ABCN Safety and Infection Control 3 — Questions and Answers
Question 1: A neuropsychology clinic is planning its emergency evacuation procedure for patients with mobility impairments. Which element is MOST critical to include?
- Designating assembly points only outdoors
- Creating individualized emergency action plans for each patient with a mobility limitation (Correct answer)
- Ensuring all staff know where the fire extinguisher is located
- Locking wheelchair-accessible stairwells to prevent misuse
Correct answer: Creating individualized emergency action plans for each patient with a mobility limitation
OSHA and ADA guidelines require individualized emergency plans (PEAPs) for people with disabilities to ensure safe and timely evacuation.
Question 2: Which of the following behaviors represents the GREATEST ergonomic risk for a neuropsychologist who performs extended testing sessions?
- Using a headset instead of a handheld phone
- Sitting with the monitor at eye level
- Holding a prolonged static posture while administering a lengthy verbal test (Correct answer)
- Taking micro-breaks every 20 minutes
Correct answer: Holding a prolonged static posture while administering a lengthy verbal test
Sustained static posture during long verbal testing sessions increases musculoskeletal strain because muscles fatigue without movement to restore circulation.
Question 3: A patient with meningococcal meningitis requires urgent bedside neuropsychological evaluation in the hospital. Which precaution category applies?
- Standard precautions only
- Airborne precautions
- Contact precautions
- Droplet precautions (Correct answer)
Correct answer: Droplet precautions
Neisseria meningitidis is transmitted via large respiratory droplets, so droplet precautions (surgical mask within 3 feet) are required.
Question 4: A neuropsychologist receives a biological spill on her lab coat from a patient's saliva. What is the correct immediate response?
- Continue the session and change after the patient leaves
- Remove the coat promptly, place it in a biohazard bag, and perform hand hygiene (Correct answer)
- Blot the coat with paper towels and apply hand sanitizer to the stain
- Report to occupational health before removing the coat
Correct answer: Remove the coat promptly, place it in a biohazard bag, and perform hand hygiene
Contaminated PPE should be removed promptly to minimize skin contact, bagged appropriately, and hands must be washed afterward.
Question 5: Under HIPAA Security Rule, what does 'physical safeguards' refer to in a neuropsychology practice?
- Encryption of electronic health records
- Passwords and user authentication systems
- Locking file cabinets, controlling workstation access, and securing facilities (Correct answer)
- Firewall and antivirus software
Correct answer: Locking file cabinets, controlling workstation access, and securing facilities
Physical safeguards are tangible measures—such as locked storage, access controls, and workstation security—that protect electronic protected health information (ePHI) from unauthorized physical access.
Question 6: Which latex allergy presentation is the MOST severe and requires immediate emergency response?
- Localized urticaria at glove contact sites
- Contact dermatitis with skin thickening
- Anaphylaxis with bronchospasm and hypotension (Correct answer)
- Rhinoconjunctivitis when near latex products
Correct answer: Anaphylaxis with bronchospasm and hypotension
Anaphylaxis is a life-threatening systemic reaction requiring immediate epinephrine administration and emergency medical services.
Question 7: A neuropsychologist is testing a child who begins choking on a coin she placed in her mouth. The child is conscious and cannot speak. What is the CORRECT immediate action?
- Perform abdominal thrusts (Heimlich maneuver) (Correct answer)
- Perform finger sweeps to retrieve the object
- Lay the child flat and begin CPR
- Administer back blows only for children under age 1
Correct answer: Perform abdominal thrusts (Heimlich maneuver)
For a conscious child over age 1 with a severe airway obstruction, the Heimlich maneuver (abdominal thrusts) is the recommended first-line intervention.
ABCN Safety and Infection Control 3
A neuropsychology clinic is planning its emergency evacuation procedure for patients with mobility impairments.
Which element is MOST critical to include?