Question 1

A tornado destroyed 65% of the businesses and homes in a small midwestern city. Aid would be requested based on categorization as a level ______ disaster.

Accepted Answer

3

Question 2

A hospital administrator receives a call that mass casualty shootings have occurred at several different locations within the city. Early information indicates that up to 50 victims may be arriving at the hospital starting within minutes. What action should the administrator take?

Accepted Answer

A)  Mobilize the hospital incident command system. 
B)  Notify other administrators and order a rapid needs assessment in all critical areas. 
C)  Authorize the implementation of the hospital's disaster plan. 
D)  Call the emergency department and ask the charge nurse if the department has received any clients. 
E)  Conduct a risk assessment to see if the hospital is vulnerable to attack. 
A)  Mobilize the hospital incident command system. 
B)  Notify other administrators and order a rapid needs assessment in all critical areas. 
C)  Authorize the implementation of the hospital's disaster plan. 
D)  Call the emergency department and ask the charge nurse if the department has received any clients. 
E)  Conduct a risk assessment to see if the hospital is vulnerable to attack. A,B,C

Question 3

A hospital successfully implemented its disaster plan to manage providing care during a massive 3-day snow storm. What is the most likely way additional costs for this service will be paid?

Accepted Answer

A)  Medicare will increase reimbursement for any client age 65 or over who was hospitalized during the disaster. 
B)  The federal government will pay any costs over and above the normal operating expenses for the time period. 
C)  The hospital will absorb the additional costs. 
D)  State and county governments have reserve funds to reimburse for such expenses. 
A)  Medicare will increase reimbursement for any client age 65 or over who was hospitalized during the disaster. 
B)  The federal government will pay any costs over and above the normal operating expenses for the time period. 
C)  The hospital will absorb the additional costs. 
D)  State and county governments have reserve funds to reimburse for such expenses. C

Question 4

The hospital is preparing for a tabletop test of its emergency operations plan. What is the potential for an interruption in services from this drill?

Accepted Answer

A)  There is little potential for interruption as the drill is all done in a meeting. 
B)  There is some potential for interruption of non-client-care services such as billing and scheduling. 
C)  There will be interruption in some services that generally occupy the area where the enormous table is set up for the drill. 
D)  Normal services will probably be interrupted by the simulated situations and simulated clients. 
A)  There is little potential for interruption as the drill is all done in a meeting. 
B)  There is some potential for interruption of non-client-care services such as billing and scheduling. 
C)  There will be interruption in some services that generally occupy the area where the enormous table is set up for the drill. 
D)  Normal services will probably be interrupted by the simulated situations and simulated clients.

Question 5

Health care providers are preparing for a worldwide outbreak of H1N1 influenza. How would this outbreak be classified in planning literature?

Accepted Answer

A)  A man-made disaster 
B)  As a pandemic 
C)  As a health disaster 
D)  As a natural disaster 
E)  As an epidemic 
A)  A man-made disaster 
B)  As a pandemic 
C)  As a health disaster 
D)  As a natural disaster 
E)  As an epidemic

Question 6

Fire departments from a three county area have responded to a wildfire that has threatened several homes and a hospital in a wooded area. The fire is now under control and the fire chief is completing paperwork on the response. The disaster should be classified at level ______.

Accepted Answer

The answer of Fire departments from a three county area...

Question 7

Hospital administration is aware that staff may be reluctant to be called back to work in a disaster. How can the hospital be proactive in encouraging staff to make the decision to serve?

Accepted Answer

A)  Develop a caring relationship with staff during normal times. 
B)  Develop a pay scale that offers double pay for all those who work during disasters. 
C)  Offer additional time off to those who work during a disaster. 
D)  Focus on the skills advancement opportunities that occur when working in a disaster. 
A)  Develop a caring relationship with staff during normal times. 
B)  Develop a pay scale that offers double pay for all those who work during disasters. 
C)  Offer additional time off to those who work during a disaster. 
D)  Focus on the skills advancement opportunities that occur when working in a disaster.

