Question 1
Multiple Choice
The nurse manager and nurses in an acute care hospital are participating in a safety huddle to identify patients at risk for falling. Which patients will the nurses determine require follow-up? Select all that apply.
Correct!
Incorrect
The correct answer is: B,D,F
Rationale
Patients with a history of falling, postural hypotension, and those transferred from long-term care require follow-up as they present significant risks associated with falls, which necessitate close monitoring and intervention.
A: Age >50 years Age alone does not inherently indicate a fall risk; many older adults maintain stability and strength, making this criterion insufficient for prioritizing follow-up.
C: Taking antibiotics Antibiotics typically do not contribute to a direct risk of falling. While side effects may vary, they do not consistently correlate with increased fall risk.
E: Nausea from chemotherapy Nausea from chemotherapy may lead to discomfort, but it does not directly correlate with instability or balance issues that significantly heighten fall risk.
Correct Answer: B,D,F
Rationale: Patients with a history of falling, postural hypotension, and those transferred from long-term care require follow-up as they present significant risks associated with falls, which necessitate close monitoring and intervention.
A: Age >50 years Age alone does not inherently indicate a fall risk; many older adults maintain stability and strength, making this criterion insufficient for prioritizing follow-up.
C: Taking antibiotics Antibiotics typically do not contribute to a direct risk of falling. While side effects may vary, they do not consistently correlate with increased fall risk.
E: Nausea from chemotherapy Nausea from chemotherapy may lead to discomfort, but it does not directly correlate with instability or balance issues that significantly heighten fall risk.
Question 2
Multiple Choice
A school nurse is teaching parents about home and fire safety. What information will be included in the teaching plan? Select all that apply.
Correct!
Incorrect
The correct answer is: C,D,E
Rationale
Most people who die in fires die of smoke inhalation. This information is crucial as it highlights a significant risk factor in fire-related fatalities, emphasizing the importance of smoke alarms and safety measures to protect individuals and families from this hidden danger.
A: Sixty percent of U.S. fire deaths occur in the home. While alarming, this statistic does not address specific safety measures or behaviors that can prevent such tragedies.
B: Most fatal fires occur when people are cooking. This statistic is relevant but focuses solely on a cause rather than comprehensive safety practices that families can implement at home.
E: Fires are more likely to occur in homes without electricity or gas. This statement lacks broader context about fire prevention strategies and does not reflect the common causes of household fires.
F: Fires are less likely to spread if bedroom doors are kept open when sleeping. This claim contradicts fire safety practices, as keeping doors closed can actually help contain fires and prevent smoke inhalation.
Correct Answer: C,D,E
Rationale: Most people who die in fires die of smoke inhalation. This information is crucial as it highlights a significant risk factor in fire-related fatalities, emphasizing the importance of smoke alarms and safety measures to protect individuals and families from this hidden danger.
A: Sixty percent of U.S. fire deaths occur in the home. While alarming, this statistic does not address specific safety measures or behaviors that can prevent such tragedies.
B: Most fatal fires occur when people are cooking. This statistic is relevant but focuses solely on a cause rather than comprehensive safety practices that families can implement at home.
E: Fires are more likely to occur in homes without electricity or gas. This statement lacks broader context about fire prevention strategies and does not reflect the common causes of household fires.
F: Fires are less likely to spread if bedroom doors are kept open when sleeping. This claim contradicts fire safety practices, as keeping doors closed can actually help contain fires and prevent smoke inhalation.
Question 3
Regular
A community health nurse is providing education on child safety. Who does the nurse identify as at highest risk for choking and suffocation?
Correct!
Incorrect
The correct answer is: C
Rationale
Infants sleeping in the prone position are at highest risk for choking and suffocation. This position increases the likelihood of airway obstruction and reduces the infant's ability to breathe effectively, particularly during sleep.
A: A toddler playing with his older brother's wooden blocks. While toddlers can face risks, wooden blocks are not typically choking hazards, as they are larger and designed for safety.
B: A 4-year-old eating yogurt and strawberries for lunch. Both yogurt and strawberries are easy to chew and swallow for a child of this age, posing minimal choking risk.
D: A 3-year-old drinking a glass of juice. Juice, when consumed appropriately, generally does not pose a choking hazard, as it is liquid and easily ingested without obstruction.
