A nurse working on a medical-surgical unit is notified about a mass casualty event that recently took place in the community.
Which of the following assignments should the nurse anticipate?

Assist in discharging stable clients to home.

Determine the acuity and number of casualties arriving at the facility.

Delegate tasks to emergency health care specialists.

Provide informational updates to members of the media.

Answer and Explanation

The Correct Answer is A

Choice A rationale: In a mass casualty event, the hospital must rapidly create capacity for incoming victims. Discharging stable clients who no longer require acute care is a primary nursing responsibility to free up beds and resources.

Choice B rationale: Determining the acuity and number of incoming casualties is typically the role of a triage officer or the incident commander at the scene or hospital entrance, not a floor nurse on a medical-surgical unit.

Choice C rationale: Delegating tasks to specialists or coordinating the overall medical response is the responsibility of the medical director or the designated leader in the Hospital Incident Command System (HICS), not the staff nurse.

Choice D rationale: Communication with the media is strictly handled by the Public Information Officer (PIO) to ensure accuracy and maintain client confidentiality. Staff nurses are prohibited from providing unauthorized updates to external media outlets.

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Correct Answer is D

Explanation

The correct answer is Choice D.

Choice A rationale: Asking about expected visitors may help identify potential suspects, but it delays immediate containment. In suspected infant abduction, time-sensitive security actions take precedence over information gathering.

Choice B rationale: Matching ID bands verifies infant identity and prevents misidentification, but it is a secondary step. It does not prevent unauthorized exit or secure the facility during a potential abduction.

Choice C rationale: Checking the nursery may locate the infant, but without lockdown, the baby could be removed from the unit. Search efforts must follow immediate security containment to prevent escape.

Choice D rationale: Lockdown procedures secure all exits, preventing unauthorized removal of the infant. It is the first and most critical action in suspected abduction, aligning with hospital emergency protocols

A. Refer client to the social worker for support therapy. B. Encourage client to implement relaxation techniques. C. Leave the client's room and return later in the day. D. Explain that insulin is a life-saving drug for the client.

Correct Answer is C

Explanation

Choice A rationale:

Referring the client to a social worker for support therapy may be premature at this stage. The client's initial reaction may be due to fear or anxiety about the diagnosis and self-administration of insulin. Pushing the client into therapy without assessing their readiness may not be appropriate.

Choice B rationale:

Encouraging the client to implement relaxation techniques assumes that the client is open to learning and just needs help with anxiety management. However, the client's refusal to have the nurse in the room suggests that they are not currently receptive to teaching. It's important to address the client's emotional state first.

Choice C rationale:

Leaving the client's room and returning later in the day is the most appropriate initial action. The client's loud refusal indicates a need for privacy and emotional space. By respecting the client's wishes and revisiting the teaching later, the nurse can establish trust and build a better rapport.

Choice D rationale:

Explaining that insulin is a life-saving drug is informative but may not be effective in this situation, as the client has already requested the nurse to leave the room. Providing information about the importance of insulin should come after establishing a therapeutic nurse-client relationship.

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A nurse working on a medical-surgical unit is notified about a mass casualty event that recently took place in the community. Which of the following assignments should the nurse anticipate?

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A nurse working on a medical-surgical unit is notified about a mass casualty event that recently took place in the community.
Which of the following assignments should the nurse anticipate?