Comm. Exam 1: Environmental Influences

A nurse is discussing strategies for achieving optimal health in their community with a group of nurses. Which of the following interventions should the nurse include in the discussion? (Select all that apply.) - Collaborate with community leaders. - Review national statistics for breast cancer. - Measure levels of radon in community buildings. - Promote immunization in the community. - Present information on hospice care at a community health fair.

- Collaborate with community leaders. - Measure levels of radon in community buildings. - Promote immunization in the community.

A nurse is reviewing the harmful effects the environment can have on human health. Which of the following health conditions should the nurse attribute to environmental factors? (Select all that apply.) - Malaria - Asthma - Lead poisoning - Cystic fibrosis - Chlamydia ***same question different choices -cancer -asthma -allergies -cystic fibrosis -chlamydia

- Malaria - Asthma - Lead poisoning Also cancer and allergies. The nurse should identify that human health can be negatively impacted by environmental factors such as chemicals released from the built environment. These chemicals can cause illness and even change the genetic structure in the body leading to cancers and early onset of other chronic diseases. The nurse should identify that human health can be negatively impacted by environmental factors that include physical or social aspects. One environmental factor that negatively impacts health is the presence of mold which can grow in indoor and outdoor damp environments. Clients who have asthma, allergies and respiratory diseases are especially susceptible to negative respiratory effects from mold overgrowth. The nurse should identify that human health can be negatively impacted by environmental factors that include physical or social aspects. One environmental factor that negatively impacts health is the presence of lead in pipes or paint. Lead is toxic to humans and can lead to cognitive and neurologic disabilities.

A community health nurse is giving a presentation to a group of students about collecting data on a community's environments. Which of the following environments should the nurse include? (Select all that apply.) - Physical - Social - Global - State - Occupational

- Physical (Physical environments should be included when collecting data on a community. Questions should be tailored to the physical and social environments surrounding a community during work, school, recreation, and home life.) - Social (Social environments should be included when collecting data on a community. Questions should be tailored to the physical and social environments surrounding a community during work, school, recreation, and home life.) - Occupational (Collecting occupational data such as work locations and the work environments should be included to determine potential occupational exposures.)

A nurse is caring for a client who frequently uses pesticides. The nurse should understand that which of following is true about pesticides? (Select all that apply.) - They can cause illness through genetic mutations or cancer development. - They can enter the air and cause lung irritation when inhaled. - They are harmless. - They are part of a natural environment. - Their residue seeps into the ground and can harm drinking water.

- They can cause illness through genetic mutations or cancer development. - They can enter the air and cause lung irritation when inhaled. - Their residue seeps into the ground and can harm drinking water. Chemicals released from the built environment can cause illness and even change the genetic structure in the body, leading to cancers and early onset of other chronic diseases. Air pollution in indoor and outdoor environments leads to acute and chronic respiratory diseases and can increase a community's morbidity and mortality. Harmful chemicals are released into the air, land, and water in all aspects of farming.

A public health nurse is beginning to work in a new community to improve their environmental health. Which of the following actions should the nurse take first? A. Conduct a windshield survey of the community. B. Engage community members in litter hikes to pick up trash. C. Conduct educational sessions regarding lead paint in older homes. D. Evaluate the availability and reliability of public transportation in the community.

A. Conduct a windshield survey of the community. The first action the nurse should take when using the nursing process is to assess the new community by conducting a windshield survey, so they can learn about the environmental conditions of the new community.

A home care nurse is visiting their family to conduct an environmental assessment of their home. The nurse discovers peeling paint on the walls in the home which is over 50yrs old. Using the nursing process, which of the following actions should the nurse take? A. Have everyone in the home have a BLL test done. B. Review the data and make a hypothesis regarding the potential for lead in the home. C. Work with the family to develop realistic goals to deal with the peeling paint in the home. D. Determine if the goals will need to be modified to achieve an improved health outcome.

