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Community Health NR442 Exam 1 Questions And Accurate Answers
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Community Health NR442 Exam 1 Questions AndAccurate Answers
Which of the following best describes the relationship between the environment and
health?
a. Research into the relationship between environment and health cannot be conducted
because there are too many variables to consider.
b. The long-term effects of the environment on health are such that the research
findings have just not been reported yet.
c. Research does indicate a healthy environment has little impact on a person's health.
d. Research has shown that a healthy environment contributes to quality of life and
years of healthy life. ANSWER ANS: D
A healthy environment promotes quality of life and years of healthy living. Decades of
evidence have been collected to disclose that environmental changes in the past have
exerted a strong influence on the status of public health. The environmental hazards are
said to account for almost 25% of all deaths and 33% of disease burden throughout the
world (World Health Organization, 2006). There is no denying the fact that the safety,
beauty, and life-sustaining capacity of the physical environment is a matter of global
concern.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 250
Applying an environmental perspective, the nurse would find which of the following
most relevant to ask when attempting to identify a patient's potential health problems?
a. "Can you tell me how you have been feeling?"
b. "Can you tell me what you do at work?"
c. "What brings you here today?"
d. "What problems have you been having?" - ANSWER ANS: B
Because 25% of worldwide preventable illnesses are due to poor environmental quality,
nurses must question their clients about work and home environments to better
determine the contributions of specific hazards to health. This may be done through an
,environmental health history. The other answers do not relate to a question that would
be asked during an environmental health history.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 250
How does critical theory differ from the other nursing theories, such as the health belief
model or Orem's self-care deficit theory?
a. Critical theory can be utilized by other professionals outside of nursing.
b. Critical theory focuses on oppression and allows for group empowerment.
c. Critical theory is not directly related to health promotion.
d. Critical theory questions an individual's belief change. - ANSWER ANS: B
Critical theory is an approach that questions oppressive situations, engages community
members in defining and solving problems, and enables group interventions. The other
two theories have a more individualistic focus on beliefs and choice of action.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 250
Which of the following statements best describe why environmental health is more
difficult to control than other variables related to a person's health?
a. Environmental health affects susceptible individuals in comparison to groups .
b. The Willingness to change in beliefs is required by Environmental health for
individuals.
c. Social neighborhoods and geography are the basis of environmental health
d. Improvement in Environmental health needs social, economic and political changes
-ANSWER ANS: D
Intervening to improve environmental conditions necessitates fundamental changes in
social, economic, and political arenas. Aggregates must work in concert to effect such
change. The other options do not address the multi-dimensional arenas that need to be
influenced to effect change in environmental health.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 250
For which of the following nursing actions would community benefit most in order to
,improve the community's long-term health?
a. Careful assessment, diagnosis, planning and delivering care for individual clients and
their families
b. Consultation with community members about which health issues are most pertinent
for that specific community
c. Family health care via neighborhood school-based clinics
d. Helping the community effect political change through organization, use of media,
legislative lobbying, and mass demonstrations - ANSWER ANS: D
The goal is to free people from health-damaging environmental conditions through
collective actions. The mechanisms have included strategic organization, litigation,
public hearing testimony, letter-writing campaigns, legislative lobbying, and mass
demonstrations. Assisting the community in creating political change through
organization, use of media, legislative lobbying, and mass demonstrations applying
collective action. The other interventions do not apply the use of collective action.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 251
For each of the following questions, choose the correct answer.
Which of the following best explains why it is difficult to get others interested in
environmental health?
a. Environmental problems just are not interesting or dramatic.
b. It's difficult to get media interested.
c. People respond more to an acute crisis than chronic environmental problems.
d. People respond more to an individual asking for help than a community asking for
help. - ANSWER ANS: C
People respond to acute crises with dramatic media coverage-such as hurricanes or
earthquakes-but ongoing consistent pressure is needed to ensure day-to-day
environmental integrity. Chronic environmental problems are rarely addressed
effectively.
DIF: Cognitive Level: Understand (Comprehension) REF: pp. 251-252
, Which of the following would be an appropriate term for the following: intoxicated
drivers, secondhand smoke, urban crowding, noise, and mechanization?
a. Risks of living style
b. Risks in the built environment
c. Personal health risks
d. Current health risks - ANSWER ANS: B
The built environment is the connection of people, groups, and their physical settings
that influence health attitudes and behavior, human relationships, cultural values, and
way of life. Almost everyone lives in an environment that requires almost daily exposure
to health threats and risks, for example, drunk or drugged drivers, second-hand smoke,
urban congestion, noise pollution, continuous stream of traffic, and stress produced by
increased mechanization.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 253
Discriminatory land use refers to which of the following?
a. Backlash against companies that do not protect the environment
b. Daily insults to people who live in a particular community
c. Locating industrial hazards in low-income communities
d. Political recognition that companies support a safe environment - ANSWER ANS: C
Discriminatory land use refers to a practice that places the poor and subjugated, most
of which contain people of color, in close proximity to industrial contamination. People
in poor communities may become sick and injured. The other answers are all incorrect
definitions of discriminatory land use.
DIF: Cognitive Level: Understand (Comprehension) REF: p. 253
An industry has grossly contaminated the neighborhood in which it exists. Which of the
following is most likely to occur on the part of the neighborhood residents?
a. Organize to have the industry closed down
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