A charge nurse is discussing disaster response with nursing staff. Which of the following statements indicates an understanding of the Hospital Incident Command System (HICS)?
"HICS is focused on having multidisciplinary responders available."
"HICS ensures that necessary antibiotics and antidotes are available."
"HICS provides additional responders when needs exceed the ability of local or state agencies."
"HICS identifies facility responsibilities and channels of reporting."
The Correct Answer is D
Rationale:
A. HICS focuses on organizing and managing internal facility operations rather than mobilizing external multidisciplinary responders.
B. HICS does not directly ensure the availability of specific medical supplies; this is usually managed through other systems or protocols.
C. HICS is primarily concerned with internal facility management, not providing additional responders from outside agencies.
D. HICS helps to define roles, responsibilities, and reporting channels within the facility during a disaster, ensuring effective internal management.
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Correct Answer is A
Explanation
Rationale:
A. Encouraging clients to receive an annual flu immunization is a cost-effective measure to prevent illness and reduce overall healthcare costs.
B. Waiting to empty a drainable colostomy until it is three-fourths full might not be the best practice for client comfort or prevention of leakage.
C. Recommending sterile technique for home care is important for infection prevention but not necessarily a cost-reduction strategy in the healthcare setting.
D. Delegating closed irrigation to AP may not be appropriate if it involves tasks beyond their scope of practice and does not directly relate to cost reduction.
Correct Answer is B
Explanation
Rationale:
A. Hospice care focuses on comfort and quality of life, not on curing the illness. Therefore, the oncologist would typically shift focus to palliative care.
B. Managing symptoms such as dyspnea is a primary aspect of hospice care, aimed at improving the quality of life.
C. Hospice care is usually for patients with a prognosis of six months or less, not for those with indefinite life expectancy.
D. Hospice care can be provided in various settings, including the patient’s home, not just long-term care facilities.