Nokea
The hospital administration 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?
- A. You are safe now and the event is over.
- B. Let's evaluate what went wrong and develop policies for future incidents.
- C. This session is only for nursing and medical staff, not for ancillary personnel.
- D. Let's pass around the written policy compliance form for everyone.
Correct Answer: A
Rationale: The most appropriate statement is to reassure staff that they are safe and the event is over, helping to reduce anxiety and facilitate emotional processing during the debriefing.
You may also like to solve these questions
A nurse wants to become involved in community disaster preparedness and is interested in helping set up acute care centers in the event of a disaster. Which organization is the best fit for this nurse's interests?
- A. The Medical Reserve Corps
- B. The National Guard
- C. The Health Department
- D. A Disaster Medical Assistance Team
Correct Answer: A
Rationale: The Medical Reserve Corps (MRC) consists of volunteer medical and public health professionals who support the community during times of need, including helping staff hospitals and setting up acute care centers.
An emergency department charge nurse notes an increase in sick calls and bickering among the staff after a week with multiple trauma incidents. Which action should the nurse take?
- A. Organize a pizza party for each shift.
- B. Remind the staff of the facility's sick-leave policy.
- C. Arrange for critical incident stress debriefing.
- D. Talk individually with staff members.
Correct Answer: C
Rationale: Arranging a critical incident stress debriefing addresses potential critical incident stress, providing group support to mitigate long-term stress consequences.
A nurse cares for clients during a community-wide disaster drill. One of the clients asks, 'Why are the individuals with black tags not receiving any care?' How should the nurse respond?
- A. Not everyone will survive a disaster; it is necessary to sacrifice some.
- B. Not everyone will survive a disaster, so it is best to identify those people early and move on.
- C. In a disaster, extensive resources are not used for one person at the expense of many others.
- D. With black tags, volunteers can identify those who are dying and can give them comfort care.
Correct Answer: C
Rationale: In a disaster, military-style triage is used, identifying the dead or expectant dead with black tags to prioritize resources for those with a reasonable expectation of survival, maximizing the good for the most people.
A family in the emergency department is overwhelmed at the loss of several family members due to a disaster. What should the nurse do?
- A. Provide a calm location for the family to cope and discuss needs.
- B. Call the hospital chaplain to stay with the family and pray for the deceased.
- C. Delay the viewing of the victims until the bodies are prepared.
- D. Provide privacy for law enforcement to interview the family.
Correct Answer: A
Rationale: The nurse should first provide emotional support by offering a calm environment, listening to the family's needs, and providing choices to restore some sense of control.
A hospital prepares for a mass casualty event. Which functions are correctly paired with the personnel role? (Select all that apply.)
- A. Hospital incident commander: Decides the number, acuity, and resource needs of clients
- B. Hospital incident commander: Assumes overall leadership for implementing the emergency plan
- C. Public information officer: Provides advanced life support during transportation to the hospital
- D. Triage officer: Rapidly evaluates each client to determine priorities for treatment
- E. Medical command physician: Serves as a liaison between the health care facility and the media
Correct Answer: B,D
Rationale: The hospital incident commander leads the emergency plan implementation, and the triage officer evaluates clients for treatment priorities. The medical command physician, not the incident commander, assesses client numbers and needs, and the public information officer, not the medical command physician, liaises with the media.