Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. To assure staff members of their personal safety
2. To evaluate the performance of those involved
3. To initiate any improvements needed
4. To evaluate the overall effectiveness of the plan
5. To complete critical incident forms
Correct Answer: 2,3,4
Rationale 1: This is not the reason for the follow-up.
Rationale 2: Evaluating the performance of those involved helps to identify areas of need.
Rationale 3: Follow-up helps to identify areas where improvement is needed.
Rationale 4: The plan itself should be evaluated for effectiveness.
Rationale 5: This is not an appropriate use of critical incident forms.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 22-5: Discuss how services can be continued during an emergency.
Question 24
Type: MCSA
A level III disaster has occurred and the hospital is receiving clients by ambulance and those who have walked in
to the emergency department. The wife of a man who is critically injured screams, “Why doesn’t someone do
something for my husband? He is dying!” How should the nurse manager respond?
1. “Ma’am, you should not be back here. You will have to leave.”
2. “I’m so sorry, but your husband’s injuries are very severe. We have to take care of the others first.”
3. “Is there someone who can stay with this woman? She is distraught.”
Sullivan, Effective Leadership and Management, 8/e Test Bank
4. “He doesn’t pass the triage screen for someone we can save.”
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: 22-6: Identify the impact disasters may have on employees.
Question 26
Type: MCMA
A hospital has written a well-defined surge call-back system for employees to use in case of a disaster. What are
key vulnerabilities of this system?
Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Employees may be unwilling to come back into the disaster.
2. Employees may be personally affected by the disaster.
3. Many employees will request additional pay for shifts worked during disasters.
4. There may be no way to contact employees for call-back.
5. The employee may not physically be able to return to the hospital.
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 22-6: Identify the impact disasters may have on employees.
Question 27
Type: MCSA
A hospital administrator on a disaster planning team says, “I am worried about our liability in using volunteers to
provide care during a disaster.” What should this team consider?
1. In disaster situations, no liability exists.
2. The hospital would have liability for what a volunteer does, but not for anything that happens to the volunteer.
3. The hospital could have liability for the volunteer’s performance and for his or her safety.
4. Hospital liability would be limited to any injuries sustained by the volunteer.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Planning
Learning Outcome: 22-6: Identify the impact disasters may have on employees.
Question 28
Type: MCSA
A hospital successfully implemented its disaster plan to manage providing care during a massive 3-day snow
storm. What is the most likely way additional costs for this service will be paid?
1. Medicare will increase reimbursement for any client age 65 or over who was hospitalized during the disaster.
Sullivan, Effective Leadership and Management, 8/e Test Bank
2. The federal government will pay any costs over and above the normal operating expenses for the time period.
3. The hospital will absorb the additional costs.
4. State and county governments have reserve funds to reimburse for such expenses.
Rationale 4: The dispersion of the biologic agent in this case is thought to be man-made.
Global Rationale:
Cognitive Level: Applying
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Evaluation
Learning Outcome: 22-2: Describe potential emergency situations.
Question 30
Type: MCSA
A hospital administrator initiated the emergency operations plan (EOP) after being notified that a tornado struck a
nearby community. Thirty minutes later law enforcement calls to report that while significant damage was done,
there were only minor injuries. What should the administrator do now?
1. Follow the EOP to deactivate the plan.
2. Let the plan continue for another hour to ensure that no victims arrive.
3. Call the emergency department and tell the staff that the plan is discontinued.
4. Notify local media that the EOP was discontinued.
Client Need: Safe Effective Care Environment
Client Need Sub: Management of Care
Nursing/Integrated Concepts: Nursing Process: Implementation
Learning Outcome: 22-2: Describe potential emergency situations.
Sullivan, Effective Leadership and Management, 8/e Test Bank
Copyright 2013 by Pearson Education, Inc.