Chapter 43: Care of Patients in Disasters or Bioterrorism Attack

Chapter 43: Care of Patients in Disasters or Bioterrorism Attack

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse explains differences between an emergency situation and a disaster to high school class. Which statement is true?

a.	An emergency consists of fewer than 50 people who require emergent treatment.
b.	In an emergency situation, the local emergency rooms can meet the need.
c.	An emergency situation lacks the need for a prearranged management plan.
d.	In an emergency situation, the community population is not affected by the event.

 

 

ANS:  B

An emergency situation, such as a plane crash at a local airport, can be handled by community emergency departments. Each community has in place an emergency plan as to dispersal of people needing to be treated, law enforcement participation, and transportation. Communities are always affected when a large-scale emergency situation occurs.

 

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   1002

OBJ:   1 (theory)       TOP:   Disaster vs. Emergency Situation

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

 

2. Which agency requires emergency preparedness plans for accredited hospitals?

a.	American Red Cross (ARC)
b.	The Joint Commission (TJC)
c.	Federal Emergency Management Agency (FEMA)
d.	Office of Civil Defense (OCD)

 

 

ANS:  B

TJC requires that all accredited facilities have a written emergency preparedness plan with designated roles and responsibilities. The ARC is a voluntary organization that traditionally provides the basic essentials of shelter, food, and first aid during a natural disaster. FEMA is an organization under the federal government. It is activated by the Department of Homeland Security. It acts when states require assistance in times of disaster. The Office of Civil Defense (OCD) is no longer in existence. It was a federal agency that acted in cases of large-scale disasters. It was replaced by FEMA.

 

PTS:   1                    DIF:    Cognitive Level: Knowledge            REF:   1003

OBJ:   2 (theory)       TOP:   Institutional Disaster Plans

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

 

3. How many times per year should accredited health care facilities test their emergency plans?

a.	Once
b.	Twice
c.	Three times
d.	Four times

 

 

ANS:  B

Disaster drills should be conducted at least two times per year.

 

PTS:   1                    DIF:    Cognitive Level: Comprehension     REF:   1003

OBJ:   2 (theory)       TOP:   Disaster Drills: Frequency

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

 

4. After a truck crashes into the dayroom of a long-term health care facility, many of the residents are injured, and noninjured residents are stunned and frightened. What action should the nurse take?

a.	Firmly instruct two CNAs to start wheeling residents to the dining room in their wheelchairs.
b.	Begin wheeling residents back to their rooms herself.
c.	Shout for everyone to hurry to the dining room.
d.	Begin treating the injured in the center of the dayroom.

 

 

ANS:  A

The nurse should recognize that everyone is in the impact stage. In the impact stage, firm direction is needed to get people to a central place for safety and information. The nurse should not try to single-handedly correct the situation, shout and increase confusion, or treat patients in the middle of the chaotic environment.

 

PTS:   1                    DIF:    Cognitive Level: Analysis                REF:   1010

OBJ:   3 (theory)       TOP:   Psychological Response: Stage I

KEY:  Nursing Process Step: Implementation

MSC:  NCLEX: Physiological Integrity: Reduction of Risk Potential