community test 5

A community/public health nurse is assisting the local community in preparing a disaster plan. Which of the following would the nurse expect to be included in the disaster plan? (Select all that apply.)

Triage plan, Routes and modes of transport for victims, Effective communication plan, Chain of command/chain of authority

critical incident stress debriefing definition

structured informal discussion that provides education, validation reassurance and support participants reactions to a critical incident while allowing an opportunity to ventilate. debriefings are not counseling treatment or psychotherapy

purpose and goals critical incident stress debriefing

to facilitate recovery from traumatic stress and reduce or prevent post traumatic stress disorder, depression, anxiety or panic reaction, phobias, or other mental health concerns

Disaster response

type(natural) level(how many ppl affected ,injured ,dead) scope(how much fresh water and food is available. areas of risk sanitation.) intensity(level of destruction and devastation-federal emergency declared)

When performing triage during a disaster, which color would indicate that the victim is stable, but has the potential to deteriorate?

yellow

accidental attacks

•A natural gas pipeline explosion in a major metropolitan area •The oil spill on the Gulf Coast in 2010 that threatened hundreds of species of wildlife

triage-black

•Expected and allowed to die or already dead

NRF (national response framework)

•Guides the overall conduct and coordination for all disasters to include threats to information technology and energy sources

triage-red

•Immediate threat to life

traige-yellow

•Major injuries that require immediate treatment but can wait a short time for care

FEMA (federal emergency management Agency)

•Mission is to assist people before, during, and after disasters; coordinates disaster response in the US

Disaster Management-Role of the CHN may include

-preparedness (•Identify all risk factors •Proactive planning •Evaluate possible damage) -Prevention(•Take measures to limit damage, disability, and loss of life) -response (•Implementation of disaster plan •Provide emergency care •Restore communication and transportation) -recovery (•Stabilization of the community physically, economically, and psychologically •Rebuilding of the community's infrastructure •Relocation of survivors who have lost their homes •Long-term after the response phase of the disaster event)

According to a study by Zidek, West, Holmes, and Crytzer (2014), approximately how many people who rely on electronic medical equipment to maintain their health have no plan for a sustained power outage?

25%

The community/public health nurse knows that the recovery phase of a disaster includes which of the following activities? (Select all that apply.)

: Relocation of survivors who have lost their homes, Rebuilding of the community's infrastructure, Stabilization of the community physically, economically, and psychologically

disaster plan

A Disaster Plan includes: oTriage plan oRoutes and modes of transport for victims oEffective communication plan oChain of command/chain of authority

The role of the community/public health nurse in disaster and post-disaster situations often includes which of the following

A unique awareness of vulnerable populations in the community who are at higher risk

Disasters

An event that causes human suffering and demands more resources than are available in the community. Disasters can be man-made, naturally occurring, or a combination of both. Disaster preparedness involves planning for all types of disasters and establishes protocols for managing surge of people needing health care.

category A

Anthrax• Botulism• Plague• Smallpox• Tularemia• Viral hemorrhagic fevers (Ebola, Mareburg) and arenaviruses (Lassa, Machupo)

Which of the following actions by the community/public health nurse are associated with the provision of psychological first aid? (Select all that apply.)

Being calm and compassionate, Giving clear and reliable information, Helping survivors help themselves

contaminated floodwater

Biological pollutants oLegionella oShigella oPseudomonas oEscherichia coli oCampylobacter oSalmonella

Critical incident stress debriefing (CISD) is a group process by which relief workers are able to emotionally reconcile their experiences after responding to a disaster. Which of the following statements have been associated with CISD? (Select all that apply.)

CISD reduces relief workers' anxiety, CISD accelerates the relief workers' healing process., CISD reinforces or restores group cohesiveness

The nurse is using the epidemiological triad model (host, agent, environment) to explain the factors that contribute to a disaster. Which of the following statements best correlates with the definition of environmental factors of the epidemiologic triad?

Circumstances that could potentially contribute to or mitigate a disaster

disasters forces leaving home

Displaced persons, refugees, casualties, indirect victiums

The community/public health nurse is working with a community that has experienced flooding associated with contaminated floodwater. Which of the following organisms is the least likely to be found in floodwater?

Hepatitis B

Which of the following agencies would a community/public health nurse expect to coordinate a disaster response in the United States?

