Deck 21: Health Planning for Occupational Health

Question 1

A nursing student is doing a project using the Occupational Safety and Health (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.

Answer 1

Evaluate the workplace, looking for hazards.

Question 2

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."

Answer 2

"That's incorrect. The OSHA 300 logs should be kept when a company has at least 10 employees."

Question 3

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 nursing standards of practice in this specialty area. What organization should the nurse check with to determine nursing standards?

A)ABOHN
B)AAOHN
C)NIOSH
D)OSHA

Answer 3

AAOHN

Question 4

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)Respirator use 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

Question 5

An OEHN at a large electronics factory wishes to implement new programs to improve employee health and well-being. The OEHN wishes to examine what environmental factors may place employees at risk for illness or injury?

A)Workplace assessment
B)Physical exam
C)HRA
D)Occupational and environmental history

Question 6

An OEHN is performing an employee health evaluation for a new female worker who will be working on a construction site. What information is particularly relevant to the assessment? Select all that apply.

A)Fit of personal protective equipment (PPE)
B)Hearing and vision assessment
C)Family situation
D)Previous medical records
E)Job description

Question 7

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

Question 8

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.

Question 9

A nurse is working in a large primary health-care clinic. 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 first step she should take prior to developing a health promotion program in the office?

A)Conduct a health risk appraisal (HRA).
B)Offer a smoking cessation program.
C)Mandate yearly screenings for hypertension and diabetes.
D)Develop a biggest loser competition.

Question 10

A nurse is describing the employee health prevention measures available to members 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.

Question 11

An OEHN is reviewing the disaster preparedness plan of the factory where she works. The OEHN doesn't see any mention of how to handle a catastrophic leak of a dangerous chemical, commonly used in the factory, that could potentially impact the surrounding community. After working with the managers, in what part of the preparedness plan should this information be included?

A)Preparedness
B)Evaluation
C)Mitigation
D)Recovery

Question 12

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

Question 13

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. What is the nurse's first step?

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.

Question 14

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

Question 15

A nurse is starting a position with a large agricultural farm in the Central California valley, where most of the migrant workers are recent immigrants to the area. This farm has never before employed an OEHN, and so the nurse wants to establish a training program especially for these newly immigrated workers. What information and assistance is particularly helpful for this population? Select all that apply.

A)Outreach training programs
B)Information on how to file work-related complaints
C)Financial assistance for education
D)Signage in the workplace in their native language
E)Immigration assistance

Question 16

A nurse is working on an oncology floor and explaining to the new nurses the safety measures required when handling chemotherapy. The nurse describes multiple levels of control, including which of the following? Select all that apply.

A)Elimination
B)Engineering controls
C)Warnings
D)Administrative controls
E)Personal protective equipment

Question 17

An occupational nurse is asked to perform a walk-through assessment of the factory where he or she works. What type of information should the nurse include in the assessment? Select all that apply.

A)Obvious dangers or hazards
B)The presence or absence of safe walkways
C)Observations of noise levels
D)The use of personal protective equipment
E)The physical activity of the workers
F)None of above

Question 18

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 results
D)Vaccination records

Question 19

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 work-related potential health issue would be important for the nurse to include as part of her routine screening?

A)Hearing loss
B)Skin cancer
C)Diabetes
D)Heart failure

Question 20

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.