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Exam (elaborations)

Chapter 32 The Nurse in Occupational Health

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lOMoAR cP SD |12827 373




Chapter 32: The Nurse in Occupational Health
Stanhope: Foundations for Population Health in Community/Public Health Nursing,


MULTIPLE CHOICE

1. An occupational health nurse sees the various injuries and diseases that persons can acquire from empl
following recommendations would the nurse most likely provide about safety in the workplace?
a. Find employment in physical labor; at least your body will be in good condition.
b. Professional positions are the safest choice for employment.
c. White collar positions provide the least risk for injury.
d. There is no “safe” occupation or profession.
ANS: D
Most adults spend about one-third of their time at work. No work is completely risk free. Every single
serious hazards related to work.

2. A nurse who works for a hospital in employee health notes that several nurses from one unit have miss
communicable disease from a patient. Which of the following best describes the host factor?
a. Each sick nurse
b. The communicable disease
c. The hospital
d. The patient
ANS: A
Each worker represents a host within the worker population group. The communicable disease and the
agent, the factor associated with the illness or injury. The hospital is part of the physical environment.

3. Which of the following groups should the occupational health nurse devote the most time to regarding
evaluation?
a. New workers employed less than 1 year
b. Older workers with chronic illnesses
c. Older workers with diminished hearing
d. Women in their childbearing years
ANS: A
The population group at greatest risk for experiencing work-related accidents with subsequent injuries
less than 1 year of experience on the current job. Because of the inherent risks, the nurse should spend
group to decrease risk. Older workers with more experience are less likely to experience injury even if
issues of chronic disease. Women of childbearing age are not at any greater risk than the general popul

4. An employee in a laboratory drops a flask, resulting in a chemical splash into the employee’s eyes, wh
to the eyes. Which of the following would be considered the agent?
a. The chemical
b. The employee
c. The flask
d. The laboratory
ANS: A
Agents represent potential dangers or risks to the health and safety of workers. However, in the case gi
caused the damage. If the flask had broken and glass got into the employee’s eye, then the flask would
the case given, the chemical itself caused the damage. The employee is considered the host and the lab
the environment.

5. Which of the following hospital employees are most at risk for being exposed to and possibly developi
a. Housekeeping staff
b. Medical staff
c. Nursing staff
d. Ward clerks
ANS: A

, lOMoAR cP SD |12827 373




7. A nurse makes the suggestion that the 2-week shift rotations should be set up so that the next rotation i
earlier. Which of the following is the nurse attempting to prevent through this suggestion?
a. Anxiety, depression, and exhaustion
b. Family turmoil
c. Physical illnesses
d. Sleeping disorders
ANS: A
An estimated 10% of Americans do some form of shift work that has the potential to lead to a variety o
problems, including exhaustion, depression, anxiety, and gastrointestinal disturbance. Strategies to min
shift work, such as rotating shifts clockwise, are beneficial. Family turmoil, physical illnesses, and slee
potential to occur. However, there is evidence that anxiety, depression, and exhaustion are the more pr
psychological problems that are reported.

8. In which of the following settings have nurses most often reported being the victims of violence, espec
families?
a. Acute care inpatient settings
b. Community clinics and physicians’ offices
c. Emergency departments and psychiatric units
d. In homes during home health visits
ANS: C
Nonfatal violence in the health care worker’s workplace is a serious problem that seems to be underrep
health care worker violence has been in psychiatric settings and emergency departments. Violence is n
incidence in acute care settings, community clinics, or in client homes in comparison to emergency de
units.

9. The occupational health nurse makes certain all employees have and know how to use personal protect
of the following factors will most likely determine how effective the PPE is in keeping employees safe
a. Comfort level of the PPE
b. Effectiveness of the nurse’s teaching
c. Knowledge level of the employee
d. Psychosocial norms of the setting
ANS: D
The employee will only be safe if the employee uses the PPE. If the employee doesn’t use the PPE or u
equipment, then the employee will be at risk. The primary determination of whether the PPE is used co
is the psychosocial norms of the setting. If others are careless in PPE use, then such carelessness is the
extremely careful to use their PPE, then that is the norm in that setting. Through education, employees
skills available to correctly use PPE. The educational session should also make the employees comfort
PPE does not depend on the effectiveness of the teaching, rather the employees’ choice to correctly pu
knowledge and skills that they have received.

10. Which of the following is the primary reason that large companies are becoming more involved in thei
health and well-being?
a. It is an ethical and moral responsibility.
b. It improves public relations within the community.
c. It allows managers to better understand their employees.
d. It provides a cost savings to the company.
ANS: D
A significant increase in the number of health promotion and employee assistance programs offered ha
promotion programs focus on lifestyle choices that cause risks to health such as obesity or smoking. Em
programs are designed to address personal problems (e.g., marital/family issues, substance abuse, finan
the employee’s productivity. Such efforts are cost effective for businesses. Becoming more involved in
well-being would most likely not change the relationship between the manager and the employee. This
public relations in the community. Becoming more involved is the right thing for companies to do; how
behind this shift is to save the company money.

11. The occupational health nurse continually reminds employees to wear their safety goggles and ear plug

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