1. Which biological practices are federally regulated for healthcare workers?(Select all that
apply.)
A. Standard precautions.
B. N-95 tuberculosis standard.
C. Blood-borne pathogen standard.
D. Biological product exposure limit (BPEL).
E. Resource Conservation and Recovery Act (RCRA).
F. As Low as Reasonably Allowable standard (ALARA)
Answer: A, B, C, and E.
Basic standards for healthcare workers, as delineated by Occupational Safety andHealth
Administration (OSHA), include standard precautions (A), droplet precau- tions using N-95
respiratory particulate masks (B) when caring for a client who
is positive for tuberculosis, and required annual updates for healthcare workers about blood-borne
pathogen transmission (C), methods of minimizing exposure,and employee rights. (E) requires
labeling, storage, transportation, and disposalof biological waste according to federal standards. (F)
is an occupational health
concept implemented to minimize employee and environmental exposures and maynot be consistent with
an OSHA recommendation. (D) is not an applicable mandate.Category: Community Health
2. Which contextual factors are considered external environmental influencesin the framework
,for occupational health programs and services? (Select all that apply.)
A. Economics.
B. Workforce.
C. Technology.
D. Interventions.
E. Socio-economic status.
F. Legislation/regulation
Answer: A, C, and F.
(A) affects the health of the company and its workforce productivity, in terms of profitability, growth,
and expansion. (C) adds to an industry's capacity to developand implement new or improved work
processes. (F) in the workplace, such as the blood-borne pathogen standard, affects the workforce in
terms of require- ments, administration, and control strategies. Occupational safety programs arebuilt
around the workforce (B) to strive for maximum internal productivity. (D) are
internal environmental influences of an occupational health and safety program. (E)
,is a demographic variable commonly used in epidemiology. Category: CommunityHealth
3. A client with terminal pancreatic cancer is receiving hospice care at homeand reports
increasing shortness of breath and associated anxiety. Which prescription should the nurse
implement first?
A. Prednisone (Deltasone) 10 mg PO.
B. Albuterol (Proventil) 0.5% solution per nebulizer.
C. Morphine sulfate (Roxanol) 5 to 10 mg SL as needed.
D. Oxygen 2 to 6 liters per minute using a nasal cannula
Answer: C.
Comfort and pain management using an effective analgesic-sedative such as mor-phine (C), is the most
important standard of care therapy in hospice home care to ensure comfort and enhance the quality of
life for a client with a life expectancy
of less than six months, as in this case. Adjunct therapy that promotes a sense of well-being, including
prednisone (A), and provides adequate oxygenation (B and D)work to supplement morphine in easing a
client's discomfort, associated shortnessof breath, and anxiety during a terminal illness. Category:
Community Health
4. During the initial home visit, the nurse performs a family assessment.Whichcomponent is most
important for the nurse to consider?
A. The legal definition of family in the United States.
B. Members of the group that are direct descendents or bonded by marriage.
, C. An exploration of the group relationships, structure, functions, and roles.Correct
D. Cultural differences among members of the extended family
Answer: C.
Part of understanding an individual is determining the family members' relationships,functions, and roles
(C) with one another in the group structure. Although (A, B, andD) provide additional data about the
family members' relationships, the functions of the members in the group provides clarification about
decision making and responsibilities. Category: Community Health
5. Designated funds are received to address the healthcare needs of a com-munity's vulnerable
populations. Which group qualifies for this funding?
A. African-American women who are 30 to 35 years of age.
B. Survivors of violence that occurred at least 5 years ago. Correct
C. Active armed forces reserve unit returning from Europe.
D. Full-time students who are attending public colleges
Answer: B.