What are additional interventions based on in family-focused care?

Assessment of the family's stage of crisis

How should the circumstance of an unconscious patient brought to the ED without family or friends be documented?

It should be detailed in the record

What are some possible nursing diagnoses for families in the ED?

Family grief, interrupted family process, impaired/risk for family coping

What occurs during defusing sessions in critical incident stress management (CISM)?

Affected staff discuss feelings and are reassured about normal reactions

What does EMTALA mandate for EDs with Medicare provider agreements?

Provide medical screening examinations

Why is it essential to report and investigate all errors in the ED, even if no harm occurred?

To avoid future injury or death

What is the goal of debriefing sessions in critical incident stress management (CISM)?

Closure/enable staff to resume professional roles at an emotional level

What must emergency nurses providing care for suspected or confirmed COVID-19 patients be provided with?

Personal protective equipment (PPE)

How emergency staff overcome communication challenges with family members amid the COVID-19 pandemic?

Establish communication plans, assign contact person, provide tech access

What restrictions and mitigation measures are imposed in regions experiencing a surge in COVID-19 cases?

Family and visitor presence during hospitalizations

Which organization sets standards for personal protective equipment (PPE)?

National Institute for Occupational Safety and Health (NIOSH)

The inability to provide care under nonpandemic conditions had what impact on ED during the COVID-19 pandemic?

Moral distress with potential long-term impacts on emotional health

Why is the risk of exposure heightened in the ED?

Due to frequent use of invasive treatments

How should clinicians interact with patients to relieve anxiety and promote security?

Act confidently and competently, explan in understandable terms

What is the responsibility of emergency nurses regarding the discharge and follow-up care of patients?

Planning and facilitating safe discharge and follow-up care

What should be included in the ED record post-treatment?

Details about the patient's condition

Alternative forms of instructions available to meet needs of hearing or visual impaired?

Large print, Braille, audiotape, online videoclips

What supportive teams should be mobilized to assist in the grieving process during the COVID-19 pandemic?

Pastoral care, palliative care, and behavioral health

What role did nurses play in patient care during the COVID-19 pandemic?

Physical presence,distant communication link between pts and family

What is a key principle in emergency care?

Rapid assess, treat, refer to appropriate setting for ongoing care

What is the role of family presence during resuscitation in the ED?

To assist the family in coping through the difficult time

What should discharge instructions cover?

Meds, txts, diet, activity, when to contact HCP or f/u appts

How are families kept informed about the patient's condition and care in the ED?

About the patient's location, condition, and care being provided

Why is encouraging family members to stay with the patient beneficial?

Helps alleviate their anxieties

What should be provided to the patient before discharge from the emergency department (ED)?

Instructions for continuing care

What are common sentinel events in the ED related to patient safety?

Delays to care and medication errors

How can patients request extra privacy in the ED?

Restricting access to their room

What is the purpose of critical incident stress management (CISM) after serious events in the emergency department (ED)?

To critique individual and group performance and facilitate healthy coping

What are some possible nursing diagnoses for patients in the ED?

Anxiety / death; difficulty coping related to situational crisis

What might some staff members require after critical incident stress management (CISM) sessions?

Professional follow-up, individual or group counseling and therapy

How do families typically view emergency professionals when a family member is being resuscitated?

Favorably, seeing their role as supportive and protective of the patient

What challenges do adaptations in family presence and visitation policies pose?

Challenges if no technologic literacy or financeal disadvantaged

Who are invaluable team members in assisting families to work through their grief during crises?

Hospital chaplain and social services staff

What role should ED leadership play in promoting the well-being of staff members?

