Deck 9: Environmental Health Risks: At Home, at Work, and in the Community

Question 1

Why do European countries have less of a problem with regulating chemical toxicity than the United States?

A)European countries can afford more chemical products to increase their life span and comfort.
B)The United States is more technologically advanced,with more new chemicals to help with health care.
C)The United States has more resources to purchase new chemical interventions for clinical problems.
D)European countries require product manufacturers to prove that their products are safe.

Answer 1

European countries require product manufacturers to prove that their products are safe.

Question 2

The "Mr.Yuk" educational campaign and the practice of routinely dispensing medications in childproof containers are examples of

A)Primary prevention programs that have had little effect on poisoning deaths.
B)Primary prevention programs that have notably decreased deaths from poisoning.
C)Secondary prevention programs that have had little effect on poisoning deaths.
D)Secondary prevention programs that have notably decreased deaths from poisoning.

Answer 2

Primary prevention programs that have notably decreased deaths from poisoning.

Question 3

Which of the following activities is an ergonomist most likely to perform?

A)Studying the prevention,detection,and treatment of work-related injuries
B)Designing equipment for the interface of humans,their tools,and work activities
C)Recognizing natural history of occupational disease and injuries in certain groups
D)Describing the toxic properties of chemical agents used in the employment setting

Answer 3

Designing equipment for the interface of humans,their tools,and work activities

Question 4

A nurse assessed the home while visiting a home care client.What would be an appropriate primary intervention in relation to burns?

A)Assessing the client for evidence of environmental hazards
B)Encouraging the client's family to install a smoke detector
C)Encouraging the whole family to practice "stop,drop,and roll" exercises
D)Suggesting that the family purchase a first aid kit with first aid information

Question 5

Which of the following events marked the beginning of the most outstanding improvements in public health?

A)Discovery of antibiotics
B)Creation of safe water purification and sewer systems
C)Implementation of surgery as a clean procedure in the operating rooms
D)Physician education on the benefits of hand-washing between procedures

Question 6

A nurse who had just undergone orientation for a staff position in the emergency department noticed a material safety data sheet attached to a solvent used to clean the skin around wounds.What is the purpose of this sheet?

A)Hospitals are now attaching such documents for emergency department nurses,who are at high risk for trauma and injury from chemicals that patients use.
B)It is part of the risk management program of hospitals that do not want to be sued by employees who misuse chemicals.
C)It is required by federal law so that employees know the potential effects of the chemicals with which they are working.
D)The sheet is the equivalent of a drug information sheet and should be given to patients who have their wounds cleaned with the solvent.

Question 7

To what does the term environmental justice refer?

A)Applying environmental laws equally throughout the country
B)Being fair (or just)in relation to how the costs of environmental pollution cleanup are distributed
C)Putting the most environmental pollution waste in the already polluted sites (known as Superfund sites)
D)Recognizing that environmental risks are disproportionately high for low-income and minority populations who live in more highly polluted neighborhoods

Question 8

What,in basic terms,do Barry Commoner's laws of ecology state?

A)Everything is connected to everything else,and everything must go somewhere.
B)Long-term survival requires protection of our environment.
C)Only humans contaminate their own environment.
D)Take care of the planet;it's the only one we've got.

Question 9

What is one of the most prevalent and noxious pollutants in modern America?

A)Noise
B)Sewage in septic tanks
C)Unsafe discarded medications
D)Unsafe water

Question 10

Which of the following information would the nurse document when conducting an exposure assessment with a client?

A)The chemicals used at work or in hobbies
B)The substances used to clean the house or keep the yard/garden beautiful
C)The home,work site,and neighborhood
D)The environmental and psychological stress that is encountered

Question 11

Which of the following actions demonstrates the occupational health nurse's need to balance conflict between what is legal and what is ethical?

A)Ensuring the employer's profit and keeping the employees happy
B)Fulfilling what the nurse's supervisor wants and what the employees want
C)Encouraging primary prevention and first aid to the injured
D)Reporting health problems to employers and keeping health records confidential

Question 12

Between what two aspects does the ecologic systems model distinguish?

