Ignatavicius Medical-Surgical Nursing 10th Ed., Chapter
12: Principles of Disaster Preparedness
MULTIPLE CHOICE
1. A hospital responds to a local mass casualty event. What action
would the nurse supervisor take to prevent staff posttraumatic
stress disorder during and after the event?
a. Provide water and healthy snacks for energy throughout the
event.
b. Schedule 16-hour shifts to allow for greater rest between shifts.
c. Encourage counseling upon deactivation of the emergency
response plan.
d. Assign staff to different roles and units within the medical
facility.
SOLUTION: A
To prevent staff posttraumatic stress disorder during a mass
casualty event, the nurses would use available counseling, encourage
and support co-workers, monitor each other9s stress level and performance, take breaks when
needed, talk about feelings with staff and managers, and drink plenty of water and eat healthy
snacks for energy. Nurses would also keep in touch with family, friends, and significant
others, and not work for more than 12 hours/day. Encouraging counseling upon deactivation
of the plan, or after the emergency response is over, does not prevent stress during the
casualty event. Assigning staff to unfamiliar roles or units may increase situational stress
and is not an approach to prevent posttraumatic stress disorder.
These actions also help mitigate PTSD after the event.
DIF: Remembering
TOP: Integrated Process: Communication and Documentation
KEY: Emergency and Disaster Preparedness, Psychosocial response
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
2. A client who is hospitalized with burns after losing the family home in a fire becomes angry
and screams at a nurse when dinner is served late. How would the nurse respond?
a. <Do you need something for pain right now?=
b. <Please stop yelling. I brought dinner as soon as I could.=
c. <I suggest that you get control of yourself.=
d. <You seem upset. I have time to talk if you9d like.=
SOLUTION: D
Clients would be allowed to ventilate their feelings of anger and despair after a catastrophic
event. The nurse establishes rapport through active listening and honest communication and
by recognizing cues that the client wishes to talk. Asking whether the client is in pain as the
first response closes the door to open communication and limits the client9s options. Simply
telling the client to stop yelling and to gain control does nothing to promote therapeutic
communication.
DIF: Applying TOP: Integrated Process: Communication and Documentation
KEY: Emergency and Disaster Preparedness, Psychosocial response
MSC: Client Needs Category: Psychosocial Integrity
3. A nurse is field-triaging clients after an industrial accident. Which client condition would the
nurse triage with a red tag?
a. Dislocated right hip and an open fracture of the right lower leg
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, b. Large contusion to the forehead and a bloody nose
c. Closed fracture of the right clavicle and arm numbness
d. Multiple fractured ribs and shortness of breath
SOLUTION: D
Clients who have an immediate threat to life are given the highest priority, are placed in the
emergent or class I category, and are given a red triage tag. The client with multiple rib
fractures and shortness of breath has a threat to oxygenation and is the most critical. The client
with the hip and leg problem and the client with the clavicle fracture would be classified as
class II (urgent, yellow tag); these major but stable injuries can wait for 30 minutes to 2 hours
for definitive care. The client with facial wounds would be considered the <walking wounded=
and classified as nonurgent (class III, green tag).
DIF: Analyzing TOP: Integrated Process: Nursing Process: Assessment
KEY: Emergency and Disaster Preparedness, Triage
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
4. An emergency department (ED) charge nurse prepares to receive clients from a mass casualty
within the community. What is the role of this nurse during the event?
a. Ask nursing staff to discharge clients from the medical-surgical units in order to
make room for critically injured victims.
b. Call additional medical-surgical and critical care nursing staff to come to the
hospital to assist when victims are brought in.
c. Inform the incident commander at the mass casualty scene about how many
victims may be handled by the ED.
d. Direct medical-surgical and critical care nurses to assist with clients currently in
the ED while emergency staff prepare to receive the mass casualty victims.
SOLUTION: D
The ED charge nurse would direct additional nursing staff to help care for current ED clients
while the ED staff prepares to receive mass casualty victims; however, they would not be
assigned to the most critically ill or injured clients. The hospital incident commander9s role is
to take a global view of the entire situation and facilitate patient movement through the
system, while bringing in personnel and supply resources to meet patient needs. The medical
command physician would kept the incident commander informed about victims and capacity
of the ED.
DIF: Applying TOP: Integrated Process: Nursing Process: Planning
KEY: Emergency and Disaster Preparedness, Interprofessional team
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
5. An emergency department manager wants to mitigate the possible acute and chronic stress
after mass casualty events in the staff. What action would the manager take?
a. Encourage all staff to join a Disaster Medical Assistance Team.
b. Instruct all staff members to prepare go bags for all family members.
c. Use available resources for broad education and training in disaster management.
d. Provide incentives and bonuses for responding to mass casualty events.
SOLUTION: C
Download All Chapters Here:
https://SOLUTIONwerins.com/products/test-bank-for-medical-surgical-nursing-
concepts-for- interprofessional-collaborative-care-10th-edition-donna-ignatavicius-
linda-workman
12: Principles of Disaster Preparedness
MULTIPLE CHOICE
1. A hospital responds to a local mass casualty event. What action
would the nurse supervisor take to prevent staff posttraumatic
stress disorder during and after the event?
a. Provide water and healthy snacks for energy throughout the
event.
b. Schedule 16-hour shifts to allow for greater rest between shifts.
c. Encourage counseling upon deactivation of the emergency
response plan.
d. Assign staff to different roles and units within the medical
facility.
