ch. 28

Who should create a disaster plan including emergency supplies and where to meet in case of an emergency? a.All families b.All government officials c.All public health employees d.Members of Congress and the Supreme Court

a.All families

When does disaster management begin? a.Before a disaster occurs b.Immediately after the disaster c.Throughout the disaster period d.When the disaster begins

a.Before a disaster occurs

Which of the following disasters are considered NA-TECH (natural-technological) disasters? (Select all that apply.) a.Constant rain led to mud slides, and whole neighborhoods were buried. b.An earthquake caused structural collapse of bridges and highways in the area. c.People stampeded out of the overcrowded arena, trampling people who had fallen. d.River flooding resulted in overflow of the sewage plant and contaminated drinking water throughout the city. e.The tsunami washed out all the power and telephone lines throughout the downtown area of the city. f.Volcanic eruption covered the town with ash, making it difficult to breathe.

a.Constant rain led to mud slides, and whole neighborhoods were buried. b.An earthquake caused structural collapse of bridges and highways in the area. d.River flooding resulted in overflow of the sewage plant and contaminated drinking water throughout the city. e.The tsunami washed out all the power and telephone lines throughout the downtown area of the city.

Which of the following do terrorists hope to accomplish by causing mass destruction and violence toward innocent persons going about their daily lives? a.Create fear to intimidate and coerce to accomplish a political goal b.Encourage others with similar beliefs to join them and their cause c.Obtain publicity for themselves and their goals d.Obtain increased negotiating power and respect

a.Create fear to intimidate and coerce to accomplish a political goal

Which of the following disasters would most likely cause the most long-lasting mental health concerns for its victims? a.For the fourth year in a row a flood hit an area, demolishing several houses, but families heard the warning siren and evacuated in time. b.A forest fire was deliberately set but was not a major concern until the fire suddenly changed direction and people attempting to evacuate at the last minute were burned in their cars. c.A tsunami hit the beach with unbelievable force, water sweeping over the entire harbor, although most boats had been moved to deep water. d.A volcano erupted and lava destroyed the main road to the village where several houses burned, but no one died in the eruption.

b.A forest fire was deliberately set but was not a major concern until the fire suddenly changed direction and people attempting to evacuate at the last minute were burned in their cars.

Which of the following statements best describes how a disaster is the same as or different from an emergency? a.A disaster is personal, whereas an emergency is communitywide. b.An emergency is personal, whereas a disaster is communitywide. c.Both emergencies and disasters are devastating. d.Both emergencies and disasters are failures resulting in extensive insurance claims.

b.An emergency is personal, whereas a disaster is communitywide.

As a nurse and a citizen, what is the nurse's additional responsibility in relation to disasters? a.Assume the nurse will be asked to volunteer to assist the American Red Cross with helping care for disaster victims b.Be aware if there is an unusual increase in the number of people seeking care with similar symptoms c.Expect and plan for the possibility of being called to report to work for additional work efforts in caring for the sick and injured d.Expect to be a role model in preparing for and reacting to a disaster

b.Be aware if there is an unusual increase in the number of people seeking care with similar symptoms

Which of the following best describes how a community will know whether its disaster plan is adequate? a.After a disaster occurs and reports of deaths and injuries are fairly accurate b.By following practice drills involving various feasible scenarios as an initial step of planning c.When federal experts have reviewed and approved the plan d.When state officials have reviewed and approved the plan

b.By following practice drills involving various feasible scenarios as an initial step of planning

Which of the following agencies should develop a community disaster plan, have emergency drills to test the plan, and determine the proper response? a.Federal Emergency Management Agency (FEMA) b.Office of Emergency Management c.State Disaster Office d.The National Disaster Relief Agency

b.Office of Emergency Management

A man walked to the staging area after an earthquake crying that he was hurt. A triage nurse noted he had cuts, abrasions, and an open (bone was seen) fractured arm. Which of the following actions should be taken next? a.Put a green tag on his shirt and he can get in line to wait his turn for medical treatment b.Put a yellow tag on his shirt and then await transport to a medical facility c.Put a black tag on his shirt and give him a chair to rest in until something can be done d.Put a green tag on his shirt and ask him to use his good arm to help others make it to the staging area

b.Put a yellow tag on his shirt and then await transport to a medical facility

Which of the following actions should be taken during a biological attack? a.Close doors and windows and turn off all ventilation b.Seek medical attention if you become sick c.Develop a family emergency plan d.Keep a written record of everything that you have eaten

b.Seek medical attention if you become sick

Which of the following steps should the nurse take first when triaging a victim of a disaster? a.Assess mental status b.Assess perfusion c.Assess respirations d.Assess blood pressure

c.Assess respirations

A hospital emergency department received a call that multiple casualties were on their way, primarily burns from a large factory fire. Which of the following actions should the hospital take immediately? a.Ask the governor of the state to declare the area a disaster area so state help can be obtained b.Call surrounding hospitals to set up burn units, because there will be too many patients for one hospital to manage c.Call in physicians and nursing staff who are experts in burn care d.Get in touch with the American Red Cross to assist families of the victims

c.Call in physicians and nursing staff who are experts in burn care

Which of the following types of behaviors would a nurse expect to see when a disaster first strikes a community? a.A sense of all being okay and that one can rebuild and go on b.Anger and despair that help being offered is insufficient, slow, and inadequate c.Everyone trying to help strangers, as well as their neighbors, survive. d.People involved sharing their stories and reliving what occurred.

c.Everyone trying to help strangers, as well as their neighbors, survive.

