BHP Infection Control & Prevention 2 — Questions and Answers
Question 1: A behavioral health client with active tuberculosis (TB) requires which type of transmission-based precaution?
- Contact precautions
- Droplet precautions
- Airborne precautions (Correct answer)
- Standard precautions only
Correct answer: Airborne precautions
TB is transmitted via airborne particles (droplet nuclei <5 microns) requiring airborne precautions including a negative pressure room and N95 respirator.
Question 2: Which hand hygiene product is most effective against Clostridioides difficile (C. diff) spores?
- Alcohol-based hand rub
- Soap and water (Correct answer)
- Chlorhexidine hand rub
- Povidone-iodine scrub
Correct answer: Soap and water
Alcohol-based hand rubs are NOT effective against C. diff spores; soap and water physically removes spores from hands.
Question 3: A behavioral health professional discovers a used needle on the unit floor. The correct first action is to:
- Pick it up with gloved hands and recap it
- Notify housekeeping to dispose of it
- Use a mechanical device (e.g., forceps) to place it directly into a sharps container (Correct answer)
- Leave it and mark the area until maintenance arrives
Correct answer: Use a mechanical device (e.g., forceps) to place it directly into a sharps container
Sharps should never be recapped or handled directly; a mechanical device should be used to safely move the needle to a sharps container.
Question 4: In a behavioral health facility, MRSA (methicillin-resistant Staphylococcus aureus) transmission is most commonly prevented through:
- Airborne precautions and N95 respirators
- Contact precautions including gloves and gown (Correct answer)
- Droplet precautions and surgical masks
- Strict dietary isolation protocols
Correct answer: Contact precautions including gloves and gown
MRSA spreads primarily via direct contact, so contact precautions (gloves and gown) are the core prevention strategy.
Question 5: Which of the following is considered a healthcare-associated infection (HAI)?
- A cold a client had before admission
- A urinary tract infection that develops 3 days after catheter insertion (Correct answer)
- Seasonal influenza contracted in the community
- An allergic reaction to a medication
Correct answer: A urinary tract infection that develops 3 days after catheter insertion
HAIs are infections that develop during or as a result of healthcare delivery, such as catheter-associated urinary tract infections (CAUTIs).
Question 6: When removing personal protective equipment (PPE) after caring for a client on contact precautions, what is removed first?
- Mask
- Gloves (Correct answer)
- Gown
- Eye protection
Correct answer: Gloves
Gloves are removed first because they are the most contaminated item and removing them first prevents contaminating other PPE or skin.
Question 7: A behavioral health professional who was exposed to a client's blood should report the exposure and receive post-exposure follow-up within:
- 72 hours
- 24 hours
- 2 hours (Correct answer)
- 1 week
Correct answer: 2 hours
Bloodborne pathogen exposure should be reported and evaluated within 2 hours, as HIV post-exposure prophylaxis (PEP) is most effective when started promptly.
BHP Infection Control & Prevention 2
A behavioral health client with active tuberculosis (TB) requires which type of transmission-based precaution?