The nurse-manager overhears a nurse complaining to a co-worker about the time being required to attend an in-service session for bioterrorism preparedness. How should the nurse-manager respond?

Ask the nurse to explain thoughts on the need for an Inservice program about these emergencies.

Choose to send another nurse who is more receptive and interested in the topic.

Encourage the nurse to share concerns and discuss ways to prepare for such emergencies.

Inform the nurse that in-service is not optional and attendance is mandatory.

Answer and Explanation

The Correct Answer is C

Choice A rationale: Asking the nurse to explain thoughts on the need for an in-service program encourages open communication and allows the nurse-manager to address specific concerns.

Choice B rationale: Choosing to send another nurse may not address the concerns of the nurse expressing dissatisfaction and may not promote a collaborative approach. Choice C rationale: Encouraging the nurse to share concerns and discuss ways to prepare for emergencies fosters open communication and allows for constructive dialogue.

Choice D rationale: Informing the nurse that in-service is not optional and attendance is mandatory may create resistance and does not promote a collaborative approach to addressing concerns.

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Correct Answer is A

Explanation

Choice A rationale: The immediate priority during a fire alarm is to ensure the safety of clients and staff. Instructing everyone to stay in the client rooms with doors closed helps contain any potential smoke or fire, providing protection while the situation is assessed.
Choice B rationale: Instructing family members to stay in the waiting area might not be the primary concern during a fire alarm. The focus is on the safety of clients and staff.
Choice C rationale: While determining the nature of the emergency is important, taking immediate actions to ensure safety is the priority. The charge nurse can address the cause once the safety of individuals is secured.
Choice D rationale: Evacuating clients should only be considered if it is determined to be safe to do so. It's crucial to assess the situation and follow established protocols before initiating evacuation.

A. Instruct unlicensed assisted personnel (UPS) to transfer all non-ambulatory clients via wheelchairs. B. Announce in a calm voice that all visitors should proceed immediately to the first floor via the service elevators. C. Shut all doors to client rooms and tell everyone to stay in their rooms until the fire department arrives. D. Instruct the nursing staff to evacuate ambulatory clients to the nearest fire exits.

Correct Answer is D

Explanation

Choice A rationale: Instructing unlicensed assisted personnel to transfer non-ambulatory clients via wheelchairs may delay the evacuation process and put clients at risk. Choice B rationale: Announcing that visitors should proceed immediately to the first floor via the service elevators may cause congestion and hinder the evacuation of clients.

Choice C rationale: Shutting all doors to client rooms and telling everyone to stay in their rooms is not a safe strategy during a fire evacuation. It may increase the risk of harm to clients and staff.

Choice D rationale: Instructing the nursing staff to evacuate ambulatory clients to the nearest fire exits is the most appropriate and timely action to ensure the safety of both clients and staff during a fire evacuation.

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The nurse-manager overhears a nurse complaining to a co-worker about the time being required to attend an in-service session for bioterrorism preparedness. How should the nurse-manager respond?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The fire alarm goes off while the charge nurse is receiving the shift report. Which action should the charge nurse implement first?

Correct Answer is A

Explanation

A fire is reported in the kitchen on the first floor of a three-floor community hospital, and the operator notifies the charge nurse on the third floor to start evacuation procedures. Which intervention should the charge nurse implement?

Correct Answer is D

Explanation

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