Disaster Preparedness and Response in Healthcare, Exams of Nursing

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Nurs 4127 Mastery Diaster

As a surface rewarming measure for a client who is hypothermic, which is the highest temperature up to which the fluid can be heated for peritoneal lavage? - ANS 113F Which is the function of the hospital incident commander in a mass casualty event? - ANS Assuming leadership for implementing the emergency plan Which are examples of internal disasters that must be accounted for when formulating a disaster response plan? Select all that apply. One, some, or all responses may be correct. - ANS Fire, Power Outage Which emergency medical service agency offers service for a group of clients admitted to the emergency unit with mass fatalities? - ANS Disaster Mortuary Operational Response Teams (DMORT) Which health care 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? - ANS Community relations officer Which functional level of trauma center is involved in providing a full continuum of trauma services? - ANS Level 1 Which biological agent of terrorism is treated with antitoxin? - ANS Botulism Which statement by the nurse is true regarding mass casualty events related to disasters? - ANS "They may require the association of multiple agencies and health care facilities to handle the crisis." Which method of delivering client care works well in disaster situations? - ANS Functional Nursing Which is the purpose of critical incident stress debriefing (CISD) after a disaster? - ANS Prevent post- traumatic stress disorder (PTSD).

Who would the nurse contact to receive training as a Community Emergency Response Team (CERT) member? - ANS Federal Emergency Management Agency (FEMA) Which internal disaster would the nurse explain requires a need for evacuation or relocation? - ANS Facility gas explosion Which statement is true regarding Community Emergency Response Teams (CERTs)? - ANS They organize untrained volunteers to assist until professional services arrive at the disaster site. Which health care team member is a first responder when an emergency or mass casualty incident (MCI) occurs? - ANS Critical care nurse When the triage nurse assigns a green tag to a client during triage after a mass casualty event, which statement is true about the client's injuries? - ANS The client has minor injuries that do not require immediate treatment. Which triage class client would the nurse plan to treat first according to the disaster triage tag system? - ANS Class I Which color tag will be given by the triage nurse to a client assigned to class IV during a mass casualty situation? - ANS Black Which statement is true about the disaster triage tag system? - ANS Clients with airway obstruction, who require immediate attention, are given a red tag. Which action of the emergency department nurse caring for a group of clients injured in a community disaster would need correction? - ANS Removing people from danger Which statement would the nurse know to be true regarding the characteristics of sarin? - ANS Sarin can cause death within minutes of exposure. Which entity is responsible for activating the disaster plan during a mass casualty incident (MCI)? - ANS Federal emergency management agency

Which training will help nurses identify signs of biological terrorism? - ANS Hazardous materials (HAZMAT) Which amount of time is appropriate for the nurse to spend triaging each client during a mass casualty incident (MCI)? - ANS Less than 15 seconds Which is the function of the medical command physician according to the Emergency Preparedness and Response Plan? - ANS Deciding the number, acuity, and resource needs of clients Which would the registered nurse say is the priority action of first responders after a community disaster? - ANS Removing the victims from danger Which new triage level would the emergency department (ED) nurse training to be a member of a direct response team to respond to community emergencies be required to learn? - ANS Expectant After a mass casualty incident related to an accidental fire in a residential area, which condition are the clients experiencing when they present with incoherence, panic attacks, and exaggerated startle responses? - ANS Post-trauma syndrome Which action is appropriate for the nurse who is the triage officer after a high-speed commuter train derailment? - ANS Evaluating each client to determine priorities for treatment A group of bomb blast victims needs to be transported to the hospital immediately. Which staff members of an emergency unit are most appropriate to handle this situation? - ANS Prehospital care providers Which function is performed by the emergency department nurse leader? - ANS Directing ancillary departments to deliver resources to meet service demands Which phase of critical incident stress debriefing (CISD) is indicated during a CISD session when a client who survived a natural disaster 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"? - ANS Reaction phase

Which would the nurse understand to be the role of emergency medical technicians (EMTs) in emergency nursing after a disaster? - ANS To monitor vital signs Which team is responsible for providing prehospital care such as continuous cardiac monitoring, advanced airway management, and intubation in a group of clients who are severely injured from a fire?

