Mandatory Workbook
Question Booklet
Mandatory Workbook: Questions Booklet V14b (July 2014)
Workbook Questions
Information Governance ............................................................................................................................. 3
Infection Prevention and Control, Hand Hygiene, Handling Sharps ............................................................ 4
Health & Safety ........................................................................................................................................... 6
Safe Guarding Children (Level 1) .............................................................................................................. 10
Safeguarding Adults Level 1 ..................................................................................................................... 11
Moving & Handling Level 1 ....................................................................................................................... 15
Equality and Diversity ............................................................................................................................... 17
Clinical Staff
Infection Prevention / Control – (HCA, Nurses / Midwives & Doctors ONLY) ............................................ 22
2
Workbook Questions
Information Governance
1. Diane needs to transfer some paper case notes by internal mail. They are going to another
site and are sensitive so she clearly marks the outside ‘confidential’. What else should she
do to make the transfer more secure? Select one
a.
Use an independent external courier service and get a certificate
of receipt.
b.
Put the notes in lockable trolleys or lockable bags.
c.
Send an electronic version of the notes with the originals.
d.
Send two copies separately in case one gets lost.
2. What is NHS mail? Select one
a.
A secure web-based email service that automatically encrypts
data in transit.
b.
A shared email account for senior NHS staff in an organisation
c.
Any email sent from an NHS email account via a secure server
d.
Any email account with the letters NHS in it
3. Which are the best ways to make sure confidential data cannot be accessed from a DVD
which is to be disposed of? Select two
a.
Break it
b.
Recycle it
c.
Password protect it
d.
Shred it
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4. When no longer needed, which of the following should be securely deleted or destroyed and
not discarded as normal rubbish?
Select five options
a.
Character references of unsuccessful job applicants
b.
Posters / leaflets advertising smoking cessation clinics
c.
Patients’ appointment lists
d.
Cassette tapes once used for dictating letters to patients
e.
A CD with no markings found in a old cabinet
f.
A list of patient’s who took hospital transport the previous week
5. The Data Protection Act 1998 governs how organisations may use personal information
about living people. Which of the following aspects does this include?
Select five options.
a.
Sharing the information
b.
Destroying the information
c.
Obtaining the information
d.
Storing the information
e.
Transporting the information
f.
None of these - the Act only applies to deceased people
Infection Prevention and Control, Hand Hygiene, Handling Sharps
Q1
What makes a person vulnerable to infection? (Tick all that apply.)
a
Low immunity
b
Very young
c
Very old
d
Poor nutrition
c
Underlying disease
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Q2
Which of the following are links in the chain of infection? (Tick all that apply)
a
Q3
Infectious Agent / Organism
b.
Reservoir
c.
Portals of exit
d.
Means of Transmission
e.
Portals of Entry
f.
Susceptible Host
g.
Admission to Hospital
Which of the following are barriers to effective hand hygiene? (Tick all that apply)
a.
b.
Jewellery, esp. rings with stones
False nails and varnish
c.
Wrist bands
d.
Eye make-up
e.
Wrist watches
f.
Long-sleeved clothing
Q4
Where can germs reside & multiply? (Tick all that apply)
a
On people
b
On equipment
c
On animals
d
In water
e
In food
f
In soil
5
Q5
How do germs enter the body? (Tick all that apply)
a
Through unbroken skin
b
Through breathing-in
c
Through eating & drinking
d
Transmitted sexually
Health & Safety
Instructions
This sheet must NOT be released to learners
Use this sheet to check learners answers to the written questions. The correct answers are
highlighted in yellow.
Q1. Health and Safety at Work Law states which of the following:
(Select all that apply)
A1
a)You have a right to a safe workplace
b)Your employer must keep you safe at work
c)You also have responsibility for your safety
d)Only your employer can be prosecuted for Health, Safety and Welfare breaches
Q2. It shall be the duty of every employer to ensure; so far as is reasonably practicable, the
health, safety and welfare at work of all his/her employees.
A2
a)
True
b)
False
Q3. A risk that needs to have action taken to control the health and safety hazard in the
workplace is defined as a:
A3.
c)
acceptable risk
d)
significant risk
e)
insignificant risk
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Q4. What is the most common cause of accident at work?
