Disaster Planning Adaptive Quizzing - Q & A (Complete Solutions)

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Disaster Planning Adaptive Quizzing - Q & A (Complete Solutions) Which functional level of trauma center is involved in providing a full continuum of trauma services? Level 1 The nursing student is ... learning about submersion injuries. Which component of sea water does the nurse know to be responsible for making it hypertonic compared to body fluids? Salt Which hospital department plays a primary role in disaster preparedness? Emergency department While caring for a group of clients injured in a fire, the nurse finds that there is a need for airway maintenance, electrical therapies, and specialized resuscitation. Which invasive assessment trained team and management skills certification is required in this situation? Advanced Cardiac Life Support (ACLS) The emergency department nurse is triaging clients according to the emergency service index (ESI). On further evaluation the nurse reassigned some clients to other ESI levels. Which assessments made by the nurse helped in reassigning the clients? Blood pressure of 190/90mm Hg According to the disaster triage tag system, which color tag would the nurse feel is most suitable for a client who died in an earthquake? Black The emergency department nurses are caring for a group of clients injured in a community disaster. Which action of the nurse needs correction? Removing people from danger Which team member acts as a liaison between the health care facility and the media? Public information officer The administrator of a skilled nursing facility is reviewing the organization's internal emergency management plan. Which statement best describes the goal of this plan? Maintain client, staff, and visitor safety Who should the nurse contact to receive training as a Community Emergency Response Team (CERT) member? Federal Emergency Management Agency (FEMA) Which emergency medical service (EMS) healthcare professional provides advanced life support to the clients who survived a large-scale disaster? Paramedics Many people lost their lives in an earthquake. Which team should be mobilized to manage the deceased at the earthquake zone? Disaster Mortuary Operational Response Teams (DMORTs) The nurse finds a green triage tag on a client. What does the nurse infer from this finding? The client belongs to class III. Which phase of disaster management involves attempts to limit the disaster's impact on the population? Mitigation Which is the facility-level organizational model for disaster management? Hospital Incident Command System (HICS) Which medical relief team would the nurse explain provides relief services ranging from primary healthcare and triage to evacuation and staffing to assist healthcare facilities in a massive disaster? Disaster Medical Assistance Team (DMAT) What is the role of the federal government in emergency preparedness? Stockpiles critical equipment A group of clients is admitted with neurologic injury after hiking at high altitude. The nurse is assessing using the "AVPU" mnemonic. Which type of emergency assessment is the nurse performing? Disability Which clients belong to class I according to the disaster triage tag system? Clients who need emergency treatment What is the role of the "doorkeeper" in a critical incident stress debriefing (CISD) team? Talking with anyone who leaves the session early in an effort to have him or her return or accept follow-up The healthcare team member working at an emergency operation center (EOC) during a mass casualty swine flu outbreak has identified the need to call the infectious disease physician. Which healthcare personnel is responsible for calling the infectious disease physician? Medical command physician Which intervention is a part of the response phase of disaster planning? Implementing the disaster plan What is the function of the hospital incident commander in a mass casualty event? Assuming leadership for implementing the emergency plan Which emergency medical system (EMS) first responders can perform triage during mass casualty incidents? Select all that apply. Paramedics Nurses appointed to a field team Which amount of time is appropriate for a nurse to spend triaging each client during a mass casualty incident? Less than 15 seconds Which statement by the nurse is true regarding the disaster triage tag system? Class II clients are marked with a yellow tag. A group of clients injured in a cyclone are admitted to an emergency department. The hospital management wants to caution people living in those areas through radio and news and notify other healthcare facilities. Which personnel would the nurse consider are appropriate in this situation? Public information officer Which generation of nursing professionals, being exposed to both terrorism and natural disasters, should be key members for disaster planning initiatives? Generation Y Which emergency response team helps set up shelters for victims who lost their homes due to a disaster? American Red Cross The nurse is reassessing level of consciousness and mental status in a client who survived a fire. Which type of emergency assessment of the trauma client is the nurse performing? Disability Which entity is responsible for activating the disaster plan during a mass casualty incident (MCI)? Federal emergency management agency The victims of a large scale near-drowning incident are brought to the emergency department. What is the minimum length of time all such victims should be kept under observation in the hospital? 