Deck 25: Occupational Health Nursing

Question 1

The occupational and environmental health nurse faces many different practice issues every day and can function comfortably in roles as a clinician, coordinator, and case manager following company procedures, using assessment checklists and clinical protocols to provide treatment. At which American Association of Occupational Health Nurses (AAOHN) competency level in occupational and environmental health nursing is this nurse functioning?

A) Advanced beginner
B) Competent
C) Proficient
D) Expert

Answer 1

Competent

Question 2

The occupational and environmental health nurse provides leadership in developing occupational safety and health policy within the organization and function in an upper management role. The nurse has served as a consultant to both business and government and has designed and conducted significant research. At which American Association of Occupational Health Nurses (AAOHN) competency level in occupational and environmental health nursing is this nurse functioning?

A) Advanced beginner
B) Competent
C) Proficient
D) Expert

Answer 2

Expert

Question 3

The occupational and environmental health nurse quickly obtains the information needed for accurate assessment and zoom in on the critical aspects of a problem in response to a client situation. The nurse uses highly developed clinical and managerial skills in the work environment. At which American Association of Occupational Health Nurses (AAOHN) competency level in occupational and environmental health nursing is this nurse functioning?

A) Advanced beginner
B) Competent
C) Proficient
D) Expert

Answer 3

Proficient

Question 4

The occupational nurse is evaluating a work site. Which finding exemplifies a physical hazard at this location?

A) Infectious agents
B) Hazardous drug and toxin exposures
C) Electric and magnetic fields
D) Sexual harassment

Question 5

The occupational nurse is concerned some hazards may be present at a local playground. Which best exemplifies biologic hazards? (Select all that apply.)

A) Contaminated body fluids
B) Poisonous plants
C) Diesel exhaust
D) Venomous snakes
E) Aerosols

Question 6

The nurse is preparing for a presentation at a local health fair comparing the local statistics of injuries among workers versus the national statistics. Using the reported national incidents from 2015, how many workers in all industries, including state and local governments, had a reportable injury or illness?

A) 3.3 of 100
B) 4.2 of 100
C) 5.8 of 100
D) 6.2 of 100

Question 7

A line operator in a manufacturing facility comes in to the on-site clinic reporting numbness in his hands after excessive exposure to the toxin benzene. Applying the epidemiologic triad to this scenario, which factor is most likely the host?

A) Line operator
B) Manufacturing facility
C) Benzene
D) Hands

Question 8

The occupational nurse is interested in assisting with lowering the incidents of injury among the local industries. Which injury has the highest incidence rate among occupational injuries and illnesses that result in days away from work?

A) Sprains
B) Broken bones
C) Cuts
D) Carpal tunnel syndrome

Question 9

The nursing instructor has completed a class which explores the dangers of the various industries. The instructor would determine the session is successful when the students correctly chose which industry with the highest number of fatal injuries?

A) Agriculture
B) Construction
C) Mining
D) Transportation

Question 10

A newly hired health and safety officer works for a large manufacturing facility. One of the officer's first jobs is to conduct a complete survey of the workplace to determine what hazards are present, the location of entries and exits, the availability of emergency equipment, and potential trouble spots. Which interventions should the officer implement to accomplish this goal?

A) Ergonomics
B) Occupational health history
C) Root cause analysis
D) Workplace walk-through

Question 11

The occupational health nurse for an electronics factory compiles an occupational health history for each worker. Which factors should the nurse investigate? (Select all that apply.)

A) Location of facility exits and entries
B) Chronologic record of all past work and potential exposures
C) An occupational exposure inventory
D) List of exposures in the home or community
E) Availability of emergency equipment

Question 12

The occupational health nurse for a hydroelectric plant uses root cause analysis to investigate a recent accidental electrocution of a plant worker. Which step of the root cause analysis is the nurse determining by defining the characteristics of the case?

A) Define the problem
B) Collect data
C) Identify possible causal factors
D) Identify the root cause

Question 13

A newly hired health promotion specialist works at a meat processing facility. The specialist is in charge of developing a program that encourages a balance among work, family, personal, health, and psychosocial concerns. Which components are appropriate to include in this program? (Select all that apply.)

A) Signage that demonstrates safe lifting techniques
B) Free screening for HIV
C) Diagnosis of potentially malignant skin lesions
D) Clinic on proper use of safety goggles and other equipment
E) Monitoring of noise levels within the facility

Question 14

The occupational health nurse for a computer manufacturer is required to conduct a physical examination of each new hire. Which is the primary rationale for this action?

A) Screen for cardiac defects the worker may be unaware of
B) Ensure the worker's fitness for the job
C) Determine possible causes of the worker's chief complaint
D) Provide a baseline for future comparison
E) Determine the worker's eligibility for the company health insurance plan

Question 15

The occupational health nurse with a construction company is responsible for filling out a record of accidents and illnesses that occur on the company's work sites. Which source should the nurse consult to acquire the proper record-keeping form and guidelines?

A) FMLA
B) OSHA
C) HIPAA
D) NORA

Question 16

The occupational nurse is evaluating the various data which is collected at the company. Which data should the nurse prioritize for the epidemiologic workplace surveillance? (Select all that apply.)

A) Injuries
B) Illness
C) Hazards
D) Exposures
E) Productivity

Question 17

The occupational health nurse at a company has seen three different employees in 1 week who have all reported similar upper respiratory symptoms. Which rate should the nurse prioritize calculating to understand the severity of this problem and to determine whether a cluster or cohort is forming?

A) Productivity rate
B) Incidence rate
C) Prevalence rate
D) Ratio of affected to unaffected

Question 18

The occupational health nurse for a multinational corporation compares aggregate data on the occurrence of lung cancer in workers in a factory in Brazil with workers in a factory in Hong Kong. Which type of epidemiologic study is this nurse most likely conducting?

A) Prospective, cohort
B) Case-control
C) Ecologic
D) Cohort case-control

Question 19

The occupational health nurse is a member of the emergency planning committee in the workplace. The nurse is helping to formulate an emergency plan for the facility. Which goals should the nurse ensure are met while developing the plan? (Select all that apply.)

A) Establish clear reporting instructions for employees
B) Provide instructions on safe lifting techniques
C) Identify hazardous substances that workers are exposed to in their daily work
D) Name key personnel who will assume necessary tasks
E) Establish emergency escape routes

Question 20

The occupational health nurse is a member of the emergency planning committee in the workplace. The nurse is helping to formulate an emergency plan for the facility. Which key components should the nurse include in the emergency plan? (Select all that apply.)

A) Alarms
B) Phones
C) Reporting
D) Communication
E) Evacuation

Question 21

The occupational health nurse works in facility located in a region that is highly prone to tornadoes. Which intervention should the nurse make sure is included in the facility's emergency plan to address this potential threat?

A) A shelter-in-place policy and procedure
B) Personal protective equipment
C) Evacuation drills
D) Decontamination procedures