The nurse is assessing the victims of a train derailment using the Sort, Assess, Life-saving Interventions, and Triage/treatment (SALT) system. Which action will the nurse take during the Sort phase of this triage system?

Correct Answer: A

Rationale: During the Sort phase of the SALT triage system, the nurse will move victims who cannot walk to a staging area. This is because sorting involves quickly identifying and separating victims based on their ability to walk. Those who can walk are considered to have a better chance of survival and are typically grouped together for further assessment and treatment. By moving victims who cannot walk to a staging area, the nurse ensures that these individuals receive prompt attention and appropriate care. Summary: A: Moving victims who cannot walk to a staging area (Correct) - This is done to prioritize care for those who are unable to walk. B: Placing color-coded triage tags on victims (Incorrect) - This is typically done in the Triage/treatment phase. C: Opening the airway of victims who are not breathing (Incorrect) - This is a life-saving intervention done in the Life-saving Interventions phase. D: Asking victims to walk to a staging area (Incorrect) - Not appropriate as it may

Correct Answer: B

Rationale: The correct answer is B: Withdrawing from social interaction. This behavior is a warning sign for potential school violence because it may indicate feelings of isolation, alienation, or being marginalized, which can contribute to feelings of anger or aggression. Withdrawal from social interactions can be a sign of underlying emotional distress or mental health issues that may escalate to violent behavior if not addressed. A: Participation in class activities is not typically a warning sign for potential school violence. In fact, involvement in extracurricular activities can often be a positive indicator of social integration and engagement. C: Crying after failing an exam, while indicating distress, is not necessarily a direct warning sign for potential school violence. It may suggest academic pressure or emotional sensitivity, but does not directly correlate with violent behavior. D: Visiting the school counselor during lunch may actually be a positive behavior, indicating seeking help or support for personal issues. It does not necessarily indicate a risk for school violence.

Correct Answer: C

Rationale: The National Response Framework, a successor to the National Response Plan, 'helps define the roles, responsibilities, and relationships critical to effective emergency planning, preparedness, and response to any emergency or disaster.' The NRF serves as a guide for conducting a nationwide all-hazards response that is flexible and adaptable and that links all levels of the government with nongovernmental organizations and the private sector. The U.S. Department of Homeland Security was developed in 2002 to develop and coordinate the implementing of a comprehensive national strategy to secure the United States from terrorist threats or attacks. Eventually, the NRF was developed within this department. The National Response Framework helps to provide a linkage for the Red Cross to other organizations, but does not assist with it carrying out its mission. The NRF does not change presidential power.

Correct Answer: D

Rationale: The nurse and the nurse's family are best protected by having the skills and knowledge to cope with a disaster, including details such as where families will reunite in the event of an emergency. The nurse should have his/her own copy of the professional license. It is recommended that a 3-day supply of water (1 gallon per person per day) be part of an emergency planning kit. Gloves, mask, and other personal protective equipment are recommended for the professional nurse to have available as an emergency supply.

Correct Answer: B

Rationale: The nursing students should be prepared to offer a critique of the drill performance and suggest improvements for the next drill-or for an actual disaster. It would be unlikely that the students would be volunteers at the next drill as typically the agencies involved with disaster management are the ones who are coordinating and leading these activities. It is unknown if the student will ever be in the same type of disaster as what they completed the drill for, so their involvement may not change their response in the future. Writing a report and talking about feelings would not be helpful for the agencies to learn what they can do differently if an actual disaster was to occur.