Correct Answer: C
Rationale: Infants sleeping in the prone position are at highest risk for choking and suffocation. This position increases the likelihood of airway obstruction and reduces the infant's ability to breathe effectively, particularly during sleep.
A: A toddler playing with his older brother's wooden blocks. While toddlers can face risks, wooden blocks are not typically choking hazards, as they are larger and designed for safety.
B: A 4-year-old eating yogurt and strawberries for lunch. Both yogurt and strawberries are easy to chew and swallow for a child of this age, posing minimal choking risk.
D: A 3-year-old drinking a glass of juice. Juice, when consumed appropriately, generally does not pose a choking hazard, as it is liquid and easily ingested without obstruction.
Question 4
Regular
While discussing home safety with the nurse, a patient admits that they smoke a cigarette in bed before falling asleep at night. Which health problem is the priority for this patient?
Correct!
Incorrect
The correct answer is: D
Rationale
The patient’s priority health problem is knowledge deficiency: etiology, risk for burn and suffocation in a house fire. Smoking in bed poses significant hazards, including fire risks, which the patient may not fully understand.
A: Impaired gas exchange: etiology, cigarette smoking. While smoking affects gas exchange, the immediate concern is the fire risk associated with smoking in bed, which can lead to severe injuries.
B: Acute anxiety: etiology, inability to stop smoking. Anxiety may arise from smoking habits, but the priority should focus on the tangible dangers of smoking while sleeping, like potential fires.
C: Nonadherence: etiology, nonadherence to recommendation to stop smoking. Although nonadherence is relevant, the primary issue is the immediate risk of fire and suffocation, which demands urgent attention.
Correct Answer: D
Rationale: The patient’s priority health problem is knowledge deficiency: etiology, risk for burn and suffocation in a house fire. Smoking in bed poses significant hazards, including fire risks, which the patient may not fully understand.
A: Impaired gas exchange: etiology, cigarette smoking. While smoking affects gas exchange, the immediate concern is the fire risk associated with smoking in bed, which can lead to severe injuries.
B: Acute anxiety: etiology, inability to stop smoking. Anxiety may arise from smoking habits, but the priority should focus on the tangible dangers of smoking while sleeping, like potential fires.
C: Nonadherence: etiology, nonadherence to recommendation to stop smoking. Although nonadherence is relevant, the primary issue is the immediate risk of fire and suffocation, which demands urgent attention.
Question 5
Regular
A nurse working in a pediatrician's office receives calls from parents whose children have ingested a toxic substance from under the sink. How will the nurse advise the parents?
Correct!
Incorrect
The correct answer is: D
Rationale
Call the PCC immediately before attempting any home remedy.
The poison control center (PCC) provides specialized guidance on managing toxic substance ingestion. They can advise parents on the safest and most effective course of action tailored to the specific substance, ensuring the child's safety and health are prioritized.
A: Administer activated charcoal in tablet form and take child to the ED. This option overlooks the need for expert guidance and may not be suitable without PCC consultation, risking further harm.
B: Administer syrup of ipecac and take child to the ED. Ipecac is no longer recommended for poison ingestion, and this choice disregards the necessity of contacting the PCC first.
C: Bring the child in to the primary care provider for gastric lavage. This option skips crucial initial steps and does not involve the PCC's expert advice, potentially delaying appropriate care for the child.
Correct Answer: D
Rationale: Call the PCC immediately before attempting any home remedy.
The poison control center (PCC) provides specialized guidance on managing toxic substance ingestion. They can advise parents on the safest and most effective course of action tailored to the specific substance, ensuring the child's safety and health are prioritized.
A: Administer activated charcoal in tablet form and take child to the ED. This option overlooks the need for expert guidance and may not be suitable without PCC consultation, risking further harm.
B: Administer syrup of ipecac and take child to the ED. Ipecac is no longer recommended for poison ingestion, and this choice disregards the necessity of contacting the PCC first.
C: Bring the child in to the primary care provider for gastric lavage. This option skips crucial initial steps and does not involve the PCC's expert advice, potentially delaying appropriate care for the child.
Question 6
Regular
A nurse is teaching parents in a parenting class about the use of car seats and restraints for infants and children. What should be the focus of this education?
Correct!
