Community Quiz 6

The CHN asks the client "Do you wear clothes you wear at work in your home?" Which subject on exposure history is the nurse prioritizing with this question? A. Present work B. Home/residence C. Concerns D Past work

A

The CHN visits the client home in a low income community and notices that paint is flaking off the window sill and forming a dust in corners of the room. The house was built in 1959. Which contaminant should the nurse expect to find in this home? A. Lead B. Radon C. Asbestos D. Pesticides

A

The CHN has reported to the triage center where a natural disaster has occurred. After triaging victims into categories based on wounds,which category should be evaluated first? A. 0 B. 1 C. 2 D. 3

B

The nurse conducts biomonitoring of residents exposed to mercury vapor from a nearby factory. Which form of biomonitoring should be prioritized? A. Measure heart rate B. Collect blood and urine C. Assess respiratory rate D. BMI

B

The CHN has determined that no one in the community receives adequate healthcare. Which belief is the nurse prioritizing for environmental justice for everyone? A. Violators of environmental ordinances pay fines B. All harm is subject to divine judgement C. All people have equal access to the environment D. No group should suffer more than another from exposures

D

Which is an example of a radiological contaminant? A) Lead B) Mercury C) Ricin D) Radon

D

After a hurricane, the CHN is placed on a planning committee to meet the direct needs of the community. Most of the clean-up and rescue work has been completed and some members are living in shelters and are homeless. Which resource should the committee prioritize establishing for the community? A. Ecumenical centers for long term worship B. Home repair resources C. POD emergency supply centers D. Financial aid centers

C

In the US, most citizens have access to clean water and sanitation services and often take them for granted. Worldwide, clean water and sanitation are not standard. How many people worldwide in 2015 lacked access to improved water sources? A. 8 million B. 88 million C. 884 million D. 8 billion

C

In the United States, most citizens have access to clean water and sanitation services and often take these services for granted. Worldwide, however, clean water and sanitation are not standard. How many people worldwide in 2010 lacked access to improved water sources? A) 7 million B) 78 million C) 783 million D) 7.8 billion

C

The CHN travels to Nigeria to assess and treat members of a remote community. The children all have high levels of lead in their blood r/t exposure to lead dust while gold mining. The CHN has not witnessed this in the US. Which is the most likely reason for this discrepancy? A. Larger mining operations in US B. Need for miners to earn a living and few work options C. Lack of environmental regulations D. Gold is panned in the US

C

Which are advantages of disaster management JITT for nurses? (Select all that apply.) A)Is cost-effective because it requires the least amount of resources to produce the final result B)Provides the nurse with comprehensive knowledge of how to respond to many different types of disaster C)Shortens the period of time between learning and application D)Includes classroom sessions and on-site presentations E)Is offered online for easy access

A,C,D,E

5 weeks after a category 4 hurricane, a town battles for survival. The flood waters have receded. The nurse is part of the disaster recovery team. Epidemologic analysis include factors that influence health status in this community. Which data may be included in the epidemiologic analysis report? SATA A. Continuing death B. Population shift C. Contamination of water supplies D. Collapse of access to healthcare

All

The CHN has been alerted to a possible health concern involving an environmental exposure. Which should the nurse exemplify as environmental exposure pathways? A. Groundwater B. Ponds C. Air D. Soil

All

A client who presented with symptoms of high fever and unexplained bleeding is diagnosed with Ebola hemorrhagic fever. What interventions should the nurse anticipate implementing for this client? A. Administration of an antiviral B. Strict infection control C. Rinsing of the client's eyes D. Administration of an antitoxin

B

Environmental justice is an important consideration when working with tribal communities. In which way is traditional tribal practices most often affected by contaminated water/land? A. Spiritual practices B. Dietary practices C. Work opportunities D. Exercise opportunities

B

Environmental justice is an important consideration when working with tribal communities. In which way is traditional tribal practices most often directly affected by contaminated land and water? A) Spiritual practices B) Dietary practices C) Work opportunities D) Exercise opportunities

B

The CHN is the first responder in a community disaster, secondary to a flood. Once section of the town has experienced a loss of water and electricity for 4 days. Which action should the nurse prioritize at this time to best assist the community A. Refer the members of the community to a spiritual outreach program B. Provide access to safe food and water C. Inform the fire department of potential risk within the community D. Provide an immunization program

