evolve community.doc

Which entity is responsible for activating the disaster plan during a mass casualty incident (MCI)? 1 Local emergency management system Incorrect2 State emergency management system Correct3 Federal emergency management agency 4 Hospital-level emergency management system Test-Taking Tip: Choose the best answer for questions asking for a single answer. More than one answer may be correct, but one answer may contain more information or more important information than another answer. An emergency nursing staff member is performing defibrillation/cardioversion and special resuscitation for clients who sustained injuries in a tsunami. Which certification does the emergency nursing staff member possess? 1 Basic Life Support(BLS) 2 Certified Emergency Nurse (CEN) Correct3 Advanced Cardiac Life Support (ACLS) 4 Pediatric Advanced Life Support (PALS) Advanced Cardiac Life Support (ACLS) certification allows nurses to perform electrical therapies, special resuscitation, and invasive airway management. Basic Life Support(BLS) certification is granted when the nurse performs airway maintenance or cardiopulmonary resuscitation. Certified Emergency Nurse (CEN) certification indicates that a nurse has core emergency nursing skill and knowledge. Pediatric Advanced Life Support (PALS) certification is needed to perform neonatal and pediatric resuscitation. Which medical relief team would the nurse explain provides relief services ranging from primary healthcare and triage to evacuation and staffing to assist healthcare facilities in a massive disaster? 1 Medical Reserve Corps (MRC) Correct2 Disaster Medical Assistance Team (DMAT) 3 Hospital Incident Command System (HICS) 4 International Medical Surgical Response Teams (IMSuRTs) The DMAT is a team of civilian, medical, and paraprofessionals who are deployed to a disaster area. They provide relief services ranging from primary healthcare and triage to evacuation and staffing to assist healthcare facilities in a massive disaster. The MRC is a group of volunteer medical and public healthcare professionals. The MRC helps healthcare settings that face personnel shortages in a mass casualty event. The HICS is a facility-level organizational model to homogenize disaster operations. The IMSuRTs provide fully functional field surgical facilities in a mass casualty event whenever needed. What type of healthcare does a person who is "worried well" require? Select all that apply. Correct1 Evaluation Correct2 Reassurance 3 Hospitalization 4 Diagnostic tests Correct5 Preventive treatment A person who is "worried well" wants evaluation, reassurance, and preventive treatment. This person does not ask for hospitalization or diagnostic tests. What is the role of the "doorkeeper" in a critical incident stress debriefing (CISD) team? 1 Helping dispel any feelings of blame or guilt in the participants 2 Encouraging group discussion through asking a series of questions 3 Educating participants about self-care concepts and coping strategies to use immediately Correct4 Talking with anyone who leaves the session early in an effort to have him or her return or accept follow-up The role of the "doorkeeper" is to keep inappropriate people like the media and spectators out and to talk with anyone who leaves the session early in an effort to have him or her return or accept follow-up. The CISD group leader helps dispel any feelings of blame or guilt in the participants, encourages group discussion through asking a series of questions, and educates participants about self-care concepts and coping strategies to use immediately. The emergency department nurse is triaging clients according to the emergency service index (ESI). On further evaluation the nurse reassigned some clients to other ESI levels. Which assessments made by the nurse helped in reassigning the clients? 1 Temperature of 98˚F (37˚C) 2 Pulse rate of 70 beats/min Correct3 Blood pressure of 190/90mm Hg 4 Respiratory rate of 18 breaths/min According to the emergency service index (ESI), all clients who do not meet criteria of ESI level 1 (life threat) and ESI level 2 (high risk situation) are assigned to other levels such as ESI levels 3, 4, 5. After further assessment, clients with abnormal vital signs in ESI level 3 are reassigned to ESI level 2. If blood pressure is higher than normal (90/60 to 120/80 mm hg), the client is What is the purpose of an administrative review debriefing session after a disaster? 