Deck 31: Occupational Health

Question 1

An employee had recently had a heart attack and was just discharged from the hospital.Which would be an appropriate action for the nurse to take?

A)Plan a party for when the client is able to return to the workplace
B)Develop a program on exercise and nutrition for all employees
C)Determine appropriate temporary,perhaps part-time,responsibilities to ease the employee's reentry to the workplace
D)Advocate for improvements in the food being offered by the vending machines in the employees' lounge

Answer 1

Determine appropriate temporary,perhaps part-time,responsibilities to ease the employee's reentry to the workplace

Question 2

An occupational health nurse has been asked to perform a complete physical examination,including drug testing,on both a prospective and a current employee.Which best describes the purposes of these examinations? (Select all that apply.)

A)To measure the strength of organs that may be affected by workplace responsibilities
B)To document changes that may have occurred while the employee engaged in particular processes or in a particular work area
C)To establish a baseline before the employee is exposed to possible workplace hazards
D)To help decide whether or not to hire the prospective employee
E)To update employee records and fill in any missing information
F)To warn the employer about specific weaknesses or disabilities in the prospective employee

Answer 2

To measure the strength of organs that may be affected by workplace responsibilities
To document changes that may have occurred while the employee engaged in particular processes or in a particular work area
To establish a baseline before the employee is exposed to possible workplace hazards

Question 3

Which entity has been most active in creating change and alternative approaches in health care delivery?

A)Consumers
B)Corporations
C)Health care professionals
D)State legislators

Answer 3

Corporations

Question 4

Which competencies should occupational health nurses be able to fulfill? (Select all that apply.)

A)Completing thorough physical assessments of employees
B)Understanding of the business climate
C)Managing total worker health independently as appropriate
D)Knowing relevant federal,state,and local regulations
E)Adhering to the principles of professional practice
F)Practicing culturally appropriate nursing care

Question 5

Which led to a vast increase in the number of occupational health nurses?

A)Increasing autonomy and salaries of nurses in that role
B)Increasing industrialization of all societies
C)Society demanding improvements in safety for all workers
D)The health of workers involved in manufacturing during World War II was crucial

Question 6

A candidate's resume demonstrates a perfect fit for a position,but one glance showed the candidate was wheelchair bound.Which suggestion should the nurse make to the employer?

A)Be as polite as possible,but point out how difficult it would be to fulfill job responsibilities while confined to a wheelchair
B)Be sure that another candidate is more qualified and "fits more closely with our company goals"
C)Employ the candidate and rearrange the work area for easy access and exit for someone in a wheelchair
D)Point out that other employees would probably not be kind to someone in a wheelchair who is unable to join in many of the physical recreational activities

Question 7

A nurse tells a friend that he has recently changed jobs and will now be an occupational health nurse.Which places is the nurse most likely to be working? (Select all that apply.)

A)Factory
B)Outpatient cardiac rehabilitation
C)Hospital employee health
D)College/University
E)Public health department
F)Residential group home

Question 8

A nurse had 5 years of experience in a community health clinic when she accepted a position in occupational health.Which best explains how the nurse will know what to do in this new setting?

A)On the basis of past experience,she can focus on relevant aspects and adapt protocols as deemed necessary
B)By focusing immediately on critical aspects and determining priorities in the setting
C)By following company procedures and relying on assessment checklists and clinical protocols
D)By using extensive previous experience,the nurse can grasp situations quickly and initiate appropriate action(s)

Question 9

Which argument would the occupational health nurse (OHN)use when trying to convince a large employer of the need for a breast cancer education program?

A)It will be excellent media coverage for the employer,especially if the public is invited
B)A large number of female employees of childbearing age may be interested
C)This program would help balance all the male-oriented programs
D)Women employees who believe their employers are interested in their well-being are more productive and satisfied.

Question 10

Which is one of the most challenging areas for the occupational health nurse (OHN)?

A)Allocating time between direct service to employees and management tasks
B)Collaborating with other worksite professionals and retaining leadership in the arena of employee health
C)Managing ethical conflicts between responsibilities to management and responsibilities to employees
D)Maintaining competence through attending conferences and maintaining services when the nurse (sole provider)is absent

Question 11

Which responsibility does the occupational health nurse (OHN)have in relation to an injured employee and the Workers' Compensation Act?

A)To assist the employee in obtaining legal representation to negotiate a financial settlement
B)To assist the employer to work out a settlement with the employee to avoid legal suits against the employer
C)To file a claim for the employee with Workers' Compensation to ensure continued full salary until the employee is able to return to work
D)To work with the employee to keep the employee informed,limit disability,and provide opportunity for rapid return to employment

Question 12

Which are current challenges for occupational health nurses? (Select all that apply.)

A)Changes in employee demographics including gender,ethnicity,and age
B)Expansion in sites offering care using new,creative approaches
C)Increased affordability of health care services
D)Increase in managed care plans with need for case managers
E)Moving from large manufacturing facilities to smaller,service-based businesses
F)Ongoing need to demonstrate cost-effectiveness of services rendered

Question 13

Which best explains why employers are putting more effort into ensuring a safe environment for their employees? (Select all that apply.)

A)To avoid National Institute for Occupational Safety and Health (NIOSH)inspections
B)To be sure employees are "on the job"
C)To provide good public relations,which can be seen as being a good community citizen
D)Safety is an ethical and moral responsibility
E)To prevent expensive lawsuits when someone is hurt or injured
F)The Occupational Safety and Health Administration (OSHA)can give penalties,fines,and sentences for safety violations

Question 14

If not at a meeting or giving an educational program,which best describes why an occupational health nurse (OHN)would be absent from the health station during the nurse's employment hours?

A)The nurse is reviewing position descriptions in the main company office
B)The nurse is in the management office to use the company computer
C)The nurse planned a walk-through of the workplace
D)The nurse is taking a quick bathroom break.

Question 15

An occupational health nurse (OHN)reminds employees to put on their safety glasses and use other personal protective equipment.Which level of prevention is being implemented?

A)Primary
B)Secondary
C)Tertiary
D)Health promotion

Question 16

Which best describes when the nurse can share confidential information about an employee's health with others? (Select all that apply.)

A)If needed for workers' compensation documents
B)If a life-threatening emergency occurs
C)If authorized by the employee to specific recipients,such as insurance companies or health care providers
D)If requested by the employer for management purposes
E)In compliance with governmental laws and regulation
F)In educational programs so others can avoid similar injuries and risks

Question 17

An occupational health nurse (OHN)works in a state that requires continuing education units per year for renewing a nursing license.Which course would probably be most helpful in the role?

A)Diversity and Human Caring
B)Ergonomics and Toxicology
C)Evaluating Risks and Personnel Management
D)Health Assessment and Home Health Care