23 hours A nurse is inserting a gastric tube and arranging for diagnostic studies for a client who sustained injuries after a bus accident. Which type of emergency assessment is being performed? Focused adjuncts The nurse manager is reviewing the hospital disaster plan with other members of the committee. Which is the minimum number of disaster drills the committee must plan and implement each year? Two Which color tagged clients usually make up the greatest number in most large-scale multi-casualty situations, based on the disaster triage tag system? Green During a critical incident stress debriefing (CISD) session conducted by the nurse for clients affected by a natural disaster, a client says, "The worst thing that happened on that day was that my child was severely injured and I was not in a position to help. I would like to forget that day as soon as possible. It was the most painful experience of my life." Which phase of CISD does this indicate? Reaction phase Which threats, included in the term "NBC", lead to the implementation of improved emergency medical services (EMS) and hospital safety programs? Select all that apply. Nuclear Biologic Chemical The victims of a terrorist attack involving sarin are brought to the emergency department. Which statement does the nurse know to be true regarding the characteristics of sarin? Sarin can cause death within minutes of exposure. Which situation does not cover nurses who respond to a mass casualty incident (MCI) for malpractice or negligent lawsuits under the Good Samaritan Act? Terrorist act The emergency room nurse is training to be a member of a direct response team to respond to community emergencies. Which new triage level would this nurse be required to learn? Expectant Which psychosocial nursing actions are appropriate when providing client care after a community disaster? Select all that apply. Offering choices whenever possible Establishing rapport through active listening Requesting assistance from crisis counselors Clients with which tag are referred to as "walking wounded" clients while managing a disaster? Green Which healthcare professional serves as the liaison between hospital administration and the media to release only appropriate and accurate information in the event of a mass casualty event or disaster? Community relations officer A group of clients injured in a bus accident are admitted into an emergency unit. Which personnel should the nurse refer to for implementing the emergency plan? Hospital incident commander The hospital management wants to prevent post-traumatic stress in the nursing staff. Which implemented strategies will be ineffective in pursuing this goal? Encouraging the staff to work for more than 12 hours per day An emergency management team is removing foreign bodies and performing cricothyroidotomy on a client post burn injury. Which emergency assessment has been performed on this client? Airway with simultaneous cervical spine stabilization Which are the most common types of injuries that should be identified along with treatment options in an organizational disaster plan for the use of explosive devices as agents of terrorism? Select all that apply. Blast Crush Penetration The nurse finds that some clients have extensive full-thickness body burns and severe head trauma after an apartment building fire. The nurse also finds that these clients require mechanical ventilator for survival. Which disaster triage tag does the nurse applies to this group of clients? Black Which is the priority nursing action to include in a disaster plan for the radioactive dust and smoke that can cause illness from a radiologic dispersal device (RDD)? Covering the nose Following a fire, the disaster management team assesses burn injuries of the survivors. The team finds that most survivors have pink to cherry red skin with blisters. Which type of burns does the nurse identify on the survivors? Second degree burns An avalanche caused mass casualties. When taken to the nearby hospital, the health care provider provides basic trauma client stabilization and advanced life support before referring them to other trauma centers. Which level trauma center were the victims initially taken into? Level IV Why would the nurse claim class III clients are of major concern in the hospital environment after a nuclear accident? Because they often come to the hospital on their own The nurse is assessing a client reporting sharp abdominal pain who survived an earthquake. The client has decreased pulse pressure and level of consciousness along with cool, clammy skin and decreased urine output. Which primary interventions are most appropriate for the client? Select all that apply. Ensuring patent airway Utilizing a non-rebreather mask Inserting indwelling urinary catheter The nurse is caring for the victims of a terrorist attack involving explosive devices. Which type of damage is most likely caused by a crush injury? Blunt trauma to the head The terrorist attack event on the World Trade Center on September 11, 2001, resulted in mass casualties that led to changes in hospital and community disaster planning efforts. What would the nurse say was the impact of this technological external disaster on the emergency medical services (EMS) for improving the safety of the public? Select all that apply. Providing routine training to facility staff about hazardous materials Upgrading decontamination facilities and equipment to protect staff Developing approaches for preparedness to nuclear, biologic, chemical (NBC) threats The nursing student is learning about common chemical agents of terrorism. The nursing instructor presents a situation where the victims have burned or blistered skin and describes the agent as a brown gas that has a garlic-like odor. What statement made by the nursing student indicates effective learning? "The clients were exposed to mustard gas." After a mass casualty event, the incident commander considers "standing down" or deactivating the emergency response plan. What considerations would the nurse expect to be taken into account by the incident commander before making this decision? New clients are not expected to arrive at a pace that could overwhelm the emergency department. Which response by the nurse who is earning certification as a member of the Disaster Management Assistance Team (DMAT) indicates accurate understanding regarding the responsibilities of the team? "I will be expected to work a three day shift with the supplies we are given." The registered nurse asks the student nurse, "Which action should be provided in a client who survived an earthquake and presents with abdominal trauma to the