PN NCLEX 6th Edition-Leadership/Disasters

The nurse is educating a new nurse about mass casualty events (disasters). Which statement by the new nurse indicates a need for further teaching? Select all that apply.

"Mass casualty events do not require an increase in the number of staff that are needed." "A mass casualty event occurs only within the heath care facility and could endanger staff." "A mass casualty event occurs if a fight between visitors occurs in the emergency department."

The nurse wants to ensure that the emergency department is prepared for a disaster and is creating an action plan for educating the staff. Which actions should the nurse plan in order to adequately prepare the staff? Select all that apply.

Identify specific nursing roles during a disaster. Test the disaster plans before a disaster occurs. Begin educating staff on roles at the time of a disaster. Encourage each nurse to create a personal emergency preparedness plan.

After reviewing the psychosocial implications following a disaster, the nurse is assigned to care for a client who has just witnessed a mass shooting. Upon obtaining subjective information from the client, which actions should the nurse take? Select all that apply.

Remain calm and reassuring. Convey caring behaviors towards the client. Establish rapport and actively listen to the client.

The nurse has just finished taking a course on disaster preparedness. Which statements by the nurse indicate that the teaching has been effective? Select all that apply.

"Nurses test plans by participating in disaster drills." "Nurses play key roles before, during, and after a disaster." "Nurses assist in developing internal and external emergency response plans."

The nurse is presenting a lecture on disasters and posttraumatic stress disorder (PTSD) to a group of new unlicensed assistive personnel (UAP). Which statements by the UAP indicate that teaching has been effective? Select all that apply.

"PTSD can potentially last a lifetime." "Clients can be easily startled and have difficulty sleeping." "Flashbacks occur, causing the client to relive the experience."

A group of nurses are reinforcing instructions on health and safety management to survivors of a hurricane before they leave their temporary shelter and return home. Which instructions should the nurses include? Select all that apply.

Boil water for 5 to 10 minutes before drinking. Wash hands with soap and water frequently. Avoid mixing chemicals such as cleaning chemicals. Add 10 to 20 drops of chlorine bleach to a gallon of water before drinking.

Add 10 to 20 drops of chlorine bleach to a gallon of water before drinking.

Difficulty sleeping Feeling vulnerable Feeling blame or guilt Feeling numb or in disbelief

The nurse is assisting in developing a plan of action for the emergency department in the event of an internal fire. Which should the nurse include in the plan? Select all that apply.

Direct ambulating clients to walk to a safe location. Remove all clients from danger before attempting to extinguish the fire. Move bedridden clients away from the fire area by use of beds or stretchers.

Which factors should the nurse consider when developing a critical incident stress debriefing (CISD) plan for employees of a level 1 trauma center? Select all that apply.

CISD promotes effective coping strategies. CISD occurs in small group settings for staff. CISD may help prevent posttraumatic stress disorder. CISD is only one component of a much larger stress management program.

The nurse is caring for a pediatric client who sustained physical injuries following a bombing. Which actions by the nurse should help put the child at ease and decrease the child's and family's stress level? Select all that apply.

Tell the truth about the child's status. Communicate an attitude of confidence. Encourage family caregivers to stay with the child. Establish a trusting relationship with the child and the parents.

The emergency department nurse receives a telephone call and is informed that a tornado has hit a local residential area and numerous casualties have occurred. The victims will be brought to the emergency department. Which should be the initial nursing action?

Activate the agency emergency response plan.