A)Ecologic disasters and lifestyle behavior problems
B)Housing and school or employment hazards
C)The immediate environment and the broader environment
D)The United States and the rest of the world

Question 13

A nurse learned that a client was taken to the hospital with carbon monoxide poisoning after neglecting to turn off the car parked in the garage.Which of the following would be the most appropriate intervention to suggest at the next nursing visit?

A)Encourage the client to leave one window open a crack,so there is always a constant supply of fresh air from outside the home.
B)Advise the client to install a carbon monoxide detector in the home.
C)Suggest that the family move to a house with a detached garage.
D)Teach the family the symptoms of breathing carbon monoxide gas so they can act quickly to get out of the house.

Question 14

Which of the following statements is the most accurate description of a client who has received a diagnosis of hypersensitivity?

A)"He or she gets his or her feelings hurt frequently."
B)"His or her skin burns very easily from sunlight."
C)"He or she reacts to much smaller doses of chemicals than do most people."
D)"He or she experiences an allergic reaction."

Question 15

Which of the following is the most appropriate secondary prevention approach when a nurse is working in a community with known high lead levels?

A)Educating parents about avoiding purchasing toys painted with lead-based paint
B)Screening all minority children
C)Educating parents about early signs of lead poisoning
D)Screening all children who are living in poverty

Question 16

A nurse wanted to increase the safety of a family with a small toddler.Which of the following would be a secondary prevention measure in relation to poisoning?

A)Assessing for hazardous materials in the home and suggesting that these materials be kept in a locked cabinet over the refrigerator
B)Encouraging the family to minimize the use of household chemicals and pesticides
C)Encouraging the family to use household chemicals only when proper ventilation is available
D)Printing stickers for the parents to attach to the phone with the telephone number of the nearest poison control center

Question 17

Which of the following would be an appropriate response by a public health department if there is some evidence of a relationship between a substance and human health but research has not yet drawn conclusions?

A)Be cautious.
B)Do not worry about it.
C)Contact the Centers for Disease Control and Prevention.
D)Refuse to be involved.

Question 18

A nurse was very concerned about an elderly client who took care of himself in his own apartment.On the basis of statistics,which behavior would cause the nurse to be most concerned about his safety?

A)The man frequently went on long walks through the neighborhood.
B)The man often ate at the "all you can eat" buffet,sometimes spending several hours there.
C)The man often tripped over the rug in front of the sink.
D)The man smoked from the time he got up until he went to bed.

Question 19

Among other variables,upon what does damage from a specific chemical depend?

A)The dose
B)The environmental factors
C)The toxicology
D)The virulence and infectivity

Question 20

Which of the following groups is most likely to experience an unintentional injury resulting from a fall?

A)Adults who are always in a hurry,rushing from here to there
B)Adults who are older than 65 years
C)Toddlers who are just learning to walk
D)Young children who run around without looking where they are going

Question 21

How have most data on environmental hazards been obtained? (Select all that apply.)

A)Through data obtained after large amounts of toxic chemicals are accidentally released
B)From descriptive research done by occupational health physicians
C)From research involving random clinical trials in a controlled laboratory setting.
D)Through the systematic use of government-obtained data from required state reports
E)By toxicologists examining the effects of chemicals on animals and assuming humans may be similarly affected
F)When occupational exposure is correlated with health problems later

Question 22

Which of the following actions represents primary prevention by the nurse who wishes to be a good community member?

A)Encouraging limitation of activity when air pollution is high
B)Obtaining occupational health histories for all new clinic admissions
C)Screening toddlers attending the clinic for lead poisoning
D)Supporting programs for waste reduction and recycling

Question 23

Which of the following is an example of environmental health awareness? (Select all that apply.)

A)Advocating legislation to require use of recyclable bags in department and discount stores
B)Helping raise funds for a lead screening program in the inner city schools
C)Including questions related to occupation of family members in health histories
D)Adopting political action to require the local school board to ensure that each playground has soft cushioning material under swings and climbing equipment
E)Recognizing that health promotion requires each individual to accept personal responsibility
F)Speaking to high school groups about using sunscreen when on the beach