A4.
a)
carelessly discarded needles
b)
slips, trips and falls
c)
lifting heavy objects
d)
untreated ice in public outside spaces
Q5. Failure to comply with Health & Safety legislation may result in which of the following?
(Select all that apply)
A5.
a)
The employer or an individual employee could be prosecuted.
b)
The individual affected may claim for compensation
c)
There could be a significant risk to the employer and the employee’s reputation and
credibility
Q6. Which of the following are potential hazards for slips, trips and falls?
(Select all that apply)
A6.
a)
spilt coffee on the floor
b)
unsecured computer cables
c)
loose floor tiles
d)
a messy workstation
Q7. Who is responsible for health and safety?
(Select all that apply)
A7.
a)
The chief executive
b)
A health & safety officer
c)
A section manager
d)
Individual employees
Q8. Staff should conduct a risk assessment when they
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(Select all that apply)
A8
a)
go into a new working environment
b)
before they are about to start a new task
c)
change the way a task is usually done
d)
Return to work after annual leave
Q9. As an employee you have a responsibility under health and safety law to:
(Select all that apply)
A9.
a)
Take care of the health and safety of yourself and others;
b)
Co-operate with others to help comply with health and safety legislation;
c)
Follow any instructions and training you give regarding the measures in place to
control health and safety risks;
d)
Be aware of work situations that present a serious and imminent risk
e)
Conduct monthly risk assessments
Q10. Why do we report incidents?
a)
b)
c)
To raise awareness of unsafe practices so future accidents can be prevented
To ensure that only serious incidents are reported
To report individuals who are to blame
Q11. Where would you expect to find details of the health and safety arrangements for your
organisation?
1) Health and Safety legislation
2) The Health and Safety and procedures for the organisation
3) Risk assessment reports
Q12. Where can you find information that would help you to understand how to protect yours and
others' health and safety at work?
(Select all that apply)
1) Health and Safety Policies and procedures for the organisation
2) The Health and Safety Executive Website
3) The NHS Jobs website
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Q13.Identify barriers that prevent action being taken to reduce the risks from slips, trips or falls in
the workplace:
(Select all that apply)
1) Believing that slips and trips are inevitable
2) Clear, well-lit walkways
3) Inadequate risk assessment and management controls.
Q14. Identify good practice that would aim to reduce workplace slips, trips and falls:
(Select all that apply)
1) Keeping filing cabinet drawers closed
2) Reporting defects at the end of your shift
3) Removing obstacles from corridors
4) Cleaning up spills immediately
Q15. What do you need to do in relation to the control of substances hazardous to health (COSHH)?
(Select all that apply)
1) Familiarise yourself with any COSHH risk assessments
2) Adhere to any control measures
3) Report any adverse effects you might have when using any substances at work
4) Rely on personal protective equipment as the only means of control.
Q16.You find that the lighting in the staircase to the top floor of the building in which you are based
is not working. It‟s light enough for you to see. What statement best describes what you should
do?
1) Ignore it as it is someone else's responsibility
2) Ask your manager how to report the fault if you do not already know, and report it
3) Change the light bulb yourself
Q17. Which of the following demonstrate your organisation's commitment to Health and Safety?
(Select all that apply)
1) Health and Safety Audits/Inspections
2) Safety Signs
3) Same content Health and Safety Training for all staff irrespective of their role
Q18. The organisation must consult for health and safety matters with:
1) All employees
2) With appointed Trade Union Health and Safety representatives
3) Patients
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Q19. Who is responsible for reporting hazards and accidents?
1) Only Managers
2) Everyone
3) Only Health and Safety Reps
4) Only Patients
Safe Guarding Children (Level 1)
1. Which of the Following Statements is/are Correct? (Tick) :
a.
b.
Safeguarding children and child protection is the sole responsibility of
social services and social workers
Children are legally children until their 18th birthday, regardless of
services they are accessing or jobs they undertake.
c.
Safeguarding children is mainly child protection actions and work.
d.
Staff employed within Tameside Hospital NHS Foundation Trust have a
mandatory responsibility to safeguard children.
2. Which documents / guidance are specific to safeguarding children:
a.
Children Act 1989
b.
Children Act 2004
c.
Working Together to Safeguard Children (2010)
d.
UN Convention on the Rights of the Child (1989)
e.
