The nurse at an ambulatory care clinic is participating in an active shooter drill. The shooter is rapidly approaching the nurse's location and the nurse cannot get to an exit. What next best action is appropriate?

Immediately evacuate the building

Hide in a room with no windows

Attack the shooter at the head and neck

Call emergency services

Answer and Explanation

The Correct Answer is B

Choice A reason: While evacuation is typically the first course of action during an active shooter situation, it is not feasible if the shooter is rapidly approaching and exits are not accessible. In such scenarios, finding a safe place to hide is a better immediate response.

Choice B reason: Hiding in a room with no windows is an appropriate action when the shooter is nearby, and evacuation is not possible. Locking the door, turning off lights, and remaining silent can increase the chances of avoiding detection by the shooter. This response prioritizes immediate safety.

Choice C reason: Attacking the shooter should only be considered as a last resort when there are no other options for escape or hiding, and one's life is in imminent danger. It is not the next best action in this scenario when hiding is a viable option.

Choice D reason: Calling emergency services is crucial, but if the shooter is rapidly approaching, immediate action to protect oneself by hiding takes precedence. Once in a secure location, contacting emergency services should follow.

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Correct Answer is C

Explanation

Choice A reason: Restricting visiting of the victims until the bodies are prepared is a procedural step that can be managed without immediate involvement. While it's important, it does not directly address the family's immediate emotional needs.

Choice B reason: Providing privacy for law enforcement to interview the family is necessary for the investigation, but it should not take precedence over addressing the family's immediate emotional distress.

Choice C reason: Offering a calm location for the family to cope and discuss their needs addresses the immediate emotional and psychological support that the family requires in the wake of a traumatic event. It provides them with a safe space to begin processing their grief and start the healing process.

Choice D reason: Calling the hospital chaplain is a valuable step for providing spiritual and emotional support, but the first priority is to offer a calm and safe environment for the family. The chaplain can then be called to assist in this supportive space.

A. A nurse giving report to the oncoming shift at the client's bedside B. A nurse shredding a client's printed laboratory results C. A nurse posting positive information about a client on social media D. A nurse logging off the computer before leaving the workstation

Correct Answer is C

Explanation

Choice A reason: While giving a report to the oncoming shift at the client's bedside might potentially expose confidential information, it is generally an accepted practice in many healthcare settings as long as privacy is maintained and the patient consents.

Choice B reason: Shredding a client's printed laboratory results is actually a good practice to ensure that confidential information is disposed of securely, preventing unauthorized access.

Choice C reason: Posting any information about a client on social media, even if it is positive, is a direct breach of client confidentiality. This action exposes the client's personal health information to a wide audience, violating privacy regulations such as HIPAA.

Choice D reason: Logging off the computer before leaving the workstation is a good practice to protect client information from unauthorized access and does not represent a breach of confidentiality.

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The nurse at an ambulatory care clinic is participating in an active shooter drill. The shooter is rapidly approaching the nurse's location and the nurse cannot get to an exit. What next best action is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A family in the emergency department is overwhelmed at the loss of several family members due to a shooting incident in the community. Which intervention should the nurse complete first?

Correct Answer is C

Explanation

Correct Answer is C

Explanation

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