Chapter 25: Emergency Management and Preparedness
Huber: Leadership & Nursing Care Management, 6th Edition
MULTIPLE CHOICE
1. All-hazards disaster is best defined as:
a. all types of natural and human terrorist events.
b. an event involving floods, tornadoes, hurricanes, and earthquakes.
c. an unforeseen and often unplanned event causing great damage.
d. any type of biological, chemical, radiological, or nuclear event.
ANS: A
An all-hazards disaster includes all types of natural acts such as earthquakes, forest fires,
floods, and hurricanes, or terrorist events such as biological, chemical, radiological, and
nuclear attacks. A disaster is an unforeseen and often sudden event that causes great damage,
destruction, and human suffering.
DIF: Cognitive Level: Remember (Knowledge)
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
2. An example of a cyber disaster is a catastrophic event caused by:
a. the use of military weapons.
b. an exposure to toxic materials.
c. an outbreak of a pathogen.
d. an attack initiated from one computer against another.
ANS: D
A cyber disaster is a catastrophic event that results from an attack initiated from one computer
against another computer with the purpose of compromising the information stored on it.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment MSC: Client Needs: Health Promotion and Maintenance
3. Which combination of leadership is recommended for chairing an emergency management
committee?
a. Chief executive officer and internal medicine physician
b. Chief financial officer and emergency care nurse liaison
c. Representative chief nurse officer and emergency care physician
d. Representative chief information technology officer and critical care physician
ANS: C
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In health care systems, system-wide executive administrators need to be part of the emergency
management committee. Having a senior executive administrator of the health care system
serve as the chairperson of the committee will provide the leadership needed to communicate
the importance of emergency preparedness as a system priority. A representative CNO and
emergency medicine physician, serving as co-chairs with the senior executive administrator,
can create a dynamic team that is uniquely prepared to tackle any issues that arise.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
4. The system-wide emergency management plan should conduct a gap analysis. What should be
evaluated?
a. Differences between standards and policies and procedures
b. Differences between pieces of the program that are and are not in place
c. Similarities between standards and policies and procedures
d. Similarities between pieces of the program that are and are not in place
ANS: B
The guiding principle for creating a hospital-specific all-hazards gap analysis is to keep it
simple. One example of a simple way to assess the current state is to create an emergency
preparedness survey that is easy to read and requires the department directors to answer in
simple checklists one of two ways: (1) “Yes, we have it,” or (2) “No, we don’t have it.”
Survey questions need to be concise and clear. The goal is to begin by identifying the areas
where there are gaps in the facility’s preparedness plans.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Assessment
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
5. What is the role of the project facilitator in the emergency management committee?
a. Creating key components of disaster protocols
b. Keeping the plan current and in the forefront of strategic planning
c. Establishing guidelines for policy and procedures
d. Improving care by developing patient care plans.
ANS: B
A project facilitator is helpful in getting the committee started and operational. The project
facilitator can also serve in a pivotal maintenance role, keeping the emergency management
plan current and in the forefront of the administration’s strategic planning over time.
DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Planning
MSC: Client Needs: Safe and Effective Care Environment: Management of Care
6. The nursing leadership role once the all-hazards preparedness plan is completed is to:
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