Tameside Hospital NHS Foundation Trust Safeguarding Children Policy
3. What Section of Children Act 2004 are we legally bound to comply with in placing a duty on key
people and bodies to make arrangements to ensure their statutory functions are discharged with
regard to Safeguarding and promoting the welfare of children and young people.
a.
Section 20
b.
Section 11
4. Which of the Following Statements is/are Correct? (Tick) :
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a.
b.
c.
A child in need is defined under Section 17 of the Children Act 1989.
Abuse or neglect of a child is only caused by actually inflicting physical
harm.
Children may be abused in a family, in an institutional or in a community
setting, by those known to them or more rarely by a stranger.
d.
Bullying is a form of abuse.
e.
Abuse is only inflicted by adult males.
5. What does the acronym CAF stand for?
a.
Child and Family
b.
Children Assessment Framework
c.
Common Assessment Framework
Spend some time to familiarise yourself with the Social Services Referral Form and the
Safeguarding Children Monitoring Form.
Safeguarding Adults Level 1
Q1. Abuse only occurs when the abusers intend to cause harm
A1.
a)
True
b)
False
Q2. At what age may an individual be classed as a “vulnerable adult”?
A2.
a)
b)
c)
16 and over
18 and over
21 and over
Q3. You suspect that someone is being abused. At which stage should you report the abuse?
A3.
a)
b)
when you have acquired evidence
straight away
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c)
d)
after you have discussed the situation with colleagues
you shouldn’t, suspicions aren’t enough to warrant reporting abuse
Q4. If you suspect adult abuse in the workplace, who might you report this to?
A4.
a)
b)
c)
Safeguarding Lead/Team
The police
Social Services
Q5. If you suspect an adult is being abused, in what circumstances would sharing information with
an appropriate person without the individual adult‟s consent be justifiable?
a)
b)
It is only justifiable if there is evidence that the individual is suffering or is at risk of suffering
significant harm.
It is justifiable to share information in every circumstance, with or without consent.
Q6. Karl is a fit and healthy 35 year old man who is in hospital for a minor, privately funded
cosmetic surgery. Which of the following is true?
A6.
a)
b)
c)
d)
Karl is not a vulnerable adult at this point in his life
Karl is a vulnerable adult whilst he is in hospital
Karl’s condition does not make him vulnerable, if it was more serious he would be.
Private patients do not have the same rights as other patients in state-funded healthcare
Q7. Someone who is being abused may not tell anyone because they are ashamed and/or
frightened?
A7.
a)
b)
true
false
Q8. Which of the following would constitute discriminatory abuse
A8.
a)
b)
c)
d)
A group of friends laughing at a racist joke on YouTube
A colleague avoiding talking to someone because he is scared of them
A nurse refusing to provide reproductive advice to a lesbian because her religious belief is that
gay people should not have children.
A male colleague believes that women are worse drivers than men and that female paramedics
should not be allowed to drive ambulances
Q9. Someone discloses to you that they are being abused. What should you do first?
A9.
a)
Promise to keep what they tell you a secret
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b)
c)
d)
Document and report the incident as soon as you can
Find out from your colleagues if they know anything about it
Wash the person, their clothes and bedding to make them more comfortable
Q10. Which of the following would be seen to be a „vulnerable adult‟?
A10.
a)
b)
c)
A sex worker
An 85 year old woman
A person in need of community care services
Q11. Which of the following would be classed as neglect?
A11.
a) Inflicting non-accidental physical pain on someone
b) Failure to provide food
c) Misuse of someone's property
Q12. Abuse consists of
A12.
a) a single act of harm and neglect,
b) repeated acts of harm and neglect
c) clear assertive instruction
Q13. All older adults are considered vulnerable adults
A13.
a) true
b) false
Q14. Your manager is on holiday and your service user who has dementia tells you that their carer
stole some money from them. What would you do?
A14.
a) Disregard what they say because you know they always make false accusations
b) Take it seriously and report it as soon as possible to the appropriate authority
c) Decide it's important and plan to tell your manager as soon as they are
back from holiday
Q15. You make a home visit and find that your service user has severe pressure sores. You know
carers are scheduled to come in 3 times a day to turn them. What would you do?
