Ch. 5 Practice settings and nursing roles in the community

Question 1

Occupational Health Nursing: Exposure to Hazards

Answer 1

occupational health history provides a framework for a nurse to begin assessing a worker

should include
- current and past jobs
- current and past exposure to specific agents and any relationship of current manifestations to work activities
- any precipitating factors (underlying illness, previous injuries, healthy or unhealthy habits)

Question 2

Occupational: Site Walk-through

Answer 2

focus on;

• work process and materials
• job requirements
• actual and potential hazards
• employee work practices (hygiene, waste disposal, housekeeping)
• incidence/ prevalence of work-related illness/ injuries
• control strategies to eliminate exposures

Question 3

Occupational Health: Control strategies

Answer 3

designed to reduce future exposures based on findings

• engineering
• altering work practices
• providing personal protective equipment and education to prevent future injuries
• workplace monitoring
• health screening
• employee- assistance programs
• job- task analysis
• design, risk management, and emergency preparedness

Question 4

Occupational Health and Safety Administration (OSHA)

Answer 4

develops and enforces workplace health regulations to protect the safety and health of workers.

Provides education to employers about workplace health and safety.

Question 5

National Institute for Occupational Safety and Health (NIOSH)

Answer 5

part of the CDC and prevention
identification of workplace hazards and research for the prevention of work-related illness and injury.

education and safety

Question 6

National Advisory Committee on Occupational Safety and Health (NACOSH)

Answer 6

advisory committee made up of 12 members representing labor, occupational health, safety professions, and the general public.

Purpose is to advise the secretaries of labor and health and human services on policies and programs that affect occupational safety and health.

Question 7

Workers’ compensation acts

Answer 7

state-level legislation that regulates financial compensation to workers suffering from injuries or illness resulting from the workplace

Question 8

Faith community nursing

Answer 8

provide interventions to individuals and groups in homes, congregational meeting places, acute or long-term care facilities, or through schools

governed by each state’s nurse practice act

interventions based on spiritual, physical, and emotional, and social dimensions

must be aware of faith and belief practices. Caring and spiritual are central

Question 9

Circle Model of Spiritual Care

Answer 9

C- Caring
I- Intuition
R- respect for religious beliefs and practices
C- caution
L- listening
E- emotional support

Question 10

Parish Nurse

Answer 10

health and wellness of populations of faith communities.

work closely with pastoral care staff, professional health care members, and lay volunteers to provide a hollistic approach to healing.

Question 11

functions of a Parish Nurse

Answer 11

personal health counseling

health education

Liaison between faith community and local resources

facilitating support groups

spiritual support

Question 12

School nursing roles

Answer 12

• Case manager
• Community outreach
• Consultant
• Counselor
• Direct caregiver
• Health educator
• Researcher

Question 13

Secondary prevention for school nurses

Answer 13

Assess children who become ill or injures at school

Assess all children and staff during emergencies
(provide emergency care, create emergency plans, supply)

Perform screenings

Assess children to detect abuse or neglect

Assess for mental illness, suicide, violence

Respond to school crisis or disasters
(develop crisis plan, act as first responder or triage, participate in drills, counsel and debrief)

Question 14

Tertiary Prevention

Answer 14

Assess children who have disabilities

Assess children who have long-term care needs

Provide care for children with chronic disorders (asthma, DM, CF)

Provide ongoing care for adolescent parents
(pregnancy identification, parenting education, educate on future pregnancy prevention)

Question 15

Components of Coordinated School Health Programs

Answer 15

Health education

Physical education

Health services

Nutrition services

Counseling, psychological and social services

Promotion of a healthy and safe school environment

Health promotion for staff

Facilitation of family/ community involvement

Facilitating safety policies

Question 16

Forensic Nursing

Answer 16

care for. perpetrators of injury, victims of sexual assault, substance use-related injuries, human trafficking, physical abuse, gang violence, disaster and accidental injuries

Question 17

work settings for a forensic nurse

Answer 17

clinics
ED
law agencies
mental health facilities
correctional facilities

Question 18

principles of. forensic nursing

Answer 18

SAFETY
- respect
- beneficence
- nonmaleficence
- caring
- justice
- truth
- use of intuition

Question 19

Forensic nursing
primary prevention

Answer 19

develop and implement injury prevention programs
SIDS, sexual assault

Question 20

Forensic nursing
secondary prevention

Answer 20

• examine victims of crime for indicators of intentional injury
• provide direct care to both the client following a sexual assault and the perpetrator
• collect and preserve evidence from possible crimes, using written and picture documentation

Question 21

Forensic nursing
tertiary prevention

Answer 21

• provide tx to incarcerate individuals
• liaison between clients following trauma, medical care facilities, and the legal community to minimize the burden of trauma on the client
• connect clients with community resources after injury. (mental health counseling, physical rehab)