ATI RN
Environmental and Occupational Health Questions
Question 1 of 5
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?
Correct Answer: A
Rationale: The correct answer is A: Environmental justice. Environmental justice is the principle that all individuals, regardless of race or socioeconomic status, have the right to equal protection from environmental risks. In this scenario, the nurse would oppose the city dump near a poor and predominantly African-American community because it violates the principle of environmental justice by disproportionately exposing this community to environmental hazards. Summary of incorrect choices: B: Environmental epidemiology focuses on studying the distribution and determinants of diseases in populations, not on environmental justice principles. C: Tertiary prevention involves managing and treating complications of existing diseases, not related to opposing unjust environmental decisions. D: Risk communication involves effectively communicating risks and hazards to the public, which is not directly related to opposing unjust environmental actions based on principles of justice.
Question 2 of 5
A nurse wants to use the principles of risk and outrage to improve an environmental hazard in the community. To accomplish this, which of the following actions would be taken by the nurse? (Select all that apply.)
Correct Answer: C
Rationale: The correct answer is C: Communicate the correct information in a timely fashion. This is because effectively communicating accurate information in a timely manner is crucial in addressing environmental hazards. By providing correct information, the nurse can help reduce misinformation and fear, which is essential in risk communication. Choice A is incorrect because advertising in the media throughout the entire surrounding area may lead to unnecessary panic and outrage without providing accurate information. Choice D is incorrect because sharing all data found on the community assessment may overwhelm the public and could potentially cause confusion or unnecessary alarm. In summary, choice C is the best option as it aligns with the principles of risk and outrage communication, while the other choices may lead to negative consequences.
Question 3 of 5
The nurse is providing education to a client with a family history of hypertension. Which statement by the client does the nurse recognize as requiring further teaching about familial risk?
Correct Answer: B
Rationale: Correct Answer: B Rationale: 1. Genetics play a significant role in health, but they do not solely determine an individual's health outcomes. 2. Health is influenced by a combination of genetics and environmental factors. 3. Choice B incorrectly implies that genetics alone dictate health and diagnoses. 4. The other choices (A, C, D) acknowledge the multifactorial nature of health outcomes, thus are correct.
Question 4 of 5
The nurse is working to change negative social beliefs towards breastfeeding in a rural area using the UNICEF Socio-Ecological Model. At which level of this model is the nurse effecting change?
Correct Answer: D
Rationale: The correct answer is D: Policy/system and enabling environments. The nurse is working at this level by influencing policies and systems to create an environment that supports breastfeeding. At this level, the nurse can implement changes that impact the broader community by promoting and facilitating breastfeeding-friendly practices. A: Individual - This level focuses on changing beliefs and behaviors of individuals, not addressing broader social beliefs. B: Community - This level involves influencing social norms and practices within a specific community, not addressing policies and systems. C: Organizational/institutional - This level involves changes within specific organizations or institutions, not addressing broader policy changes needed for societal impact.
Question 5 of 5
Using the UNICEF Socio-Ecological Model, which statement is an example of a community health center working at the organizational level to promote health care?
Correct Answer: C
Rationale: The correct answer is C because treating all clients regardless of their ability to pay aligns with the organizational level of the UNICEF Socio-Ecological Model. This demonstrates a commitment to providing equitable access to healthcare services within the community health center. By offering care regardless of financial resources, the center addresses social determinants of health, promotes health equity, and contributes to overall community well-being. Choice A, teaching a client to self-administer insulin injections, is an example of an individual-level intervention. Choice B, assisting a new mother with breastfeeding, is a behavioral-level intervention. Choice D, lobbying for health care for transgender clients, pertains to policy-level advocacy. These choices do not directly address organizational-level efforts to promote health care within a community health center.