NUR 452 FINAL EXAM QUESTIONS WITH COMPLETE
SOLUTIONS
4 phases of Environmental risk assessment Correct Answers -
Determining whether a chemical is known to be associated with
negative health effects (in animals or humans)
-Determining whether the chemical has been released into the
environment: into the air, water, soil, or food
-Estimating how much and by which route of entry the chemical
might enter the human body
-Characterizing the risk assessment process and taking into
account all three of the previous steps
A bill with the potential to decrease health care services is
passed by Congress. Which of the following actions should the
nurse take to influence the bills implications?
a. Exercise veto power by calling for petitions from health care
agencies
b. Contact the regulatory agency and participate in public
hearings
c. Call members of congress to request that they rescind the
legislation that was passed
d. Discuss the change in services with the administrators at the
hospital Correct Answers b. Contact the regulatory agency and
participate in public hearings
,A city has announced its plans to build a city dump near a
community of poor and predominantly African-American
citizens. Which of the following principles would the nurse be
using when vocalizing opposition for this plan?
a. Environmental justice
b. Equal rights
c. Primary prevention
d. Risk protection Correct Answers a. Environmental justice
Environmental justice is the goal of campaigns seeking to
improve the unequal burden of environmental risks borne by
impoverished and minority communities. The Environmental
Justice Act would be used in support of the nurses position.
A client states to the nurse, I have heard the Affordable Care Act
is supposed to help improve the health care I receive, but so far I
have seen no benefits from this legislation. Which of the
following statements would be the best reply by the nurse?
a. Maybe you have not directly seen the changes; however,
several things have changed in health care because of this bill.
b. It will take years to see any effects from the act because of the
delays in implementation of the changes.
c. This legislation will primarily improve care for the elderly
and poor populations, so this is why you may not have seen any
benefits.
,d. The way health care operates at the federal and state levels
has changed, so most individuals will not see any direct impact.
Correct Answers a. Maybe you have not directly seen the
changes; however, several things have changed in health care
because of this bill.
A community health nurse drives through her assigned
community before visiting the community groups scheduled for
the day. She then drives through the community again that
evening before going home. Which of the following best
describes the nurses reason for driving through the community
twice in the same day?
a. On the second trip, the nurse can carefully confirm the results
of the first assessment.
b. Repeating the experience ensures that the nurse absorbed all
the relevant details.
c. Driving through twice allows the nurse to see the community
when many residents are at work or at school and then again
when most are at home.
d. When leaving in the evening, the nurse has more time to write
down the results of the earlier assessment. Correct Answers c.
Driving through twice allows the nurse to see the community
when many residents are at work or at school and then again
when most are at home.
When doing a windshield survey as part of community
assessment, the nurse should observe two times: once during the
, day when people are at work and children are at school and a
second time in the evening after work is done and school is out.
Rather than continually stopping to write down her findings, the
nurse could use public transportation or ride in a car with
another nurse driving for more efficient documentation of her
findings.
A community health nurse encourages members of the
community to partner and assist in creating health programs.
Which of the following best describes the rationale for this
action? (Select all that apply.)
a. Partnering results in increased effectiveness
b. Involving community members results in contributions of
time and money into the program
c. Having many partners results in increased publicity for the
program
d. Participating in planning results in having a vested interest in
the outcome Correct Answers a. Partnering results in increased
effectiveness
d. Participating in planning results in having a vested interest in
the outcome
Although partners do indeed contribute time and effort in
participation, the primary reason community partnership is
crucial is that community members and professionals who are
active participants in a collaborative decision-making process
have a vested interest in the success of efforts to improve the
SOLUTIONS
4 phases of Environmental risk assessment Correct Answers -
Determining whether a chemical is known to be associated with
negative health effects (in animals or humans)
-Determining whether the chemical has been released into the
environment: into the air, water, soil, or food
-Estimating how much and by which route of entry the chemical
might enter the human body
-Characterizing the risk assessment process and taking into
account all three of the previous steps
A bill with the potential to decrease health care services is
passed by Congress. Which of the following actions should the
nurse take to influence the bills implications?
a. Exercise veto power by calling for petitions from health care
agencies
b. Contact the regulatory agency and participate in public
hearings
c. Call members of congress to request that they rescind the
legislation that was passed
d. Discuss the change in services with the administrators at the
hospital Correct Answers b. Contact the regulatory agency and
participate in public hearings
,A city has announced its plans to build a city dump near a
community of poor and predominantly African-American
citizens. Which of the following principles would the nurse be
using when vocalizing opposition for this plan?
a. Environmental justice
b. Equal rights
c. Primary prevention
d. Risk protection Correct Answers a. Environmental justice
Environmental justice is the goal of campaigns seeking to
improve the unequal burden of environmental risks borne by
impoverished and minority communities. The Environmental
Justice Act would be used in support of the nurses position.
A client states to the nurse, I have heard the Affordable Care Act
is supposed to help improve the health care I receive, but so far I
have seen no benefits from this legislation. Which of the
following statements would be the best reply by the nurse?
a. Maybe you have not directly seen the changes; however,
several things have changed in health care because of this bill.
b. It will take years to see any effects from the act because of the
delays in implementation of the changes.
c. This legislation will primarily improve care for the elderly
and poor populations, so this is why you may not have seen any
benefits.
,d. The way health care operates at the federal and state levels
has changed, so most individuals will not see any direct impact.
Correct Answers a. Maybe you have not directly seen the
changes; however, several things have changed in health care
because of this bill.
A community health nurse drives through her assigned
community before visiting the community groups scheduled for
the day. She then drives through the community again that
evening before going home. Which of the following best
describes the nurses reason for driving through the community
twice in the same day?
a. On the second trip, the nurse can carefully confirm the results
of the first assessment.
b. Repeating the experience ensures that the nurse absorbed all
the relevant details.
c. Driving through twice allows the nurse to see the community
when many residents are at work or at school and then again
when most are at home.
d. When leaving in the evening, the nurse has more time to write
down the results of the earlier assessment. Correct Answers c.
Driving through twice allows the nurse to see the community
when many residents are at work or at school and then again
when most are at home.
When doing a windshield survey as part of community
assessment, the nurse should observe two times: once during the
, day when people are at work and children are at school and a
second time in the evening after work is done and school is out.
Rather than continually stopping to write down her findings, the
nurse could use public transportation or ride in a car with
another nurse driving for more efficient documentation of her
findings.
A community health nurse encourages members of the
community to partner and assist in creating health programs.
Which of the following best describes the rationale for this
action? (Select all that apply.)
a. Partnering results in increased effectiveness
b. Involving community members results in contributions of
time and money into the program
c. Having many partners results in increased publicity for the
program
d. Participating in planning results in having a vested interest in
the outcome Correct Answers a. Partnering results in increased
effectiveness
d. Participating in planning results in having a vested interest in
the outcome
Although partners do indeed contribute time and effort in
participation, the primary reason community partnership is
crucial is that community members and professionals who are
active participants in a collaborative decision-making process
have a vested interest in the success of efforts to improve the