B

The CHN works in New England during the winter months. An ice storm cripples the city,electrical outages, trees and frozen power lines down. The timeline to restore power is 7-10 days. Which classification should the team prioritize for this occurrence? A. An emergency B. A natural disaster C. Terrorism D. An accidental disaster

B

The CHN works in a receiving station after a radiologic disaster. The nurse wears PPE and notes the majority of victims have blast injuries. she notices dust on the victims clothes. Which action should the nurse perform? A. recognize that the dust is common with blast injuries B. Consieritradioactively contaminated and notify HAZMAT C. Consider the dust as a biologic agent D. flush all wounds to prevent chemical contamination

B

The nurse conducts biomonitoring of residents of a community exposed to mercury vapor from a manufacturing facility nearby. Which form of biomonitoring is the method for the purpose of determining exposure to this contaminant? A) Measuring heart rate B) Collecting blood or urine C) Assessing respiratory rate D) Obtaining body weight and composition measures

B

The CHN is assessing a client who has been exposed to an environmental contamination. The nurse considers the question " Has the exposure pathway been interrupted?" In which phase of the nursing process should the nurse prioritize this question? A. Assessment B. Planning C. Intervention D. Evaluation

D

The CHN is aware the weather predictions including a massive rain storm r/t a hurricane. The nurse is concerned that members of the community are not prepared for the possible damage. Which factor should the nurse expect to most hinder the efforts to help the community prepare for the storm? A. Community does not like the designated shelters B. Lack of family support system to assist with evacuation C. Nonbelief in the seriousness of the weather prediction D. Fear of deportation by recent immigrants

D

There are different methods for conducting risk assessment for environmental contaminants. Which formula determines the amount of risk? A) Hazard = exposure ◊ risk B) Exposure = risk ◊ hazard C) Risk = contaminant presence ◊ exposure D) Risk = hazard ◊ exposure

D

The national weather service warns of an impending ice storm that may have crippling effects on the community. Widespread electrical outages are predicted as well as freezing temperatures. The community health nurses are mobilized to establish emergency living quarters and clinics for those without heat. The nurses' actions are occurring during which phase of the disaster? A)Impact B)Postimpact C)Preimpact D)Preparedness

C

The nurse is appointed as a member of the risk communication team during a disaster response situation. During an evacuation,the nurse is informed that an increasing number of people will not leave their homes. On which action should the nurse focus to improve the situation? A. Involve the armed forces B. Declare martial law C. Create an environment of trust and credibility D. Disseminate information about the needed evacuation

C

3.. The nurse visits the home of client in a low-income community and notices that paint is flaking off the walls and forming a dust in the corners of some rooms. The nurse asks the client when the house was built, and she responds that it was built in 1959. Which contaminant should the nurse expect to find in this home? A) Lead B) Radon C) Asbestos D) Pesticide

A

As a member of a disaster team, the nurse responds to a confirmed outbreak of the plague. The nurse understands that the pneumonic plague has a high mortality rate. The decision to meet the needs of the public on a wide scale includes: A)Administration of antibiotics via PODs B)Administration of antivirals via PODs C)Door-to-door visits to administer preventative medication D)Isolating designated hospitals to prevent spread of the plague

A

As a member of the disaster team, the nurse responds to a confirmed outbreak of the plague. The nurse understands that pneumonic plague has a high mortality rate. Which action will best meet the needs of the public on a wide scale basis? A. Administer antibiotics via PODs B. Administer antivirals via PODs C. Door to door visits to administer medication D. Isolating designated hospitals to prevent spread of plague

A

Bioavailability is the amount of the contaminant that: A) Is absorbed into the body and becomes available at the site of physiological activity B) Initially escapes a container and becomes available for contact with living organisms C) Is airborne and available for inhalation D) Is waterborne and available for skin contact

A

Response to a disaster is in its final phase. Although still in the recovery phase of the response, an evaluation meeting is arranged. The purpose of the evaluation meeting is to: A)Analyze the strengths and weaknesses of the response and submit a plan to improve response in the future B)Create a report that emphasizes the cohesiveness of the departmental response to the disaster C)Analyze the effectiveness of the disaster relief teams from respondent states D)Create a post disaster report for FEMA

