Which of the following would provide immediate verification of the success of the nursing staffs efforts? b. The incidence of diabetes will increase in the community. 8. In a particular community, several high school students were diagnosed with diabetes mellitus Type 2 during the annual high school health fair. Over the next few years, the nursing staff developed and implemented educational programs about the risk factors for diabetes mellitus Type 2 and proper nutrition. Which of the following would be most useful for the nurses to use to determine if they are having any impact? b. The incidence of diabetes is slowly decreasing during screening events. 9. This year 600 of 8000 young women ages 17 to 20 years at a university health center tested positive for a sexually transmitted infection (STI). Which of the following terms best describes this data? c. Prevalence 10. A nursing staff has successfully screened for diabetes in the community. Which of the following might best persuade the health board to increase funding for diabetic clinics in this community? c. The prevalence of diabetes is now higher than previously recognized in the community. 11. A public health nurse found that out of the 70 people who ate the potato salad at a school picnic, 63 developed symptoms of food poisoning. Which of the following best describes the attack rate? c. 90. A man is diagnosed with prostate cancer. Which of the following data should the nurse know to answer the man when he asks, What are the chances Ill survive this thing? b. Case fatality rate