Which of the following best describes why earthquakes would be more frightening than floods to many people, even though both can cause extensive damage? (Select all that apply.) a.Death rate and scope are higher in earthquakes. b.There is a higher frequency of earthquakes. c.Imminence of earthquakes is unknown. d.It is not possible to prevent an earthquake. e.The intensity of earthquakes is higher. f.The predictability of earthquakes is lower.

c.Imminence of earthquakes is unknown. d.It is not possible to prevent an earthquake. f.The predictability of earthquakes is lower.

Who is responsible for ensuring the safety and welfare of communities? a.Federal government b.Federal Emergency Management Agency c.Local government d.State government

c.Local government

Which of the following types of maps is crucial to be included in any disaster plan? a.Communication map showing telephone wires and cell phone towers b.Geographic map showing, for example, roads, highways, and train routes c.Resource map showing potential resources in persons and supplies d.Response maps showing sites of first responders, such as fire stations and police stations

c.Resource map showing potential resources in persons and supplies

Eight patients were burned in a factory fire. Shortly thereafter, four firefighters were seen with possible smoke inhalation problems. Which of the following best describes how these patients are different from the first patients to arrive? a.Burn patients probably have skin damage, whereas the firefighters have lung damage. b.Burn patients will need extensive care over time, whereas the firefighters can probably stay the night with oxygen treatment and then be discharged. c.The burn patients were direct victims, whereas the firefighters are indirect victims. d.The second set of victims may have scarring, shortness of breath, and persistent hoarseness for the next few days.

c.The burn patients were direct victims, whereas the firefighters are indirect victims.

Which of the following are the responsibilities of the Centers for Disease Control and Prevention (CDC) in relation to disasters? (Select all that apply.) a.Contacting family members with up-to-date information regarding victims and their condition b.Coordinating local services to prevent duplication and fragmentation c.Delivering first aid and arranging for prescription medications that were lost to be replaced d.Detecting disease outbreaks, their cause, and risk factors, and implementing interventions for control e.Ensuring that drinking water, food, shelter, and medical care are available to victims f.Setting up safe and comfortable disaster shelters (emergency housing) for families

d.Detecting disease outbreaks, their cause, and risk factors, and implementing interventions for control e.Ensuring that drinking water, food, shelter, and medical care are available to victims

Which of the following statements best describes how the American Red Cross (ARC) is different from the Federal Emergency Management Agency (FEMA) or the National Incident Management System? a.Funding includes only voluntary contributions. b.It emphasizes being prepared for emergencies, not just reacting to them. c.It has only volunteers as staff. d.It is a nongovernmental volunteer agency.

d.It is a nongovernmental volunteer agency.

A friend who was raped and beaten appeared to be coping well. However, she recently dropped out of school and shared with the nurse that she is having nightmares where it happens all over again, and these nightmares are becoming impossible to live with. Which of the following would be the concern of the nurse? a.A late psychological reaction of despair and hopelessness b.Depression that no one rescued her and saved her from the traumatic event c.Guilt and concern over what she could possibly have done to invite such an event d.Posttraumatic stress syndrome disorder (PTSD)

d.Posttraumatic stress syndrome disorder (PTSD)

An earthquake has hit and buildings are knocked down; people are injured and crying for help. Looters have already started grabbing essential resources. Which of the following actions should the community take first? a.Send in ambulances to transport injured persons to medical facilities b.Send in media personnel to share the event and begin efforts to obtain donations for the injured c.Send in medical personnel to administer first aid and triage the injured d.Send in law officials to secure the area and ensure the safety of the victims

d.Send in law officials to secure the area and ensure the safety of the victims

Which of the following U.S. agencies is responsible for overseeing the actions of protecting against, responding to, recovering from, and preventing the effects of disaster? a.American Red Cross (ARC) b.The Department of Homeland Security (DHS) c.Federal Emergency Management Agency (FEMA) d.The National Incident Management System (NIMS)

d.The National Incident Management System (NIMS)

Which of the following best describes the mission of the U.S. Department of Homeland Security (DHS)? a.To consolidate all existing agencies, groups, and organizations into a single department b.To distribute federal financial aid to disaster-stricken areas c.To enable appropriate response to assist a state having a disaster d.To protect against and respond to threats and hazards to the nation

d.To protect against and respond to threats and hazards to the nation

When would the National Guard become involved in a disaster? a.When the Federal Emergency Management Agency requests such assistance b.When the local government requests help keeping order in the community c.When the president has declared the area a national disaster d.When the state has been asked to help an overwhelmed community

d.When the state has been asked to help an overwhelmed community

Which of the following sets of symptoms would be unexpected after a disaster? a.Confusion, disorientation, indecisiveness, and memory loss b.Depression, fear, or just numbness c.Fatigue with headaches, nausea, and dizziness d.Irritable, suspicious, argumentative, and inappropriate e.No unusual feelings or behavior

e.No unusual feelings or behavior