Incorrect
The correct answer is: A
Rationale
Booster seats should be used for children until they are 4' 9" tall and weigh between 80 and 100 lb. This ensures proper seatbelt fit and maximizes safety during vehicle travel, which is crucial for injury prevention.
B: Most U.S. states mandate the use of infant car seats and carriers when transporting a child in a motor vehicle. While important, this option does not address the specific focus for older children.
C: Infants and toddlers up to age 2 years (or the maximum height and weight for the seat) should be in a front-facing safety seat. This option misrepresents recommended practices, as rear-facing seats are advised for this age group.
D: Children older than 6 years may be restrained using a car seat belt in the back seat. This does not emphasize booster seat usage, which is essential for proper safety until height and weight requirements are met.
Correct Answer: A
Rationale: Booster seats should be used for children until they are 4' 9" tall and weigh between 80 and 100 lb. This ensures proper seatbelt fit and maximizes safety during vehicle travel, which is crucial for injury prevention.
B: Most U.S. states mandate the use of infant car seats and carriers when transporting a child in a motor vehicle. While important, this option does not address the specific focus for older children.
C: Infants and toddlers up to age 2 years (or the maximum height and weight for the seat) should be in a front-facing safety seat. This option misrepresents recommended practices, as rear-facing seats are advised for this age group.
D: Children older than 6 years may be restrained using a car seat belt in the back seat. This does not emphasize booster seat usage, which is essential for proper safety until height and weight requirements are met.
Question 7
Regular
A nurse in a long-term care facility is on an interprofessional safety committee focusing on protecting older adults from injury and trauma. Which action does the nurse suggest they prioritize?
Correct!
Incorrect
The correct answer is: D
Rationale
Maintaining clutter-free rooms and hallways should be prioritized. This action directly reduces the risk of falls and injuries, which are significant concerns for older adults in long-term care facilities, enhancing overall safety.
A: Ensuring proper function of fire alarms does enhance safety, but clutter poses a more immediate and prevalent risk for falls and accidents among older adults in care settings.
B: Preventing exposure to temperature extremes is important, yet it does not address the more common hazards of physical injuries caused by clutter in living spaces.
C: Screening for partner or elder abuse is critical for overall well-being but does not focus on the immediate physical safety risks posed by environmental hazards like clutter.
Correct Answer: D
Rationale: Maintaining clutter-free rooms and hallways should be prioritized. This action directly reduces the risk of falls and injuries, which are significant concerns for older adults in long-term care facilities, enhancing overall safety.
A: Ensuring proper function of fire alarms does enhance safety, but clutter poses a more immediate and prevalent risk for falls and accidents among older adults in care settings.
B: Preventing exposure to temperature extremes is important, yet it does not address the more common hazards of physical injuries caused by clutter in living spaces.
C: Screening for partner or elder abuse is critical for overall well-being but does not focus on the immediate physical safety risks posed by environmental hazards like clutter.
Question 8
Regular
An experienced nurse and new graduate nurse are caring for a confused older adult who gets out of bed and wanders. The preceptor intervenes when observing which action by the graduate nurse?
Correct!
Incorrect
The correct answer is: A
Rationale
Raising all four side rails to keep the patient in bed. This action poses a significant safety risk, as it can lead to injury from falls or entrapment, especially in confused older adults.
B: Performing documentation in the patient's room. This action does not directly address the patient's wandering behavior and may distract the nurse from monitoring the patient’s safety effectively.
C: Suggesting obtaining a patient "sitter." While this option indicates concern for the patient's safety, it does not actively prevent wandering, which requires immediate intervention and monitoring.
D: Using a bed alarm to alert staff the patient leaving the bed. Utilizing a bed alarm is a proactive measure, but it does not physically prevent the patient from wandering or falling.
Correct Answer: A
Rationale: Raising all four side rails to keep the patient in bed. This action poses a significant safety risk, as it can lead to injury from falls or entrapment, especially in confused older adults.
B: Performing documentation in the patient's room. This action does not directly address the patient's wandering behavior and may distract the nurse from monitoring the patient’s safety effectively.
C: Suggesting obtaining a patient "sitter." While this option indicates concern for the patient's safety, it does not actively prevent wandering, which requires immediate intervention and monitoring.
D: Using a bed alarm to alert staff the patient leaving the bed. Utilizing a bed alarm is a proactive measure, but it does not physically prevent the patient from wandering or falling.
