Which response would indicate mass hysteria to the nurse after a local disaster occurs quizlet?

this is the facility that houses communication equipment , plans, contact notification list and staff that are used to coordinate the response to an emergency.

The physical location at which the coordination of information and resources to support incident management (on-scene operations) activities normally takes place.

An EOC may be a temporary facility or may be located in a more central or permanently established facility, perhaps at a higher level of organization within a jurisdiction.

EOCs may be organized by major functional disciplines (e.g., fire, law enforcement, medical services), by jurisdiction (e.g., Federal, State, regional, tribal, city, county), or by some combination thereof.

remains a guide for conducting a nationwide all-hazards response, "build upon scalable, flexible, and adaptable coordinating structures to align key roles and responsibilities across the Nation, linking all levels of government, nongovernmental organizations, and the private sector".

describes not only how the Federal government organizes itself to respond to natural disasters, terrorist attacks, and other catastrophic events but also the importance of the whole community in assisting with response efforts

Each Framework covers one preparedness mission area: Prevention, Protection, Mitigation, Response or Recovery.

Answer: 2, 5

1. The client diagnosed with neurogenic shock will have dry, warm skin, rather than cool, moist skin, as seen in hypovolemic shock.
2. The client will have bradycardia instead of tachycardia, which is seen in other forms of shock.
3. Wheezing is associated with anaphylactic shock.
4. Decreased bowel sounds occur in the hyper-dynamic phase of septic shock.
5. Hypotension is a clinical manifestation of most types of shock.

TEST-TAKING HINT: The test taker should identify the body system the question is addressing. In this case, neuro- indicates the question relates to the neurological system. With this information only, the test taker could possibly rule out option "4," which refers to the gastrointestinal system, and option "3," which refers to the respiratory system. Although bradycardia is in the cardiac system, the pulse rate is controlled by the brain.

Answer: 2

1. Cardiogenic shock occurs when the heart's ability to contract and pump blood is impaired and the supply of oxygen to the heart and tissues is inadequate, such as occurs in myocardial infarction or valvular damage.
2. This client's clinical manifestations make the nurse suspect the client is losing blood, which leads to hypovolemic shock, which is the most common type of shock and is characterized by decreased intravascular volume. The client's taking of ibuprofen, an NSAID, puts her at risk for hemorrhage because NSAIDs inhibit prostaglandin production in the stomach, which increases the risk of developing ulcers, which can erode the stomach lining and lead to hemorrhaging.
3. In neurogenic shock, vasodilation occurs as a result of a loss of sympathetic tone. It can result from the depressant action of medication or lack of glucose.
4. Septic shock is a type of circulatory shock caused by widespread infection.

TEST-TAKING HINT: The test taker must look at the clinical manifestations and realize this client is in shock. Tachycardia and hypotension with clammy skin indicate shock. The additional information in the stem describes a particular medication, an NSAID, which can cause a peptic ulcer.

Answer: 4

1. Sources of biological agents include inhalation, insects, animals, and people.
2. Vaccines are not available to counteract all biological agents.
3. Because of the vast range of agents, biological weapons are more of a threat. A biological agent could be released in one city and affect people in other cities thousands of miles away.
4. Because of the variety of agents, the means of transmission, and the lethality of the agents, biological weapons, including anthrax, smallpox, and plague, are especially dangerous.

TEST-TAKING HINT: Answer option "1" should be eliminated because of the word "only." Even if the test taker has little knowledge of biological warfare, knowledge of the human body suggests a wide range of ways biological agents could be transmitted.

Answer: 3

1. Anemia, leukopenia, and thrombocytopenia, signs of bone marrow depression, are clinical manifestations the client experiences in the manifest illness stage of radiation exposure, which occurs from 72 hours to years after exposure. The client is usually asymptomatic in the prodromal phase of radiation exposure.
2. Sudden fever, chills, and enlarged lymph nodes are clinical manifestations of bubonic plague.
3. The prodromal stage (presenting symptoms) of radiation exposure occurs 48 to 72 hours after exposure, and the clinical manifestations are nausea, vomiting, diarrhea, anorexia, and fatigue. Clinical manifestations of higher exposures of radiation include fever, respiratory distress, and coma.
4. These are clinical manifestations of inhalation botulism.

TEST-TAKING HINT: If the test taker knows the definition of "prodromal," which is an early sign of a developing condition or disease (prodrom is Greek for "running before"), then the option with vague and nonspecific clinical manifestations should be selected as the correct answer.

Answer: 1, 2, 3, 4

1. Language difficulties can increase fear and frustration on the part of the client.
2. Some religions have specific practices related to medical treatments, hygiene, and diet, and these should be honored if at all possible.
3. Prayers in times of grief and disaster are important to an individual and actually can have a calming effect on the situation.
4. Caring for the dead is as important as caring for the living based on religious beliefs.
5. For purposes of organization, this may be needed, but it is not addressing cultural sensitivity and, in some instances, may violate the cultural needs of the client and the family.

TEST-TAKING HINT: The stem asks the test taker to address cultural needs, and these client needs must be addressed in a bioterrorism attack or with an individual in the hospital. The test taker should select options addressing cultural needs. Dishonoring cultural needs can increase the client's anxiety and increase problems for the health-care team.

Answer: 45 mL/hr

The test taker could remember the mnemonic, which is "For 1 mg, 2 mg, 3 mg, 4 mg the rate is 15 mL, 30 mL, 45 mL, 60 mL." If the test taker has not memorized it, it is too late to figure it out in an emergency situation. But for math purposes: First determine the number of milligrams of lidocaine in the 500 mL of D5W:
2 g × 1,000 mg = 2,000 mg per 500 mL
Then determine how many milligrams per milliliters:
2,000 mg ÷ 500 mL = ÷ mg/mL
Then find out how many milliliters must be infused per minute to give the ordered dose of 3 mg/min. In algebraic terms:
4 mg : 1 mL = 3 mg : x mL
Cross multiply and divide:
x = 3/4 or 0.75
The number of milliliters to be infused in a minute is 3/4 mL or 0.75.
The infusion pump is set at an hourly rate, so multiply 3/4 by 60 minutes:
3/4 × 60 = 45
The pump should be set at 45 mL/hr to infuse 3 mg/min.

TEST-TAKING HINT: The test taker must be familiar with basic nursing math and become comfortable with the equations the test taker uses to compute dosage calculations.

Which nursing behavior helps establish rapport with survivors of a disaster quizlet?

Which tag is suitable for a client with high priority during a disaster with mass casualties?

Which is an example of an internal disaster in a hospital quizlet?

Which are examples of internal disasters that must be accounted for when formulating a disaster response plan?