Capstone 57 Final Review Exam
Questions
Which personnel are responsible for identifying the need for and calling in specialty trained providers in
emergencies? - ✔ ✔ Medical command physician
The medical command physician is responsible for identifying the resource needs of the clients.
Therefore the medical command physician identifies the need for and calls in the specialty trained
providers in emergencies. Triage officers are responsible for rapidly evaluating each client to determine
priorities for treatment. The public information officer serves as a liaison between the healthcare facility
and the media. The hospital incident commander is the one who assumes overall leadership for
implementing the emergency plan.
Arrange the order of steps involved in the evidence-based practice process. - ✔ ✔ 1.Ask a clinical
question.
2.Collect the most relevant and best evidence.
3.Critically appraise the evidence you gather.
4.Integrate all evidence with one's clinical expertise and client preferences and values in making a
practice decision or change.
5.Evaluate the practice decision or change.
6.Share the outcomes of evidence-based practice.
Which disasters would the nurse categorize as natural events? Select all that apply. - ✔ ✔ Blizzard
Droughts
Wildfires
Which nursing care delivery system works well in emergency situations that necessitate prioritization of
care? - ✔ ✔ Functional nursing
The functional method of delivering care works well in emergency and disaster situations. Each care
provider knows the expectations of the assigned role and completes the tasks quickly and efficiently.
, Team nursing, primary nursing, and Patient-Centered nursing delivery systems are not supported by
evidence as working well in emergency situations.
A client who has been battling cancer of the ovary for 7 years is admitted to the hospital in a debilitated
state. The healthcare provider tells the client that she is too frail for surgery or further chemotherapy.
When making rounds during the night, the nurse enters the client's room and finds her crying. Which is
the most appropriate intervention by the nurse? - ✔ ✔ Sit down quietly next to the bed and allow
her to cry.
Sitting down quietly next to the bed and allowing her to cry demonstrates acceptance of the client's
behavior and provides an opportunity for the client to verbally express feelings if desired. Pulling the
curtain and leaving the room to provide privacy for the client may make the client feel that the behavior
is wrong or is annoying others. Also, it abandons the client when support is needed. Explaining to the
client that her feelings are expected and they will pass with time closes off communication and does not
provide an opportunity for the client to talk about feelings. Also, it provides false reassurance. The
length of time she cries is unimportant at this time. Assuming that she is having difficulty accepting her
impending death is a conclusion without enough information.
Which would the nurse consider to be an example of a potential internal disaster? - ✔ ✔ Hospital
fire
An internal disaster is any kind of event inside a healthcare facility or campus that could endanger the
safety of clients or healthcare staff. A fire in a hospital is an example of an internal disaster that can
cause harm to the clients and the staff. A fertilizer plant explosion is an external disaster. A nuclear
reactor explosion may cause radiation exposure to the external environment. Terrorism with explosive
devices is an external disaster.
The nurse is caring for four clients in an emergency department. Which client should be given least
priority by the primary healthcare provider based on his/her condition? - ✔ ✔ Client with closed
extremity trauma
Care for a client with closed extremity trauma could be delayed because it is considered less severe
when compared to other client conditions and triaged in emergency severity index (ESI-4). Therefore
this client is given least priority. The client with cardiac arrest is triaged under ESI-1 and should be seen
immediately as the condition is more severe. The client with abdominal pain is triaged under ESI-3 and
should be seen within 1 hour. The client with multiple trauma should be seen within 1 hour and is
triaged under ESI-2.
Questions
Which personnel are responsible for identifying the need for and calling in specialty trained providers in
emergencies? - ✔ ✔ Medical command physician
The medical command physician is responsible for identifying the resource needs of the clients.
Therefore the medical command physician identifies the need for and calls in the specialty trained
providers in emergencies. Triage officers are responsible for rapidly evaluating each client to determine
priorities for treatment. The public information officer serves as a liaison between the healthcare facility
and the media. The hospital incident commander is the one who assumes overall leadership for
implementing the emergency plan.
Arrange the order of steps involved in the evidence-based practice process. - ✔ ✔ 1.Ask a clinical
question.
2.Collect the most relevant and best evidence.
3.Critically appraise the evidence you gather.
4.Integrate all evidence with one's clinical expertise and client preferences and values in making a
practice decision or change.
5.Evaluate the practice decision or change.
6.Share the outcomes of evidence-based practice.
Which disasters would the nurse categorize as natural events? Select all that apply. - ✔ ✔ Blizzard
Droughts
Wildfires
Which nursing care delivery system works well in emergency situations that necessitate prioritization of
care? - ✔ ✔ Functional nursing
The functional method of delivering care works well in emergency and disaster situations. Each care
provider knows the expectations of the assigned role and completes the tasks quickly and efficiently.
, Team nursing, primary nursing, and Patient-Centered nursing delivery systems are not supported by
evidence as working well in emergency situations.
A client who has been battling cancer of the ovary for 7 years is admitted to the hospital in a debilitated
state. The healthcare provider tells the client that she is too frail for surgery or further chemotherapy.
When making rounds during the night, the nurse enters the client's room and finds her crying. Which is
the most appropriate intervention by the nurse? - ✔ ✔ Sit down quietly next to the bed and allow
her to cry.
Sitting down quietly next to the bed and allowing her to cry demonstrates acceptance of the client's
behavior and provides an opportunity for the client to verbally express feelings if desired. Pulling the
curtain and leaving the room to provide privacy for the client may make the client feel that the behavior
is wrong or is annoying others. Also, it abandons the client when support is needed. Explaining to the
client that her feelings are expected and they will pass with time closes off communication and does not
provide an opportunity for the client to talk about feelings. Also, it provides false reassurance. The
length of time she cries is unimportant at this time. Assuming that she is having difficulty accepting her
impending death is a conclusion without enough information.
Which would the nurse consider to be an example of a potential internal disaster? - ✔ ✔ Hospital
fire
An internal disaster is any kind of event inside a healthcare facility or campus that could endanger the
safety of clients or healthcare staff. A fire in a hospital is an example of an internal disaster that can
cause harm to the clients and the staff. A fertilizer plant explosion is an external disaster. A nuclear
reactor explosion may cause radiation exposure to the external environment. Terrorism with explosive
devices is an external disaster.
The nurse is caring for four clients in an emergency department. Which client should be given least
priority by the primary healthcare provider based on his/her condition? - ✔ ✔ Client with closed
extremity trauma
Care for a client with closed extremity trauma could be delayed because it is considered less severe
when compared to other client conditions and triaged in emergency severity index (ESI-4). Therefore
this client is given least priority. The client with cardiac arrest is triaged under ESI-1 and should be seen
immediately as the condition is more severe. The client with abdominal pain is triaged under ESI-3 and
should be seen within 1 hour. The client with multiple trauma should be seen within 1 hour and is
triaged under ESI-2.