They should be aware of staff coping patterns and support systems

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Emergency Nursing - Part 1

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Questions 83

Answers

1
What are additional interventions based on in family-focused care?
Government regulations
Medical staff's convenience
Hospital policies
Assessment of the family's stage of crisis
2
What measure is taken to protect the privacy of patients involved in violent events?
Public announcement
Increased phone calls
Family visitation
Limited EHR access
3
What environmental factors can increase the risk of violent events in the ED?
Long wait times
No security measures
Crowded conditions
Comfortable waiting rooms
4
How should the circumstance of an unconscious patient brought to the ED without family or friends be documented?
It's not important to document
It should be detailed in the record
It should be documented as "N/A"
It doesn't need documentation
5
What are some possible nursing diagnoses for families in the ED?
Financial difficulties and job loss
Family grief, interrupted family process, impaired/risk for family coping
Physical injuries and trauma
Social isolation and lack of support
6
What is the term for disasters caused by terroristic events?
Unintentional disasters
Deliberate disasters
Man-made disasters
Accidental disasters
7
What occurs during defusing sessions in critical incident stress management (CISM)?
Staff members are ignored
Staff members are criticized
Staff members are disciplined
Affected staff discuss feelings and are reassured about normal reactions
8
What are the potential consequences of continuous exposure to suffering and injury for emergency department (ED) staff?
Enhanced well-being
Compassion fatigue
Improved morale
Increased energy
9
What does EMTALA mandate for EDs with Medicare provider agreements?
Perform elective surgeries
Admit all patients
Give free treatment
Provide medical screening examinations
10
Why is it essential to report and investigate all errors in the ED, even if no harm occurred?
To blame individuals for mistakes
To avoid future injury or death
To discourage staff from speaking up
To cover up errors and maintain reputation
11
What is the goal of debriefing sessions in critical incident stress management (CISM)?
Aim for avoiding the topic
Aim for confusion and chaos
Closure/enable staff to resume professional roles at an emotional level
Aim for prolonging stress
12
What contributes to the demanding nature of emergency nursing?
Limited patient conditions
Diverse range of conditions
Low patient volume
Only treating minor injuries
13
What are some challenges faced by emergency nurses?
Occupational health risks
Providing minimal care
Legal issues
Slow-paced environment
14
What must emergency nurses providing care for suspected or confirmed COVID-19 patients be provided with?
Vaccines
Hand sanitizer
Antibiotics
Personal protective equipment (PPE)
15
Which type of disaster involves exposure to pathogens?
Epidemics
Chemical disasters
Unintentional disasters
Natural disasters
16
What should be implemented for all ED staff, patients, and visitors upon arrival during the COVID-19 pandemic?
Mandatory temperature checks
Universal screening measures
Blood tests
Psychological assessments
17
How emergency staff overcome communication challenges with family members amid the COVID-19 pandemic?
Limit access to technology
Maintain barriers to effective communication
Establish communication plans, assign contact person, provide tech access
Ignore communication with family members
18
What is crucial for healthcare workers, patients, and visitors during the COVID-19 pandemic?
Social distancing
Both A and B
Hand hygiene
None of the above
19
What restrictions and mitigation measures are imposed in regions experiencing a surge in COVID-19 cases?
Technological use in hospitals
Family and visitor presence in public places
Staff presence in hospitals
Family and visitor presence during hospitalizations
20
Which organization sets standards for personal protective equipment (PPE)?
Centers for Disease Control and Prevention (CDC)
National Institute for Occupational Safety and Health (NIOSH)
World Health Organization (WHO)
Food and Drug Administration (FDA)
21
The inability to provide care under nonpandemic conditions had what impact on ED during the COVID-19 pandemic?
Technological distress
Administrative distress
Financial distress
Moral distress with potential long-term impacts on emotional health
22
Why is the risk of exposure heightened in the ED?
Due to frequent use of telemedicine
Due to frequent use of preventive measures
Due to frequent use of administrative tasks
Due to frequent use of invasive treatments
23
How should clinicians interact with patients to relieve anxiety and promote security?
Act confidently and competently, explan in understandable terms
Provide complex medical jargon to demonstrate expertise
Keep conversations brief and impersonal
Ignore the patient's concerns and focus solely on treatment
24
What is crucial for safe use of restraints on violent patients?
Ignoring the patient
Strict documentation
Leaving the patient alone
Using any available materials for restraints
25
What is the responsibility of emergency nurses regarding the discharge and follow-up care of patients?
Planning and facilitating safe discharge and follow-up care
Administering medications
Managing finances
Conducting surgeries
26
What is prioritized in the event of gunfire in the ED?
Providing care to the injured
Calling the fire department
Self-protection
Notifying the media
27
What should be included in the ED record post-treatment?
None of the above
Hospital policies
Details about the patient's condition
