A charge nurse on a medical-surgical unit has just been notified that the disaster protocol is being implemented following a natural disaster. Which action should the nurse take?
Stock additional unit supplies.
Reinforce discharge teaching to clients.
Make a list of clients who can be discharged.
Instruct the assistive personnel to focus on clients' ADLS.
The Correct Answer is C
Disaster triage and management involve the rapid allocation of resources to maximize survival during a mass casualty event. This process requires surge capacity planning and the immediate identification of stable clients for expedited discharge to create bed availability for incoming critically injured victims requiring acute stabilization.
Rationale:
A. Stocking additional supplies is a logistical task that should be handled by the central supply or materials management department. The charge nurse must maintain focus on clinical leadership and the flow of patient admissions rather than performing manual inventory tasks during the initial protocol phase.
B. While discharge education is necessary, reinforcing teaching is a time-consuming process that should occur after identifying eligible clients. The initial phase of a disaster protocol requires rapid assessment of the unit census to determine who can safely leave the hospital immediately.
C. The priority action for the charge nurse is to facilitate bed availability through safe discharge. Identifying clients who are hemodynamically stable allows the facility to expand its surge capacity, ensuring that medical-surgical beds are available for disaster victims who require immediate inpatient monitoring.
D. Redirecting assistive personnel to focus on activities of daily living is inappropriate during a mass casualty event. Non-essential tasks should be suspended, and personnel should be reassigned to assist with emergency procedures, patient transport, or setting up for incoming disaster-related admissions.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Workforce retention in healthcare is strongly influenced by organizational climate, job satisfaction, and professional engagement, which affect nurse turnover rates, burnout levels, and staffing stability. Effective retention strategies focus on creating supportive environments that enhance intrinsic motivation, interpersonal collaboration, and leadership support systems.
Rationale:
A. Word-of-mouth recruitment can improve retention indirectly by attracting candidates with realistic job expectations and cultural alignment. However, it is not the primary determinant of retention. This statement is incorrect because it dismisses a potentially supportive recruitment strategy.
B. Monetary compensation contributes to extrinsic motivation, but retention is multifactorial and not sustained by salary alone. Factors such as workload, leadership support, and work environment play a larger role in long-term nurse retention.
C. A positive social climate enhances staff cohesion, reduces burnout, and improves job satisfaction, directly contributing to higher retention rates. Supportive leadership and healthy interpersonal relationships are key predictors of nurse retention in healthcare systems.
D. Recruitment should be strategic and continuous, not only initiated when staffing shortages occur. Reactive hiring leads to staffing instability. Proactive workforce planning ensures adequate staffing levels and supports sustained retention efforts.
Correct Answer is D
Explanation
Alzheimer's disease involves progressive neurodegeneration and cognitive decline, often resulting in high caregiver burden and chronic stress. Respite care serves as a secondary prevention strategy to mitigate burnout and emotional exhaustion by maintaining the homeostasis of the family unit during long-term terminal illness management.
Rationale:
A. Community support groups provide emotional and psychological education but do not constitute respite care. While peer counseling helps manage the psychosocial impact of dementia, it does not involve the direct supervision of the patient to allow for physical recovery of the caregiver.
B. Respite care is a flexible service and does not mandate permanent placement in an assisted living facility. It can be provided in various settings, including the home or adult daycare centers, focusing on short-term assistance rather than long-term residential transitions.
C. Daily assistance from a home health aide is categorized as routine skilled or unskilled home health services. Respite care is distinguished by its intermittent nature, specifically designed to provide periodic intervals of rest rather than the consistent, daily management of activities of daily living.
D. The primary goal of respite care is to provide temporary relief for the primary caregiver. This intervention allows the family member to attend to their own health needs, thereby reducing the risk of caregiver role strain and ensuring the continued safety of the Alzheimer's patient.
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