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Unit 8- IGGY Chapter 10 Concepts of Disaster Preparedness
Terms in this set (28)
Which are examples of external disasters? Select all that apply.
A. Loss of critical utility such as electricity
B. Malfunction of a nuclear reactor with radiation
C. A violent active shooter situation
D. Ebola virus crisis
E. Fire in a long-term care facility
F. Terrorist act using explosive advice
Which statement about The Joint Commission Mandates for Emergency Preparedness Plans for maintenance of ongoing disaster preparedness is true?
A. All facilities must prepare to become trauma centers in the event of any disaster.
B. The emergency preparedness plan must be tested through drills or actual participation in a real event at least twice a year.
C. Both drills or events must involve community-wide resources and influx of actual or simulated clients to assess the ability of collaborative and command structures.
D. Long-term care facilities are required to take an "all-hazards approach" to disaster planning.
What information would be most important for the nurse to get in order to determine the potential for a multi-casualty event versus a mass casualty event at a local high school?
A. "Have emergency medical services been notified?"
B. "What are school officials saying about the event?"
C. "What are the number and the severity of injuries?"
D. "How long ago did the event occur?"
Which priority would be included in the emergency management plan for a small community hospital in a suburban area of a large city?
A. Plan for transporting patients to other hospitals
B. Method for contacting the National Disaster Medical System
C. Stockpiling postexposure prophylactic antibiotics
D. Plan for evacuation routes out of the city
Which clients would the triage nurse designate as black-tagged? Select all that apply.
A. Client with massive head trauma
B. Client with airway obstruction
C. Client with an open fracture
D. Client with extensive full-thickness burns
E. Client with multiple abrasions and contusions
F. Client with sprained wrist who can walk
During a disaster drill, which action would be most appropriate to assign to an assistive personnel (AP) who usually works in labor and delivery?
A. Care for and support the green-tagged clients.
B. Stay with the black-tagged clients in the holding area.
C. Answer questions for the families of the red-tagged clients.
D. Obtain and record vital signs for the yellow-tagged clients.
What must a nurse based in Texas, who is a member of a Disaster Medical Assistance Team (DMAT) and has been asked to serve in Colorado, do when he or she does not hold an active Colorado nursing license?
A. Discover whether Colorado has reciprocity with Texas before accepting deployment.
B. Prepare for deployment because he or she will be considered a federal employee with valid licensure.
C. Decline deployment because his or her nursing license will not allow him or her to practice in Colorado.
D. Delay deployment until he or she has reviewed the Nurse Practice Act that is specific to Colorado.
Which is the personnel function of the hospital incident commander?
A. Person who serves as liaison between the health care facility and the media
B. Physician or nurse who rapidly evaluates each client to determine priority of treatment
C. Physician who decides the number, acuity, and resource needs of clients
D. Physician or administrator who assumes overall leadership for implementing the emergency plan
What is the nurse's best response when a local news station calls the hospital ED to verify the number of victims and details of a local disaster?
A. "Hold and I will connect you with the emergency command center."
B. "Please hold and I will connect you with the community relations officer."
C. "We have many stable victims but so far no one has died."
D. "Don't bother us because we are trying to care for the disaster victims."
Which actions are appropriate for the ED charge nurse of a large suburban hospital who is informed at 3:00 a.m. that a commercial airplane just crashed outside the city limits? Select all that apply.
A. Activate the hospital's emergency management plan.
B. Initiate the staff telephone tree.
C. Collaborate with the triage officer.
D. Alert the critical incident stress debriefing team.
E. Organize nursing and ancillary services.
F. Collaborate with the medical command physician.
What is an appropriate project for nurses serving on a committee that is to develop tools and aids for the medical command physician to use during a disaster event?
A. Create a telephone tree for contacting the nursing and ancillary staff.
B. Design a triage algorithm that addresses different types of disaster events.
C. Make a list that includes contact information for all trauma and orthopedic surgeons.
D. Create an algorithm for contacting the Federal Emergency Management Agency.
Which action would the nurse include in her or his personnel emergency preparedness plan?
A. Teach family members about radiation and bioterrorism safety issues.
B. Stockpile antibiotics, first-aid supplies, and resuscitation equipment.
C. Resolve all ethical conflicts of family and professional obligations.
D. Create a disaster supply kit with clothing and basic survival supplies.
What is the priority action for a nurse when a client comes to the ED worried that he has been exposed to an infectious bioterrorism agent?
A. Escort the client to a quarantined area.
B. Call the local police and Department of Public Health.
C. Take a comprehensive history and assess for any symptoms.
D. Activate the emergency preparedness plan.
Which basic supplies will the nurse include in his or her personal disaster kit? Select all that apply.
A. Cell phone and charger
B. Towel, washcloth, soap, hand sanitizer
C. Battery-powered radio
D. Sturdy footwear
E. Toiletry articles
F. One gallon water per day for at least 3 days
G. Sleeping bag and pillow
H. Duct tape and plastic sheeting
Which responsibility is appropriate for the nurse assigned to assist the hospital incident commander during a disaster drill?
