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NUR 426 Exam 4 Midterm Exam With Guaranteed Pass Solutions.

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What is used in community health to prevent bioterrorism? - Answer biodefense mechanisms including medications and vaccines as well as medical research to determine the best way to defend against bioterrorist attacks what are some ways that PHN's act as environmental activists? - Answer - advocacy - understanding environmental health legislation what is the test a PHN will use to determine lead exposure in children? - Answer Blood Lead Level which is measured in mcg/dL of blood what are some interventions for if a child is found to have a high blood lead level? - Answer - home visit and environmental assessment to determine source of lead exposure - ensure child is getting enough iron and other micronutrients in food what is environmental attributable disease? contributing factors? - Answer - a disease that occurs from exposure to toxins - age and gender which age groups is at a higher risk for developing diseases due to high consumption of possibly contaminated substances such as air, water, or food? - Answer children *infants have double the RR of adults so they are particularly susceptible to disease from contaminated air which age group is at a higher risk for developing complications of pre-existing disease as a result to environmental exposure? - Answer older adults *older age means less ability for the body to compensate which increases risk for complications related to heart disease, stroke, lung diseases, and diabetes

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NUR 426 Exam 4 Midterm Exam With
Guaranteed Pass Solutions.
What is used in community health to prevent bioterrorism? - Answer biodefense mechanisms including
medications and vaccines as well as medical research to determine the best way to defend against
bioterrorist attacks



what are some ways that PHN's act as environmental activists? - Answer - advocacy

- understanding environmental health legislation



what is the test a PHN will use to determine lead exposure in children? - Answer Blood Lead Level
which is measured in mcg/dL of blood



what are some interventions for if a child is found to have a high blood lead level? - Answer - home
visit and environmental assessment to determine source of lead exposure

- ensure child is getting enough iron and other micronutrients in food



what is environmental attributable disease? contributing factors? - Answer - a disease that occurs from
exposure to toxins

- age and gender



which age groups is at a higher risk for developing diseases due to high consumption of possibly
contaminated substances such as air, water, or food? - Answer children

*infants have double the RR of adults so they are particularly susceptible to disease from contaminated
air



which age group is at a higher risk for developing complications of pre-existing disease as a result to
environmental exposure? - Answer older adults

*older age means less ability for the body to compensate which increases risk for complications related
to heart disease, stroke, lung diseases, and diabetes

,what is the air quality index? - Answer a measure of local air quality and what it means for health



what are some examples on indoor air pollutents? - Answer mold, pesticides, metals, gram negative
bacteria, chemicals, poor air circulation



what is ambient air quality? - Answer pollutant levels that surround a place and travel with the wind



What is point source pollution? - Answer pollution from a single source that can be identified

ex: the train that derailed causing toxic gas to release into the air



what are examples of mobile/nonpoint pollution sources? - Answer cars and trucks that emit toxin into
the air while driving



what is environmental health? - Answer - aspects of human health, disease, and injury that are
determined or influenced by factors in the environment.

- doesn't include behaviors related to social environments, cultural environments, or genetics



what are the 10 principles for healthy and safe environments? - Answer 1- knowledge of environmental
concepts necessary for nursing

2- use products and practices that do not harm human health or the environment; take preventative
action when uncertainty

3- nurses have a right to work in healthy and safe environments

4- multidisciplinary collaboration is necessary

5- best practice should determine choices of what is used in nursing

6- respect diversity of patients and their families

7- nurses should participate in environmental assessment where they live and work

8- healthcare workers have the right to know what substances are potentially harmful if they will be
exposed to them

9- nurses should participate in research of best practices

10- nurses should be supported when acting as environmental activists

, what are the major factors if hazardous substances? - Answer 1- inherent toxicity (refers to a
substances ability to cause harm to humans)

2- ability of toxin to enter the body and reach susceptible organs

3- amount of toxin present



what should be included in an environmental health history? - Answer - exposure survey

- work history

- environmental history

*begin with time and place of exposure



what are the things children need protection from no matter where they live? - Answer - faulty play
equipment/unsafe play environments

- violence



how does urban vs rural setting contribute to childhood risk exposure? - Answer - rural: higher risk for
violence/abuse

- urban: higher risk for falling out of window



what are examples of health issues related to severe weather? - Answer - drowning in floods

- dehydration and malnutrition from droughts

- heat exhaustion and heat stroke from heat waves

- exacerbated cardiovascular and pulmonary diseases from atmospheric weather changes



what are the four steps of an exposure risk assessment? - Answer 1- hazard identification

2- dose response assessment (higher dose=more harm)

3- exposure assessment (level, time, and extent of exposure)

4- risk characterization (is the person acutely ill from the exposure or do they have an increased risk for
developing illness later?)



what are the types of exposures? - Answer - chemical agents: carbon monoxide, metals, pesticides

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