Sullivan, Effective Leadership and Management, 8/e
Chapter 22
Question 1
Type: MCSA
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?
1. “Fire is a natural occurrence, so we should not address it.”
2. “Fires are not generally a real disaster, so we should not include it.”
3. “We should only focus on wildfires.”
4. “We should only focus on arson fires.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 22-1: Identify examples of disasters that require preparation.
Question 2
Type: MCMA
Health care providers are preparing for a worldwide outbreak of H1N1 influenza. How would this outbreak be
classified in planning literature?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Standard Text: Select all that apply.
1. A man-made disaster
2. As a pandemic
3. As a health disaster
4. As a natural disaster
5. As an epidemic
Cognitive Level: Analyzing
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 22-1: Identify examples of disasters that require preparation.
Question 4
Type: FIB
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.
Standard Text:
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 22-1: Identify examples of disasters that require preparation.
Question 5
Type: FIB
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 ______.
Standard Text:
Client Need: Safe Effective Care Environment
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Assessment
Learning Outcome: 22-1: Identify examples of disasters that require preparation.
Question 6
Type: MCSA
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?”
1. “We have conducted a drive to get area health care professionals registered so they can be contacted in case of a
disaster.”
2. “We have a designated place with beds and equipment so that staff can be directed to an alternate care area.”
3. “We have not prepared for a disaster.”
4. “We conduct practice disaster drills.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 22-2: Describe potential emergency situations.
Question 7
Type: MCMA
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?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Standard Text: Select all that apply.
1. A method to predict when a disaster will occur through close attention to news and weather reports
2. A method to recognize that a disaster is imminent or occurring with plans to reduce the disaster’s impact
3. A plan whereby policies and procedures as well as equipment and personnel are in place to handle disasters
4. Policies and procedures that operationalize actual activities during the disaster
5. Policies and procedures describing what will occur immediately after the disaster
Rationale 1: Congress directed FEMA to coordinate disaster efforts.
Rationale 2: The Joint Commission does not coordinate disaster efforts, but does ensure that the hospital has a
plan.
Rationale 3: The Office of Homeland Security would be part of the disaster recovery effort, but would not be the
coordinating service.
Rationale 4: Congress has designated organizations to coordinate relief efforts, but would not direct those efforts.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 22-2: Describe potential emergency situations.
Question 9
Type: MCMA
A hospital on the Gulf Coast of the United States would list which situations among its top vulnerabilities?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Flooding
2. Hurricane
3. Earthquake
4. Tornado
5. Industrial accident
Rationale 4: Tornadoes often accompany hurricanes and would be a big concern on the gulf coast.
Rationale 5: Industrial accidents would be of concern related to the large oil production capacity of the gulf
waters.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 22-2: Describe potential emergency situations.
Question 10
Type: MCSA
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?
1. There is little potential for interruption as the drill is all done in a meeting.
2. There is some potential for interruption of non-client-care services such as billing and scheduling.
3. There will be interruption in some services that generally occupy the area where the enormous table is set up
for the drill.
4. Normal services will probably be interrupted by the simulated situations and simulated clients.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 22-2: Describe potential emergency situations.
Question 11
Sullivan, Effective Leadership and Management, 8/e Test Bank
Type: MCSA
The hospital is conducting a drill of its emergency operations plan (EOP). A nurse is acting as triage officer.
Which client would be triaged for immediate care?
1. A client with a minor forearm laceration that will require a simple bandage and tetanus immunization
2. A child with a severe, penetrating head wound
3. A man complaining of chest pain that radiates to his jaw
4. A woman with a compound fracture of the femur
Rationale 1: Triage in a disaster is vastly different than “normal” triage.
Rationale 2: Triage is reversed during a disaster. The least injured clients are seen first.
Rationale 3: Triage is essential during disasters.
Rationale 4: Triage follows a designated plan and is not first-come, first-served.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 22-3: Explain triage in disaster situations.
Question 13
Type: MCSA
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?
1. “We should treat as many clients as possible as quickly as possible.”
2. “Quick separation of any victim with bleeding wounds from those who are not bleeding is essential.”
3. “Our goal is to treat those with serious injuries first.”
4. “We should send those with less serious injuries home without treatment.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 22-3: Explain triage in disaster situations.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.
Question 14
Type: MCMA
Which statements would the nurse manager interpret as indicating a nurse understands the critical thinking skills
necessary for disaster management?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “It is just like critical thinking in the emergency department or critical care unit, only done faster.”
2. “The nurse’s prioritization will be different in a disaster.”
3. “Clinical judgment skills will be an essential part of nursing’s contribution to disaster management.”
4. “Decision making will basically be done by following established protocols.”
5. “The nurse’s abilities will make the difference in successful management of a disaster.”
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 22-4: Discuss the core competencies nurses must have to be prepared for emergencies.
Question 15
Sullivan, Effective Leadership and Management, 8/e Test Bank