Chapter 21: Health Planning for Occupational Health

Chapter 21: Health Planning for Occupational Health

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. 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

 

 

ANS:  B

Objective: 1. Define occupational health and occupational and environmental nursing.

1. 509-510

Heading: Occupational and Environmental Health Nursing

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive Level: Application [Applying]

Concept: Evidence-Based Practice; Nursing; Regulations; Safety

Difficulty: Easy

	Feedback
A	The ABOHN, or Accreditation Board for Occupational Health Nursing, is responsible for certifying nurses in the specialty of occupational health nursing.
B	The AAOHN, or American Association of Occupational Health Nursing, is the professional nursing organization for occupational health nurses. It develops and sets standards of practice for OEHNs.
C	NIOSH is the National Institute for Occupational Safety and Health, and is also a federal agency. Its purpose is to engage in research, educational programs and training in workplace safety. It is not involved in setting nursing practice standards.
D	OSHA is the Occupational Safety and Health Association. It is a federal organization that oversees workplaces and makes sure that employees are protected and working in a safe environment. It is not involved in setting nursing practice standards.

 

 

PTS:   1                    CON:  Evidence-Based Practice | Nursing | Regulations | Safety

 

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.

 

 

ANS:  C

Objective: 7. State methods of worker protection and safety as well as health promotion strategies in the occupational health setting.

1. 510-511

Heading: Key Agencies in Occupational Health > Occupational Safety and Health Administration

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive Level: Application [Applying]

Concept: Safety; Nursing; Regulations; Safety

Difficulty: Moderate

	Feedback
A	That’s incorrect. The OSH Act requires that OSHA 300 logs be kept by any company that employs more than 10 people. The logs keep track of fatalities, incidence rates for workplaces injuries and illnesses.
B	That’s incorrect. The OSH Act requires that OSHA 300 logs be kept by any company that employs more than 10 people. The logs keep track of fatalities, incidence rates for workplaces injuries and illnesses.
C	That’s correct. The OSH Act requires that OSHA 300 logs be kept by any company that employs more than 10 people. The logs keep track of fatalities, incidence rates for workplaces injuries and illnesses.
D	That’s incorrect. The OSH Act requires that OSHA 300 logs be kept by any company that employs more than 10 people. The logs keep track of fatalities, incidence rates for workplaces injuries and illnesses. These logs are kept by the administration and are not self-reported.

 

 

PTS:   1                    CON:  Safety | Nursing | Regulations | Safety

 

3. 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

 

 

ANS:  A

Objective: 4. Discuss controlling hazards and reducing injuries in the workplace.

1. 511

Heading: Occupational Safety and Health (OSH) Program

Integrated Processes: Nursing Process

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive Level: Application [Applying]

Concept: Safety; Nursing; Nursing Roles; Critical Thinking

Difficulty: Moderate

	Feedback
A	The first step of the OSH process is to evaluate the workplace, looking for all hazards and risks. Next, the OEHN nurse provides a plan to manage those risks and evaluates its effectiveness through environmental monitoring and medical screening of employees. Health data is collected as needed.
B	The first step of the OSH process is to evaluate the workplace, looking for all hazards and risks. Next, the OEHN nurse provides a plan to manage those risks and evaluates its effectiveness through environmental monitoring and medical screening of employees. Health data is collected as needed.
C	The first step of the OSH process is to evaluate the workplace, looking for all hazards and risks. Next, the OEHN nurse provides a plan to manage those risks and evaluates its effectiveness through environmental monitoring and medical screening of employees. Health data is collected as needed.
D	The first step of the OSH process is to evaluate the workplace, looking for all hazards and risks. Next, the OEHN nurse provides a plan to manage those risks and evaluates its effectiveness through environmental monitoring and medical screening of employees. Health data is collected as needed.

 

 

PTS:   1                    CON:  Safety | Nursing | Nursing Roles | Critical Thinking

 

4. 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

 

 

ANS:  A

Objective: 7. State methods of worker protection and safety as well as health promotion strategies in the occupational health setting.

1. 511-512

Heading: Occupational Safety and Health (OSH) Program > Primary, Secondary, and Tertiary Prevention

Integrated Processes: Teaching/Learning

Client Need: Safe and Effective Care Environment: Safety and Infection Control

Cognitive Level: Application [Applying]

Concept: Safety; Nursing Roles

Difficulty: Moderate

	Feedback
A	This is correct. Primary prevention includes measures taken to prevent injury or illness. Use of personal protective equipment is an example of primary prevention.
B	This is not correct. Secondary prevention involves screening and monitoring for injury or illness for early recognition.
C	This is not correct. Tertiary prevention includes treating the illness or injury.
D	This is not correct. Quaternary prevention includes measures that look to identify patients who are at risk for being medically over treated.

 

 

PTS:   1                    CON:  Safety | Nursing Roles