B. Review the data and make a hypothesis regarding the potential for lead in the home. The second step in the nursing process is analysis/diagnosis. Lead can be found in paint and is especially dangerous if the paint is peeling or chipping, therefore, the nurse should identify the need to further test the hypothesis of lead in the home and the potential for lead poisoning.

A nurse is reviewing environmental exposures with a group of public health nurses. Which of the following immunizations should the nurse include in the review as recommended by the CDC due to these exposures (select all that apply): Hepatitis B Hepatitis A Influenza MMR Pneumonia.

Hep B, Influenza, and MMR The nurse should include that the CDC recommends the hepatitis B immunization for health care workers due to the environmental exposure to bloodborne pathogens. The nurse should include information about the CDC recommendation for the influenza immunization due to increased environmental exposure opportunities. The nurse should include information regarding the CDC recommendation for obtaining the MMR immunization due to increased risk of environmental exposure.

A public health nurse discovers that a low-income community is lacking access to primary care and health insurance. Which of the following actions should the nurse take to address this concern? a. Host an educational session in the community for health care registration and screenings. b. Encourage all community members to register for health care plans at the county government center. c. Provide health care applications for community members to sign up for health care. d. Provide referrals for hotel vouchers to provide shelter.

a. Host an educational session in the community for health care registration and screenings.

A public health nurse is working with a group of clients who are concerned about malaria in their town. They ask the nurse about effective ways to help prevent the spread of malaria. Which of the following strategies should the nurse suggest? a. Use insecticide-treated mosquito nets. b. Stay indoors and seal windows, doors, and screens. c. Build bat houses to attract bats that will eat the mosquitos. d. Have open bonfires nightly to deter mosquitos.

a. Use insecticide-treated mosquito nets. Insecticide-treated bed nets are a significant primary prevention against malaria.

A community health nurse is leading a group of nurse volunteers to help with a mass casualty disaster. Which of the following actions is the priority for the volunteers to take? a. Evacuate the area from one end to the other. b. Keep individuals safe and remove those in harm's way. c. Take detailed summaries from wounded people about the events that occurred. d. Perform debriefing exercises.

b. Keep individuals safe and remove those in harm's way. The community health nurse plays a key role in the immediate and long-term environmental influences on health following natural disasters. The nurse should recognize that the greatest risk to the individuals involved in the mass casualty incident is further injury so keeping individuals safe and removing them from danger is a priority action for health care workers during and following disasters.

A home care nurse is visiting a client and conducting an environmental assessment of their home. Which of the following should lead the nurse to be concerned about lead poisoning? a. Presence of radon debris b. Peeling or flaking paint in the residence c. Mosquito nets over the beds d. Black residue on the walls and standing water on the floor

b. Peeling or flaking paint in the residence

A nurse is speaking with a client who is preparing to go on vacation in Africa. The client wants to know the name of the disease that is passed from mosquitos to humans. Which of the following disease should the nurse identify? a. Ebola b. Hepatitis B virus (HBV) c. Malaria d. Human immunodeficiency virus (HIV)

c. Malaria Malaria is a disease carried by mosquitoes that causes vague flu-like manifestations and progresses to severe illness and death.

A nurse is speaking with a client who wants to know the name of the chemical compound used to kill mice. Which of the following terms should the nurse provide? a. Insecticide b. Herbicide c. Rodenticide d. Fungicide

c. Rodenticide Rodenticides are chemical compounds designed to kill rodents such as mice, rats, and voles. These compounds can also be harmful to other living species.

A community health nurse is asking a client about any potential lead exposure that could affect children in the community. Which of the following techniques is the nurse using? a. Windshield survey b. Air Quality Index c. Blood lead level d. Environmental health assessment

d. Environmental health assessment An environmental assessment is a health history for environmental influences on health and is an essential tool for all nurses, especially those in the public health field.

A nurse is discussing terms used to describe environmental influences with a client. The nurse should include that which of the following terms describes an environmental influence that occurs prior to an agent reaching a host? a. Secondary b. Tertiary c. Downstream d. Upstream

d. Upstream Cascading effects of upstream environmental influences on health result in harmful or healthier downstream environmental conditions.