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."

Answer and Explanation

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

A. Nonmaleficence: By completing a critical care and emergency nursing course before transferring to the ICU, the nurse is ensuring they are adequately prepared to care for critically ill clients. This action minimizes the risk of harm caused by a lack of knowledge or skill, demonstrating adherence to the principle of nonmaleficence.

B. Veracity: Veracity refers to truthfulness and honesty in interactions with clients and colleagues. While important, this scenario does not focus on providing truthful information.

C. Autonomy: Autonomy refers to respecting a client's right to make decisions about their care. This scenario does not involve supporting or promoting client decision-making.

D. Fidelity: Fidelity refers to being faithful to commitments and promises made to clients or the profession. While the nurse is demonstrating professional responsibility, this scenario aligns more closely with nonmaleficence than fidelity.

A. "What do you have against me? It must be something or you wouldn't be criticizing my care." B. "You shouldn't make accusations. Your nursing care doesn't always set a good example." C. "I feel as though I met the standard of care. Would you tell me more about your concerns?" D. "I am at a loss for words. I always do my best to give good care to my clients."

Correct Answer is C

Explanation

Rationale:

A. "What do you have against me? It must be something or you wouldn't be criticizing my care." is defensive and confrontational, which is not appropriate for assertive communication.

B. "You shouldn't make accusations. Your nursing care doesn't always set a good example." is also defensive and shifts the focus away from addressing the concern directly.

C. "I feel as though I met the standard of care. Would you tell me more about your concerns?" is an assertive response that acknowledges the concern and seeks constructive feedback.

D. "I am at a loss for words. I always do my best to give good care to my clients." is not assertive as it does not address the concern directly or invite constructive discussion.

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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)?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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