NCM 118 - Disaster & Emergency Nursing

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Questions and Answers

What is the highest level of respiratory protection provided in emergency nursing?

Level A (correct)

Level C

Level D

Level B

What must be documented if a patient is unconscious in an emergency situation?

The patient's medical history

Details of the treatment provided

Patient's insurance information

Consent for invasive procedures (correct)

What legal requirement must emergency departments fulfill regarding patients seeking treatment?

Patients must be registered before receiving aid

Aid must be provided regardless of financial ability to pay (correct)

Patients must show a valid ID to receive care

Medical history must be verified before treatment

Which level of care has no respiratory protection and only minimal skin protection?

Level D Signup and view all the answers

What kind of knowledge must emergency nurses possess to provide quality care?

General and specific knowledge about health care Signup and view all the answers

What is required of ED personnel for a medically unstable client before transferring to another facility?

They must stabilize the client Signup and view all the answers

After treatment, what must nurses document on the patient's record?

Patient's instructions and condition upon discharge Signup and view all the answers

Which level has the same level of skin protection as Level B but with a lower level of respiratory protection?

Level C Signup and view all the answers

What does the term triage mean in the context of emergency care?

To sort patients according to their severity of illness or injury. Signup and view all the answers

Which statement accurately describes the purpose of triage in emergency care?

It manages patient flow based on their clinical needs and urgency. Signup and view all the answers

What is a key factor affecting the triage process?

The amount of resources available and number of patients. Signup and view all the answers

Which of the following categories describes patients that can be delayed in receiving treatment?

Delayed - Serious health problems that are not life-threatening. Signup and view all the answers

How often is triage performed in emergency settings?

More than once as patient conditions may change. Signup and view all the answers

What is the primary role of emergency nurses in the context of caring for patients and families?

Offer emotional support and education about wellness Signup and view all the answers

Why are emergency health care providers at higher risk for exposure to communicable diseases?

They commonly use invasive treatments Signup and view all the answers

What is one essential standard precaution that emergency health care providers must adhere to?

Use hand hygiene before and after contact with patients Signup and view all the answers

What is a significant psychological challenge faced by patients in emergency situations?

Fear of death and body integrity Signup and view all the answers

Which of the following best describes the role of emergency nurses as advocates?

They have a duty to safeguard patient interests and rights Signup and view all the answers

What might happen to a patient’s condition during the waiting time for treatment in an emergency setting?

It could either improve or deteriorate Signup and view all the answers

What is one of the tasks of emergency nurses as educators?

Conduct community education programs for safety Signup and view all the answers

Which of the following is NOT a common reason for emergency patients' stress?

Anxiety about their financial situation Signup and view all the answers

What is the definition of an emergency?

An unforeseen combination of circumstances needing immediate action Signup and view all the answers

Which of the following is an example of a human-caused emergency?

National emergency due to war or terrorism Signup and view all the answers

What does the term 'civil disorder' refer to in the context of emergencies?

Planned or unplanned demonstrations that may escalate Signup and view all the answers

In emergency nursing, interventions are typically accomplished in which manner?

In consultation with or under the direction of a physician or nurse practitioner Signup and view all the answers

What is a primary characteristic of the emergency room staff?

They collaborate as a team in patient care Signup and view all the answers

Which scenario represents an active shooter situation?

A mass shooting event targeting individuals or groups Signup and view all the answers

Emergency management has evolved to include which of the following concepts?

A broad spectrum that includes non-urgent issues Signup and view all the answers

What distinguishes urgent and critical care from general emergency care?

Urgent and critical care addresses severe and immediate health concerns Signup and view all the answers

What is the appropriate action for a patient who cannot breathe on their own after the airway has been opened?

Classify them as RED Signup and view all the answers

How is a patient categorized if they are breathing rapidly?

They are classified as RED Signup and view all the answers

What is the maximum number of minutes a minor injury victim can wait for treatment?

3 hours Signup and view all the answers

What classification is given to a patient with stable abdominal wounds without signs of hemorrhage?

Immediate Signup and view all the answers

What is indicated if a patient has a fracture requiring open reduction?

Immediate attention required Signup and view all the answers

Under which circumstance should a patient not be categorized as an urgent case?

Experiencing episodic illnesses Signup and view all the answers

What indicates that a patient's respiration is stable?

Breathing consistently at a normal rate Signup and view all the answers

What is not a characteristic of minor injuries?

Require immediate surgical intervention Signup and view all the answers

Study Notes

Definition of Emergency

An emergency is an unforeseen combination of circumstances requiring immediate action to prevent harmful results.
Emergencies include dangerous situations or serious accidents that happen suddenly.

Types of Emergencies

Human-Caused Emergencies:
- National Emergency: War or terrorism threats affecting a region directly or indirectly.
- Civil Disorder: Uncontrolled demonstrations that may escalate into violence.
- Active Shooter: Situations where individuals target groups or specific people, posing risks to communities.

Emergency Nursing

Has evolved to address both urgent and non-urgent issues, influenced by patient perceptions.
Requires teamwork among emergency room staff, emphasizing interdependence with physicians and nurse practitioners.

Levels of Emergency Response

Level A: Highest respiratory, skin, and eye protection.
Level B: Highest respiratory protection with lower skin protection.
Level C: Same skin protection as Level B but with lower respiratory protection.
Level D: Minimal skin protection and no respiratory protection.

Legal and Ethical Issues in Emergency Nursing

Emergency departments must treat patients regardless of their ability to pay.
Legal obligation to stabilize medically unstable patients before transferring them.
Patients should consent to invasive procedures unless unconscious or critically ill.

Nurse's Role in Emergency

Emergency nurses provide holistic care and support both patients and families.
They act as educators promoting wellness and injury prevention through public programs.
Nurses also serve as advocates, safeguarding patient rights and interests.

Limiting Health Risks

Emergency healthcare providers face increased risks of exposure to communicable diseases.
Strict adherence to standard precautions is essential in minimizing exposure to infectious agents.

Emergency Assessment

Assessments are critical as patient conditions may rapidly change while waiting for treatment.
Triage: A sorting process to determine the severity of illness or injury, vital for prioritizing care in emergencies.
Triage requires immediate medical attention for life-threatening conditions, typically within minutes.

Triage Categories

Immediate: Life-threatening but treatable conditions requiring urgent care.
Delayed: Serious but not immediately life-threatening conditions that can wait.
Minor: Non-urgent issues, which do not require immediate attention and can be postponed.

Breathing Assessment

Fast or labored breathing indicates severe distress, necessitating immediate intervention.
Continuous monitoring of breathing patterns is crucial to identifying changes in patient status.

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Description

This quiz focuses on the basic approaches to emergency care, particularly in the context of disaster and emergency nursing. It covers definitions and scenarios such as aircraft crashes and the specific types of emergencies that may arise with small private and charter aircraft. Enhance your understanding of emergency protocols and nursing responses in critical situations.