Question 8

A level III disaster has occurred and the hospital is receiving clients by ambulance and those who have walked in to the emergency department. The wife of a man who is critically injured screams, "Why doesn't someone do something for my husband? He is dying!" How should the nurse manager respond?

Accepted Answer

A)  "Ma'am, you should not be back here. You will have to leave." 
B)  "I'm so sorry, but your husband's injuries are very severe. We have to take care of the others first." 
C)  "Is there someone who can stay with this woman? She is distraught." 
D)  "He doesn't pass the triage screen for someone we can save." 
A)  "Ma'am, you should not be back here. You will have to leave." 
B)  "I'm so sorry, but your husband's injuries are very severe. We have to take care of the others first." 
C)  "Is there someone who can stay with this woman? She is distraught." 
D)  "He doesn't pass the triage screen for someone we can save."

Question 9

A nurse executive is assigned to a task force working on a surge system for the hospital in case of a disaster. This group should write strategies to cover which procedures?

Accepted Answer

A)  Post-incident follow-up 
B)  Supplies 
C)  Physical space 
D)  Management infrastructure 
E)  Personnel 
A)  Post-incident follow-up 
B)  Supplies 
C)  Physical space 
D)  Management infrastructure 
E)  Personnel

Question 10

A nurse is working with a hospital team to create an emergency response plan that will meet Joint Commission requirements. Which sections should be included in this plan?

Accepted Answer

A)  A method to predict when a disaster will occur through close attention to news and weather reports 
B)  A method to recognize that a disaster is imminent or occurring with plans to reduce the disaster's impact 
C)  A plan whereby policies and procedures as well as equipment and personnel are in place to handle disasters 
D)  Policies and procedures that operationalize actual activities during the disaster 
E)  Policies and procedures describing what will occur immediately after the disaster 
A)  A method to predict when a disaster will occur through close attention to news and weather reports 
B)  A method to recognize that a disaster is imminent or occurring with plans to reduce the disaster's impact 
C)  A plan whereby policies and procedures as well as equipment and personnel are in place to handle disasters 
D)  Policies and procedures that operationalize actual activities during the disaster 
E)  Policies and procedures describing what will occur immediately after the disaster

Question 11

The nurse executive of a hospital is surveying hospitals in a four-state area in regard to their disaster preparedness. The nurse would expect to hear which response to the question "What have you done to prepare for a disaster?"

Accepted Answer

A)  "We have conducted a drive to get area health care professionals registered so they can be contacted in case of a disaster." 
B)  "We have a designated place with beds and equipment so that staff can be directed to an alternate care area." 
C)  "We have not prepared for a disaster." 
D)  "We conduct practice disaster drills." 
A)  "We have conducted a drive to get area health care professionals registered so they can be contacted in case of a disaster." 
B)  "We have a designated place with beds and equipment so that staff can be directed to an alternate care area." 
C)  "We have not prepared for a disaster." 
D)  "We conduct practice disaster drills."

Question 12

Multiple casualties have arrived at the emergency department following a tornado. Which instruction from the manager to staff is incorrect?

Accepted Answer

A)  "There is no time to worry about using personal protective equipment, just try to be safe." 
B)  "Be aware that some of these victims may have been exposed to hazardous substances." 
C)  "Don't let client safety considerations be lost in all of the activity." 
D)  "Feel free to use isolation techniques if required." 
A)  "There is no time to worry about using personal protective equipment, just try to be safe." 
B)  "Be aware that some of these victims may have been exposed to hazardous substances." 
C)  "Don't let client safety considerations be lost in all of the activity." 
D)  "Feel free to use isolation techniques if required."

Question 13

During discussion about the hospital's disaster plan, the administrator says, "I am concerned about our current surge capacity." How should the members of the group interpret this concern?

