NURS 241 FINAL QUESTIONS WITH COMPLETE
SOLUTIONS
6 JCAHO requirements for hospitals regarding disaster
preparedness Correct Answers 1. communication - both
internal and external
2. supplies
3. security
4. staff
5. utilities
6. clinical activity
A client with third degree burns who recently lost his home in a
fire becomes angry and screams at the nurse about the TV not
working in the hospital. What is the nurse's best response?
A. "I suggest that you adjust your thinking. The TV's fine"
B. "You seem upset. Let's talk about this."
C. "Settle down, there's nothing on TV anyways."
D. "I will not listen to this attitude. You should be grateful you
lived." Correct Answers B
A young man comes into the foyer of the hospital and says that
he has a container of anthrax, which he opens and pours on the
floor. Which is the priority action for the nurse who first comes
upon the scene?
A. Put on a protective gown, mask, and goggles
B. Notifies the local health department of a biohazard situation
C. Escorts the young man to the decontamination room
D. Begins evacuating the immediate area Correct Answers D
,Active TB Correct Answers able to be detected and the virus is
actively infecting the body
exposure to TB and PPD is positive
-assess for symptoms
-CXR to look for infiltrates
-wait 1 month and recheck
after the disaster: debriefing Correct Answers Debriefing:
-critical incident stress debriefing
-administrative review
-get better for next time
be aware of psychosocial response of both workers and
survivors to mass casualty events
-PTSD
-assessment
-intervention
barriers to treatment of TB in incarcerated client Correct
Answers -close living quarters, overcrowding, and potential for
inadequate ventilation
-long term drug therapy interruption caused by movement of
inmates in and out of facilities
-long term drug therapy has language and cultural barriers,
including lack of access to health info
-coinfection with HIV
black tag Correct Answers pts who are expected to die or are
dead
, blast trauma Correct Answers impact and damage from an
explosion
blunt trauma Correct Answers impacts from mva, falls, direct
hits (baseball bat, etc)
causes of GBS Correct Answers often associated w acute
illness or trauma
poss connection to Zika virus
surgery and immunizations 1-3 weeks prior to onset
URI, GI illness, Epstein Barr (EBV)
some bacteria and viruses, including campylobacter - a bacteria
found in undercooked poultry
HIV, influenza
Code Triage Stage I Correct Answers indicated unanticipated
influx of victims. Associates may not leave until "All Clear" is
broadcast
Code Triage Stage II Correct Answers current staffing levels
are insufficient to manage the disaster. department managers and
directors are notified and activate emergency associate call in
procedures. Associates may not leave until all clear is broadcast
Code Triage, Standby Correct Answers potential disaster, but
has not been confirmed
critical access hospital Correct Answers facilities of 25 beds or
fewer that provide emergency services in rural areas
SOLUTIONS
6 JCAHO requirements for hospitals regarding disaster
preparedness Correct Answers 1. communication - both
internal and external
2. supplies
3. security
4. staff
5. utilities
6. clinical activity
A client with third degree burns who recently lost his home in a
fire becomes angry and screams at the nurse about the TV not
working in the hospital. What is the nurse's best response?
A. "I suggest that you adjust your thinking. The TV's fine"
B. "You seem upset. Let's talk about this."
C. "Settle down, there's nothing on TV anyways."
D. "I will not listen to this attitude. You should be grateful you
lived." Correct Answers B
A young man comes into the foyer of the hospital and says that
he has a container of anthrax, which he opens and pours on the
floor. Which is the priority action for the nurse who first comes
upon the scene?
A. Put on a protective gown, mask, and goggles
B. Notifies the local health department of a biohazard situation
C. Escorts the young man to the decontamination room
D. Begins evacuating the immediate area Correct Answers D
,Active TB Correct Answers able to be detected and the virus is
actively infecting the body
exposure to TB and PPD is positive
-assess for symptoms
-CXR to look for infiltrates
-wait 1 month and recheck
after the disaster: debriefing Correct Answers Debriefing:
-critical incident stress debriefing
-administrative review
-get better for next time
be aware of psychosocial response of both workers and
survivors to mass casualty events
-PTSD
-assessment
-intervention
barriers to treatment of TB in incarcerated client Correct
Answers -close living quarters, overcrowding, and potential for
inadequate ventilation
-long term drug therapy interruption caused by movement of
inmates in and out of facilities
-long term drug therapy has language and cultural barriers,
including lack of access to health info
-coinfection with HIV
black tag Correct Answers pts who are expected to die or are
dead
, blast trauma Correct Answers impact and damage from an
explosion
blunt trauma Correct Answers impacts from mva, falls, direct
hits (baseball bat, etc)
causes of GBS Correct Answers often associated w acute
illness or trauma
poss connection to Zika virus
surgery and immunizations 1-3 weeks prior to onset
URI, GI illness, Epstein Barr (EBV)
some bacteria and viruses, including campylobacter - a bacteria
found in undercooked poultry
HIV, influenza
Code Triage Stage I Correct Answers indicated unanticipated
influx of victims. Associates may not leave until "All Clear" is
broadcast
Code Triage Stage II Correct Answers current staffing levels
are insufficient to manage the disaster. department managers and
directors are notified and activate emergency associate call in
procedures. Associates may not leave until all clear is broadcast
Code Triage, Standby Correct Answers potential disaster, but
has not been confirmed
critical access hospital Correct Answers facilities of 25 beds or
fewer that provide emergency services in rural areas
