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Chapter 31 Occupational Health
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Chapter 31 Occupational Health
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Chapter 31 Occupational HealthChapter 31: Occupational Health
Nies: Community/Public Health Nursing, 7th Edition
MULTIPLE CHOICE
1. An occupational health nurse (OHN) works in a state that requires continuing education
units per year for renewing a nursing license. Which course 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
ANS: B
Any of the programs might be helpful, but only Ergonomics and Toxicology are inherent in
the science needed to function in occupational health. Evaluating Risks is relevant to the job
description, but many OHNs are the only professionals in the area, so there are no personnel
to manage. Health Assessment is relevant, but rarely would a home visit be made for health
care; rather a referral would be done.
DIF: Cognitive Level: Apply (Application)
2. Which 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 e mp loye rs t o en g ag e in certain tasks, and nurses
were the N R I G B. C M
most expert at those tasks. S N T O
U
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.
ANS: D
The cost-effectiveness of providing health care to employees achieved recognition, and by
1912, following implementation workers' compensation legislation, 38 nurses were employed
by business firms. As businesses seek ways to maximize the value of their dollars spent on
health care services, OHNs and other health professionals face an opportunity from being able
to demonstrate that cost-effective, quality health programs do improve the health of
employees and their dependents, positively influencing their company’s attempts to control
rising health care costs.
DIF: Cognitive Level: Understand (Comprehension)
3. Which 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.
NURSINGTB.COM
, Community Public Health Nursing 7th Edition Nies Test Bank
ANS: D
Few specialties existed at the time the Factory Nurses Conference was created. Industrial
nurses were practicing in single-nurse settings and recognized the benefit of uniting as a group
for the purpose of sharing ideas with peers practicing in the same nursing arena. External
funding was not available. This group was open only to graduate, state-registered nurses
affiliated with the ANA.
DIF: Cognitive Level: Understand (Comprehension)
4. Which 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
ANS: D
Industrial nurses provide health care and make nursing decisions within the scope of practice
determined by state law. The focus of health care for employees changed as a result of many
factors, including the impact of the two world wars. During World War I, the government
demanded health services for workers at factories and shipyards holding defense contracts. In
1942, during WWII, the U.S. Surgeon General told an audience of nurses that the health
conservation of the “industrial army” was the most urgent civilian need during the war. Not
all societies have industrialized.
DIF: Cognitive Level: Understand (Comprehension)
5. Which entity has been most active in creating change and alternative approaches in health care
delivery? NURSINGTB.COM
a.
Consumers
b.
Corporations
c.
Health care professionals
d.
State legislators
ANS: B
Corporations have become driving forces in shaping the development of alternative
approaches to health care. Businesses, that is, employers, have consistently fought to keep
health care costs down and to maximize the value of their dollars spent on health care
services. Corporations have taken the most active force in health care delivery in comparison
to consumers, health care professionals, and state legislators.
DIF: Cognitive Level: Remember (Knowledge)
6. Which 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
NURSINGTB.COM
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