A

Response to a disaster is in its final phase. Although still in the recovery phase, an evaluation meeting is arranged. Which purpose is the team attempting to fulfill by planning this evaluation meeting? A. Analysis of strengths and weakness of the response B. Create a report that emphasizes the cohesiveness of the dept. response C. Analyse the effectiveness of disaster teams from respondent states D. Create a post disaster report for FEMA

A

The CHN as a member of the emergency and disaster preparedness committee for an organization has the key responsibility to head the data collection subcommittee. What are the key areas that would be included in the plan? A. Morbidity, mortality,mental health, infectious disease B. Morbidity,mortality, displacement, infrastructure C. Morbidity,mortality,mental health, chronic illness D. Morbidity,mortality, displacement, healthcare workers

A

The CHN is a member of a disaster team responding to a chemical disaster. The nurse assesses clients in a systematic fashion, concentrating on their ability to breathe. Which action should the nurse prioritize before conducting physical assessments? A. Don PPE B. Report to the hot zone C. Request a HAZMAT expert to witness client assessment D. Interview client

A

The CHN notes an increase in numbers of clients coming to the clinic with respiratory difficulties. The nurse notes the families involved depend on wood burning stoves for heat. The nurse determines contamination is likely ? A. Absorbed into body and available at the site of physiologic activity B. Escapes a container and in contact with clients C. Is airborne and inhaled D. Waterborne and skin contact

A

The disaster is over and the team prepares to return to normal operations. Before disbanding the team, it isessential to create a safe environment for the staff. Which step will be best for the team to focus on next? A. Critial incident stress debriefing B. Support group to foster recovery C. Information debriefing for prevention purposes D. Interrogation process to identify unsafe behaviors

A

The disaster is over and the team prepares to return to normal operations. Before disbandment of the team, it is essential to create a safe environment for the staff. The staff will participate in: A)Critical incident stress debriefing B)Support group to foster recovery C)Information debriefing for prevention purposes D)Interrogation process to identify unsafe behaviors

A

The nurse asks a client "Do you wear the clothes you wear at work to home?" This is an example of which subject on the exposure history? A) Present work B) Past work C) Home/residence D) Concerns

A

The nurse is a member of a disaster team responding to a chemical disaster. The nurse assesses clients in a systematic fashion, concentrating on their ability to breathe. When entering the evacuation site, before the physical assessments, the nurse should: A)Don PPE B)Interview the client C)Report to the hot zone D)Request a HAZMAT expert to witness the client assessment

A

The nurse is a member of the emergency and disaster preparedness committee for an organization. The nurse's role is to head the data collection subcommittee. What are the key areas that would be included in your plan? A)Morbidity, mortality, mental health, and infectious disease B)Morbidity, mortality, displacement, and community infrastructure C)Morbidity, mortality, mental health, and chronic illness D)Morbidity, mortality, displacement, and healthcare workers

A

The public health team provides care to a community where several chemical manufacturers are located. Which concept should the nurse prioritize when working with these factories and their employees? A. Use precautions to prevent contamination of environment B. Request copies of all testing reports C. Ensure all employees have initial health assessment on record D. Encourage the company to ensure substances are tested

A

Children are more vulnerable to environmental exposures than adults. There are several factors that increase children's vulnerability. Which factors should the healthcare provder prioritize when children are involved? SATA A. Their bodies are still rapidly developing B. Their bodies may be less able to break down and excrete contaminants C. Their behaviors can expose them to contaminants D. Their breathing zone is further from the ground

A,B

Changes to water supplies and increasing flooding from climate change make some areas more vulnerable to diseases. Which diseases are expected to become more prevalent r/t climate change? SATA A. Asthma B. Diarrhea C. Malaria D. Lung cancer

A,B,C

The nurse is in charge of implementing a personal protective equipment (PPE) program at the hospital, in response to a chemical terrorist attack. Which components should be included in this program? (Select all that apply.) A)Selection, maintenance, and use of PPE B)Training of employees in PPE use C)Identification of hazards present D)Identification of commodities to be distributed via POD emergency supply centers E)Clinical assessment and triage drills

