Ch.30
An occupational health nurse (OHN) realizes that an injured employee is going to be temporarily disabled. Which of the following actions can the nurse take to avoid the employee having disability syndrome? (Select all that apply.) a.Analyze the physical requirements necessary for doing specific jobs within the workplace b.Collaborate with the legal consultant to ensure that the employer cannot be held responsible for the employee's injury c.Facilitate appropriate equipment or process changes necessary for the employee to be able to engage in temporary work functions d.Implement and monitor the employee's health to prevent adverse health effects from the injury e.Negotiate with workers' compensation to gradually decrease benefits to encourage the employee to return to employment as soon as possible f.Collaborate with the primary care provider to identify potential barriers in the employee's return-to-work process
a.Analyze the physical requirements necessary for doing specific jobs within the workplace c.Facilitate appropriate equipment or process changes necessary for the employee to be able to engage in temporary work functions d.Implement and monitor the employee's health to prevent adverse health effects from the injury f.Collaborate with the primary care provider to identify potential barriers in the employee's return-to-work process
Which of the following 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
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 e.In compliance with governmental laws and regulation
Which of the following best explains how occupational health nursing differs from other nursing specialties? (Select all that apply.) a.Occupational health nursing has a major focus on the environment. b.Occupational health nurses are required to have a master's degree in occupational health. c.Occupational health nurses are more autonomous and work independently. d.Occupational health nurses have a primary emphasis on health promotion and disease prevention. e.Occupational health nurses may work with unions, as well as management groups. f.Occupational health nurses work in the community.
a.Occupational health nursing has a major focus on the environment c.Occupational health nurses are more autonomous and work independently. e.Occupational health nurses may work with unions, as well as management groups.
In which of the following ways are occupational health nurses (OHNs) role models of good community health nursing? (Select all that apply.) a.The majority of OHNs are prepared at the baccalaureate level or higher. b.OHNs actively influence policy in health and safety within a particular area. c.OHNs are skilled at assessing both people and their home environment. d.OHNs focus on health promotion and avoidance of injury or disease. e.OHNs plan and implement health programs for populations of employees. f.OHNs work closely with physicians in planning and implementing care for individuals and families.
a.The majority of OHNs are prepared at the baccalaureate level or higher. b.OHNs actively influence policy in health and safety within a particular area. d.OHNs focus on health promotion and avoidance of injury or disease. e.OHNs plan and implement health programs for populations of employees.
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 of the following best describe 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
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
An occupational health nurse (OHN) is walking through a hospital. Which of the following observations would be concerning to the nurse? (Select all that apply.) a.A nurse shares that the floor census is at capacity. b.A wet floor without a warning sign or a dry walk area on one side c.A nurse starts an IV without using gloves. d.An electric bed gives a shock when touched. e.Some biological substance on the floor and wall has not been cleaned. f.Volume has been turned very high on several TV sets, necessitating very loud verbal interactions.
b.A wet floor without a warning sign or a dry walk area on one side c.A nurse starts an IV without using gloves. d.An electric bed gives a shock when touched. e.Some biological substance on the floor and wall has not been cleaned. f.Volume has been turned very high on several TV sets, necessitating very loud verbal interactions.
Which of the following responsibilities do occupational health nurses (OHNs) have that are different from the responsibilities of most clinical nurses? (Select all that apply.) a.Completing expert physical assessments and health histories b.Coordinating site disaster planning c.Evaluating resources and vendors for case management d.Knowing relevant federal, state, and local regulations e.Managing budgets f.Performing cost-benefit analysis and outcomes monitoring
b.Coordinating site disaster planning c.Evaluating resources and vendors for case management e.Managing budgets f.Performing cost-benefit analysis and outcomes monitoring
An occupational health nurse (OHN) works in a state that requires continuing education units per year for renewing a nursing license. Which of the following courses 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
b.Ergonomics and Toxicology
Which of the following best describes what the Code of Federal Regulations, especially Title 29, requires of the occupational health nurse (OHN)? a.All employees must be trained in first aid. b.Postwork-related injuries, illnesses, and death records must be recorded yearly. c.The OHN must serve as an emergency warden, helping employees to the emergency exit in a safe manner. d.The Occupational Safety and Health Administration (OSHA) inspector must make a worksite inspection on an annual basis.
b.Postwork-related injuries, illnesses, and death records must be recorded yearly.
A nurse had 5 years of experience in a community health clinic when she accepted a position in occupational health. Which of the following 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)
c.By following company procedures and relying on assessment checklists and clinical protocols
An employee had recently had a heart attack and was just discharged from the hospital. Which of the following 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
c.Determine appropriate temporary, perhaps part-time, responsibilities to ease the employee's reentry to the workplace
A candidate's resume demonstrates a perfect fit for a position, but one glance showed the candidate was wheelchair bound. Which of the following suggestions 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
c.Employ the candidate and rearrange the work area for easy access and exit for someone in a wheelchair
Which of the following 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
c.Managing ethical conflicts between responsibilities to management and responsibilities to employees
If not at a meeting or giving an educational program, which of the following 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.
c.The nurse planned a walk-through of the workplace.
Which of the following best describes what the Occupational Safety and Health Act of 1970 requires? a.All employees are eligible for a free health examination before beginning employment. b.Employers are required to make suggestions on standards for improving worker safety. c.Employers have the right to request an Occupational Safety and Health Administration (OSHA) inspection for ways to improve worksite safety. d.Employers must keep the worksite free from recognized hazards.
d.Employers must keep the worksite free from recognized hazards.
Which of the following 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
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
Which of the following 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
d.The health of workers involved in manufacturing during World War II was crucial
Which of the following best explains why occupational health nurses (OHNs) felt a need to create the Factory Nurses Conference? a.All the other specialties in nursing had created their own conferences and groups. b.Creating their own group would be less expensive to maintain membership than joining the American Nurses Association (ANA). c.Funding was made available by large employers for the nurses to meet. d.Most OHNs practiced alone and wanted to be able to interact with peers.
d.Most OHNs practiced alone and wanted to be able to interact with peers.
Which of the following best explains why job opportunities for occupational health nurses (OHNs) have continued to expand? a.Federal legislation has required an OHN at any site with more than 50 employees. b.Legislation has required employers to engage in certain tasks, and nurses were the most expert at those tasks. c.Nurses have done an excellent job of describing the role and its benefits to the media. d.Nurses are able to document cost savings to employers.
d.Nurses are able to document cost savings to employers.
Which of the following is a current challenge 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
a.Changes in employee demographics including gender, ethnicity, and age 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
An occupational health nurse (OHN) reminds employees to put on their safety glasses and use other personal protective equipment. Which of the following levels of prevention is being implemented? a.Primary b.Secondary c.Tertiary d.Health promotion
a.Primary
Which of the following entities 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
b.Corporations
Which of the following responsibilities 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
d.To work with the employee to keep the employee informed, limit disability, and provide opportunity for rapid return to employment
Which of the following arguments 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.
d.Women employees who believe their employers are interested in their well-being are more productive and satisfied.
