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Iggy Chapter 10: Principles of Emergency and Disaster Preparedness

Terms in this set (16)

a. Provide water and healthy snacks for energy throughout the event.
A hospital responds to a local mass casualty event. Which action should the nurse supervisor take to prevent staff post-traumatic stress disorder during a mass casualty event?
a. Provide water and healthy snacks for energy throughout the event.
b. Schedule 16-hour shifts to allow for greater rest between shifts.
c. Encourage counseling upon deactivation of the emergency response plan.
d. Assign staff to different roles and units within the medical facility.
d. "You seem upset. I have time to talk if you'd like."
A client who is hospitalized with burns after losing the family home in a fire becomes angry and screams at a nurse when dinner is served late. How should the nurse respond?
a. "Do you need something for pain right now?"
b. "Please stop yelling. I brought dinner as soon as I could."
c. "I suggest that you get control of yourself."
d. "You seem upset. I have time to talk if you'd like."
d. Multiple fractured ribs and shortness of breath
Clients who have an immediate threat to life are given the highest priority, are placed in the emergent or class I category, and are given a red triage tag. The client with multiple rib fractures and shortness of breath most likely has developed a pneumothorax, which may be fatal if not treated immediately. The client with the hip and leg problem and the client with the clavicle fracture would be classified as class II; these major but stable injuries can wait 30 minutes to 2 hours for definitive care. The client with facial wounds would be considered the "walking wounded" and classified as nonurgent.
A nurse is field-triaging clients after an industrial accident. Which client condition should the nurse triage with a red tag?
a. Dislocated right hip and an open fracture of the right lower leg
b. Large contusion to the forehead and a bloody nose
c. Closed fracture of the right clavicle and arm numbness d. Multiple fractured ribs and shortness of breath
d. Direct medical-surgical and critical care nurses to assist with clients currently in
the ED while emergency staff prepare to receive the mass casualty victims.
An emergency department (ED) charge nurse prepares to receive clients from a mass casualty within the community. What is the role of this nurse during the event?
a. Ask ED staff to discharge clients from the medical-surgical units in order to make
room for critically injured victims.
b. Call additional medical-surgical and critical care nursing staff to come to the
hospital to assist when victims are brought in.
c. Inform the incident commander at the mass casualty scene about how many
victims may be handled by the ED.
d. Direct medical-surgical and critical care nurses to assist with clients currently in
the ED while emergency staff prepare to receive the mass casualty victims.
a. "You are free to express your feelings; whatever is said here stays here."
The hospital administration arranges for critical incident stress debriefing for the staff after a mass casualty incident. Which statement by the debriefing team leader is most appropriate for this situation?
a. "You are free to express your feelings; whatever is said here stays here."
b. "Let's evaluate what went wrong and develop policies for future incidents."
c. "This session is only for nursing and medical staff, not for ancillary personnel." d. "Let's pass around the written policy compliance form for everyone."
c. "You sound anxious about being a single parent."
A nurse is caring for a client whose wife died in a recent mass casualty accident. The client says, "I can't believe that my wife is gone and I am left to raise my children all by myself." How should the nurse respond?
a. "Please accept my sympathies for your loss."
b. "I can call the hospital chaplain if you wish."
c. "You sound anxious about being a single parent." d. "At least your children still have you in their lives."
c. "In a disaster, extensive resources are not used for one person at the expense of many others."
A nurse cares for clients during a community-wide disaster drill. Once of the clients asks, "Why are the individuals with black tags not receiving any care?" How should the nurse respond?
a. "To do the greatest good for the greatest number of people, it is necessary to
sacrifice some."
b. "Not everyone will survive a disaster, so it is best to identify those people early
and move on."
c. "In a disaster, extensive resources are not used for one person at the expense of
many others."
d. "With black tags, volunteers can identify those who are dying and can give them
comfort care."
a. The Medical Reserve Corps
A nurse wants to become involved in community disaster preparedness and is interested in helping set up and staff first aid stations or community acute care centers in the event of a disaster. Which organization is the best fit for this nurse's interests?
a. The Medical Reserve Corps
b. The National Guard
c. The health department
d. A Disaster Medical Assistance Team
a. "Deployed DMAT providers are federal employees, so their licenses are good in
all 50 states.
A nurse wants to become part of a Disaster Medical Assistance Team (DMAT) but is concerned about maintaining licensure in several different states. Which statement best addresses these concerns?
a. "Deployed DMAT providers are federal employees, so their licenses are good in
all 50 states."
b. "The government has a program for quick licensure activation wherever you are
deployed."
c. "During a time of crisis, licensure issues would not be the government's priority
concern."
d. "If you are deployed, you will be issued a temporary license in the state in which
you are working."
b. "Do all areas of the hospital have the supplies and personnel they need?"
After a hospital's emergency department (ED) has efficiently triaged, treated, and transferred clients from a community disaster to appropriate units, the hospital incident command officer wants to "stand down" from the emergency plan. Which question should the nursing supervisor ask at this time?
a. "Are you sure no more victims are coming into the ED?"
b. "Do all areas of the hospital have the supplies and personnel they need?" c. "Have all ED staff had the chance to eat and rest recently?"
d. "Does the Chief Medical Officer agree this disaster is under control?"
a. Provide a calm location for the family to cope and discuss needs.
A family in the emergency department is overwhelmed at the loss of several family members due to a shooting incident in the community. Which intervention should the nurse complete first?
a. Provide a calm location for the family to cope and discuss needs.
b. Call the hospital chaplain to stay with the family and pray for the deceased.
c. Do not allow visiting of the victims until the bodies are prepared.
d. Provide privacy for law enforcement to interview the family.
c. Arrange for critical incident stress debriefing.
An emergency department charge nurse notes an increase in sick calls and bickering among the staff after a week with multiple trauma incidents. Which action should the nurse take? a. Organize a pizza party for each shift.
b. Remind the staff of the facility's sick-leave policy.
c. Arrange for critical incident stress debriefing. d. Talk individually with staff members.
a. Partial-thickness burns covering both legs
c. Neck injury and numbness of both legs
d. Small pieces of shrapnel embedded in both eyes
f. Bruising and pain in the right lower abdomen
Emergency medical services (EMS) brings a large number of clients to the emergency department following a mass casualty incident. The nurse identifies the clients with which injuries with yellow tags? (Select all that apply.)
a. Partial-thickness burns covering both legs
b. Open fractures of both legs with absent pedal pulses
c. Neck injury and numbness of both legs
d. Small pieces of shrapnel embedded in both eyes
e. Head injury and difficult to arouse
f. Bruising and pain in the right lower abdomen
a. A 35-year-old female with severe chest pain: red tag
d. A 60-year-old male with an open fracture with distal pulses: yellow tag

