A nurse cares for clients during a community-wide disaster drill. Once of the clients asks, "Why are the individuals with black tags not receiving any care?" How should the nurse respond?
a. "To do the greatest good for the greatest number of people, it is necessary to sacrifice some."
b. "Not everyone will survive a disaster, so it is best to identify those people early and move on."
c. "In a disaster, extensive resources are not used for one person at the expense of many others."
d. "With black tags, volunteers can identify those who are dying and can give them comfort care."
ANS: C
In a disaster, military-style triage is used; this approach identifies the dead or expectant dead with black tags. This practice helps to maintain the goal of triage, which is doing the most good for the most people. Precious resources are not used for those with overwhelming critical injury or illness, so that they can be allocated to others who have a reasonable expectation of survival. Clients are not "sacrificed." Telling students to move on after identifying the expectant dead belittles their feelings and does not provide an adequate explanation. Clients are not black-tagged to allow volunteers to give comfort care.
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