A,B,C

Five weeks after a category 4 hurricane, a town in southern Louisiana continues to battle for survival. The flood waters have now receded. The nurse is part of the disaster recovery team. Epidemiologic analysis of this town includes factors that influence the health status of this community. Which data may be included in the epidemiologic analysis report? (Select all that apply.) A)Continuing death B)Population shift C)Contamination of water supplies D)Limited access to places of worship E)Collapse of access to healthcare

A,B,C,E

The CHN is in charge of implementing a personal protective equipment (PPE) program at the hospital in response to a chemical terrorist attack. Which components should the nurse ensure are included in the program? SATA A. Identification of hazards present B. Training of employees C. Cost benefit analysis D. Selection, maintenance and use of PPE

A,B,D

The management team is in the process of identification of hazards associated with the ice storm that is expected to disable electrical service to the city. To identify areas most vulnerable to damage and plan for an effective response, which data or methods of data collection may be used? (Select all that apply.) A)Geographic information B)Satellite imagery C)Census data D)Historical data on previous events E)Planning board declarations

A,B,D

The management team identifies hazards associated with the ice storm. To predict the areas most vulnerable to damage and plan for the response, wich data should the team use? To predict the areas most vulnerable to damage and plan for the response, which data should the team use? SATA A. Geographic B. Census C. Historical data D. Planning board info

A,C

Children may be more vulnerable to environmental exposures than adults. There are several factors that increase children's vulnerability. Which factors should be considered with children? (Select all that apply.) A) Their body systems are still rapidly developing. B) They eat less, drink less, and breathe more in proportion to their body size than do adults. C) Their bodies may be less able to break down and excrete contaminants. D) Their behaviors can expose them to more contaminants. E) Their breathing zone is further from the ground.

A,C,D

The information gained from environmental epidemiology studies can be very helpful to identify whether an exposure have made people ill. Which are major challenges in environmental epidemiology studies? SATA A. Resource- intensive in terms of people and money B. Period between exposure and illness can be short C. Limited availability of data on contaminants D. Time consuming to perform

A,C,D

Changes to water supplies and increased flooding, which are believed to result from climate change, may make some areas more vulnerable to diseases. Which diseases are expected to become more prevalent as a result of climate change? (Select all that apply.) A) Asthma B) Lung cancer C) Diarrhea D) Malaria E) Dengue fever

A,C,D,E

The information gained from environmental epidemiologic studies can be very helpful in trying to identify whether an exposure or what particular exposures have made people ill. Major challenges to most environmental epidemiology studies include: (Select all that apply). A) Resource intensive in terms of personnel and money B) Period between exposure and illness can be very short C) Weak ability to identify outbreaks of infectious disease D) Limited availability of data on many contaminants and their effect on people'shealth E) Time consuming to perform

A,D,E

The community health nurse works in a receiving station after a radiological disaster. The nurse wears the requisite PPE and notes that the majority of the victims have blast injuries. A volunteer worker reports that many of the victims have dust on their clothes. The nurse's response to the dust is to: A)Recognize that the dust is common with blast injuries B)Consider it radioactively contaminated and notify HAZMAT C)Consider the dust a biological agent and therefore a contaminant D)Flush all wounds to prevent chemical contamination

B

The nurse is notified that a possible anthrax exposure occurred at the local military base. Civilian workers are routed to the local hospital's emergency department. The nurse's responsibility is to set up PODs in the community. The function of the PODs in response to the anthrax exposure is to: A)Distribute decontaminated food B)Administer prophylactic medications C)Distribute decontaminated water D)Provide triage

B

The nurse is notified that the possible anthrax exposure occurred at a local military base. Civilian workers are routed to the local hospital's ER. The nurse is responsible for setting up points of distribution (POD). Which function should the POD prioritize in response to anthrax exposure? A. Distribute decontaminated food B. Administer prophylactic medications C. Distribute decontaminated water D. Provide triage

B

The public health nurse is a first responder in a community disaster, secondary to a flood. One section of the town has experienced a loss of water and electricity for 4 days. The nurse's first action to meet the needs of the community at this time should be to: A)Refer the members of the community to a spiritual outreach program B)Provide access to safe food and water C)Inform the fire department of potential risks within the community setting D)Provide an immunization program

