Maintaining A Safe Work Environment Chapter 12 7e Exam Prep

Chapter 12: Maintaining a Safe Work Environment

1. Which of the following organizations is primarily responsible for developing and enforcing workplace safety policies?
   1. National Safety Council (NSC)
   2. Occupational Safety and Health Administration (OSHA)
   3. National Institute of Occupational Safety and Health (NIOSH)
   4. U.S. Department of Health and Human Services
2. Nurses face threats to safety in their daily work experiences. According to an American Nurses Association (ANA) study in 2011, which of the following is currently the greatest threat to safety of nurses in the workplace?
   1. Sharps injuries
   2. Patient assaults
   3. Stress
   4. Lifting injuries
3. Which of the following organizations partners with other agencies in an effort to conduct research and implement prevention strategies to promote safe and healthy work environments?
   1. The Joint Commission
   2. American Nurses Association
   3. Institute of Medicine
   4. Centers for Disease Control and Prevention
4. The Occupational Safety and Health Administration requires employers to inform workers of potential risks and health hazards. Which of the following organizations should a nurse leader monitor to best learn of new and emerging health hazards?
   1. National Institute of Occupational Safety and Health
   2. Institute of Medicine
   3. American Nurses Association
   4. Occupational Safety and Health Administration
5. A nurse manager is developing a safety program for the unit. Which of the following steps should be included during the third step of creating the plan?
   1. Recognize potential safety hazards.
   2. Calculate the costs of the plan.
   3. Assess the amount of risk involved.
   4. Provide the necessary safety supplies and equipment.
6. A nurse manager of a busy emergency department is working to reduce the potential for violence on the unit. Which of the following will most likely reduce the potential for violence?
   1. Decrease the number of visible security guards to avoid antagonizing patients.
   2. Implement procedures to speed up the discharge process for mentally ill patients.
   3. Propose a plan to expand and update the waiting room.
   4. Ensure post-assaultive treatment and support is available to all staff.
7. A nurse recently started working in a busy hospital in a high-crime neighborhood. Which of the following recommendations will best help the nurse to prevent violent behavior?
   1. Acknowledge the feelings of others.
   2. Monitor patients for increased alcohol consumption.
   3. Ensure all individuals enter the building through a metal detector.
   4. Report outages in the parking lot lights.
8. Nurses in one hospital noticed a sharp increase in violent behaviors during an economic downturn that dramatically impacted the community. There have been multiple incidences of violence during the last 3 months, including several cases involving weapons. The staff has suggested metal detectors be installed; however, the organization-stated funding was not available. Last week a health-care worker was seriously injured when a patient fired a gun, and since that time there has been a sharp increase of staff calling in sick. Which of the following is the best step to take next?
   1. Report the violence to the supervisor.
   2. Call security.
   3. Get involved in policy making at the state level.
   4. Contact the local collective bargaining unit.
9. Which of the following is true regarding needlestick injuries?
   1. The Needlestick Safety and Prevention Act has been so effective that needlestick injuries are no longer a concern.
   2. The ANA has recently promoted the inclusion of nurses in the selection of safety devices.
   3. OSHA standards require the use of longer needles with caps to prevent needlesticks.
   4. The Joint Commission surveyors routinely ask about treatment of nurses who have suffered needlestick injuries.
10. Which of the following should be included in training for the prevention of needlestick injuries and other exposures to health risks?
    1. Clean all contaminated work surfaces according to established guidelines.
    2. Recap needles before disposal to avoid accidental pricks when emptying containers.
    3. Staff should be treated within 3 hours of a needlestick injury.
    4. Although sharps injuries have significantly declined in most areas, emergency departments are still the most at risk when it comes to needlestick injuries.
11. Which of the following is true regarding ergonomic injuries?
    1. Ergonomic injuries do not occur when safe patient handling technology is used.
    2. Unexpected patient movements during transfers can cause back injuries to nurses.
    3. Health-care facilities are required to attempt to keep workplaces free from ergonomic hazards.
    4. Nurses are not at risk for repetitive stress injuries.
12. Shift work disorder results in a greater risk for accidents, ulcers, heart disease, and chronic fatigue. Which of the following recommendations can prevent or lessen the risk of shift work disorder for those on night shift?
    1. If driving home during the morning sunlight, wear sunglasses.
    2. Schedule some day shifts and some night shifts during the scheduling period to allow for more nighttime sleep periods.
    3. Change days scheduled off to allow for more days off at one time.
    4. Take naps whenever possible during time off.
13. Nurses are advocates for their patients and have a duty to report any behaviors that may negatively impact patient outcomes. Which of the following is true regarding reporting quality and safety issues?
    1. Whistleblower laws protect nurses from reprisals by employers.
    2. An organization may terminate employment of a nurse who reports quality and safety issues.
    3. The state nurses practice act will have information if there are whistleblower laws in the state to protect nurses.
    4. As long as nurses do the right thing for their patients, they will be protected.
14. Which of the following federal laws requires employers to create affirmative action plans to hire and promote individuals with disabilities?
    1. Title VII
    2. Equal Pay Act of 1963
    3. Vocation Rehabilitation Act of 1973
    4. Americans with Disabilities Act of 1990
15. Which of the following is an OSHA requirement regarding handling of hazardous chemicals?
    1. Use air filtration systems to keep the air cleaner.
    2. Minimize the use of toxic disinfectants.
    3. Avoid the use of mercury-containing products.
    4. Provide Material Data Safety Sheets.