Question 9
Regular
The hospital's fire alarm sounds, and an announcement is made that there is a fire in a patient room. What is the priority for nurses on the unit?
Correct!
Incorrect
The correct answer is: A
Rationale
Removing patients from the room or vicinity is the top priority for nurses on the unit. Ensuring patient safety is paramount, and evacuating individuals from the immediate danger zone mitigates risk of harm during a fire emergency, allowing for safe and prompt action to be taken while maintaining patient welfare.
B: Attempting to put out the fire with water or appropriate extinguishers diverts attention from patient safety. Prioritizing evacuation ensures that vulnerable individuals are protected rather than risking further danger by tackling the flames directly.
C: Closing all the doors on the unit to contain the fire is a reactive measure. While it may help limit fire spread, immediate evacuation of patients takes precedence to ensure their safety and wellbeing.
D: Running to the closest unit and requesting help delays critical action. The urgency of fire scenarios necessitates immediate patient evacuation rather than seeking assistance, which could result in unnecessary exposure to danger.
Correct Answer: A
Rationale: Removing patients from the room or vicinity is the top priority for nurses on the unit. Ensuring patient safety is paramount, and evacuating individuals from the immediate danger zone mitigates risk of harm during a fire emergency, allowing for safe and prompt action to be taken while maintaining patient welfare.
B: Attempting to put out the fire with water or appropriate extinguishers diverts attention from patient safety. Prioritizing evacuation ensures that vulnerable individuals are protected rather than risking further danger by tackling the flames directly.
C: Closing all the doors on the unit to contain the fire is a reactive measure. While it may help limit fire spread, immediate evacuation of patients takes precedence to ensure their safety and wellbeing.
D: Running to the closest unit and requesting help delays critical action. The urgency of fire scenarios necessitates immediate patient evacuation rather than seeking assistance, which could result in unnecessary exposure to danger.
Question 10
Regular
A nurse is filing a safety event report for a confused patient who fell while getting out of bed. Which action is most appropriate during documentation?
Correct!
Incorrect
The correct answer is: D
Rationale
D: Recording the circumstances and effect on the patient in the health record. This action ensures accurate documentation of the event, which is crucial for patient safety, continuity of care, and compliance with legal and institutional policies.
A: Including suggestions on how to prevent the incident from recurring. While prevention is important, the immediate focus should be on accurately documenting the event and its impact on the patient.
B: Providing minimal information about the incident. Documenting insufficient details fails to capture the full context of the event, which is essential for understanding the patient's condition and improving safety measures.
C: Discussing the details with the patient before documenting them. Engaging the patient in conversation may lead to inaccuracies or misunderstandings, compromising the integrity of the documentation needed for proper care and analysis.
Correct Answer: D
Rationale: D: Recording the circumstances and effect on the patient in the health record. This action ensures accurate documentation of the event, which is crucial for patient safety, continuity of care, and compliance with legal and institutional policies.
A: Including suggestions on how to prevent the incident from recurring. While prevention is important, the immediate focus should be on accurately documenting the event and its impact on the patient.
B: Providing minimal information about the incident. Documenting insufficient details fails to capture the full context of the event, which is essential for understanding the patient's condition and improving safety measures.
C: Discussing the details with the patient before documenting them. Engaging the patient in conversation may lead to inaccuracies or misunderstandings, compromising the integrity of the documentation needed for proper care and analysis.
Question 11
Regular
Nursing students are invited to participate in the clinical agency's annual disaster drill, simulating the release of an airborne infectious agent and ensuing panic. Which assignment is most appropriate for the students?
Correct!
Incorrect
The correct answer is: D
Rationale
D: Ensuring everyone entering and working has an N95 mask. This assignment is crucial as it directly relates to infection control during an airborne infectious agent release, prioritizing the safety of both healthcare workers and patients.
A: Cleansing and dressing wounds sustained during the panic. This task is more suited for advanced practitioners and may not adequately address the immediate public health concerns associated with airborne infections.
B: Triaging patients with respiratory symptoms and traumatic injuries. While important, this role requires advanced clinical judgment and experience that nursing students may not possess during a disaster simulation.
C: Providing information to families of missing loved ones. This task involves sensitive communication skills that may be beyond the scope of nursing students, who should focus on direct patient care and safety.
