Chapter 52 Responding to Emergencies

Chapter 52  Responding to Emergencies

Complete Chapter Questions And Answers
 

Sample Questions

MULTIPLE CHOICE

1. Which of these phrases BEST describes an emergency within the context of health care?
a.
a sudden disruption in normal functioning with serious consequences
b.
a disturbance in homeostasis that prevents normal body activity
c.
a medical condition requiring immediate intervention
d.
a health care crisis occurring when normal care procedures cannot be carried out

ANS: C
An emergency within the context of health care is a medical condition requiring immediate intervention. Clients and families define an emergency according to their own perceptions.

PTS: 1 DIF: Comprehension REF: White (2010)

2. What is the simplest method of triaging clients in an emergency department (ED)?
a.
basic life-support principles of airway, breathing, and circulation
b.
Maslow’s hierarchy of physiologic, safety, love, self-esteem, and self-actualization needs
c.
holistic perspective of physiologic, psychological, sociocultural, intellectual, and spiritual aspects
d.
health continuum from wellness to illness

ANS: A
Many hospitals use the American Heart Association’s basic life-support principles of airway, breathing, and circulation (ABCs). Not all clients who use the ED require immediate care.

PTS: 1 DIF: Comprehension REF: White (2010)

3. A disaster can BEST be described as:
a.
a consequence of natural or man-made events
b.
a situation or event posing a serious threat to public health
c.
the result of conditions beyond the scope of normal emergencies
d.
a legal term related to unexplained situations with unpredictable outcomes

ANS: B
Disaster triage systems are used in the event of a community disaster, either natural or man-made. A different approach to categorizing clients is required because of the potential for large numbers of casualties.

PTS: 1 DIF: Comprehension REF: White (2010)

4. A small child has had vomiting and diarrhea for more than 12 hours, unrelieved by the medication prescribed by a pediatrician earlier in the day. The child is listless but awake and refuses anything offered by mouth; vital signs are normal. In which of these triage categories would the child be placed?
a.
emergent
c.
nonurgent
b.
priority
d.
urgent

ANS: D
Not all clients who use the emergency department (ED) require immediate care. Clients and families define an emergency according to their own perceptions. Emergent clients require immediate care to sustain life or limb. Urgent clients require care within 1 to 2 hours to prevent a decline in their condition.

PTS: 1 DIF: Comprehension REF: White (2010)

5. A nurse who is assisting in disaster triage following a severe hurricane finds a client who has experienced a massive head injury from flying debris. In which of these categories would the nurse place this client?
a.
immediate
c.
minimal
b.
delayed
d.
expectant

ANS: D
Disaster triage systems are used in the event of a community disaster, either natural or man-made. A different approach to categorizing clients is required because of the potential for large numbers of casualties. Immediate care is given to clients with simple injuries requiring immediate care. Delayed care is provided for clients with multiple injuries requiring extensive care. Minimal care is given to clients with minor injuries. Expectant care is provided for clients with severe injuries likely to lead to death.

PTS: 1 DIF: Application REF: White (2010)