DISASTER MANAGEMENT - FINAL EXAM

A nurse is discussing with nursing staff the nurses' responsibility in preplanning for a response to a bioterrorism disaster. Which of the following should be included in the discussion? A. Identify community medical and social services that will be available B. Evaluate the impact of a disaster on the community C. Assess survivors of a disaster for levels of psychological stress D. Link victims with support agencies to help with food, clothing, shelter, and counseling needs

A

A nurse is working with an interdisciplinary committee in the development of a community-wide emergency response plan in the even of a disaster. The nurse should assure that the community's emergency communication plan for a non-biological or chemical incident includes which of the following agencies to be notified immediately following the call to 911? A. Office of Emergency Management B. The Federal Emergency Management Agency C. American Red Cross D. U.S. Department of Homeland Security

A

A triage nurse is implementing the three-tier triage system to test an organization's disaster preparedness. Which of the following is an example of the emergent tier level? A. The client who has a punctured femoral artery B. The client who displays multiple fractures C. D.

A

A nurse is caring for a client following exposure to inhalational anthrax due to bioterrorism. Which of the following medications should the nurse prepare to administer? (SATA) A. Ciprofloxacin (Cipro) B. Doxycycline (Vibramycin) C. Amoxicillin (Amoxil) D. Penicillin G (Bicillin) E. Cefotaxime (Claforan)

A, B, C

Which of the following are the leading causes of infectious diseases deaths? (Select all that apply) A. Tuberculosis B. HIV/AIDS C. Malaria D. Herpes

A, B, C

Air pollutants can cause health damages, what are the types of health damages? Select all that apply. A. Immune B. Neurological C. Cardiovascular D. Respiratory

A, B, C, D

You are working in the hospital as a nurse manager. An earthquake just occurred and your hospital will be receiving multiple patients. It is important to do which of the following? (Select all that apply) A. Call in additional staff B. Designate staff roles the day of the disaster C. Prepare for influx of patients D. Prepare STAT charts once patients start arriving

A, C

Wildfires can quickly spread out of control, causing extensive damage to personal property and human life. Which of the following are classified as wildfires? (Select all that apply) A. Crown Fires B. Air Fires C. Surface Fires D. Ground Fires

A, C, D

A nurse is preparing a response protocol for botulism as a bioterrorism agent. The nurse should prepare protocol based on which of the following? (SATA) A. Botulism can produce paralysis B. The Centers for Disease Control and Prevention (CDC) should be notified when more than three cases are suspected C. Botulism is acquired through contact D. Vomiting and diarrhea are expected findings E. Botulism is a toxin found in castor beans

A, D

A nurse is providing staff education about smallpox as a bioterrorism threat. Which of the following statements indicates an understanding of this agent (SATA) A. "Smallpox is transmitted person to person." B. "Infection is characterized by severe respiratory distress." C. "Smallpox vaccination ensures lifelong immunity." D. "Naturally occurring smallpox has been eradicated from the world." E. "Smallpox is often confused with varicella."

A, D, E

A hospital is participating in a disaster simulation in which a toxic substance is released into a crowded stadium. Which of the following is the lowest priority for a nurse? A. B. C. Educating the client and family D. Maintaining calm amidst the chaos

C

A nurse is working at a health care facility in which there is a threat of flooding, and an internal disaster plan has been activated. Which of the following clients should the nurse evacuate first? A. A client receiving platelets for late-stage leukemia B. A client who has a saline lock device admitted with chest pain C. A client receiving antibiotic IV therapy and wound vacuum care D. A client who has a casted arm and balanced suspension traction on a lower extremity

C

Which of the following Category A agents require BSL-4 laboratory facilities? A. Smallpox and plague B. Anthrax and tularemia C. VHF and smallpox D. Botulism and plague E. Smallpox and anthrax

C

*A nurse is preparing to care for a client who has suspected exposure...Which of the following nursing interventions should the nurse p... A. Prepare for drainage of lesions B. Initiate contact precautions C. Notify the CDC D. Decontaminate the client