Accepted Answer

A)  The administrator is worried about the ability of the hospital's electrical system to handle the power fluctuation common during physical disasters. 
B)  The administrator is concerned that flood waters following a storm surge might overwhelm the hospital infrastructure. 
C)  The administrator is worried about the hospital's ability to respond to a large influx of clients from a disaster. 
D)  The administrator is concerned that a disaster would bring about the influx of media and frightened family. 
A)  The administrator is worried about the ability of the hospital's electrical system to handle the power fluctuation common during physical disasters. 
B)  The administrator is concerned that flood waters following a storm surge might overwhelm the hospital infrastructure. 
C)  The administrator is worried about the hospital's ability to respond to a large influx of clients from a disaster. 
D)  The administrator is concerned that a disaster would bring about the influx of media and frightened family.

Question 14

A nurse manager is leading an education session regarding disaster triage for emergency department nurses. Which statement should the manager include in this instruction?

Accepted Answer

A)  "Follow your current triage system." 
B)  "Your triage system will be reversed during a disaster." 
C)  "Triage is not necessary during disasters." 
D)  "Your triage system will basically be first-come, first-served." 
A)  "Follow your current triage system." 
B)  "Your triage system will be reversed during a disaster." 
C)  "Triage is not necessary during disasters." 
D)  "Your triage system will basically be first-come, first-served."

Question 15

A nurse manager has provided education to emergency department nurses regarding disaster management. Which statement would the manager interpret as indicating understanding of this education?

Accepted Answer

A)  "We should treat as many clients as possible as quickly as possible." 
B)  "Quick separation of any victim with bleeding wounds from those who are not bleeding is essential." 
C)  "Our goal is to treat those with serious injuries first." 
D)  "We should send those with less serious injuries home without treatment." 
A)  "We should treat as many clients as possible as quickly as possible." 
B)  "Quick separation of any victim with bleeding wounds from those who are not bleeding is essential." 
C)  "Our goal is to treat those with serious injuries first." 
D)  "We should send those with less serious injuries home without treatment."

Question 16

A disaster planning task force has been asked to focus on communication. Which instruction should this group provide to nursing staff?

Accepted Answer

A)  Limit your communication to physicians and other nurses. 
B)  Be certain to maintain the client tracking system. 
C)  All communication with law enforcement will be conducted through the public resources officers. 
D)  Communication is likely to follow the standard daily pattern. 
A)  Limit your communication to physicians and other nurses. 
B)  Be certain to maintain the client tracking system. 
C)  All communication with law enforcement will be conducted through the public resources officers. 
D)  Communication is likely to follow the standard daily pattern.

Question 17

A nurse manager is working on a task force to develop policy for man-made disasters. There is some discussion in the committee about whether fire should be included in the policy. Which suggestion by a task force member would be most useful?

Accepted Answer

A)  "Fire is a natural occurrence, so we should not address it." 
B)  "Fires are not generally a real disaster, so we should not include it." 
C)  "We should only focus on wildfires." 
D)  "We should only focus on arson fires." 
A)  "Fire is a natural occurrence, so we should not address it." 
B)  "Fires are not generally a real disaster, so we should not include it." 
C)  "We should only focus on wildfires." 
D)  "We should only focus on arson fires."

Question 18

A small creek has flooded, requiring the rescue of one person from a stranded automobile. Electrical service was interrupted for a short period and traffic will be diverted around flooded roads for a period of several hours. Local law enforcement and fire departments have been well equipped to manage the disaster. The newspaper should report that the town suffered a level ______ disaster.

Accepted Answer

A) True 
 B)False

Question 19

A hospital administrator on a disaster planning team says, "I am worried about our liability in using volunteers to provide care during a disaster." What should this team consider?

Accepted Answer

A)  In disaster situations, no liability exists. 
B)  The hospital would have liability for what a volunteer does, but not for anything that happens to the volunteer. 
C)  The hospital could have liability for the volunteer's performance and for his or her safety. 
D)  Hospital liability would be limited to any injuries sustained by the volunteer. 
A)  In disaster situations, no liability exists. 
B)  The hospital would have liability for what a volunteer does, but not for anything that happens to the volunteer. 
C)  The hospital could have liability for the volunteer's performance and for his or her safety. 
D)  Hospital liability would be limited to any injuries sustained by the volunteer.

