Population and Community Health Nursing 6th Edition Test Bank
View Sample Chapter Below:
Population and Community Health Nursing, 6e (Clark) Chapter 4 Environmental Influences on Population Health
1) While making a home visit the population health nurse learns that the ...
Population and Community Health Nursing 6th Edition Test Bank
View Sample Chapter Below:
Population and Community Health Nursing, 6e (Clark)
Chapter 4 Environmental Influences on Population Health
1) While making a home visit the population health nurse learns that the youngest child brought
home a stray dog to be taken care of by the family members. What health risks does this child’s
action pose to the family? (Select all that apply.)
1. Bites.
2. Diseases from fleas.
3. Exposure to noroviruses.
4. Potential rabies exposure.
5. Risk for Clostridium perfringens.
Answer: 1, 2, 4
Explanation: 1. Pets serve as a source of disease for humans. Bites are a source of potential injury
especially from overly possessive dogs. Diseases such as the plague can be transmitted from fleas.
Rabies can also be transmitted from a pet. Exposure to noroviruses and the risk for Clostridium
perfringens are transmitted through contaminated food.
2. Pets serve as a source of disease for humans. Bites are a source of potential injury especially
from overly possessive dogs. Diseases such as the plague can be transmitted from fleas. Rabies can
also be transmitted from a pet. Exposure to noroviruses and the risk for Clostridium perfringens are
transmitted through contaminated food.
3. Pets serve as a source of disease for humans. Bites are a source of potential injury especially
from overly possessive dogs. Diseases such as the plague can be transmitted from fleas. Rabies can
also be transmitted from a pet. Exposure to noroviruses and the risk for Clostridium perfringens are
transmitted through contaminated food. Nursing/Int.Conc: Nursing Process: Assessment
Client Need: Health Promotion and
Maintenance Cognitive Level: Analysis
Learning Outcome: 4-1
2)An oil storage tank has leaked and the surrounding residential area has been saturated with the
leaked oil. Which health precaution should the homeowner take?
1. Use a strong detergent to clean the yards.
2. Avoid planting vegetables in the contaminated soil.
, 3. Inform the local media regarding the contaminant spill.
4. Install smoke detectors in the home as a fire precaution.
Answer: 2
Explanation: 2. Planting vegetables in the soil should be avoided until the soil can be certified as safe.
Growing and consuming food grown in contaminated soil can lead to illness from the contaminants.
While detergents can be used to clean the yard, these detergents need to be appropriate to avoid
further soil contamination. Installing smoke detectors as a fire precaution is unnecessary because the
oil-saturated soil will not burn. Informing the local media is not going to protect health.
Nursing/Int.Conc: Nursing Process:
Implementation Client Need: Safe and
Effective Care Environment Cognitive Level:
Application
Learning Outcome: 4-2
3)A coal-fired energy plant is built next to a residential area. Since the plant opened the
population health nurse notes an increase in respiratory diseases in individuals who live close to
the plant. What should the nurse use to explain this phenomenon?
1. Urban sprawl.
2. Poor land use mix.
3. The built environment.
4. The community ecological footprint.
Answer: 2
Explanation: 2. Land use mix refers to an environment that has a mix of residential, commercial, and
noncommercial uses. In this community the land use mix is haphazard, resulting in a fuel plant that is
located next to a residential area. A coal-fired fuel plant will have emissions that can lead to respiratory
conditions. The built environment includes buildings and spaces but is not the appropriate answer.
Urban sprawl refers to communities that are built beyond set geographic limits. The ecological
footprint refers to the area of biologically productive space required for a person.
Nursing/Int.Conc: Nursing Process:
Implementation Client Need: Health
Promotion and Maintenance Cognitive Level:
Application
Learning Outcome: 4-2
4)A once prosperous and thriving neighborhood has become run-down and its residents have a lower
socioeconomic status. There is greater unemployment in this neighborhood and the police have seen a
rise in crime in unemployed young adults. The population health nurse determines this as being an
effect of a declining:
1. Built environment.
2. Social environment.
3. Natural environment.
4. Ecological environment.
Answer: 2
Explanation: 2. A once thriving neighborhood that is now run-down, with a higher amount of lower
socioeconomic residents and higher unemployment will see an effect on health through the decreasing
of the neighborhood quality. A variety of factors will impact health, from a rise in crime to other factors
that include potentially more environmental toxins, crowding, etc., than more affluent areas. Natural
environment refers to the flora and fauna of an area. Built environment refers to buildings and spaces
created by people. Ecologic environment is the interaction of the natural, built, and social
environments.
Nursing/Int.Conc: Nursing Process: Evaluation
Client Need: Health Promotion and
Maintenance Cognitive Level: Application
Learning Outcome: 4-2
5)As part of a school district health program for students, the nurse visits students diagnosed with
asthma at home. Which home environment factor should the nurse identify as contributing to the
development of this respiratory disease?
1. Pesticides.
2. Peeling paint.
3. Secondhand smoke.
4. A fuel source for cooking.
Answer: 3
Explanation: 3. Exposure to secondhand smoke can lead to exacerbations of asthma in children. The
nurse is using the role of surveillance to determine factors in the home environment that could trigger
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