Correct Answer: D
Rationale: D: Ensuring everyone entering and working has an N95 mask. This assignment is crucial as it directly relates to infection control during an airborne infectious agent release, prioritizing the safety of both healthcare workers and patients.
A: Cleansing and dressing wounds sustained during the panic. This task is more suited for advanced practitioners and may not adequately address the immediate public health concerns associated with airborne infections.
B: Triaging patients with respiratory symptoms and traumatic injuries. While important, this role requires advanced clinical judgment and experience that nursing students may not possess during a disaster simulation.
C: Providing information to families of missing loved ones. This task involves sensitive communication skills that may be beyond the scope of nursing students, who should focus on direct patient care and safety.
Question 12
Regular
A disoriented older resident likes to wander the halls of their long-term care facility but becomes agitated when they cannot find their room. Which action is most appropriate as an alternative to restraints?
Correct!
Incorrect
The correct answer is: D
Rationale
D: Identifying their door with his photograph and a balloon. This approach fosters independence and comfort by providing a recognizable landmark, reducing disorientation, and alleviating agitation without resorting to restraints.
A: Placing them in a geriatric chair near the nurses' station. This confines the resident, limiting their freedom and potentially increasing agitation instead of addressing their disorientation in a supportive manner.
B: Using the sheets to secure them snugly in the bed. This method restricts movement and promotes feelings of helplessness, which can worsen agitation and distress rather than provide reassurance.
C: Keeping the bed in the high position. This creates a risk of falls and does not address the resident’s disorientation or need for comfort and familiarity, potentially increasing anxiety.
Correct Answer: D
Rationale: D: Identifying their door with his photograph and a balloon. This approach fosters independence and comfort by providing a recognizable landmark, reducing disorientation, and alleviating agitation without resorting to restraints.
A: Placing them in a geriatric chair near the nurses' station. This confines the resident, limiting their freedom and potentially increasing agitation instead of addressing their disorientation in a supportive manner.
B: Using the sheets to secure them snugly in the bed. This method restricts movement and promotes feelings of helplessness, which can worsen agitation and distress rather than provide reassurance.
C: Keeping the bed in the high position. This creates a risk of falls and does not address the resident’s disorientation or need for comfort and familiarity, potentially increasing anxiety.
Question 13
Regular
A nurse has exhausted every effort to keep a confused, postoperative patient safe and in bed. Following The Joint Commission guidelines for use of restraints, which nursing action reflects safe practice?
Correct!
Incorrect
The correct answer is: B
Rationale
Ensuring that two fingers can be inserted between the restraint and patient's wrist reflects safe practice. This technique allows for proper circulation and comfort, adhering to The Joint Commission guidelines for restraint use.
A: Positioning the patient in the supine position prior to applying wrist restraints does not address safety concerns or proper restraint application guidelines.
C: Applying a cloth restraint to the left hand of the patient with an IV catheter in the right wrist poses a risk for circulation issues and potential complications.
D: Tying an elbow restraint to the raised side rail of the patient's bed could lead to injury or increased risk of entrapment, violating safety protocols.
Correct Answer: B
Rationale: Ensuring that two fingers can be inserted between the restraint and patient's wrist reflects safe practice. This technique allows for proper circulation and comfort, adhering to The Joint Commission guidelines for restraint use.
A: Positioning the patient in the supine position prior to applying wrist restraints does not address safety concerns or proper restraint application guidelines.
C: Applying a cloth restraint to the left hand of the patient with an IV catheter in the right wrist poses a risk for circulation issues and potential complications.
D: Tying an elbow restraint to the raised side rail of the patient's bed could lead to injury or increased risk of entrapment, violating safety protocols.
Question 14
Regular
During the admission process, a nurse oriens an older adult to their hospital room. What is the current safety priority?
Correct!
Incorrect
The correct answer is: D
Rationale
Demonstrating how to operate the call bell is the current safety priority. Ensuring that the older adult knows how to summon help promptly addresses their immediate safety needs and enhances their sense of security.
A: Explaining how to use the telephone does not directly impact the patient's immediate safety and can be addressed after more critical needs are met.
B: Introducing the patient to their roommate fosters social interaction but does not provide essential safety measures that are crucial during the admission process.
C: Reviewing the hospital policy on visiting hours is not urgent for patient safety and can be discussed later once the patient is settled and comfortable.
