A community health nurse needs guidance regarding a public building that has asbestos leaking from rips in the heating duct insulation.
Which of the following federal agencies should the nurse consult?
Department of Health and Human Resources
Environmental Protection Agency
Centers for Disease Control and Prevention
National Institutes of Health
The Correct Answer is B
Choice A rationale
The Department of Health and Human Resources is primarily responsible for the health and well-being of all Americans. It provides effective health and human services and fostering advances in medicine, public health, and social services. However, it does not directly deal with environmental hazards such as asbestos.
Choice B rationale
The Environmental Protection Agency (EPA) is the correct choice because it is responsible for protecting human health and the environment by writing and enforcing regulations based on laws passed by Congress. The EPA has implemented strict regulations for the use, handling, and disposal of asbestos products. In cases of asbestos exposure, the EPA takes actions to protect the public from the adverse health effects of asbestos, a known carcinogen. Therefore, a community health nurse should consult the EPA for guidance regarding a public building that has asbestos leaking from rips in the heating duct insulation.
Choice C rationale
The Centers for Disease Control and Prevention (CDC) is a national public health institute in the United States. It is a federal agency that conducts and supports health promotion, prevention, and preparedness activities in the United States, with the goal of improving overall public health. While the CDC does work to protect public health, its focus is not specifically on environmental hazards like asbestos.
Choice D rationale
The National Institutes of Health (NIH) is the primary agency of the United States government responsible for biomedical and public health research. While the NIH does conduct research on various health issues, it does not have the regulatory authority to manage environmental hazards such as asbestos.
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Related Questions
Correct Answer is C
Explanation
Choice A rationale
The Local Red Cross chapter is not responsible for reporting cases of Lyme disease to the CDC. The Red Cross is primarily involved in disaster response, blood donation, health and safety training and education, and support to military families.
Choice B rationale
The Hospital infection control department is not responsible for reporting cases of Lyme disease to the CDC. While hospital infection control departments play a crucial role in preventing and controlling infections within healthcare settings, they do not typically report cases of diseases like Lyme disease to national public health agencies.
Choice C rationale
The State health department is responsible for reporting cases of Lyme disease to the CDC. Reports of Lyme disease are routinely collected and verified by state and local health departments in accordance with their legal mandate and surveillance practices. After removal of personal identifiers, selected information on cases is shared with the CDC through the National Notifiable Diseases Surveillance System (NNDSS)4.
Choice D rationale
The Office of the Surgeon General is not responsible for reporting cases of Lyme disease to the CDC. The Office of the Surgeon General provides leadership and coordination of U.S. Public Health Service commissioned corps and communicates the best available scientific information to advance the health of the nation.
Correct Answer is D
Explanation
Choice A rationale
In the epidemiological triangle, the virus is considered the agent, not the host.
Choice B rationale
The vaccine is a form of intervention to prevent the disease, not the host.
Choice C rationale
The school could be considered the environment in which the host (the children) and the agent (the virus) interact, but it is not the host itself.
Choice D rationale
This is the correct answer. In the context of a mumps outbreak among school-age children, the children are the hosts. They are the ones who can become infected with the mumps virus.
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