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?
"Let's evaluate what went wrong and develop policies for future incidents."
"This session is only for nursing and medical staff, not for ancillary personnel."
"Let's pass around the disaster written policy for everyone to review."
"You are free to express your feelings, whatever is said here stays here."
The Correct Answer is D
Choice A reason: While evaluating what went wrong and developing policies for future incidents is important, this statement is more suited for an after-action review or a quality improvement session. A critical incident stress debriefing focuses on the emotional and psychological support for staff rather than policy evaluation.
Choice B reason: Excluding ancillary personnel from the debriefing session is inappropriate. All staff involved in the incident, including ancillary personnel, should be included in the debriefing to address their emotional and psychological needs. This statement does not support the inclusive nature of debriefing sessions.
Choice C reason: Passing around the disaster written policy for review is not appropriate for a stress debriefing session. The purpose of a debriefing is to provide a safe space for staff to express their emotions and experiences rather than reviewing policies.
Choice D reason: This statement is appropriate for a critical incident stress debriefing as it encourages staff to express their feelings openly and assures them of confidentiality. Creating a safe and supportive environment is essential for addressing the emotional and psychological impact of the incident on staff.
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Related Questions
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.
Correct Answer is C
Explanation
Choice A reason: Providing nasopharyngeal suctioning for a client with pneumonia is within the scope of practice for an LPN. This task involves performing a procedure to clear the airway, which is a common responsibility for LPNs.
Choice B reason: Assisting a client who is 24 hours post-operative to use an incentive spirometer is appropriate for an LPN. This task involves helping a client with breathing exercises to prevent post-operative complications, which is a standard part of post-operative care.
Choice C reason: Teaching a new client who has asthma to use a metered-dose inhaler requires educational and assessment skills that typically fall within the scope of practice for a registered nurse (RN). While LPNs can reinforce education, the initial teaching and assessment of a client's understanding should be done by an RN.
Choice D reason: Collecting a clean catch urine from an ambulatory client with a wound is within the scope of practice for an LPN. This task involves obtaining a urine sample, which is a routine procedure that LPNs are trained to perform.
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