13
A15.
a) Look at the care plan and notice that the carers are coming in, so you let it
go
b )Call the carer and ask them to explain
c) Report the situation as soon as possible to the appropriate authority
Q16. You have reported that a patient was abused by a family member 4 weeks ago but you are not
sure what action has been taken as a response to your referral. You should
A16.
a ) contact the person concerned to check what happened
b) do nothing as this is a confidential matter
c) seek feedback from your referral and escalate the matter if appropriate
action has not been taken
Q17 .Which of the following would promote individualised/person centred care?
A17.
a) personalised care plans being prepared without patients being consulted.
b) waking up all patients at 8 am every day
c) being able to provide care in a variety of locations
Q18. What should you do if a patient gave you his Bank card and pin number and wanted you to
withdraw money from the cash machine for them?
A18.
a) you would respect their wish and withdraw money for them
b) give the card and pin number to their next of kin
c) advise them and educate them that they should not disclose this
information to anyone so refuse to take the details and ask them to phone
the Bank who they can suggest alternative options for them to access their money
Q19. Organisations that work with people who might be at risk must have plans about safeguarding.
A19.
a) True
b) False
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Moving & Handling Level 1
Q1. Which of the following are considered risk factors in the development of musculoskeletal
disorders?
A1.
a) heavy manual labour
b) awkward postures
c) pushing and pulling equipment
d) previous or existing injuries
Q2. A Manual Handling ergonomic load assessment breaks an activity down into 4 key areas, which
are referred to as TILE. Tick the correct combination of 4 key areas
A2.
a)
b)
c)
Task / Individual / Lifting / Environment
Task / Individual / Lifting / Equipment
Task / Individual / Load / Environment
Q3. The ergonomic approach to manual handling can be defined as which of the following:
A3.
a)
b)
c)
d)
The specific weight limits a woman can pick up.
The specific weight limits a man can pick up
Fitting the job to the person rather than the person to the job
Pulling something instead picking it up
Q4. What should you do if a load is sharp or very hot or cold?
A4.
a)
b)
c)
Hold the load away from your body
Use protective equipment e.g. gloves, mask
Break it down into smaller loads
Q5. Which of the following may have a serious impact on the way in which manual handling is
carried out?
A5.
a)
b)
c)
d)
e)
Uneven floors
Harsh lighting
Restrictive Clothing
Hot Environment
Inappropriate footwear
15
Q6. When conducting a moving and handling procedure you should position your feet apart and
place the leading leg as far forward as is comfortable.
A6.
a)
b)
True
False
Q7. A load becomes more difficult to handle if it is held in which of the following ways:
A7.
a)
b)
c)
Above the shoulders
Below your knees
Away from the body i.e. with arms stretched out
Q8. When using equipment to move an object you should
A8.
a)
b)
c)
d)
Check it is suitable for the task
Be trained to use handling equipment
Always check equipment prior to use
Report any concerns regarding damage
Q9. According to HSE Guidelines two people working as a team can lift twice as much as one
person
A9
a)
b)
True
False
Q10. There are legal responsibilities on both the employer & the employee to ensure safe, moving
and handling practices
A10.
a)
b)
True
False
Q11. Where can you find information that would help you to reduce the risk of injury to yourself and
others when moving and handling?
A11.
a)
b)
c)
e)
Your employer’s policies and procedures
The Health and Safety Executive website
The NHS Jobs website
Occupational Health
Q12. Which of the following are the potential adverse consequences of not carrying out an
adequate risk assessment?
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A12.
a)
b)
c)
d)
e)
f)
Serious harm or injury to employees
Serious harm or injury to others
Raised levels of sickness absence
Legal action against the organisation
Additional unnecessary costs to the Trust
Saving time and money for all concerned
Q13. Your knees must always be straight when lifting
A13.
a) True
b) False
Q14. Staying active, exercising and maintaining a healthy weight reduces the risk of the occurrence
of injury during moving and handling procedures.
A14.
a) True
b) False
Equality and Diversity
Instructions
All questions must be answered.
Select the correct answer for each question and tick the box. Some questions require more than 1 answer
to be chosen
Q1. What does equality mean?
Select ONE Answer
A1.
a.
Treating everyone in the same way
b.
Treating people differently but fairly with an equal level of respect
17
Q2. What does Diversity mean?
Select ONE Answer
A2.
a.
Valuing and embracing differences in people
b.
Treating people differently because of their ethnicity
Q3. According to the Equality Act 2010 which of the following is NOT a protected characteristic?
Select ONE Answer
A3.
a.
Gender reassignment
b.
