Deck 43: The Nurse in Occupational Health

Question 1

An occupational health nurse refers an employee to an employee assistance program. Which of the following problems would most likely be addressed?

A) Obesity
B) Smoking
C) Alcohol abuse
D) Lack of exercise

Answer 1

Alcohol abuse

Question 2

An occupational health nurse is educating employees about work-related hazards. Which of the following hazards would the nurse most likely discuss in the presentation?

A) Workplace stress leading to hypertension and cardiovascular disease
B) Asbestos, plastics, lead, and solvents leading to dermatitis
C) Cement dust and metals leading to bronchitis
D) Hormones and nitroglycerine leading to reproductive effects

Answer 2

Workplace stress leading to hypertension and cardiovascular disease

Question 3

An employer offers a limited duty program after an employee has experienced a cumulative trauma injury. Which of the following levels of prevention is being implemented?

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment

Answer 3

Tertiary prevention

Question 4

A nurse is employed in an occupational health setting. Which of the following activities would be a primary role of the nurse?

A) Caring for employees and their families
B) Providing health promotion and emergency care
C) Updating the Material Safety Data Sheets (MSDSs)
D) Reporting communicable diseases

Question 5

A nurse is working in an occupational health setting. Which of the following roles will the nurse most likely have?

A) Administrator
B) Clinicians/practitioners
C) Consultant
D) Educator

Question 6

Which types of industries are noted for high degrees of hazards associated with the work?

A) Data entry, animal rescue, and hospice
B) Engineering, science, and laboratories
C) Manufacturing, mining, and agriculture
D) Aeronautics, plastics, and nursing

Question 7

Which population is at the greatest risk for experiencing work-related accidents with subsequent injuries?

A) Workers of child-bearing age
B) Workers with less than 1 year of experience
C) Workers with diminished sensory abilities
D) Workers with chronic illnesses

Question 8

Which statement about chemical agents is accurate?

A) Chemicals are not ordinarily found in the body tissues of the general population.
B) Most chemicals have been studied to determine the effects of exposure on humans.
C) Chronic exposure to low-level doses of workplace chemicals below standards constitutes a potential health risk.
D) Human effects of chemical exposure are associated with single agents rather than with the interaction of agents.

Question 9

An occupational health nurse has conducted a walk-through assessment and has identified potential hazards in the workplace. The nurse recognizes that it will be easiest to modify exposure to which hazard?

A) Bacteria
B) Aerosols
C) Noise
D) Burnout

Question 10

An employee has come into contact with a biological agent. Which consideration should be made by the nurse?

A) The biological agent may cause accidents in the work environment.
B) The biological agent is commonly found in the agriculture industry.
C) The biological agent may potentiate stress in the workplace.
D) The biological agent indicates exposure to bacteria, viruses, fungi, or parasites.

Question 11

Which population would have been the focus of care for an occupational health nurse in the early 1900s?

A) Injured workers
B) All workers
C) Families
D) The community

Question 12

An occupational health nurse is assessing workplace hazards. Which of the following would be the best method for the nurse to use?

A) Review incident reports.
B) Walk through the worksite.
C) Interview key employees.
D) Read the Standard Industrial Classification (SIC) Code.

Question 13

A nurse in the occupational health arena is implementing a secondary prevention strategy. Which of the following best describes the action that will be taken by the nurse?

A) Providing education on safety in the workplace to prevent injury
B) Working with workers who have diabetes to ensure they have appropriate medications
C) Screening for hearing loss resulting from noise levels in the plants
D) Ensuring that a person with cardiovascular disease attends a rehab program

Question 14

An occupational health nurse is assessing slippery floors as a safety hazard in the work setting. Which of the following best describes the type of hazard the nurse is assessing?

A) Enviromechanical
B) Physical
C) Chemical
D) Psychosocial

Question 15

A nurse is assessing a worker who has had a health reaction to a "safe" low-level exposure. Which of the following most likely describes what has happened?

A) An allergic reaction
B) A compromised immune system
C) Hypersusceptibility
D) Malnutrition

Question 16

Who is considered to be the first industrial nurse?

A) Betty Moulder
B) Ada Mayo Stewart
C) Lillian Wald
D) Florence Nightingale

Question 17

A nurse is pursuing certification as an occupational health nurse. Which organization will provide this certification?

A) American Board for Occupational Health Nurses (ABOHN)
B) Occupational Safety and Health Education and Research Center
C) National Institute for Occupational Safety and Health (NIOSH)
D) Occupational Safety and Health Administration (OSHA)

Question 18

Which was the first legislation that specifically required certain prevention programs for workers?

A) Occupational Safety and Health Act
B) National Institute for Occupational Safety and Health (NIOSH)
C) Mine Safety and Health Act
D) SIC Code

Question 19

The nurse is doing a walk through to identify workplace hazards. Which of the following levels of prevention is being implemented?

A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Assessment

Question 20

A nurse is assessing host factors as part of the epidemiologic triad. Which of the following factors would the nurse most likely assess?

A) Crowding
B) Shift work
C) Worker's family
D) Chemical exposure

Question 21

What is the purpose of the National Institute for Occupational Safety and Health (NIOSH)?

A) Examining potential hazards of new work technologies and practices
B) Educating employees about environmental risks and hazards
C) Developing and maintain a database of work-related deaths
D) Setting standards that regulate workers' exposure to potentially toxic substances

Question 22

An occupational health has become a member of the American Association of Occupational Health Nurses (AAOHN). Why would a nurse join this organization? (Select all that apply.)

A) To promote the health and safety of workers
B) To lobby in Congress for safer work places
C) To advance the profession by supporting research
D) To promote and provide continuing education in the specialty
E) To obtain certification as a specialist in occupational health nursing

Question 23

An occupational health nurse is involved in disaster planning. Which of the following actions would be most appropriate for the nurse to take?

A) Assess for possible disasters.
B) Prevent injuries and death of workers.
C) Store Medical Data Sheets in a safe place.
D) Collaborate with government authorities to plan disaster management.

Question 24

What is the purpose of the Occupational Safety and Health Act (OSHA)?

A) Educating occupational health and safety professionals
B) Identifying and research occupational health and safety hazards
C) Distributing research findings relevant to occupational health and safety
D) Educating employers about occupational health and safety

Question 25

Which is a requirement of the Superfund Amendment and Reauthorization Act (SARA)?

A) Applying stricter rules to determine Superfund sites
B) Sharing written disaster plans with key resources in the community
C) Authorizing each industry to write their own disaster plan
D) Evaluating the effectiveness of a written disaster plan

Question 26

An occupational health nurse is working in an occupational health and safety program. Which of the following services is the nurse most likely to provide? (Select all that apply.)

A) Health/medical surveillance
B) Health screening
C) Case management
D) Job task analysis
E) Counseling

Question 27

An occupational health nurse is assessing the need for safety data sheets (SDSs) at the worksite. Which of the following items would require an SDS?

A) Hand soap
B) Eye goggles
C) Aprons
D) Earplugs

Question 28

A nurse is conducting an occupational health assessment. Which of the following best describes the rationale for this assessment?

A) It is required by the Occupational Safety and Health Act (OSHA).
B) It is required by National Institute for Occupational Safety and Health (NIOSH).
C) It helps to identify agent and host factors that place employees at risk.
D) It helps to educate workers about potential hazards.