Type: MCMA
An emergency department has been notified that hundreds of injuries have occurred following the collapse of
bleachers at a football game. The emergency department nurses should prepare to make which types of
assessments?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Physical
2. Self
3. Situational
4. Family
5. Community
Correct Answer: 1,2,3,4
Rationale 1: Physical assessment skills will be necessary as victim’s injuries are assessed.
Rationale 2: The nurse must be able to conduct a self-assessment of abilities to manage a victim and of personal
reaction to the disaster.
Rationale 3: The nurse must be making situational assessments at all times during the disaster to ensure a flow of
clients, equipment, personnel, and information. The nurse must also assess the safety of the situation.
Rationale 4: Victim families are also involved in the disaster. The nurse must assess the families’ coping abilities.
Rationale 5: The nurse will not be involved in community assessment at the time of the disaster, but may be
called on for this skill in the days and weeks to follow.
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: 22-4: Discuss the core competencies nurses must have to be prepared for emergencies.
Question 16
Type: MCSA
Sullivan, Effective Leadership and Management, 8/e Test Bank
Multiple casualties have arrived at the emergency department following a tornado. Which instruction from the
manager to staff is incorrect?
1. “There is no time to worry about using personal protective equipment, just try to be safe.”
2. “Be aware that some of these victims may have been exposed to hazardous substances.”
3. “Don’t let client safety considerations be lost in all of the activity.”
4. “Feel free to use isolation techniques if required.”
Rationale 2: A system to track the client’s presence in the facility should be a part of the disaster plan. It is
essential to maintain this system so that victims can be accounted for by rescuers.
Rationale 3: The nurse may be communicating directly with law enforcement officers who bring victims to the
hospital. All status reports should be given through PR.
Rationale 4: Communication is very unlikely to be like the daily pattern.
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: 22-4: Discuss the core competencies nurses must have to be prepared for emergencies.
Question 18
Type: MCMA
As part of the disaster plan, the nurse executive is planning an education session on the core competencies for
nurses established by the National Emergency Preparedness Education Coalition. Which topics should be
included in the handout being written for this session?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Cost control
2. Managing conflict with other disciplines
3. Communication
4. Handling the media
5. Technical skills
Rationale 4: Handling the media is not one of the core competencies for nurses established by this group.
Rationale 5: Technical skills are a core competency for nurses established by this group.
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: 22-4: Discuss the core competencies nurses must have to be prepared for emergencies.
Question 19
Type: MCMA
A hospital’s disaster management team is reviewing the disaster plan after reading about a hospital that was
destroyed by a tornado’s direct hit. What questions should team members ask themselves?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. “What are our current capabilities for evacuation?”
2. “Do we have sufficient resources in any other areas to continue operations if this happens to us?”
3. “Are there physical training needs that we have not filled?”
4. “What education should we provide to the staff and community?”
5. “Would we eventually rebuild if the hospital was destroyed?”
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: 22-5: Discuss how services can be continued during an emergency.
Question 20
Type: MCSA
During discussion about the hospital’s disaster plan, the administrator says, “I am concerned about our current
surge capacity.” How should the members of the group interpret this concern?
1. The administrator is worried about the ability of the hospital’s electrical system to handle the power fluctuation
common during physical disasters.
2. The administrator is concerned that flood waters following a storm surge might overwhelm the hospital
infrastructure.
3. The administrator is worried about the hospital’s ability to respond to a large influx of clients from a disaster.
4. The administrator is concerned that a disaster would bring about the influx of media and frightened family.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 22-5: Discuss how services can be continued during an emergency.
Question 21
Type: MCMA
Sullivan, Effective Leadership and Management, 8/e Test Bank
A nurse executive is assigned to a task force working on a surge system for the hospital in case of a disaster. This
group should write strategies to cover which procedures?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Post-incident follow-up
2. Supplies
3. Physical space
4. Management infrastructure
5. Personnel
A hospital administrator receives a call that mass casualty shootings have occurred at several different locations
within the city. Early information indicates that up to 50 victims may be arriving at the hospital starting within
minutes. What action should the administrator take?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Mobilize the hospital incident command system.
2. Notify other administrators and order a rapid needs assessment in all critical areas.
3. Authorize the implementation of the hospital’s disaster plan.
4. Call the emergency department and ask the charge nurse if the department has received any clients.
5. Conduct a risk assessment to see if the hospital is vulnerable to attack.