emergency department?" Which response by the student nurse requires further teaching? "I should remove an impaled object immediately." The nursing student is comparing the causative agents of hyperthermia and hypothermia. Which causative agent is common to both conditions? Alcohol The nurse is preparing a care plan for maintaining safety in clients who are injured in a bomb blast. Which intervention should the nurse include in the care plan to minimize the risk for error and adverse events? Obtaining a thorough client and family history A disaster management team is planning a protocol for survivors of a winter storm who present with frostbite. How would the nurse order the interventions in the protocol? Remove the victim from the cold environment. Immerse the feet in warm water. Give pain medication. Apply sterile and loose dressings. Which colored tag has the nurse correctly identified while classifying triage care in mass casualty conditions? Nonurgent-green tag The nurse is helping a triage officer evaluate the victims of a large scale disaster. Which client does the nurse anticipate will be given a black tag? A client with extensive full-thickness body burns What is the correct order of phases in a disaster management plan? Preparedness Mitigation Response Recovery Evaluation A group of clients who were in a bus accident is admitted to the emergency department with injuries. Which group is considered urgent according to the three-tier triage system? Severe abdominal pain While responding to a fire in a healthcare facility, which intervention made by the facility personnel would the nurse feel is inappropriate? Exposing themselves to risk of injury by attempting to extinguish the fire Which factors affect the stress that first responders feel after a mass casualty incident (MCI)? Select all that apply. Age Nature of event Coping mechanisms Psychologic history What would help facilitate communication and coordination during a mass casualty event in a hospital using the hospital incident command system? Select all that apply. Activate communication equipment Establish a command center in a designated location Provide key personnel with distinctive clothing identifying their role Distribute job action sheets identifying reporting relationships, tasks, and responsibilities Who undertakes the responsibility of identifying the need for and calling of different specialty-trained providers to care for clients in a disaster? Medical command physician A nurse, while caring for a client who survived an earthquake, plans to shift the client to the trauma center. The client is found to have multiple injuries and requires stabilization. What trauma center level is appropriate for the client? Level III What areas should the nurse keep in mind when participating in the planning of an organization's emergency preparedness plan? Select all that apply. Needs for security Staffing for surge situations Methods of communication Definition of specific nursing roles Which agents of bioterrorism can be treated effectively with antibiotics? Select all that apply. Plague Anthrax Tularemia What items should the nurse instruct community members to include in a personal preparedness bag? Select all that apply. Toiletries Cell phone and charger Three-day supply of clothing Three-day supply of non-perishable food items A diabetic client survives a fire. The client has a head injury, tachycardia, and pale and ashen-colored skin. Which primary interventions should the nurse perform? Select all that apply. Administering cool intravenous fluids Placing the client in a cool environment Managing and maintaining airway, breathing, and circulation The nurse administrator for a long-term care facility is implementing a disaster response plan for staff and residents. Which staff member statements indicate correct understanding of the plan? Select all that apply. "We have to implement annual drills." "The plan must include an evacuation plan." The nurse manager is designated as a unit Chief during the formulation of a Hospital Incident Command System (HICS) for disaster preparedness. Which responsibility does the nurse manager assume in this role? Logistics and operation A hospital located near a major earthquake fault line has set an organizational goal to participate in emergency management of disasters. What do the employees of this hospital need to do before being recognized by the National Incident Management System (NIMS)? Attend training on the incident command system A client is admitted to an emergency unit after a factory explosion. The nurse is obtaining the client's family history and checking for a medical alert bracelet. Which safety consideration is the nurse following? Risk for errors and adverse events An explosion resulted in massive injuries in a client requiring resuscitation. What is the correct sequence of actions for treating this client? Establish a patent airway. Assess breath sounds and respiratory effort. Monitor vital signs. Evaluate the client's level of consciousness. The nurse is implementing measures to reorient a confused client post-earthquake and suggests that a family member accompany the client. Which safety consideration is the nurse demonstrating? Injury prevention for clients While caring for clients with injuries after a terrorist attack, the nurse observed ear bleeding, conjuctival hemorrhage, and severe lacerations in a client and provided mechanical ventilation. Which tag would be appropriate for this client according to the disaster triage tag system? Black tag In a mass casualty situation, which healthcare professional can direct departments such as physical therapy or a surgical clinic to cancel their usual operations to convert the space into a minor treatment area? Hospital Incident Commander The disaster management team is working to manage the aftermath of an accidental explosion in a fertilizer plant and has started evacuating the injured and uninjured victims from danger as first line of action. Which team member most likely engages in this action? [Show More]

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