The nurse educator is educating new staff nurses about mass casualty events. Which statements by the new nurse indicate a need for further teaching? (Select All That Apply)

"A mass casualty event occurs if a fight between visitors occurs in the emergency department."

"Mass casualty events do not require an increase in the number of staff that are needed."

"A mass casualty event only occurs within the health care facility and could endanger staff."

"An event is termed a mass casualty when it overwhelms local medical capabilities."

"Mass casualty events may require the collaboration of many local agencies to handle the situation."

Answer and Explanation

Correct Answer : A,B,C

Choice A reason: This statement is incorrect because a mass casualty event refers to an incident that results in a large number of casualties, overwhelming the local healthcare system. A fight between visitors in the emergency department, although potentially serious, would not constitute a mass casualty event.

Choice B reason: This statement is incorrect because mass casualty events typically require a significant increase in the number of staff to manage the influx of patients and provide adequate care. Staffing levels are often augmented to ensure that the medical response can meet the demands of the situation.

Choice C reason: This statement is incorrect because mass casualty events are not limited to occurring within healthcare facilities. They can happen anywhere, such as at public events, natural disasters, or terrorist attacks, and involve a large number of casualties that overwhelm local medical resources.

Choice D reason: This statement is correct and does not indicate a need for further teaching. A mass casualty event is indeed characterized by overwhelming local medical capabilities, necessitating additional resources and support.

Choice E reason: This statement is correct and does not indicate a need for further teaching. Mass casualty events often require collaboration among multiple local agencies, such as emergency services, law enforcement, and healthcare providers, to effectively manage the situation.

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Correct Answer is C

Explanation

Choice A reason: Conducting a study about the time and money costs of implementing the change is valuable for understanding the resource implications of the measures. However, it does not directly evaluate the effectiveness of the changes in reducing medication errors.

Choice B reason: Providing the staff with a questionnaire to quantify staff satisfaction with the changes can offer insights into how well the measures are being received by the staff and may indicate potential areas for improvement in implementation. Nonetheless, it does not measure the direct impact on medication error rates.

Choice C reason: Comparing the number of medication errors before and after the action was implemented is the most direct and effective method to evaluate the success of the changes. This approach allows the committee to measure the actual impact of the interventions on reducing medication errors, providing clear evidence of their effectiveness.

Choice D reason: Establishing a benchmark to identify a standard of performance is essential for setting goals and expectations. However, it is not a method for evaluating the success of changes that have already been implemented. It is more relevant for future goal-setting and performance measurement.

A. Immediately evacuate the building B. Hide in a room with no windows C. Attack the shooter at the head and neck D. Call emergency services

Correct Answer is B

Explanation

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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The nurse educator is educating new staff nurses about mass casualty events. Which statements by the new nurse indicate a need for further teaching? (Select All That Apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

As a member of the quality improvement committee, a nurse is evaluating the results of recently implemented measures designed to reduce medication errors. Which of the following methods should the nurse use to evaluate the success of the changes?

Correct Answer is C

Explanation

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?

Correct Answer is B

Explanation

The nurse is reviewing the laboratory results for a client who is scheduled for knee arthroplasty later in the day. Which laboratory value is most important to report to the health care provider before the surgery?

The nurse is caring for a client on the medical unit when the waste basket catches fire. What is the priority action for the nurse?

The nurse is assessing a newly admitted client who appears upset and agitated. What would be the best action for the nurse to best assist this client?

The nurse employed in a mental health clinic is greeted by a neighbor in a local grocery store. The neighbor asks the nurse, "How is Mary doing? She is my best friend and is seen at your clinic every week." Which is the most appropriate nursing response?

The nurse is working on the step-down unit and receives the shift-to-shift report on four clients. Based on the report information, which client would be the highest priority to assess first?

The nurse manager of the emergency department arranges for critical incident stress debriefing for the staff after a mass casualty incident. Which statement by the debriefing team leader is most appropriate for this situation?

The nurse observes an unlicensed assistive personnel (UAP) reprimanding a client for not using the urinal properly. The UAP tells him that he will be put in a diaper if he does not use the urinal more carefully next time. Which of the following torts is the UAP committing?