Political party membership
c.
Marriage and civil partnership
d.
Pregnancy and maternity
e.
Sexual orientation
f.
Religion and belief
Q4. Indirect discrimination is generally acceptable behaviour
Select ONE Answer
A4.
a.
True
b.
False
18
Q5. The general equality duty is set out in the Equality Act 2010. Which of the following does it aim
to do?
Select ALL that apply
A5.
a.
Eliminate unlawful discrimination, harassment and victimisation
b.
Report discriminatory behaviour to the press
c.
Advance equality of opportunity between different groups
d.
Foster good relations between different groups
Q6. The 'Human Rights Act' (1998) sets out the fundamental rights and freedoms that every person
has access to.
Select ONE Answer
A6.
a.
True
b.
False
Q7. Not all rights under the Human Rights Act 1998 are absolute
Select ONE Answer
A7.
a.
True
b.
False
Q8. A job advert that asks for someone of a particular gender, colour, race, nationality,
sexual orientation or who speaks a certain language is:
Select ONE Answer
A8.
a.
illegal
b.
legal
c.
only legal if there is reasonable justification
19
Q9. When deciding whether an adjustment is reasonable for someone with a disability which of the
following should an organisation consider?
Select ALL that apply
A9.
a.
How effective the change will be in assisting disabled people in general or a
particular customer, client, service user or member
b.
Whether it can actually be done
c.
If the cost is manageable
Q10. Which of the following is an example of exclusion?
Select ALL that apply
A10.
a.
Not providing hearing induction loops
b.
Not providing key health information in accessible formats
c.
Offering services on the first floor with no lift
d.
Selecting one member of staff in preference to another for a training event.
Q11. Which of the below statements demonstrates valuing equality and diversity?
Select ALL that apply
A11.
a.
People with disabilities will not be encouraged to work in the NHS
b.
More NHS Trusts will be able to meet their legal and human rights
responsibilities
c.
It will mean that we recognise differences and provide equal access to jobs
and healthcare for all
20
Q12. Treating patients with dignity includes:
Select ALL that apply
A12
a.
Involving patients in their care plans
b.
Providing single sex accommodation
c.
Listening to patients' comments and responding
d.
Always giving people what they ask for
e.
Being sensitive to cultural background
Q13. Valuing colleagues involves:
Select ALL that apply
A13
a.
Listening to peoples comments and responding appropriately
b.
Inviting everybody’s contribution
c.
Recognising and appreciating differences
d.
Meeting individual development needs
e.
Always giving people what they want
f.
Always giving them the benefit of the doubt
Q14. Bullying, harassment and victimisation can be challenged by:
Select ALL that apply
A14
a.
Reporting it to line manager
b.
Following the Whistleblowing Procedure
c.
Feeding back on negative behaviours and its effects on others
d.
Following relevant procedures in local policies dealing with Bullying and
Harassment
21
e.
Compensating by treating staff being bullied more favourably then everyone
else
Q15. In the Health Service, unlawful discrimination applies to:
Select ONE Answer
A15
a.
Employees only
b.
Patients only
c.
Patients and employees
d.
Neither patients nor employees
Clinical Staff
Infection Prevention / Control – (HCA, Nurses / Midwives & Doctors ONLY)
FOLLOWING QUESTIONS FOR HCA, Nurses / Midwives & Doctors ONLY
1. What is the prime principle of the Aseptic Non – Touch Technique?
a.
Contaminating the ‘key parts’
b.
Avoiding contact with the ‘key parts’
c.
Exposing susceptible sites to infection
d.
No patient interaction at all
2. What formulation should be used for the decontamination of patient’s skin prior to the collection of
blood cultures?
a.
70% alcohol only
b.
Iodine
c.
2% Chlorhexidine gluconate in 70% Isopropyl alcohol
d.
Chlorhexidine gluconate only
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3. Which part of the patient’s arm is the best place to site a peripheral cannula? (Tick all that apply).
a.
Forearm
b.
Antecubital fossa
c.
Dorsum of the hand
d.
Upper arm
4. What are the most important interventions for the prevention of intravenous catheter related
infection? (Tick all that apply).
a.
Scrub the patient’s skin with soap and water
b.
Apply a respirator mask prior to insertion of the catheter
c.
Hand Hygiene
d.
Aseptic Non – Touch Technique (ANTT)
23