A nurse is working in an emergency department and observes a client beginning to shoot at staff with a gun. Which of the following actions should the nurse take? (Select all that apply.)
Run to the nearest exit.
Warn other staff to leave quickly.
Move to a hidden location out of view.
Assist with moving wounded individuals.
Scream at the shooter to stop.
Block people from entering the area of shooting.
Correct Answer : A,B,C
Rationale:
A. This option is correct because the priority during an active shooter situation is personal safety. If there is a safe path available, the nurse should run to the nearest exit to escape the danger, following the “Run, Hide, Fight” principle.
B. This option is correct because warning other staff to leave quickly helps reduce the number of potential victims and promotes rapid evacuation when it is safe to do so.
C. This option is correct because if escape is not possible, the nurse should move to a hidden location out of the shooter’s view, lock or barricade doors if possible, silence phones, and remain quiet to reduce the risk of being found.
D. This option is incorrect because assisting wounded individuals should only occur once the area is secure. Attempting to help others during an active shooting places the nurse at significant risk.
E. This option is incorrect because screaming at the shooter could draw attention to the nurse and escalate the situation, increasing the risk of harm.
F. This option is incorrect because blocking people from entering the area is not a priority during an active shooter event and could place the nurse in further danger. Law enforcement is responsible for securing the area once they arrive.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. This option is incorrect because using the abbreviation “q6h PRN” may be confusing for some clients. Discharge instructions should be written in plain language, specifying “take every 6 hours as needed for pain” to ensure understanding and reduce the risk of medication errors.
B. This option is correct because instructing the client to report pus-like drainage from the surgical wound is clear, specific, and actionable. It communicates a warning sign of potential infection that requires immediate attention, which is essential for safe postoperative care. This demonstrates the nurse’s understanding of effective discharge instruction principles.
C. This option is incorrect because a sodium-restricted diet is not typically indicated for a client after arthroplasty unless there is a coexisting condition such as hypertension or heart failure. Including unnecessary instructions can confuse the client and reduce adherence to relevant care directives.
D. This option is incorrect because while quadriceps setting exercises are part of postoperative rehabilitation, specifying the position “when supine” may be too technical. Discharge instructions should focus on functional, easily understandable instructions that the client can safely perform at home.
Correct Answer is D
Explanation
Rationale:
A. This option is incorrect because recognizing individual efforts is part of reinforcing and sustaining change, which occurs after staff have been engaged and the change process has begun.
B. This option is incorrect because developing strategies to enhance acceptance is a later step that depends on understanding staff perceptions and potential barriers. Implementing strategies without assessing perceptions may lead to resistance.
C. This option is incorrect because creating a task force is an implementation step. Without first understanding the staff’s perception of the need for change, the task force may not effectively address concerns or gain staff support.
D. This option is correct because the first step in managing change is to assess and determine the staff’s perception of the need for change. Understanding staff attitudes, concerns, and readiness helps the nurse manager plan effectively, anticipate resistance, and develop strategies to engage the team in the policy change.
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