A. Contact the security department and instruct them to control the number of people who attempt to enter the hospital.
B. Call all nursing units to determine the number of patients who could potentially be discharged.
C. Call the physical therapy department and direct the therapists to assist in the operating room and the intensive care unit.
D. Go to the emergency department and assist with the triage of disaster victims to appropriate clinical areas.
Which situation describes the most appropriate reassignment of nursing staff?
A. Intensive care nurse is reassigned to care for clients with massive head injuries and black tags.
B. Physical therapist is reassigned to take and record vital signs on medical-surgical clients.
C. Medical staff nurses are reassigned to provide care for stable emergency room clients.
D. Operating room nurse is reassigned to the emergency room to assist with triage.
Which is the best example of the "greatest good for the greatest number of people"?
A. Twenty victims infected by a bioterrorism agent are placed on life support with mechanical ventilation.
B. Elderly community members are treated with prophylactic antibiotics for a bioterrorism agent.
C. The city's supply of antibiotics is sent to one hospital that has 25 victims with exposure to a bioterrorism agent.
D. Thirty people with possible exposure to a bioterrorism agent are quarantined, including five children who are asymptomatic.
After a mass casualty disaster, what is the purpose of conducting the postplan administrative review?
A. To identify employees who need financial help or reimbursement
B. To provide all employees the opportunity to express positive and negative comments
C. To establish a system of networking and support for employees
D. To focus on errors that were made and things that went wrong during the plan
Which actions or behaviors by a nurse who was involved in a mass casualty event are most consistent with practices recommended to reduce the risk for development of posttraumatic stress disorder (PTSD)? Select all that apply.
A. Drinking two to four glasses of wine before bed daily
B. Interacting with a crisis intervention specialist weekly
C. Hugging a fellow nurse when he or she bursts into tears at the sound of an alarm
D. Bringing a fruit basket to work and sharing the contents with all co-workers for snacks
E. Changing his or her work schedule from two 16-hour shifts per week to four 8-hour shifts per week
F. Wearing headphones at breaks to avoid sharing thoughts and feelings with co-workers who also experienced the event
What must be the initial action of first responders in a community-based disaster?
A. Provide first aid.
B. Triage the victims.
C. Remove people from danger.
D. Notify the local hospital.
Which element of a long-term care facility's emergency preparedness plan must be resolved to meet the guidelines of the Life Safety Code published by the National Fire Protection Association?
A. Many residents are unwilling or unable to participate in fire drills.
B. Fire extinguishers are heavy and difficult to use.
C. Fire safety training is difficult to keep current because of high staff turnover.
D. The building has one main front door and the side doors are sealed shut.
Which actions are part of the nurse's role in responding to health care facility fires? Select all that apply.
A. Remove any client or staff from immediate danger from fire or smoke.
B. Direct ambulatory clients to walk to a safe location.
C. Continue oxygen on all clients who have it prescribed by the HCP.
D. Ask ambulatory clients to push wheelchair clients out of danger if possible.
E. When everyone is out of danger, contain the fire by closing doors and windows.
F. Move bedridden clients out of danger in beds, on stretchers or wheelchairs.
When a mass casualty event occurs, which group of victims is most likely to require the largest amount of physical space?
A. Green-tagged victims
B. Yellow-tagged victims
C. Red-tagged victims
D. Black-tagged victims
Which client is correctly triaged and marked with the appropriate color tag?
A. A teenager with profuse bleeding from a severe arm laceration: black tag
B. An older adult woman with a fractured ankle: yellow tag
C. A child who has died from severe injuries: green tag
D. An older adult male with shortness of breath and a pneumothorax: red tag
What would the nurse do first when gunshots are heard in the waiting room?
A. Grab a resuscitation box and hurry to the waiting area.
B. Assist ambulatory clients to leave through the back entrance.
C. Assess the level of threat to self and others then call for help.
D. Alert the ED health care provider that additional trauma clients will need care.
What is the best action for the nurse to take after using the Impact of Event Scale-Revised (IES-R) with an assistive personnel (AP) who works in a long-term care facility that was devastated by a fire when the IES-R scores are high on all subscales?
A. Suggest coping strategies that the AP can use to decrease stress.
B. Refer the AP to a psychiatrist or clinical psychologist for additional evaluation.
C. Reinforce the coping strategies that the AP is using successfully.
D. Refer the AP to a social worker or a support group for survivors of disasters.
Which situation constitutes an internal disaster?
A. Two nurses losing consciousness while providing care to an unconscious client suffering a fentanyl overdose
B. Regional power failure after a snow storm requiring a hospital to continue services while using emergency generators
C. Broken water pipe in the service level of a nursing home causing a total loss of electricity for two days
D. Waste-basket fire in an emergency department from an inadequately extinguished client cigarette
Which actions would be useful when the nurse is helping people after a mass casualty event? Select all that apply.
A. Establish rapport through active listening and honest communication.
B. Allow survivors to talk about their experiences.
C. Offer resources to help survivors gain a sense of personal control.
D. Provide a sense of safety and security.
E. Give complete and complex responses to all questions from survivors.
F. Request crisis counselors respond to assist survivors and families by providing compassionate support.
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