SOLUTION: A
To prevent staff posttraumatic stress disorder during a mass
casualty event, the nurses would use available counseling, encourage
and support co-workers, monitor each other9s stress level and performance, take breaks when
needed, talk about feelings with staff and managers, and drink plenty of water and eat healthy
snacks for energy. Nurses would also keep in touch with family, friends, and significant
others, and not work for more than 12 hours/day. Encouraging counseling upon deactivation
of the plan, or after the emergency response is over, does not prevent stress during the
casualty event. Assigning staff to unfamiliar roles or units may increase situational stress
and is not an approach to prevent posttraumatic stress disorder.
These actions also help mitigate PTSD after the event.
DIF: Remembering
TOP: Integrated Process: Communication and Documentation
KEY: Emergency and Disaster Preparedness, Psychosocial response
MSC: Client Needs Category: Safe and Effective Care Environment: Safety and Infection Control
2. A client who is hospitalized with burns after losing the family home in a fire becomes angry
and screams at a nurse when dinner is served late. How would the nurse respond?
a. <Do you need something for pain right now?=
b. <Please stop yelling. I brought dinner as soon as I could.=
c. <I suggest that you get control of yourself.=
d. <You seem upset. I have time to talk if you9d like.=
SOLUTION: D
Clients would be allowed to ventilate their feelings of anger and despair after a catastrophic
event. The nurse establishes rapport through active listening and honest communication and
by recognizing cues that the client wishes to talk. Asking whether the client is in pain as the
first response closes the door to open communication and limits the client9s options. Simply
telling the client to stop yelling and to gain control does nothing to promote therapeutic
communication.
DIF: Applying TOP: Integrated Process: Communication and Documentation
KEY: Emergency and Disaster Preparedness, Psychosocial response
MSC: Client Needs Category: Psychosocial Integrity
3. A nurse is field-triaging clients after an industrial accident. Which client condition would the
nurse triage with a red tag?
a. Dislocated right hip and an open fracture of the right lower leg
Download All Chapters Here:
https://SOLUTIONwerins.com/products/test-bank-for-medical-surgical-nursing-
concepts-for- interprofessional-collaborative-care-10th-edition-donna-ignatavicius-
linda-workman
, b. Large contusion to the forehead and a bloody nose
c. Closed fracture of the right clavicle and arm numbness
d. Multiple fractured ribs and shortness of breath
SOLUTION: D
Clients who have an immediate threat to life are given the highest priority, are placed in the
emergent or class I category, and are given a red triage tag. The client with multiple rib
fractures and shortness of breath has a threat to oxygenation and is the most critical. The client
with the hip and leg problem and the client with the clavicle fracture would be classified as
class II (urgent, yellow tag); these major but stable injuries can wait for 30 minutes to 2 hours
for definitive care. The client with facial wounds would be considered the <walking wounded=
and classified as nonurgent (class III, green tag).
DIF: Analyzing TOP: Integrated Process: Nursing Process: Assessment
KEY: Emergency and Disaster Preparedness, Triage
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
4. An emergency department (ED) charge nurse prepares to receive clients from a mass casualty
within the community. What is the role of this nurse during the event?
a. Ask nursing staff to discharge clients from the medical-surgical units in order to
make room for critically injured victims.
b. Call additional medical-surgical and critical care nursing staff to come to the
hospital to assist when victims are brought in.
c. Inform the incident commander at the mass casualty scene about how many
victims may be handled by the ED.
d. Direct medical-surgical and critical care nurses to assist with clients currently in
the ED while emergency staff prepare to receive the mass casualty victims.
SOLUTION: D
The ED charge nurse would direct additional nursing staff to help care for current ED clients
while the ED staff prepares to receive mass casualty victims; however, they would not be
assigned to the most critically ill or injured clients. The hospital incident commander9s role is
to take a global view of the entire situation and facilitate patient movement through the
system, while bringing in personnel and supply resources to meet patient needs. The medical
command physician would kept the incident commander informed about victims and capacity
of the ED.
DIF: Applying TOP: Integrated Process: Nursing Process: Planning
KEY: Emergency and Disaster Preparedness, Interprofessional team
MSC: Client Needs Category: Safe and Effective Care Environment: Management of Care
5. An emergency department manager wants to mitigate the possible acute and chronic stress
after mass casualty events in the staff. What action would the manager take?
a. Encourage all staff to join a Disaster Medical Assistance Team.
b. Instruct all staff members to prepare go bags for all family members.
c. Use available resources for broad education and training in disaster management.
d. Provide incentives and bonuses for responding to mass casualty events.
SOLUTION: C
Download All Chapters Here:
https://SOLUTIONwerins.com/products/test-bank-for-medical-surgical-nursing-
concepts-for- interprofessional-collaborative-care-10th-edition-donna-ignatavicius-
linda-workman