Chapter 12: Maintaining a Safe Work Environment—Answers and Rationales

1. Which of the following organizations is primarily responsible for developing and enforcing workplace safety policies?
   1. National Safety Council (NSC)
   2. Occupational Safety and Health Administration (OSHA)
   3. National Institute of Occupational Safety and Health (NIOSH)
   4. U.S. Department of Health and Human Services

Page: 183

1. Nurses face threats to safety in their daily work experiences. According to an American Nurses Association (ANA) study in 2011, which of the following is currently the greatest threat to safety of nurses in the workplace?
   1. Sharps injuries
   2. Patient assaults
   3. Stress
   4. Lifting injuries

Page: 182

1. Which of the following organizations partners with other agencies in an effort to conduct research and implement prevention strategies to promote safe and healthy work environments?
   1. The Joint Commission
   2. American Nurses Association
   3. Institute of Medicine
   4. Centers for Disease Control and Prevention

Page: 183

1. The Occupational Safety and Health Administration requires employers to inform workers of potential risks and health hazards. Which of the following organizations should a nurse leader monitor to best learn of new and emerging health hazards?
   1. National Institute of Occupational Safety and Health
   2. Institutes of Medicine
   3. American Nurses Association
   4. Occupational Safety and Health Administration

Page: 183

1. A nurse manager is developing a safety program for the unit. Which of the following steps should be included during the third step of creating the plan?
   1. Recognize potential safety hazards.
   2. Calculate the costs of the plan.
   3. Assess the amount of risk involved.
   4. Provide the necessary safety supplies and equipment.

Page: 185

1. A nurse manager of a busy emergency department is working to reduce the potential for violence on the unit. Which of the following will most likely reduce the potential for violence?
   1. Decrease the number of visible security guards to avoid antagonizing patients.
   2. Implement procedures to speed up the discharge process for mentally ill patients.
   3. Propose a plan to expand and update the waiting room.
   4. Ensure post-assaultive treatment and support is available to all staff.

Page: 185

1. A nurse recently started working in a busy hospital in a high-crime neighborhood. Which of the following recommendations will best help the nurse to prevent violent behavior?
   1. Acknowledge the feelings of others.
   2. Monitor patients for increased alcohol consumption.
   3. Ensure all individuals enter the building through a metal detector.
   4. Report outages in the parking lot lights.

Page: 186

1. Nurses in one hospital noticed a sharp increase in violent behaviors during an economic downturn that dramatically impacted the community. There have been multiple incidences of violence during the last 3 months, including several cases involving weapons. The staff has suggested metal detectors be installed; however, the organization-stated funding was not available. Last week a health-care worker was seriously injured when a patient fired a gun, and since that time there has been a sharp increase of staff calling in sick. Which of the following is the best step to take next?
   1. Report the violence to the supervisor.
   2. Call security.
   3. Get involved in policy making at the state level.
   4. Contact the local collective bargaining unit.

Page: 187

1. Which of the following is true regarding needlestick injuries?
   1. The Needlestick Safety and Prevention Act has been so effective that needlestick injuries are no longer a concern.
   2. The ANA has recently promoted the inclusion of nurses in the selection of safety devices.
   3. OSHA standards require the use of longer needles with caps to prevent needlesticks.
   4. The Joint Commission surveyors routinely ask about treatment of nurses who have suffered needlestick injuries.

Page: 188

1. Which of the following should be included in training for the prevention of needlestick injuries and other exposures to health risks?
   1. Clean all contaminated work surfaces according to established guidelines.
   2. Recap needles before disposal to avoid accidental pricks when emptying containers.
   3. Staff should be treated within 3 hours of a needlestick injury.
   4. Although sharps injuries have significantly declined in most areas, emergency departments are still the most at risk when it comes to needlestick injuries.

Page: 188

1. Which of the following is true regarding ergonomic injuries?
   1. Ergonomic injuries do not occur when safe patient handling technology is used.
   2. Unexpected patient movements during transfers can cause back injuries to nurses.
   3. Health-care facilities are required to attempt to keep workplaces free from ergonomic hazards.
   4. Nurses are not at risk for repetitive stress injuries.

Page: 190

1. Shift work disorder results in a greater risk for accidents, ulcers, heart disease, and chronic fatigue. Which of the following recommendations can prevent or lessen the risk of shift work disorder for those on night shift?
   1. If driving home during the morning sunlight, wear sunglasses.
   2. Schedule some day shifts and some night shifts during the scheduling period to allow for more nighttime sleep periods.
   3. Change days scheduled off to allow for more days off at one time.
   4. Take naps whenever possible during time off.

Page: 191

1. Nurses are advocates for their patients and have a duty to report any behaviors that may negatively impact patient outcomes. Which of the following is true regarding reporting quality and safety issues?
   1. Whistleblower laws protect nurses from reprisals by employers.
   2. An organization may terminate employment of a nurse who reports quality and safety issues.
   3. The state nurses practice act will have information if there are whistleblower laws in the state to protect nurses.
   4. As long as nurses do the right thing for their patients, they will be protected.

Page: 193

1. Which of the following federal laws requires employers to create affirmative action plans to hire and promote individuals with disabilities?
   1. Title VII
   2. Equal Pay Act of 1963
   3. Vocation Rehabilitation Act of 1973
   4. Americans with Disabilities Act of 1990

Page: 184

1. Which of the following is an OSHA requirement regarding handling of hazardous chemicals?
   1. Use air filtration systems to keep the air cleaner.
   2. Minimize the use of toxic disinfectants.
   3. Avoid the use of mercury-containing products.
   4. Provide Material Data Safety Sheets.

Page: 191