• ANS Paramedics Which nursing behavior is essential when working with leadership personnel during the activation of the emergency preparedness plan? - ANS Collaboration Which noninvasive assessment and management skills certification would the nurse be required to use for airway maintenance and cardiopulmonary resuscitation (CPR)? - ANS Basic Life Support (BLS) When writing a disaster plan for implementation during a mass casualty incident (MCI), which percentage of victims often require admission to the hospital for further treatment? - ANS 30% In a mass casualty situation, which is the facility-level organizational model for disaster management used by the hospital or long-term care facility? - ANS Hospital Incident Command System (HICS) Which type of health care does a person who is "worried well" require? Select all that apply. One, some, or all responses may be correct. - ANS Evaluation, reassurance, preventative treatment Which health care personnel working at an emergency operation center (EOC) is responsible for calling the infectious disease health care provider during a mass casualty swine flu outbreak if the need is identified? - ANS Medical command physician Which medical relief team would the nurse expect to help health care facilities that face personnel shortages during a mass casualty event? - ANS Medical Reserve Corps (MRC) In which phase of the disaster management continuum would the nurse state are developing emergency response plans in case of an earthquake alert is included? - ANS Preparedness

Which personnel are responsible for identifying the need for and calling in specialty trained providers in emergencies? - ANS Medical command physician Which role does the "doorkeeper" enact in a critical incident stress debriefing (CISD) team? - ANS Talking with anyone who leaves the session early in an effort to have him or her return or accept follow- up How often should a health care facility that is Joint Commission accredited plan to test the emergency preparedness plan? - ANS Twice a year Which type of emergency assessment is being performed when the nurse is inserting a gastric tube and arranging for diagnostic studies for a client who sustained injuries after a bus accident? - ANS Focused adjuncts Which is essential for ensuring disaster readiness in a community? - ANS Trauma system To which disaster triage class would the nurse infer a client with a green triage tag belongs? - ANS Class III Which responsibility would the nurse manager assume when designated as a unit chief during the formulation of a Hospital Incident Command System (HICS) for disaster preparedness? - ANS Logistics and operation Which role does the federal government play in emergency preparedness? - ANS Stockpiles critical equipment Which certification course may be an elective for the nurse qualified to care for clients in a disaster- related emergency situation? - ANS Certified Emergency Nurse (CEN) Which steps would the nurse explain are to be followed for preventing post-traumatic stress disorder (PTSD) in hospital staff during a mass casualty event? Select all that apply. One, some, or all responses may be correct. - ANS Drinking plenty of water, Encouraging coworkers, Monitoring each other's stress levels

Which is the facility-level organizational model for disaster management? - ANS Hospital Incident Command System (HICS) Which personnel are appropriate to caution people living in areas hit by a cyclone resulting in injuries through radio and news and to notify other health care facilities? - ANS Public information officer Which would the nurse do when a disaster survivor receives a high score on one of the Impact of Event Scale-Revised (IES-R) subscales? - ANS Refer for further evaluation. Which service can be provided by level II trauma care centers during mass casualty events? - ANS Provide care to most injured clients. Who is responsible for triaging the victims of a multiple motor vehicle crash on a major interstate? - ANS Emergency first responders Which agent of terrorism can cause death within a few minutes? - ANS Sarin gas Which phase of disaster management occurs when the community health nurse in a community that is geographically vulnerable to storms teaches the community about safety measures to be taken during a storm? - ANS Preparedness Which generation of nursing professionals, being exposed to both terrorism and natural disasters, would be key members for disaster planning initiatives? - ANS Generation Y Which certification would the emergency nursing staff member possess to perform defibrillation or cardioversion and special resuscitation for clients who sustained injuries in a tsunami? - ANS Advanced Cardiac Life Support (ACLS) Which activity would the nurse manager complete during an emergency event when acting as the triage officer according to the Hospital Incident Command System (HICS)? Select all that apply. One, some, or all responses may be correct. - ANS Rapidly evaluating each person who comes to the hospital

Which color-tagged clients usually make up the greatest number in most large-scale multi-casualty situations, based on the disaster triage tag system? - ANS Green Clients in which class are given a yellow tag according to the disaster triage tag system? - ANS Class II During an external disaster, which member of the hospital incident command system has the authority to rapidly expand hospital capacity and ensure the availability of medical supplies to the nurse as a function of an emergency response plan? - ANS Hospital incident commander Which intervention is a part of the response phase of disaster planning? - ANS Implementing the disaster plan Which emergency response team helps set up shelters for victims who lost their homes due to a disaster? - ANS American Red Cross Which condition is most likely to be categorized with a black tag among clients arriving at the hospital after a large-scale disaster? - ANS Massive head trauma Which is the minimum length of time victims of a large scale near-drowning incident brought to the emergency department would be kept under observation in the hospital? - ANS 23 hours Which emergency medical service agency offers service such as first aid stations and special-need shelters during a disaster or pandemic disease outbreak? - ANS Medical Reserve Corps (MRC) Which is the purpose of an administrative review debriefing session after a disaster? - correct answer