Patient demographics
28
Alternative forms of instructions available to meet needs of hearing or visual impaired?
Only digital instructions
Only written instructions
Only verbal instructions
Large print, Braille, audiotape, online videoclips
29
What supportive teams should be mobilized to assist in the grieving process during the COVID-19 pandemic?
Technological teams
Administrative teams
Pastoral care, palliative care, and behavioral health
Financial teams
30
Considerations nurses take into account with d/c instructions to a patient with special needs?
Only physical impairments
None
Only language barriers
Hearing or visual impairments
31
What can lead to violent incidents in ED waiting rooms?
Silent alarm systems
Emotional volatility
Metal detectors
Long wait times
32
What role did nurses play in patient care during the COVID-19 pandemic?
Sole administrative presence
Sole technological presence
Physical presence,distant communication link between pts and family
Sole financial presence
33
What is a key principle in emergency care?
Inadequate assessment
Rapid assess, treat, refer to appropriate setting for ongoing care
Delayed referral to appropriate care
Slow assessment and treatment
34
What is the role of family presence during resuscitation in the ED?
To interfere with medical procedures
To increase the risk of complications
To decrease the efficiency of resuscitation efforts
To assist the family in coping through the difficult time
35
What should discharge instructions cover?
Only prescribed medications
Meds, txts, diet, activity, when to contact HCP or f/u appts
Only treatments
Only diet and activity
36
How are families kept informed about the patient's condition and care in the ED?
Through complex medical jargon
About the patient's location, condition, and care being provided
By withholding information to prevent anxiety
By involving them in medical decision-making
37
Why is encouraging family members to stay with the patient beneficial?
Increases workload for staff
Increases patient's discomfort
Leads to conflicts with other patients
Helps alleviate their anxieties
38
How are privacy policies communicated to patients in the ED?
Only to certain patients
Through federal law
Verbally
In writing
39
What should be provided to the patient before discharge from the emergency department (ED)?
Instructions for hospital admission
Instructions for continuing care
Instructions for laboratory tests
Instructions for surgery
40
What are common sentinel events in the ED related to patient safety?
Minimal wait times and high patient satisfaction
Delays to care and medication errors
Timely discharge and smooth transitions
Efficient service and accurate diagnoses
41
How can patients request extra privacy in the ED?
Adding visitors
Allowing phone calls
Restricting access to their room
Receiving flowers
42
What is the purpose of critical incident stress management (CISM) after serious events in the emergency department (ED)?
To minimize the impact of the event
To critique individual and group performance and facilitate healthy coping
To assign blame to individuals
To ignore the emotional toll on staff
43
What are some possible nursing diagnoses for patients in the ED?
Social isolation and loneliness
Physical injury and pain
Anxiety / death; difficulty coping related to situational crisis
Sleep disturbances and fatigue
44
In what type of environment do emergency nurses typically work?
Technology-driven
Low-stress
Slow-paced
Isolated
45
What is one extension of emergency nursing beyond the typical emergency room setting?
Pediatric nursing
Surgical nursing
Disaster nursing
Primary care
46
What might some staff members require after critical incident stress management (CISM) sessions?
No further follow-up
Isolation from colleagues
Professional follow-up, individual or group counseling and therapy
Immediate return to work
47
When is consent for invasive procedures not typically required?
Only when unconscious
Only when conscious
Only for minor procedures
Only when in critical condition
48
How do families typically view emergency professionals when a family member is being resuscitated?
Suspiciously, questioning their competence
Favorably, seeing their role as supportive and protective of the patient
Indifferently, without any significant impact
Negatively, blaming them for the situation
49
What challenges do adaptations in family presence and visitation policies pose?
Challenges if no technologic literacy or financeal disadvantaged
Challenges for technologically savvy individuals
Challenges for visitors
Challenges for hospital staff
50
Who are invaluable team members in assisting families to work through their grief during crises?
Janitors
Security personnel
Food service workers
Hospital chaplain and social services staff
51
What role should ED leadership play in promoting the well-being of staff members?
They should not address health problems
They should minimize staff interactions
They should ignore staff behavior
They should be aware of staff coping patterns and support systems
52
What are some solutions to patient safety issues in the ED?
Optimal nurse staffing, pharmacy presence, and rapid diagnostics
Ignoring patient complaints and focusing on speed
Disregarding errors unless harm occurs
Minimizing staff presence and reducing resources
53
What is the definition of fatigue in the context of emergency department (ED) staff?
When affected staff members cannot replenish energy stores
When staff members are well-rested
When staff members experience heightened energy levels
When staff members experience no stress
54
How has the risk of exposure in the ED been magnified?
Concerns about tuberculosis
Concerns about influenza
Concerns about diabetes
Concerns about COVID-19
55