B

A nurse is assessing a client who is experiencing difficulty sleeping, having nightmares, experiencing feelings of survivor guilt, and having difficulty concentrating one year after the death of a relative during a destructive and devastating natural disaster. Which of the following describe the client's symptoms? A. Generalized anxiety disorder B. Post-traumatic stress syndrome (PTSD) C. Historionic personality disorder D. Dissociative identity syndrome

B

How many tiers of triage are there within a hospital on a day to day basis? A. Four (mentation, pulse, respirations, ambulatory status) B. Three (emergent, urgent, non-urgent) C. Two (red, black) D. One (treat everyone)

B

In the field of a disaster, there are different triage zones that are classified. Which of the following is considered a hot zone? A. A distance of 300ft from outer perimeter of the hot zone. Rapid triage takes place. Only minimal amount of treatment is rendered to provide essential stabilization. B. An area immediately adjacent to the incident, minimal triage and medical care in this area and all staff must be in protective gear C. Adjacent to warm zone, decontaminated patients enter, secondary triage is performed.

B

What organization is responsible for research and setting national standards for a variety of environmental programs? A. The CIA B. Environmental Protection Agency (EPA) C. Agency for Healthcare Research and Quality D. Health Resources and Services Administration

B

Which of the following is considered a Natural Disaster? A. Bombing B. Earthquake C. Influenza D. Harmful Chemicals

B

A nurse is working with community members in order to aid them in preparation for any disaster. She helps the clients compile a personal list of basic supplies needed in case of a disaster. Which of the following should the nurse instruct the clients to include? (SATA) A. Three quarts of water per person B. Clean clothing C. Personal identification D. Matches E. Prescription medications

B, C, D, E

Which of the following is the natural reservoir for Ebola virus? A. Small rodent B. Mosquito C. Green monkey D.Tick E. The natural reservoir is unknown

E - Unknown

A patient comes in to the ER after a disaster. He is not responsive and is not breathing and no pulses can be found. You are the triage nurse, what color tag should this patient receive? A. Red B. Blue C. Green D. Black

D

Disasters have been further classified according to the magnitude of the disaster in relation to the ability of the organization or community to respond. How many levels are there? A. Two B. Six C. Ten D. Three

D

The nurse is aware that all of the following can contribute to a mentally ill patient in the aftermath of a disaster except? A. Exacerbations of pre-existing chronic mental disorders B. Severe stress C. Most vulnerable people D. PTSD

D

A nurse is discussing community responses to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase? A. "Personnel are willing to work in dangerous conditions to provide assistance." B. "Survivors come together and share stories of survival." C. "Responders experience exhaustion due to extended relief efforts." D."Normalcy begins to return to the community."

A

A nurse is discussing the requirements of the Joint Commission for accreditation regarding disaster planning. Which of the following statements indicates a need for further teaching? A. "A disaster drill needs to be held at least once a year." B. "An actual disaster can take the place of a disaster drill." C. "Simulated patients need to be used for a disaster drill." D. "The hospital should use community resources for a disaster drill."

A

Nerve agents are well absorbed through the skin. A. True B. False

A

The chain of communication is an important part of disaster management whether it be a terrorist threat or a natural disaster. What areas will always be notified in the case of a terrorist threat? A. Office of the president, FEMA, HHS, and CDC B. State office of emergency, office of the president, and the state governor's office C. CDC, State Department of Health, and the State Office of Emergency D. None of the above

A

What is one of the leading causes of morbidity and mortality in displaced pediatric population? A. Upper respiratory Infection B. Car accidents C. Ingestion of various medication D. Uncontrolled Diabetes

A

A community health nurse is providing a community education program about disaster preparedness. Which of the following should the nurse recommend to include in an individual personal readiness supply kit or "go bag"? (SATA) A. Pocket knife B. Whistle C. Antibiotics D. Bank account information E. Household bleach

A, B, D, E

An internal disaster is classified as an event that occurs within an organization or facility (it poses a threat to disrupt the environment of care). Which of the following are examples of internal disasters? (Select all that apply) A. Fire B. Tornado C. Hurricane D. Loss of utilities

A, D

The START triage tool was developed to be able to triage adult patients within 30 seconds and is the most commonly used tool in the United States. What are the 5 basic parameters to this tool? (select all that apply) A. The ability to walk B. The presence or absence of spontaneous respirations C. The respiratory rate D. An assessment of perfusion E. The ability to obey commands

