Nurs 4127 Mastery Diaster

Which statement by the nurse is true regarding mass casualty events related to disasters?

"They may require the association of multiple agencies and health care facilities to handle the crisis."

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?

113F

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?

30%

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?

Advanced Cardiac Life Support (ACLS)

Which emergency response team helps set up shelters for victims who lost their homes due to a disaster?

American Red Cross

Which is the function of the hospital incident commander in a mass casualty event?

Assuming leadership for implementing the emergency plan

Which noninvasive assessment and management skills certification would the nurse be required to use for airway maintenance and cardiopulmonary resuscitation (CPR)?

Basic Life Support (BLS)

Which color tag will be given by the triage nurse to a client assigned to class IV during a mass casualty situation?

Black

Which biological agent of terrorism is treated with antitoxin?

Botulism

Which certification course may be an elective for the nurse qualified to care for clients in a disaster-related emergency situation?

Certified Emergency Nurse (CEN)

Which triage class client would the nurse plan to treat first according to the disaster triage tag system?

Class I

Which statement is true about the disaster triage tag system?

Clients with airway obstruction, who require immediate attention, are given a red tag.

Which nursing behavior is essential when working with leadership personnel during the activation of the emergency preparedness plan?

Collaboration

Which health care team member is a first responder when an emergency or mass casualty incident (MCI) occurs?

Critical care nurse

Which is the function of the medical command physician according to the Emergency Preparedness and Response Plan?

Deciding the number, acuity, and resource needs of clients

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.

Drinking plenty of water, Encouraging coworkers, Monitoring each other's stress levels

Who is responsible for triaging the victims of a multiple motor vehicle crash on a major interstate?

Emergency first responders

Which action is appropriate for the nurse who is the triage officer after a high-speed commuter train derailment?

Evaluating each client to determine priorities for treatment

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.

Evaluation, reassurance, preventative treatment

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?

Expectant

Which internal disaster would the nurse explain requires a need for evacuation or relocation?

Facility gas explosion

Who would the nurse contact to receive training as a Community Emergency Response Team (CERT) member?

Federal Emergency Management Agency (FEMA)

Which entity is responsible for activating the disaster plan during a mass casualty incident (MCI)?

Federal emergency management agency

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.

Fire, Power Outage

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?

Focused adjuncts

Which method of delivering client care works well in disaster situations?

Functional Nursing

Which generation of nursing professionals, being exposed to both terrorism and natural disasters, would be key members for disaster planning initiatives?

Generation Y

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

Which training will help nurses identify signs of biological terrorism?

Hazardous materials (HAZMAT)

Which amount of time is appropriate for the nurse to spend triaging each client during a mass casualty incident (MCI)?

Less than 15 seconds

Which functional level of trauma center is involved in providing a full continuum of trauma services?

Level 1

Which condition is most likely to be categorized with a black tag among clients arriving at the hospital after a large-scale disaster?

Massive head trauma

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?

Paramedics

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?

Post-trauma syndrome

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?

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?

Refer for further evaluation.

Which would the registered nurse say is the priority action of first responders after a community disaster?

Removing the victims from danger

Which role does the federal government play in emergency preparedness?

Stockpiles critical equipment

Which role does the "doorkeeper" enact 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

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?

The client has minor injuries that do not require immediate treatment.

Which is essential for ensuring disaster readiness in a community?

Trauma system

How often should a health care facility that is Joint Commission accredited plan to test the emergency preparedness plan?

Twice a year

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?

23 hours

Which function is performed by the emergency department nurse leader?

Directing ancillary departments to deliver resources to meet service demands

Which intervention is a part of the response phase of disaster planning?

Implementing the disaster plan

Which emergency medical service agency offers service such as first aid stations and special-need shelters during a disaster or pandemic disease outbreak?

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?

Preparedness

Which statement would the nurse know to be true regarding the characteristics of sarin?

Sarin can cause death within minutes of exposure.

Which would the nurse understand to be the role of emergency medical technicians (EMTs) in emergency nursing after a disaster?

To monitor vital signs

To which disaster triage class would the nurse infer a client with a green triage tag belongs?

Class III

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?

Community relations officer

In a mass casualty situation, which is the facility-level organizational model for disaster management used by the hospital or long-term care facility?

Hospital Incident Command System (HICS)

Which is the facility-level organizational model for disaster management?

Hospital Incident Command System (HICS)

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?

Hospital incident commander

Which medical relief team would the nurse expect to help health care facilities that face personnel shortages during a mass casualty event?

Medical Reserve Corps (MRC)

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?

Medical command physician

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?

Preparedness

Which is the purpose of critical incident stress debriefing (CISD) after a disaster?

Prevent post-traumatic stress disorder (PTSD).

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"?

Reaction phase

Which action of the emergency department nurse caring for a group of clients injured in a community disaster would need correction?

Removing people from danger

Which agent of terrorism can cause death within a few minutes?

Sarin gas

Which statement is true regarding Community Emergency Response Teams (CERTs)?

They organize untrained volunteers to assist until professional services arrive at the disaster site.

Clients in which class are given a yellow tag according to the disaster triage tag system?

Class II

Which emergency medical service agency offers service for a group of clients admitted to the emergency unit with mass fatalities?

Disaster Mortuary Operational Response Teams (DMORT)

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?

Logistics and operation

Which personnel are responsible for identifying the need for and calling in specialty trained providers in emergencies?

Medical command physician

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?

Prehospital care providers

Which service can be provided by level II trauma care centers during mass casualty events?

Provide care to most injured clients.

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.

Rapidly evaluating each person who comes to the hospital