B

The public health nurse works in New England during the winter months. An ice storm cripples the city, and electrical outages affect the power grid. Trees and frozen power lines are down throughout the city, and the timeline for restoration of power is 7 to 10 days. The management team should classify this occurrence as: A)An emergency B)A natural disaster C)Terrorism D)An accidental disaster

B

Several important pieces of legislation have helped highlight the importance of environmental health and environmental protection. Which best describes Superfund? A) National program to control the damaging effects of air pollution B) Program that protects and enhances the quality of the nation's air by regulating stationary and mobile sources of air emissions C) Environmental program established to address abandoned hazardous waste sites D) Comprehensive framework of standards, technical tools, and financial assistance to address the many causes of pollution and poor water quality

C

The CHN witnessed the passage of important legislation r/t importance of environmental health and protection. Which is the best response from the nurse in explaining a Superfund? A. National program to control damage from air pollution B. Program to protect and enhance air quality C. Environmental program to address hazardous waste sites D. Comprehensive framework of standards to address pollution and water quality

C

The nurse is appointed to be a member of the risk communication team during a disaster response situation. During an evacuation, the nurse is informed that an increasing number of individuals are reluctant to leave their homes. To complete an orderly evacuation, it is necessary to: A)Involve the armed forces B)Declare martial law C)Create an environment of trust and credibility D)Disseminate information regarding the necessity of the evacuation

C

The nursing instructor has completed a session exploring the various factors which can contribute to environmental health. Which is the most accurate definition of an exposure pathway? A. The total amt of contaminant in direct contact with the body B. Factor that determines a persons level of exposure C. Method by which people are exposed to contaminant D. Process to determine whether exposure has occurered

C

Which is the most accurate definition of an exposure pathway? A) The total amount of a contaminant that comes in direct contact with the body B) Factor that determines a person's level of exposure to a contaminant C) Method by which people are exposed to an environmental contaminant D) Process to determine whether exposure to an environmental contaminant has occurred

C

Which most accurately describes environmental epidemiology? A) Focuses on the amount of a contaminant that is absorbed into the body B) Involves monitoring the results of medical tests to determine whether a person hasbeen exposed to a contaminant C) Focuses on the incidence and prevalence of disease or illness in a population from exposures in their environments D) Involves monitoring the number of adverse effects of chemical, physical, or biological agents on people, animals, and the environment

C

5.Which is the most accurate definition of a risk assessment? A) Assessment of the adverse effects of chemical, physical, or biological agents on people, animals, and the environment B) Process to help determine whether an individual has been exposed to environmental contaminants C) Assessment of factors that determine a person's level of exposure to an environmental contaminant D) Determination of the likelihood of adverse effects in a group exposed to an environmental contaminant

D

A team of nursing students are preparing a report that will evaluate a local health concern in the rural farming community. Which explanation best describes the risk assessment the students perform? A. Assessment of adverse effects of chemical, biologic agents B. Process to help determine if a client was exposed to contaminant C. Assess factors to determine level of exposure D. Determination of adverse effects of a group of exposed clients

D

An outbreak of foodborne botulism has occurred in the community, and the nurse is on the disaster management team to address it. Which intervention should the nurse expect to implement in this situation? A)Administration of antivirals B)Administration of antibiotics C)Distribution of personal protective equipment (PPE) D)Administration of antitoxins

D

An outbreak of foodborne botulism has occurred. The nurse is on the disaster management team to address it. Which intervention should the nurse predict to be implemented in this situation? A. Administration of antivirals B. Administration of antibiotics C. Distribute PPE D. Administration of antitoxins

D

Environmental justice is most accurately described as the belief that: A) Those who violate the environment should be required to pay significant fines or face extensive prison sentences. B) All the harms humans have committed against the environment will one day result in divine judgment. C) All people should have equal access to the environment. D) No group should suffer more from environmental health consequences than others.

