Which of the following questions should be considered in the hospital gap analysis survey of clinical operations readiness in the event of a disaster? (Select all that apply.)

Correct Answer: A

Rationale: Step-by-step rationale for why answer A is correct: 1. Staff safety is a top priority during disasters to ensure continuity of care. 2. Procedures for staff safety show preparedness and risk mitigation efforts. 3. Staff safety measures can impact overall clinical operations and patient care. Summary of why other choices are incorrect: B. While PPE is important, it is more specific and not as critical as overall staff safety. C. Patient tracking and confidentiality are important but not directly related to clinical operations readiness in a disaster. D. Lockdown plans are important but focus more on security measures rather than clinical operations readiness.

Correct Answer: B

Rationale: The correct answer is B: Primordial. This level of prevention aims to prevent the development of risk factors before they occur. Developing a walking trail to encourage physical activity aligns with primordial prevention by promoting a healthy lifestyle from the outset. Primary prevention (choice C) focuses on preventing the onset of diseases, while secondary prevention (choice D) involves early detection and treatment of diseases. Choice A is not a specific level of prevention but rather a question that does not directly relate to the scenario. Therefore, the nurse's action of creating a walking trail corresponds most closely with primordial prevention.

Correct Answer: D

Rationale: The correct answer is D: Limited financial resources. This is the most likely system-related barrier because building parks and recreation centers require funding, and without adequate financial resources, the program may struggle to implement these initiatives effectively. Choice A (Genetic predisposition to obesity) is incorrect as it is not a system-related barrier but rather a biological factor. Choice B (Lack of community engagement) is incorrect as it pertains to community involvement rather than a system-related barrier. Choice C (Individual client attitudes and beliefs) is incorrect as it focuses on personal factors rather than system-related barriers. Ultimately, limited financial resources pose a significant challenge for the program in building the necessary infrastructure to promote physical activity in the urban area.

Correct Answer: D

Rationale: The correct answer is D: Develop evaluation methods. After selecting activities to meet program goals, the next step in the intervention mapping framework is to develop evaluation methods. This step is crucial to assess the effectiveness of the program in achieving its objectives. Evaluation methods help gather data to measure the program's impact, identify areas for improvement, and ensure the program is meeting the needs of the community. It allows for evidence-based decision-making and continuous quality improvement. Summary: A: Draft program messages and materials - This step usually comes after developing evaluation methods. B: Conduct a community assessment - Typically done at the initial stages of program planning. C: Establish community partnerships - Important but usually done earlier in the planning process.

Correct Answer: B

Rationale: The correct answer is B because it meets the criteria of the SMART approach. Specific: It clearly states the goal of reducing alcohol use by county youth. Measurable: It includes a quantifiable target of decreasing from 5% to 4%. Achievable: The goal is realistic and attainable. Relevant: It addresses a significant issue of alcohol use. Time-bound: It specifies the deadline of December 31. Option A lacks specificity and measurability. Options C and D are incomplete and do not follow the SMART criteria.