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Chapter 43_ The Nurse in Occupational Health.docx

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Chapter 43_ The Nurse in Occupational H

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Chapter 43: The Nurse in Occupational Health
Who is considered to be the first industrial nurse?

a. Betty Moulder
b. Ada Mayo Stewart
c. Lillian Wald
d. Florence Nightingale -
ANS: B

Ada Mayo Stewart was hired in 1885 by the Vermont Marble Company; she is often considered the
first industrial nurse. Betty Moulder provided care of ailing coal miners and their families. Lillian Wald
is known as the founder of public health nursing. Florence Nightingale is one of the pioneers of the
nursing profession.

Which population would have been the focus of care for an occupational health nurse in the early
1900s?
a. Injured workers
b. All workers
c. Families
d. The community -
ANS: C

In the early days of occupational health nursing, the nurse's work was holistic and centered on the
family. The care provided by Betty Moulder and Ada Mayo Stewart focused on both ill workers and
their families.

A nurse is working in an occupational health setting. Which of the following roles will the nurse most
likely have?

a. Administrator
b. Clinicians/practitioners
c. Consultant
d. Educator -
ANS: B

An occupational health nurse could be employed in any of these roles. However, most occupational
health nurses work as nurse clinicians/practitioners.

A nurse is pursuing certification as an occupational health nurse. Which organization will provide this
certification?

a. American Board for Occupational Health Nurses (ABOHN)
b. Occupational Safety and Health Education and Research Center
c. National Institute for Occupational Safety and Health (NIOSH)
d. Occupational Safety and Health Administration (OSHA) -

, ANS: A

Certification in occupational health nursing is provided by the American Board for Occupational
Health Nurses. The Occupational Safety and Health Education and Research Center supports master's
and doctoral education with emphases in occupational health nursing, industrial hygiene, occupational
medicine, and safety. NIOSH examines potential hazards of new work technologies and practices.
OSHA educates employers about occupational health and safety.

A nurse in the occupational health arena is implementing a secondary prevention strategy. Which of the
following best describes the action that will be taken by the nurse?

a. Providing education on safety in the workplace to prevent injury
b. Working with workers who have diabetes to ensure they have appropriate medications
c. Screening for hearing loss resulting from noise levels in the plants
d. Ensuring that a person with cardiovascular disease attends a rehab program -
ANS: C

Secondary prevention occurs after a disease process has already begun—screening for hearing loss.
Tertiary prevention includes those interventions aimed at disability limitation and rehabilitation from
disease, injury, or disability—working with workers who have diabetes and ensuring that a person with
cardiovascular disease attends rehab. Primary prevention is aimed at prevention of a disease before it
occurs—providing education on safety in the workplace to prevent injury.

The nurse is doing a walk through to identify workplace hazards. Which of the following levels of
prevention is being implemented?

a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Assessment -
ANS: A

Primary prevention refers to those interventions aimed at preventing the occurrence of disease, injury,
or disability. A walk through is part of an assessment, which is part of primary prevention. Tertiary
prevention includes those interventions aimed at disability limitation and rehabilitation from disease,
injury, or disability. Secondary prevention occurs after a disease process has already begun.

An employer offers a limited duty program after an employee has experienced a cumulative trauma
injury. Which of the following levels of prevention is being implemented?

a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. Assessment -
ANS: C

Tertiary prevention includes those interventions aimed at disability limitation and rehabilitation from
disease, injury, or disability—limited duty program after injury. Primary prevention refers to those

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