NRS 460 Exam 2 Test Questions and Correct Answers Identify 3 challenges faced by Community Health Nurses when dealing with environmental health impacts ✅Chronic environmental problems are rarely addressed effectively, Difficult to get people motivated to work on environmental problems, 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. Extreme weather events can have vastly different impacts on different populations ✅because of differences in the target population's coping capacity Critical Social Theory ✅focuses on oppression and facilitates group action, uses a "thinking upstream" framework, involves community members in the definition and solution of problems, and facilitates interventions that reduce health -damaging effects of environments IPREPARE ✅I - Investigate potential exposures, P - Present work, R - Residence, E - Environmental concerns, P - Past work, A - Alarm, R - Referrals and RESOURCES, E - Educate Identify built environmental/living pattern risks ✅Drunken driving, Second -hand smoke, Noise exposure, Urban crowding, Technological hazards Environmental Racism ✅Placing environmental hazards in low income communities, discriminatory land use policies that cause the poor and racial minorities to live in close proximity to contamination from industry sick building syndrome ✅Cause toxic symptoms in occupants due to building materials, poor ventilation, substances in furniture and carpeting, toxic mold, and/or cleaning agents; One of the major challenges with complete removal of toxic elements from our buildings is the economic hardship that industry, government, business, and multi -dwelling owners face when forced to reduce concentrations of toxic elements. Significance of radon in a home ✅odorless/colorless toxic gas, seeps through basement walls, pipes, & foundation cracks - it is then trapped in buildings with poor ventilation is the most common cause of radiation exposure Challenges with unregulated waste dumps ✅accumulate methane gas a byproduct of decomposing organic waste - a fire / explosion risk. Ability of the EPA to impact environmental change ✅responsible for protecting the environment and minimizing environmental risks to human health; EPA sets standards for air and water quality, health surveillance and monitoring evaluation of environmental risks, information acquisition, screening of new chemicals, and establishing, evaluating and enforcing regulatory efforts. A male client is asking the nurse a question regarding the Mantoux test for tuberculosis. The nurse should base her response on the fact that the: ✅Skin test doesn't differentiate between active and dormant tuberculosis infection. People who have Latent Tuberculosis infections can transmit this infection to others. ✅False People who have an active infection with Mycobacterium tuberculosis are not able to transmit this infection to others. ✅False, People with an active infection are able to spread Mycobacterium tuberculosis to others when coughing, laughing, talking, and singing. Provide at least two other names for Mycobacterium Tuberculosis (seen in either medical literature or used in the general public) currently or in the past. ✅White Death, Consumption, Koch's Disease, White Plague, The Kings Touch After TB bacilli are inhaled into the body, identify the location where the TB bacilli multiply: ✅Alveoli Identify the body system that must remain healthy in order to keep a latent TB infection contained, thus not allowing the infection to multiply and then spread? ✅Immune system Identify how many times higher the risk is, for an individual with AIDS to develop active TB infection after an exposure: ✅170 Identify the name of the blood test that is now used as a screening tool for latent TB infection. ✅QuantiFERON Gold or T Spot A TB infection can only occur in the lungs, kidney, brain and bone. ✅False, can occur anywhere in the body Identify the amount of tuberculin skin test solution you would draw up when administering a TB Skin test: ✅0.1 mL When placing a TB skin test, you would place the skin test intradermally at what angle? ✅5° to 15 °