Question 20

An emergency department has been notified that hundreds of injuries have occurred following the collapse of bleachers at a football game. The emergency department nurses should prepare to make which types of assessments?

Accepted Answer

A)  Physical 
B)  Self 
C)  Situational 
D)  Family 
E)  Community 
A)  Physical 
B)  Self 
C)  Situational 
D)  Family 
E)  Community

Exam 22: Preparing for Emergencies

A tornado destroyed 65% of the businesses and homes in a small midwestern city. Aid would be requested based on categorization as a level ______ disaster.

A hospital administrator receives a call that mass casualty shootings have occurred at several different locations within the city. Early information indicates that up to 50 victims may be arriving at the hospital starting within minutes. What action should the administrator take?

A hospital successfully implemented its disaster plan to manage providing care during a massive 3-day snow storm. What is the most likely way additional costs for this service will be paid?

The hospital is preparing for a tabletop test of its emergency operations plan. What is the potential for an interruption in services from this drill?

Health care providers are preparing for a worldwide outbreak of H1N1 influenza. How would this outbreak be classified in planning literature?

Fire departments from a three county area have responded to a wildfire that has threatened several homes and a hospital in a wooded area. The fire is now under control and the fire chief is completing paperwork on the response. The disaster should be classified at level ______.

Hospital administration is aware that staff may be reluctant to be called back to work in a disaster. How can the hospital be proactive in encouraging staff to make the decision to serve?

A level III disaster has occurred and the hospital is receiving clients by ambulance and those who have walked in to the emergency department. The wife of a man who is critically injured screams, "Why doesn't someone do something for my husband? He is dying!" How should the nurse manager respond?

A nurse executive is assigned to a task force working on a surge system for the hospital in case of a disaster. This group should write strategies to cover which procedures?

A nurse is working with a hospital team to create an emergency response plan that will meet Joint Commission requirements. Which sections should be included in this plan?

The nurse executive of a hospital is surveying hospitals in a four-state area in regard to their disaster preparedness. The nurse would expect to hear which response to the question "What have you done to prepare for a disaster?"

Multiple casualties have arrived at the emergency department following a tornado. Which instruction from the manager to staff is incorrect?

During discussion about the hospital's disaster plan, the administrator says, "I am concerned about our current surge capacity." How should the members of the group interpret this concern?

A nurse manager is leading an education session regarding disaster triage for emergency department nurses. Which statement should the manager include in this instruction?

A nurse manager has provided education to emergency department nurses regarding disaster management. Which statement would the manager interpret as indicating understanding of this education?

A disaster planning task force has been asked to focus on communication. Which instruction should this group provide to nursing staff?

A nurse manager is working on a task force to develop policy for man-made disasters. There is some discussion in the committee about whether fire should be included in the policy. Which suggestion by a task force member would be most useful?

A hospital administrator on a disaster planning team says, "I am worried about our liability in using volunteers to provide care during a disaster." What should this team consider?

An emergency department has been notified that hundreds of injuries have occurred following the collapse of bleachers at a football game. The emergency department nurses should prepare to make which types of assessments?

Introducing Nursing Management

Designing Organizations

Delivering Nursing Care

Leading, Managing, Following

Initiating and Managing Change

Managing and Improving Quality

Understanding Power and Politics

Thinking Critically, Making Decisions, Solving Problems

Communicating Effectively

Delegating Successfully

Building and Managing Teams

Handling Conflict

Managing Time

Budgeting and Managing Fiscal Resources

Recruiting and Selecting Staff

Staffing and Scheduling

Motivating and Developing Staff

Evaluating Staff Performance

Coaching, Disciplining, and Terminating Staff

Managing Absenteeism, Reducing Turnover, Retaining Staff

Dealing With Staff Problems

Preventing Workplace Violence

Handling Collective Bargaining Issues

Managing Stress

Advancing Your Career

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