D

The CHN is visiting a new client who is being evaluated for possible radiologic contamination. Which contaminant would the nurse expect to find is most likely responsible? A. Lead B. Mercury C. Ricin D. Radon

D

The national weather service warns of an impending ice storm that may have crippling effects on a community. Wiedspread electrical outages are predicted as well as freezing temperatures. The CHN is mobilized to establish emergency living quarters. In which phase of the disaster are the nurses actions occurring? A. Impact B. Post impact C. Pre impact D. Preparedness

D

The nurse applies the nursing process to a case in which a client has been exposed to an environmental contaminant. The nurse considers the question, ìHas the exposure pathway been interrupted?î This question would be considered during which phase of the nursing process to examine the impact of the environment on human health? A) Assessment B) Planning C) Intervention D) Evaluation

D

The nurse is responsible for triage in a setting where a natural disaster has occurred. The triage is expected to last for an extended period of time. Which triage model would be most effective in this scenario? A)Simple triage and rapid treatment (START) B)Prehospital triage C)JumpSTART triage D)Start/Save triage

D

The nurse visits a community along a creek where residents have begun to report upper respiratory illnesses and asthma. After investigating, the nurse learns that several miles upstream is a hazardous material disposal site. In addition, chemicals have leached through the soil into the creek water and have been carried downstream to this community. Although children are not allowed into the creek, they do often play along the bank. Which represents the route of exposure in this situation? A) Creek water B) Chemicals C) Bank of the creek D) Inhalation

D

There are different methods for conducting risk assessment for environmental contaminants. Which formula should the nurse prioritize to determine the amount of risk? A. Hazard=exposure x risk B. Exposure= risk x hazard C. Risk=contaminant x exposure D. Risk = hazard x exposure

D

A tornado touched down in the city. The CHN is a member of the disaster management team. Which actions should the nurse prioritize on this team? SATA A. Search and rescue B. Clinical assessment and triage C. Health education D. Hazardous materials management

B,C

A tornado touched down in the city. The public health nurse is a member of the disaster management team. The nurse's role includes: (Select all that apply.) A)Search and rescue B)Clinical assessment and triage C)Provision of health education D)Hazardous materials management E)Protection of property

B,C

The nurse cares for a client who has symptoms of high fever and unexplained bleeding. After receiving blood test results, the client's primary care provider diagnoses the client with Ebola hemorrhagic fever. What interventions should the nurse anticipate implementing for this client? (Select all that apply.) A)Administration of an antiviral B)Strict infection control C)Isolation of the client D)Rinsing of the client's eyes E)Administration of an antitoxin

B,C

The nursing team cares for victims of a possible anthrax white powder investigation. Which information must be documented by the nurse? A. Victims name B. Time and place C. General assessment of the field D. Victims health history

B,C

The nursing team cares for victims of a possible anthrax white powder investigation. Which information must be documented by the nurse scribe? (Select all that apply.) A)Victims' names B)Time and place C)Name of the Incident Commander D)General assessment of the field E)Victims' health histories

B,C,D

7.Which exemplify environmental media and transport mechanisms within an exposure pathway? (Select all that apply.) A) Mercury B) Groundwater C) Pond D) Air E) Subsurface soil

B,C,D,E

2The nurse travels to Nigeria with a humanitarian aid organization to assess and treat members of a remote community. The children all have high levels of lead in their blood, as a result of exposure to lead dust created by gold mining. Many children are dying. The nurse has never witnessed such a phenomenon in the United States. Which are the most likely reasons for this discrepancy? (Select all that apply.) A) Larger mining operations than in the United States B) Lack of environmental regulations or of their enforcement C) Lack of knowledge concerning environmental dangers D) Weaker immune systems than in the United StatesE) Need of the miners to earn a living and fewer work options

B,C,E

A CHN visits a community along a creek, the reisidents report respiratory illness and asthma. He learns several miles upstream is a hazardous material disposal site. Chemicals have leached into the soil and creek water. Children are playing there. Which represents the route of exposure in this situation? A. Creek water B. Chemicals C. Inhalation D. Bank of creek

C

A nursing student is fascinated by environmental epidemiology and is considering advanced training in the field. Which response would be most accurate for the student to provide an explanation of the field? A. Focuses on amount of contamination absorbed by body B. Involves monitoring the results of medical tests r/t exposure C. Focuses on incidence/prevalence of disease r/t exposures D. Monitoring number of adverse events r/t chemical agents

C

After a hurricane, the nurse is placed on a planning committee to meet the direct needs of the community. Most of the clean-up and rescue work has been completed, and several members of the community are living in shelters and are homeless. One of the foremost priorities of the committees is to establish: A)Ecumenical centers for long-term worship B)Home repair resources C)POD emergency supply centers D)Financial aid centers

C