Environmental Health and Public Health Nursing, Exams of Advanced Education

Download Environmental Health and Public Health Nursing and more Exams Advanced Education in PDF only on Docsity! Environmental Health and Public health Nursing 67 Questions with Verified Answers All that is external to the human host with which the hos is in constant interaction: - CORRECT ANSWER Environment What does a built environment refer to? - CORRECT ANSWER Refers to buildings and community spaces created by humans that influence health behaviors and health outcome What are problems with overcrowding? - CORRECT ANSWER Diseases are transmitted rapidly More pollution Higher stress levels Why do trees help our environment? - CORRECT ANSWER Tress deposit O2 into our air and cleans the air of carbon monoxide What is the problem with clearing the land? - CORRECT ANSWER A decrease in trees lead to more pollution What is the second leading cause of lung cancer? - CORRECT ANSWER Radon Where is Radon found? - CORRECT ANSWER Major concern in Kentucky; found in homes -Home buyers have the right to make seller check for high level of radon -You can buy a radon detection kit What is a common source of carbon monoxide in homes? - CORRECT ANSWER Gas heaters What are s/s of carbon monoxide poisoning? - CORRECT ANSWER N/V Fatigue What is recommended to help monitor carbon monoxide levels? - CORRECT ANSWER Monitors that you can place in your home that will help detect high levels of carbon monoxide When and where is lead poisoning more common? - CORRECT ANSWER In young children; in old houses built before 1978 related to lead in the paint What affect does lead have on us? - CORRECT ANSWER It is neurotoxic; it 1st affects them cognitively that later symptoms are seen on the neuro development of children When talking about cooking vapors, it is important to to assess what? - CORRECT ANSWER Assess ventilation; concerned about gas stoves What is volatile organic compound found (VOC)? - CORRECT ANSWER Found in new furniture, new carpet, paint, glues, and cleaning supplies Long term exposure to VOC can lead to what? - CORRECT ANSWER Asthma What are recommendations for people who are affected by VOC when getting new carpet or furniture? - CORRECT ANSWER Move out of the house for a little while -Only buy used furniture Sick building syndrome causes what type of symptoms? - CORRECT ANSWER Headache Fatigue Exacerbation of allergies These symptoms of sick building syndrome often result from what? - CORRECT ANSWER Poor ventilation and building operations, hazardous building materials, furniture and carpeting substances, and cleaning agents Who are we concerned about with anthrax exposure? - CORRECT ANSWER Worried about farmers and vets who work closely with cattle and sheep because they are carriers of anthrax. Is it easy or hard for us to clean medication out of our water system? How does medication get in our water system? - CORRECT ANSWER Hard; Meds get into the system through flushing them down the toilet or from our bodily fluids after taking the medications What type of poisoning is seen in fish? - CORRECT ANSWER Mercury poisoning; limit fish intake to 3 portions a week What patient must be extremely cautious with their fish intake? - CORRECT ANSWER Pregnant women What are routes of transmission for waterborne illnesses? - CORRECT ANSWER Ingestion Dermal contact Inhalation When are waterborne illness most common? - CORRECT ANSWER In the summer months What is the annual water quality report? - CORRECT ANSWER Consumer Confidence Report What does the consumer confidence report tell you? - CORRECT ANSWER Provides information on local drinking water quality What are major concerns with food safety? - CORRECT ANSWER Contamination by herbicided, pesticides, or microbial Food additives Antibiotic overuse Genetic modified foods Increasing food allergies Transportation, storage, handling, and preperation What is the problem in relation to antibiotic overuse? - CORRECT ANSWER Our meats are containing traces of antibiotics due to the animals being treated with antibiotics What are the largest proportion of foodborne disease caused by? - CORRECT ANSWER Growth of bacteria/toxin formation due to preparing food several hours prior to consumption and storing at improper temperatures Insufficient cooking or reheating food Cross contamination Poor personal hygiene handling the food Communities with little to no access to healthy foods: - CORRECT ANSWER Food deserts What are the four golden rules of food safety? - CORRECT ANSWER Clean Separate Cook Chill It is important to use what when cooking meats? - CORRECT ANSWER Thermometer What is the problem seen today with non biodegradable plastics? - CORRECT ANSWER The plastic is being emptied into the ocean; the sun is digesting the plastic and then fish is eating it ultimately leading to use consuming plastic through the fish we are eating What are major concerns in relation to waste management? - CORRECT ANSWER Non biodegradable plastics Inefficient recycling programs Unlicensed waste dumps Inadequate sewage systems for growing populations Unsafe or illicit dumping of industrial toxins Exportation of radioactive medical waste Non-enforcement of environmental regulations What are different exposures to sources? - CORRECT ANSWER Air, water, soil, and food What are the different pathways to exposure? - CORRECT ANSWER ingestion, inhalation, or dermal absorption Is Radon considered acute, chronic, or latent? - CORRECT ANSWER Chronic exposure What are different aspects to assess? - CORRECT ANSWER Agent Exposure Host susceptibility Health effect What type of exposure leads to neurotoxicity? - CORRECT ANSWER Mercury exposure What is included in the diagnoses? - CORRECT ANSWER Health effect or associated risk Population Related environmental factors What is included in the plan/implement part of the nursing process? - CORRECT ANSWER Stabilize Reduce/Eliminate Exposure Provide immediate treatment Ongoing intervention Public health reporting Take a critical approach How can you reduce/eliminate exposure? - CORRECT ANSWER Initiate protective measures Remove person from environment Decontaminate persons affected Remove substance from environment Eliminate/control ongoing exposure What are the different ways to render substance harmless? - CORRECT ANSWER Eliminate the agent Reverse the effect Block the absorption