What type of courses help ED staff prepare for potential violent scenarios?
Cooking classes
Courses on safety, inc. de-escalation and physical restraint techniques
First aid courses
Gardening workshops
56
How often do emergency nurses encounter serious illness and death?
Yearly
Rarely
Daily
Monthly
57
How should unconscious patients be treated to promote their sense of security?
With touch, calling by name, and explanations of procedures
Restrained to prevent movement
Placed in isolation to avoid stimulation
Ignored until they regain consciousness
58
What is a crucial part of the emergency department record?
Consent for examination and treatment
Patient demographics
Family medical history
Insurance information
59
What is imperative regarding the legibility and clarity of discharge instructions?
Written legibly, use simple language, be clear in important points
Instructions should be vague
Instructions should be illegible
Instructions should be written in complex language
60
What are some stages of crisis that families may go through when confronted with trauma or sudden death?
Anxiety, denial, remorse and guilt, anger, grief, and reconciliation
Surprise, denial, anger, depression, acceptance
Happiness, denial, acceptance, relief, indifference
Excitement, sadness, anger, relief, acceptance
61
What is crucial for ensuring safety during stressful times for patients and families in the ED?
Close observation
Ignoring their concerns
Leaving them alone
Providing distractions
62
What is the primary role of emergency nurses during disasters?
Triage
Cleaning duties
Administrative tasks
Public relations
63
What type of masks should ED staff wear at all times if suspected or confirmed COVID-19?
Bandanas
Surgical masks
Cloth masks
N95 respirators
64
Why is documenting the times of instituted treatments essential?
For legal purposes
To track staff performance
For billing purposes
To monitor the patient's condition
65
Why should sedation be avoided for family members after a sudden death?
It speeds up the acceptance process
It may mask or delay the grieving process
It prevents emotional outbursts
It helps them sleep better
66
What is a top priority in emergency departments (EDs) even during disasters like the COVID-19 pandemic?
Holistic, patient-centered care
Administrative tasks
Financial management
Technological advancements
67
What is the most common type of violence encountered in the ED?
Physical threats
Sexual harassment
Verbal abuse
Physical assault
68
Who or what is often the target of anger expressed by family members during crises?
Hospital equipment
Strangers
Patient, physicians, nurses, or admitting personnel
Inanimate objects
69
What must accompany the patient during transfer from the ED?
A security escort
The patient's family
Documentation of assessment and treatment
A medical certificate
70
Which format of discharge instructions is well received by patients and family members, according to research findings?
Written instructions
Video instructions
Verbal instructions
Digital instructions
71
What have emergency nurses on the frontlines of the COVID-19 pandemic experienced?
Emotional burden, fear, shortage of PPE, exhaustion, stress
Heightened financial burden
Heightened administrative burden
Heightened technological burden
72
How should nursing staff approach helping family members work through their grief during crises?
It is normal and acceptable to cry, feel pain, and express loss
By encouraging them to hide their emotions
By avoiding the topic of grief
By dismissing their emotions
73
What precautions are taken to avoid confrontations in the ED?
Allowing verbal abuse
Ignoring violent behavior
Encouraging confrontations
Separating feuding gangs or families
74
What are some examples of natural events that can lead to disasters in emergency nursing?
Earthquakes
Tsunamis
Hurricanes
All of the above
75
How can the psychological function of patients and families be assessed in the ED?
Evaluate emotional expression, anxiety, and cognitive function
Measuring blood pressure and heart rate
Conducting a physical examination
Providing medication
76
Who may pose a risk of committing violent acts in the ED?
Patients under the influence of drugs or alcohol
Patients with a history of cardiovascular disease
Patients with chronic illnesses
Patients with physical injuries
77
What are the three steps involved in critical incident stress management (CISM)?
Avoiding, deflecting, and dismissing
Debating, debating, and debating
Defusing, debriefing, and follow-up
Defusing, ignoring, and moving on
78
What is a crucial aspect of promoting a healthy staff environment in the emergency department (ED)?
Limiting support systems
Availability of disciplinary actions
Ignoring staff needs
Availability of nonjudgmental counseling
79
How does allowing family presence in critical care areas enhance their role and trust in caregivers?
By enhancing the family's role and building trust in caregivers
By reducing the quality of care
By causing confusion and conflict
By increasing the workload for staff
80
What are ED staff at increased risk of exposure to?
Infectious diseases
Chemical hazards
Radiological hazards
Physical hazards
81
What is the primary concern during mass casualty incidents in emergency nursing?
Staff morale
Providing holistic care
Legal implications
Patient volume
82
What is a common initial goal for patients and families facing sudden injury or illness?
Immediate surgery
Anxiety reduction
Physical therapy
Discharge planning
83
How should prolonged denial be addressed when assisting families through crises?
It should be reinforced
It should be dismissed
Should not be encouraged or supported
It should be encouraged

Emergency Nursing - Part 1 Flashcards | StudBud