Chapter 44: Care of Patients in Disasters or Bioterrorism Attack

Chapter 44: Care of Patients in Disasters or Bioterrorism Attack

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse informs a high school class that one of the differences between an emergency situation and a disaster is that, in an emergency situation:

a.	fewer than 50 people require emergent treatment.
b.	the community emergency rooms can meet the need.
c.	there is no need for a prearranged management plan.
d.	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.

 

DIF:    Cognitive Level: Comprehension     REF:   997                OBJ:   1 (theory)

TOP:   Disaster vs. Emergency Situation     KEY:  Nursing Process Step: Implementation

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

 

2. The nurse stresses that emergency preparedness plans are required for accredited hospitals by the:

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

 

 

ANS:  B

The Joint Commission requires that all accredited facilities have a written emergency preparedness plan with designated roles and responsibilities. The American Red Cross is a voluntary organization that traditionally provides the basic essentials of shelter, food, and first aid during a natural disaster. Federal Emergency Management Agency (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.

 

DIF:    Cognitive Level: Comprehension     REF:   1000              OBJ:   2 (theory)

TOP:   Institutional Disaster Plans               KEY:  Nursing Process Step: Implementation

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

 

3. The nurse assures a patient that accredited health care facilities test their emergency plan with a drill at least _____ time(s) each year.

a.	4
b.	3
c.	2
d.	1

 

 

ANS:  C

Disaster drills should be conducted 2 times a year.

 

DIF:    Cognitive Level: Comprehension     REF:   1000              OBJ:   2 (theory)

TOP:   Disaster Drills: Frequency               KEY:  Nursing Process Step: Implementation

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

 

4. A truck has just smashed into the dayroom of a long-term health care facility with enormous damage and injuring many of the residents. The noninjured residents are stunned and frightened and totally disorganized. Recognizing that everyone is in the impact stage, the nurse should:

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.	start treating the injured in the dayroom.

 

 

ANS:  A

In the impact stage, firm direction is needed to get people to a central place for safety and information.

 

DIF:    Cognitive Level: Analysis                REF:   1001              OBJ:   3 (theory)

TOP:   Psychological Response: Stage I       KEY:  Nursing Process Step: Implementation

MSC:   NCLEX: Physiological Integrity: Reduction of Risk Potential