440 Topic 13

Abigail, a nurse, is tasked with assessing the safety of the drinking water in her community. Which of the following reports should she review to determine what pollutants have been found in the water?

• Point source report

• Consumer confidence report

• Material Safety Data Sheet

• Environmental standards report

The community health nurse asks Rohan, “Have you ever been exposed to any radiation or chemical liquids, dust, mists, or fumes?” The nurse is conducting an:

• environmental advocacy activity.

• environmental compliance activity.

• environmental health assessment.

• environmental risk communication.

When Aria, a community health nurse, evaluates the completeness and accuracy of information made available to community residents regarding the impact of rezoning land parcels for industrial use, the nurse is:

• advocating for ethical choices.

• communicating risk.

• controlling environmental damage

• volunteering for service on state boards.

Hannah is studying the impact of the Food Quality Protection Act of 1996 on children's health. She learns that the Act increased the protection of infants and children from pesticide exposure from multiple sources by establishing a new health-based standard of reasonable certainty of “no harm” that:

• considers the cumulative impacts of all pesticides that may share a common mechanism of action.

• establishes a 15-year renewal process for all pesticides.

• prohibits taking into account economic considerations when children are at risk.

• uses an additional tenfold margin of safety when there are adequate data indicating developmental risks.

Aria, a community health nurse, is applying the nursing process to environmental health. She examines criteria that include the immediate and long-term responses of the client to the planned interventions. Another important factor Aria considers in the evaluation process would be:

• recidivism of the problem for the client.

• consideration of community policy and laws.

• relationship between the disease and the environmental factors.

• coordination of actions to meet the client’s needs.

Lily, a nurse, wants to become more active in environmental health. Which of the following roles could she take on? (Select all that apply.)

• Assessing farmworkers for pesticide exposure and providing pesticide risk education

• Conducting epidemiologic investigations as a public health nurse (PHN)

• Developing corporate policy to protect workers from unsafe levels of toxic agents

• Organizing the local community to encourage landlords to remove lead-based paint

• Working as a skilled risk communicator for a local chemical manufacturer

During a class discussion on environmental policies, Zoe asked about the federal act that grants authority to the Environmental Protection Agency (EPA) to control the generation, transportation, treatment, storage, and disposal of hazardous waste. She was curious about which act ultimately called for the phaseout of land disposal of hazardous waste under a later amendment. Which act was she referring to?

• Emergency Planning and Community Right-to-Know Act (EPCRA).

• National Environmental Policy Act (NEPA).

• Pollution Prevention Act (PPA).

• Resource Conservation and Recovery Act (RCRA).

Avery is part of a multidisciplinary team working on an environmental health project. Why is it important for geologists, meteorologists, and chemists to be included in this team?

• Earth sciences explain how pollutants travel in air, water, and soil.

• Earth sciences help us understand the strength of the association between exposures and health effects in human populations.

• Earth scientists study the negative effects of chemical exposure.

• Earth scientists work with the community to coordinate services to meet the community’s needs.

Abigail, a community health nurse, is working in a neighborhood affected by industrial pollution. When applying the nursing process to environmental health, she would:

• conduct a focused assessment on the presenting problem.

• coordinate interventions with the physician only.

• examine criteria that include only the client’s immediate response.

• include outcome measures that mitigate and eliminate the environmental factors.

In a local community, the city council has implemented a system to monitor and publicly report air quality levels. This initiative aims to alert individuals like Priya, who have asthma or other respiratory conditions, about potential air quality issues. This scenario illustrates:

• compliance and enforcement.

• environmental epidemiology.

• secondary prevention.

• toxicology.