Federal Emergency Management Agency (FEMA)

epidemiological triad

Host-the people who experience the disaster Agent-tornado, hurricane, wildfires Environment-circumstances that could potentially contribute to or mitigate a disaster

A community/public health nurse suspects that a client who was a victim of a disaster 3 months ago is experiencing posttraumatic stress disorder (PTSD). Which of the following would the nurse expect to find in this client? (Select all that apply.)

Hypervigilance, Feelings of detachment, Reports of flashbacks

The community/public health nurse understands that the recovery phase of a disaster event is consistent with which timeframe?

Long term after the response phase of the disaster event

Category C

Nipah and Hanta Viruses, Multiple drug-resistant infectious disease

psychological first aid follow-up

Ongoing assessment of victims Identify characteristics of PTSD ◦Hypervigilance ◦Feelings of detachment ◦Reports of flashbacks How long? ◦As long as it takes ◦Months, maybe a year?

A community/public health nurse is engaged in primary prevention activities related to disasters. Which of the following would be examples or appropriate primary prevention activities? (Select all that apply.)

Planning disaster drills, Practicing an escape plan, Increasing community awareness

critical incident stress debriefing notes

Reduces relief worker's anxiety Accelerates the relief worker's healing process Reinforces or restores group cohesivenes

Category B

Ricin toxin, E. coli, Salmonella, Staphylococcal enterotoxin B

Assisting individuals and families adversely affected by a natural disaster to rebuild their lives through counseling and other services and support is an example of which level of prevention?

Tertiary prevention

Which of the following examples of disasters are natural disasters? (Select all that apply.)

The earthquake and subsequent tsunami in Japan in 2011, Wildfires in California that occur annually

Bioterrorism

The intentional release of viruses, bacteria, fungi, or toxins from living organisms into the environment for the purpose of causing illness or death.

Which of the following measures helps flood victims avoid waterborne diseases? (Select all that apply.)

Watch hands frequently with soap and a safe water supply., Drink only bottled water., Use bottled water when brushing teeth.

role of the CHN also included

a unique awareness of vulnerable populations in the community who are at higher risk

A community/public health nurse is working with people who have experienced a tornado and have been forced to leave their homes to escape the effects of a disaster. The nurse would identify these people as which of the following?

displaced persons

Which of the following terms correlates with the level of destruction and devastation caused by a disaster?

intensity

process critical incident stress debriefing

introduction,facts, thoughts, reactions, symptoms, teaching, re-entry

secondary intervention

oActivate the response plan oMonitor morbidity and mortality

oTertiary interventions

oAssist individuals and families affected by a disaster to rebuild their lives through counseling and other services and support oEvaluate effectiveness and timeliness of the disaster plan

psychological first aid

oGiving clear and reliable information oBeing calm and compassionate oHelping survivors help themselves oAcknowledge emotions, speak to each person with respect

primary intervention

oPracticing an escape plan oIncreasing community awareness oPlanning disaster drills

prevention

oUse bottled water when brushing teeth oDrink only bottled water oWash hands frequently with soap and a safe water supply

A community/public health nurse is working with a community that is striving to improve its ability to respond to a disaster so that the effects can be minimized. This community is in which phase of disaster management?

preparedness

A community/public health nurse is working with a community that is identifying risk factors for program development in case of a disaster. This community is in which phase of disaster management?

prevention

rural and urban preparedness electronic medical equipment provided in homes

•Nebulizers, hoists, beds, pressure-relieving mattresses, stair lifts, IV pumps, feeding pumps, oxygen (supply and ventilators), blood glucose monitors, blood pressure, and others

red cross

•Non-profit humanitarian organization that provides emergency assistance, disaster relief, and disaster preparedness education

NIMS (National Incident Management System)

•Operates under FEMA •Guides the response of government at all levels, private companies, and non-governmental organizations (NGOs

terrorist attack

•The attack on the World Trade Center in New York City on September 11,2001 •The Boston Marathon bombing in 2013

rural and urban preparedness when disasters interrupt power supply

•Use of gas-powered generators, batteries, or leaving home •Percentage of those prepared-approx. 25% (Zidek, West, Holmes, & Crytzer, (2014).

traige-green

•Walking Wounded"-minor injuries that don't require immediate treatment

natural attacks

•Wildfires in California which occur annually •The earthquake and subsequent tsunami in Japan in 2011