Red-tagged clients need immediate care due to life-threatening injuries. A client with severe chest pain would receive a red tag. Yellow-tagged clients have major injuries that should be treated within 30 minutes to 2 hours. A client with an open fracture with distal pulses would receive a yellow tag. The client with full-thickness body burns would receive a black tag. The client with a scalp laceration would receive a green tag, and the client with shortness of breath would receive a red tag.
A nurse triages clients arriving at the hospital after a mass casualty. Which clients are correctly classified? (Select all that apply.)
a. A 35-year-old female with severe chest pain: red tag
b. A 42-year-old male with full-thickness body burns: green tag
c. A 55-year-old female with a scalp laceration: black tag
d. A 60-year-old male with an open fracture with distal pulses: yellow tag
e. An 88-year-old male with shortness of breath and chest bruises: green tag
b. Client who had open reduction and internal fixation of a femur fracture 3 days ago
e. Client on the medical unit for wound care
A hospital prepares to receive large numbers of casualties from a community disaster. Which clients should the nurse identify as appropriate for discharge or transfer to another facility? (Select all that apply.)
a. Older adult in the medical decision unit for evaluation of chest pain
b. Client who had open reduction and internal fixation of a femur fracture 3 days ago
c. Client admitted last night with community-acquired pneumonia
d. Infant who has a fever of unknown origin
e. Client on the medical unit for wound care
b. Hospital incident commander - Assumes overall leadership for implementing the
emergency plan
d. Triage officer - Rapidly evaluates each client to determine priorities for treatment
A hospital prepares for a mass casualty event. Which functions are correctly paired with the personnel role? (Select all that apply.)
a. Paramedic - Decides the number, acuity, and resource needs of clients
b. Hospital incident commander - Assumes overall leadership for implementing the
emergency plan
c. Public information officer - Provides advanced life support during transportation
to the hospital
d. Triage officer - Rapidly evaluates each client to determine priorities for treatment e. Medical command physician - Serves as a liaison between the health care facility
and the media
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