A charge nurse is discussing the phases of community response to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase of disaster response?

Normalcy begins to return to the community.

Personnel are willing to work in dangerous conditions to provide assistance.

Responders experience exhaustion due to extended relief efforts.

Survivors come together and share stories of survival.

Answer and Explanation

The Correct Answer is B

Choice A reason: The statement “Normalcy begins to return to the community” describes the reconstruction phase of disaster response, not the heroic phase. During the reconstruction phase, efforts are focused on rebuilding and restoring the community to its pre-disaster state. This phase involves long-term recovery and the re-establishment of normalcy.

Choice B reason: The statement “Personnel are willing to work in dangerous conditions to provide assistance” accurately describes the heroic phase of disaster response. During this phase, there is an immediate and intense effort to save lives and prevent further harm. First responders, healthcare workers, and volunteers often work tirelessly and risk their own safety to provide urgent assistance and support to those affected by the disaster.

Choice C reason: The statement “Responders experience exhaustion due to extended relief efforts” pertains to the disillusionment phase of disaster response. In this phase, the initial adrenaline and motivation begin to wane, and responders may feel overwhelmed and fatigued by the prolonged demands of relief efforts. This phase can lead to burnout and a sense of frustration among responders.

Choice D reason: The statement “Survivors come together and share stories of survival” is characteristic of the honeymoon phase of disaster response. During this phase, there is a strong sense of community and solidarity among survivors. People come together to support each other, share their experiences, and find comfort in their shared resilience.

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Correct Answer is D

Explanation

Choice A reason: Reinforce discharge teaching to clients

While reinforcing discharge teaching is important, it is not the immediate priority during a disaster situation with limited staff. The focus should be on addressing urgent and life-threatening needs first. Discharge teaching can be addressed once the immediate crisis is managed and resources are more available.

Choice B reason: Instruct the assistive personnel (AP) to focus on clients’ ADLs

Instructing assistive personnel to focus on clients’ activities of daily living (ADLs) is important for maintaining basic care, but it is not the highest priority in a disaster situation. The primary focus should be on preventing life-threatening emergencies and ensuring the safety of all clients.

Choice C reason: Stock additional unit supplies

Stocking additional unit supplies is a proactive measure, but it is not the immediate priority during a disaster with limited staff. Ensuring that clients are safe and that life-threatening emergencies are prevented takes precedence over restocking supplies.

Choice D reason: Focus on providing care that prevents life-threatening emergencies

Focusing on providing care that prevents life-threatening emergencies is the highest priority in a disaster situation. With limited staff, it is crucial to prioritize interventions that ensure the immediate safety and well-being of clients. This includes monitoring for and addressing any critical changes in clients’ conditions and providing necessary emergency care.

A. Ask the client to blow his nose. B. Suction the nostril. C. Notify the physician. D. Test the drainage for glucose.

Correct Answer is D

Explanation

Choice A reason: Ask the client to blow his nose

Asking the client to blow his nose is not advisable in this situation. Blowing the nose can increase intracranial pressure and potentially worsen the condition by causing more cerebrospinal fluid (CSF) to leak or even lead to further complications. Therefore, this action should be avoided.

Choice B reason: Suction the nostril

Suctioning the nostril is also not recommended. This action can introduce infection and increase the risk of further complications. It is important to handle any potential CSF leak with care to prevent infection and other issues.

Choice C reason: Notify the physician

While notifying the physician is important, it is not the immediate first step. The nurse should first confirm whether the clear drainage is CSF. Once confirmed, notifying the physician would be the next appropriate step.

Choice D reason: Test the drainage for glucose

Testing the drainage for glucose is the correct first action. CSF contains glucose, so a positive glucose test would confirm that the drainage is indeed CSF. This is a critical step in diagnosing a CSF leak, which can occur with basal skull fractures. Confirming the presence of CSF will guide further medical interventions and management.

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A charge nurse is discussing the phases of community response to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase of disaster response?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is working with a limited staff because of a severe storm in the area. The facility incident commander has initiated disaster protocols. Which of the following actions should the nurse take?

Correct Answer is D

Explanation

A nurse is assessing a client who sustained a basal skull fracture and notes a thin stream of clear drainage coming from the client’s right nostril. Which of the following actions should the nurse take first?

Correct Answer is D

Explanation

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