exam 4

Question 1

Three presentations of the plague

Answer 1

bubonic, septicemia, and pneumonic

Question 2

how is bubonic plague spread

Answer 2

only by contact pus

Question 3

how is pneumonic plague spread

Answer 3

spread from person to person

Question 4

People with the plague get it from primarily what?

Answer 4

rodents

Question 5

What percentage of global dz and deaths are attributed to environmental factors?

Answer 5

25%

Question 6

What is an example of environmental justice?

Answer 6

cleaning and building parks

Question 7

What does the environmental theory state?

Answer 7

states that nursing is achieved through alteration of the environment to promote halth

Question 8

What impact did the clean air act have?

Answer 8

decreased the rate of asthma and heart attacksand save a lot of money

Question 9

What is more likely to occur if you are a poor person of color?

Answer 9

likely to live near hazardous waste, and more likely to have kids with asthma or lead poisoned

Question 10

What is an example of a pollutant from the healthcare industry?

Answer 10

Dioxin

Question 11

What are the names for synthetic chemicals created by the healthcare industry?

Answer 11

persistant bioaccumulative toxins PBTs and persistent organic pollutants POPs

Question 12

How is Dioxin created?

Answer 12

from inceneration of chlorine

Question 13

Examples of bio hazard waste

Answer 13

culture dishes, soaked bandages, removed body organs, and surgical equipment

Question 14

Medical waste tracking act

Answer 14

established cradle-to-grave tracking, standards for packaging and labeling, and penalties for mismanagement

Question 15

Who are at higher risk of the effects of toxic substances?

Answer 15

young children, older adults, and pregnant women

Question 16

Where is asbestos

Answer 16

Found in drywall and ceiling tiles

Question 17

Risk of asbestos is related to what three factors?

Answer 17

Number of fibers breathed in, duration of exposure, and frequency of exposure

Question 18

when do s/s occur from asbestos?

Answer 18

15-40 years after exposure

Question 19

What products contain lead?

Answer 19

paint, gasoline, cosmetics, and products imported from other countries

Question 20

how are children usually exposed to lead?

Answer 20

Dust that is tracked into the house

Question 21

How can lead get into the drinking water?

Answer 21

from lead containing pipes, faucets, and solder

Question 22

What does boiling water do for lead?

Answer 22

This does nothing

Question 23

How can you reduce the amount of lead in drinking water?

Answer 23

Running cold water first, but does not completely eliminate the lead

Question 24

Jobs that involve lead

Answer 24

construction, plumbing, printing, military, automobile repair

Question 25

How is lead stored in the body?

Answer 25

stored for long period of time in teeth and bones. Released during bodily stress

Question 26

Examples of bodily stress where lead will be released?

Answer 26

pregnancy, breastfeeding, calcium deficiency, and osteoporosis

Question 27

What body part is most sensitive to lead?

Answer 27

the brain

Question 28

Affects of lead on young children

Answer 28

lowered IQ, ADD, bad hearing, anemia, and decreased growth

Question 29

Affects of lead on older adults

Answer 29

Thyroid, pregnancy/offspring, and fertility

Question 30

How to protect from lead

Answer 30

wet-clean all surfaces, cover bare soil, and test toys from other countries

Question 31

What contains CO

Answer 31

cars, trucks, gas and oil furnaces, generators, and charcoal grills

Question 32

s/s of CO poisoning

Answer 32

HA, dizzy, weakness, chest pain (flu-like)

Question 33

Hallmark sign of CO poisoning

Answer 33

s/s in multiple family members and symptoms occur in morning and go away when leaving the house.

Question 34

Who is at higher sensitivity for mold?

Answer 34

some people are allergic, people with chronic lung dz like asthma

Question 35

How to clean mold

Answer 35

1 cup of bleach to 1 gallon of water

Question 36

How can you detect mold in a house?

Answer 36

Has a very earthy smell. Look for water damage

Question 37

How is radon produced?

Answer 37

breakdown of uranium

Question 38

How can you spot radon in a home?

Answer 38

Cracks in a basement, construction joints, and gaps in pipes.

Question 39

Two main sources of radon in a house

Answer 39

soil and water

Question 40

Radon through soil causes what?

Answer 40

It is inhaled causing lung cancer

Question 41

Radon through water causers what?

Answer 41

Ingested causing stomach cancer, or inhaled through the shower causing lung cancer

Question 42

Mnemonic used for environmental exposure history

Answer 42

I PREPARE

Question 43

What are US adults more likely to do in healthcare in US compared to other countries?

Answer 43

They are more likely to skip care and struggle with paying medical bills

Question 44

Developing countries struggle building healthcare systems because why?

Answer 44

Most of the global funds are used for disaster and famine (scarce food) relief

Question 45

Non communicable dz account for how many of the deaths worldwide

Answer 45

75%

Question 46

Epidemiologic transition

Answer 46

When a change in the balance of dz in a population from communicable dz to non communicable dz

Question 47

5 examples of communicable dz

Answer 47

smallpox, polio, TB, diarrheal illness, and STIs

Question 48

How was smallpox eradicated?

Answer 48

Active surveillance and ring vaccination

Question 49

why is polio hard to eradicate?

Answer 49

It has a longer period of silent communicability, and not as many people are working together to get rid of it like smallpox

Question 50

Crazy stats about TB

Answer 50

1/3 of the population has it and it kills 5,000 people a day

Question 51

How do we control diarheal cz?

Answer 51

improve nutrition and living conditions

Question 52

Three major diarrheal syndromes

Answer 52

acute watery, persistent, bloody

Question 53

what is the main complication of chlamydia?

Answer 53

it can lead to PID which leads to ectopic pregnancy

Question 54

which ages are most likely to contract chlamydia?

Answer 54

ages 15 to 19

Question 55

examples of neglected dz

Answer 55

dengue fever, guinea worm, leprosy, and leishmaniasis

Question 56

veracity

Answer 56

Telling the truth

Question 57

fidelity

Answer 57

loyalty and commitment, keeping promises

Question 58

social justice

Answer 58

all parties are treated equally

Question 59

deontology

Answer 59

is concerned with duty (professional code of ethics)

Question 60

teleology or utilitarianism

Answer 60

concerned with consequences. Does the end justify the means?

Question 61

market justice

Answer 61

best way to help people is to avoid regulaitons

Question 62

social justice

Answer 62

best way to help people is by using laws and regulations

Question 63

components of a community nursing diagnosis

Answer 63

should use the word 'among'. should focus on prevention, and AEB should use statistics

Question 64

examples of direct cost

Answer 64

labor, materials, and travel

Question 65

when does the budget need to be done?

Answer 65

during the planning stage

Question 66

whose work yielded primary, secondary, and tertiary prevention?

Answer 66

Leavell and CLark

Question 67

Laffrey and winklers work

Answer 67

thought health promotion should be health oriented and disease oriented

Question 68

Community based participitory research is based on what?

Answer 68

collaboration and partnership