Correct Answer: D
Rationale: Demonstrating how to operate the call bell is the current safety priority. Ensuring that the older adult knows how to summon help promptly addresses their immediate safety needs and enhances their sense of security.
A: Explaining how to use the telephone does not directly impact the patient's immediate safety and can be addressed after more critical needs are met.
B: Introducing the patient to their roommate fosters social interaction but does not provide essential safety measures that are crucial during the admission process.
C: Reviewing the hospital policy on visiting hours is not urgent for patient safety and can be discussed later once the patient is settled and comfortable.
Question 15
Multiple Choice
A nurse works in a facility stating they support a culture of safety. What will the nurse expect to find operationalized in this culture? Select all that apply.
Correct!
Incorrect
The correct answer is: A,C,E,F
Rationale
Support for reporting errors and near misses without blame, commitment of resources to address actual/potential safety issues, promotion of teamwork and collaboration throughout the organization, and administrators' and managers' commitment to safe operations are all essential components of a culture of safety in healthcare settings.
A: Support for reporting errors and near misses without blame fosters an environment where staff feel safe to disclose issues, leading to improved safety and error reduction.
B: Nurses being the employees responsible for safety in the organization implies isolation of accountability, undermining the shared responsibility crucial in a safety culture.
C: Commitment of resources to address actual/potential safety issues is important, but it alone does not encompass the full scope of a comprehensive culture of safety.
D: Emphasis placed on individuals, their departments, and resources reflects a fragmented approach, detracting from the collective responsibility and collaboration necessary for effective safety practices.
Correct Answer: A,C,E,F
Rationale: Support for reporting errors and near misses without blame, commitment of resources to address actual/potential safety issues, promotion of teamwork and collaboration throughout the organization, and administrators' and managers' commitment to safe operations are all essential components of a culture of safety in healthcare settings.
A: Support for reporting errors and near misses without blame fosters an environment where staff feel safe to disclose issues, leading to improved safety and error reduction.
B: Nurses being the employees responsible for safety in the organization implies isolation of accountability, undermining the shared responsibility crucial in a safety culture.
C: Commitment of resources to address actual/potential safety issues is important, but it alone does not encompass the full scope of a comprehensive culture of safety.
D: Emphasis placed on individuals, their departments, and resources reflects a fragmented approach, detracting from the collective responsibility and collaboration necessary for effective safety practices.
Question 16
Multiple Choice
A school nurse is teaching about adolescent safety with students entering high school. What will the nurse include in the discussion about the major causes of death in this group? Select all that apply.
Correct!
Incorrect
The correct answer is: C,D
Rationale
Car accidents and suicide are major causes of death among adolescents entering high school, highlighting the importance of addressing these issues within safety discussions. Both are prevalent concerns that significantly affect this age group.
A: Choking Rarely contributes to adolescent mortality rates, especially compared to other risks. While it can occur, its frequency is significantly lower among high school students than other dangers discussed.
B: Diving accidents Although they pose risks, diving accidents are less common than issues like car accidents and suicide among adolescents. This makes them less relevant in a discussion focused on major causes of death.
E: Intimate partner violence While a serious concern, its impact on adolescent mortality is less prevalent compared to car accidents and suicide, which are more statistically significant causes of death within this age group.
F: Cigarette smoking Although detrimental to health, it does not directly lead to immediate mortality in adolescents. Its effects are more long-term rather than acute causes of death in this demographic.
Correct Answer: C,D
Rationale: Car accidents and suicide are major causes of death among adolescents entering high school, highlighting the importance of addressing these issues within safety discussions. Both are prevalent concerns that significantly affect this age group.
A: Choking Rarely contributes to adolescent mortality rates, especially compared to other risks. While it can occur, its frequency is significantly lower among high school students than other dangers discussed.
B: Diving accidents Although they pose risks, diving accidents are less common than issues like car accidents and suicide among adolescents. This makes them less relevant in a discussion focused on major causes of death.
E: Intimate partner violence While a serious concern, its impact on adolescent mortality is less prevalent compared to car accidents and suicide, which are more statistically significant causes of death within this age group.
F: Cigarette smoking Although detrimental to health, it does not directly lead to immediate mortality in adolescents. Its effects are more long-term rather than acute causes of death in this demographic.
Quiz Complete!
Safety, Security, and Emergency Preparedness
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