1 Change responsibility roles 2 Prevent the development of burnout 3 Analyze the amount of resources used Correct4 Determine what went right and what went wrong The goal of the administrative review debriefing is to discern what went right and what went wrong during activation and implementation of the emergency preparedness plan. This debriefing is not used to change responsibility roles. Preventing the development of burnout is the goal of critical incident stress debriefing (CISD). Analyzing resource use would occur after the disaster plan is discontinued. The nurse is reassessing level of consciousness and mental status in a client who survived a fire. Which type of emergency assessment of the trauma client is the nurse performing? Incorrect1 Airway Correct2 Disability 3 Breathing 4 Full set of vital signs Reassessing the level of consciousness and mental status in a client would provide baseline assessment of neurologic status, which is an aspect of emergency assessment of disability performed in a primary survey as a life-saving intervention. Emergency assessment of the airway is performed to assess respiratory distress, bleeding, and edema. Emergency assessment of breathing is performed to assess normal airway passage, tension pneumothorax, or the need for mechanical ventilation. Assessing the full set of vital signs involves monitoring temperature, heart rate and, respiratory rate. Which color tagged clients usually make up the greatest number in most large-scale multi-casualty situations, based on the disaster triage tag system? Incorrect1 Red 2 Black Correct3 Green 4 Yellow Green-tags clients usually make up the greatest number in most large-scale multi-casualty situations. These clients have minor injuries and they may actually evacuate themselves from the mass casualty scene and go to the hospital in a private vehicle. Red-tagged clients have major injuries, black-tagged clients are expected and allowed to die, and yellow-tagged clients have major injuries. Clients belonging to these three categories usually do not make up the greatest number in most large-scale multi-casualty situations. A group of clients injured in a cyclone are admitted to an emergency department. The hospital management wants to caution people living in those areas through radio and news and notify other healthcare facilities. Which personnel would the nurse consider are appropriate in this situation? 1 Triage officer Correct2 Public information officer 3 Medical command physician 4 Hospital incident commander The public information officer is the healthcare team member who serves as a liaison between the media and the healthcare facility. The triage officer is a member of the healthcare team who may be a physician or nurse who evaluates every client rapidly based on priorities to provide treatment. The medical command physician is the healthcare team member who has a role in deciding acuity, the number, and resource needs of clients. The hospital incident commander is an administrator who assumes overall leadership for implementing the emergency plan. After a mass casualty incident related to an accidental fire in a residential area, the medical care team is assessing clients who were affected by this disaster. The nurse notices that many of the clients are incoherent and have panic attacks and exaggerated startle responses. What condition are the clients experiencing? 1 Ineffective coping Correct2 Post-trauma syndrome 3 Compromised resilience 4 Disturbed personal identity Incoherence, panic attacks, and exaggerated startle responses are symptoms of post-trauma syndrome. Ineffective coping and compromised resilience is characterized by an inability to meet basic needs, inadequate problem solving, inability to attend to information, and isolation. Disturbed personal identity is manifested as self-hatred, feelings of being ineffectual, and perceived lack of control. Which disaster can be categorized as an internal disaster? 1 Hurricane in a state Correct2 Explosion in a hospital 3 Earthquake in a country 4 Flooding in a town An internal disaster is any event inside a health care facility or campus that could endanger the safety of clients or staff. An explosion inside a hospital is an example of internal disaster. A hurricane, earthquake, or flooding in a town, all occurring out of the hospital setting but requiring an emergency management plan from the hospital, can be categorized as external disasters. The victims of a large scale near-drowning incident are brought to the emergency department. What is the minimum length of time all such victims should be kept under observation in the hospital? 1 12 hours 2 18 hours Correct3 23 hours Incorrect4 48 hours Complications can develop in victims who are essentially free of symptoms immediately after a near-drowning episode. This secondary drowning refers to delayed death from drowning due to pulmonary complications. Consequently, all victims of near-drowning should be observed in a hospital for a minimum of 23 hours, and longer if they have co-morbidities. Twelve hours and 18 hours are too soon to rule out secondary drowning. The clients need not be kept under observation for 48 hours if they do not have co-morbidities. Which biologic agent of terrorism is treated with antitoxin?