Chapter 21 Flashcards
- A nurse is starting a new job as an occupational and environmental health nurse (OEHN) for a large corporation. The nurse wants to ensure that the company’s health and safety practices align with his or her standards of practice. What organization should the nurse check with?
A. ABOHN
B. AAOHN
C. NIOSH
D. OSHA
B. AAOHN
An occupational nurse is starting a new position with a company with 35 employees. The nurse asks to see the OSHA 300 form, but is told that the company is not required to use that form. How does the nurse reply?
A. You’re right. The OSHA 300 logs are voluntary.
B. You’re right. The OSHA 300 logs should be kept when a company has 50 employees.
C. That’s incorrect. The OSHA 300 logs should be kept when a company has at least 10 employees.
D. Each employee is required to keep their own logs and report injuries as applicable.
C. That’s incorrect. The OSHA 300 logs should be kept when a company has at least 10 employees.
A nursing student is doing a project using the OSH program to evaluate a local workplace. What is the first step?
A. Evaluate the workplace, looking for hazards.
B. Perform a community and workplace cultural assessment.
C. Perform medical screening on all employees.
D. Collect routine health data on all employees
A. Evaluate the workplace, looking for hazards.
A nurse is describing the prevention measures available to the rest of the hospital staff. The nurse explains that the use of personal protective equipment is an example of:
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. Quaternary prevention
A. Primary prevention
A nurse is preparing a lecture about caring for the needs of the American workforce. Which of the following statements is incorrect?
A. The American workforce is becoming more knowledge based.
B. Most Americans are employed at their first job at 18 years of age.
C. The predominant health issue affecting the workforce is diseases associated with a sedentary lifestyle.
D. The American workplace is becoming more diverse.
B. Most Americans are employed at their first job at 18 years of age.
A public health nurse (PHN) is volunteering at a clinic that provides care to migrant workers who work in the fields in their community. In addition to routine health assessments, what should the nurse screen for?
A. hearing loss
B. skin cancer
C. diabetes
D. heart failure
B. skin cancer
A worker has been exposed to a chemical that he is not used to working with. How should the OEHN proceed with treatment?
A. Quickly use water to rinse the chemical off and perform an assessment of the exposed skin.
B. Consult the material safety data sheet (MSDS) for more information on how to treat the exposure.
C. Call an ambulance and have a coworker bring a sample of the chemical with the victim to the hospital.
D. Encourage self-care and have the worker come back if he experiences any other symptoms.
B. consult the material safety data sheet for more information on how to treat the exposure
A PHN is working as an occupational nurse for a mining company. Which of the following is an example of a secondary prevention policy that the nurses can implement to address the high risk of pulmonary disorders found in miners?
A. Use of respirators for everyone working in the mine
B. Routine lung cancer and pulmonary disease screening
C. Job transfers for workers with pulmonary changes from the mine to an administrative position
D. Installation of a high-powered air filtration system in the mine
B. routine lung cancer and pulmonary disease screening
A nurse is beginning a new position on the medical floor of a hospital. A patient is being admitted with symptoms consistent with tuberculosis. What personal protective equipment does the nurse need when caring for the patient?
A. gloves
B. gloves and mask
C. gloves, mask, and gown
D. gloves, gown, and respirator
D. gloves, gown, and respirator
A nurse is working as an occupational nurse with a coal mining company. The nurse frequently observes workers sitting next to the entrance of the mine and eating lunch. The nurse knows that this poses a serious health risk. How should the nurse proceed?
A. Speak with several workers to see why they are eating next to the entrance of the mine.
B. Have management install hand-washing stations next to the entrance so workers can wash their hands before eating.
C. Establish a break room in a portable trailer so that workers have a place to go eat lunch.
D. Host a wellness seminar so that the nurse can provide information to the workers.
A. Speak with several workers to see why they are eating next to the entrance of the mine.
A nurse is preparing to perform physical exams for a group of new employees. What information is the most crucial to the proper evaluation of the new employees’ health?
A. Medical records
B. job description
C. latest blood test result
D. vaccination record
B. job description
A nurse has noticed that the average age of the workers in a factory is starting to increase. In anticipation of the needs of this population of workers, which program would likely be effective in keeping these workers safe?
A. Beginning a fitness program for workers to build muscle, flexibility, and balance
B. Reducing hours
C. Decreasing lighting and frightening noises
D. Implementing an early retirement program
A. Beginning a fitness program for workers to build muscle, flexibility, and balance
An OEHN is speaking with an employee who was injured on the job several weeks ago. It may be several more weeks before he is able to return to work. The nurse refers him to ____ to discuss payment during his time off.
A. long term disability
B. workers compensation
C. social security
D. a no fault attorney
B . workers compensation
A nurse is working in a private practice. Most of the staff members work at their desks and there are always baked goods from patients in the break room. The nurse wishes to implement positive healthy changes for the staff members. What is the best way to encourage these changes?
A. Start a running team and sponsor employees in running races together.
B. Host an employee wellness fair.
C. Mandate yearly screenings for hypertension and diabetes.
D. Sponsor a voluntary weight loss competition.
A. Start a running team and sponsor employees in running races together.
An OEHN at a large electronics factory wishes to implement new programs to improve employee health and well-being. The OEHN decides to screen employees yearly to determine who requires additional interventions. What is the most effective way to accomplish this?
A. workplace assessment
B. physical exam
C. health risk appraisal
D. occupational and environmental history
C. health risk appraisal