A,B,C,D,E

A nurse is assisting with disaster triage following a bomb explosion in a bus station. Which of the following clients should the nurse identify as being the highest priority? A. An unconscious adult who has a large head wound with gray matter exposed; absent respirations; capillary refill > 2 seconds B. A conscious adult with second degree burns on both lower legs; respiratory rate is > 30/min; capillary refill is < 2 seconds C. An unconscious 6-month-old infant with no respirations; no visible injuries; no pulse D. A conscious adult wearing a medic-alert diabetic bracelet; respirations are < 30/min; capillary refill is < 2 seconds, and client reports feeling clammy and shaky

B

The student is discussing the differences associated with grief, mourning, bereavement, and depression to a patient. Which of the following statements should the charge nurse intervene in when the student states what to the patient? A. Grief is an internal, emotional response to loss, affliction, or regret. B. Bereavement is an external expression of grief as seen in traditional or creative rituals, especially for the dead. C. Depression is a state of feeling sad or, more specifically, is an emotion and concentrating, and feelings of dejection. D. The charge nurse doesn't have to intervene because the student conducted proper teaching to the patient.

B

What is most crucial element in disaster management? A. Tell everyone that everything will be okay B. Plan ahead (do not wait until disaster happens) C. Wait until a disaster happens and then plan according to the disaster D. Utilize the same plan for every possible disaster

B

*A nurse in an emergency department is caring for a victim of a suspected...exposure to cutaneous anthrax. Which of the following is an expected...? A. Immediate onset of respiratory distress B. Flu-like symptoms 48 hr after exposure C. Itching of the skin progressing to ulceration over 1-7 D. Immediate onset of vascular lesions of the skin

C

*A nurse is reviewing treatment protocols for bioterrorism agents. ....prepare to administer a vaccine following exposure? A. Anthrax B. Botulism C. Plague D. Smallpox

C

*A public health nurse has just completed an educational program community who may have been exposed to agents of bioterrorism one of the nurses who attended the program regarding the clinical indicates a need for further education? A. "Smallpox has been considered eradicated worldwide." B. "People who were immunized against smallpox before to be protected." C. "It is easy for providers to distinguish smallpox from present early with the disease." D. "Unlike chickenpox, the vesicles of smallpox are m

C

A bomb exploded at a local business office building. Patients are starting to arrive at the hospital. Which patient would you categorize in the red (emergent) category? A. A patient that comes walking in to the ER with a head contusion B. A patient that is not breathing and has multiple traumatic amputations C. A patient who has rapid respirations, a delayed capillary refill, can follow a simple command and with interventions could survive D. A patient that is having an anxiety attack

C

A charge nurse is discussing disaster response with the nursing staff. Which of the following statements indicates staff understanding of the Hospital Incident Command System (HCIS)? A. "HCIS ensures that necessary antibiotics and antidotes are available." B. "HCIS is focused on having multi-disciplinary responders available." C. "HCIS identifies facility responsibilities and channels for reporting." D. "HCIS provides additional responders when needs exceed the ability of local or state agencies."

C

A few weeks after a tornado, a nurse is assessing a survivor and he tells the nurse he has accepted that a tornado did occur and has recently joined a new CrossFit group, and started volunteering at the Red Cross. According to his responses the nurse can place him in what phase of emotional recovery outlined by the American Red Cross? A. Honeymoon Phase B. Disillusionment phase C. Reconstruction Phase D. Heroic Phase

C

A worried mother, is talking to a nurse about her son's condition after being exposed to nuclear radiation. The mother begs the nurse to see her son. Select the appropriate response by the Nurse. A. Sure, it is your right as a mother. B. I Cant imagine what you are going through. C. You can see your son when he is stabilized and decontaminated. D. You can see your son after he is bathed, and in new clothes.

C

An environmental disaster, such as an oil spill, can result in what? (SATA) A. Rioting and Looting B. A increase in demand for oil C. Sense of mistrust toward the government and businesses. D. Leads to sense of hopelessness and helplessness in citizens affected.

C, D

A nurse is discussing emergency response with a newly licensed nurse. The nurse should identify which of the following is a triage officer during the time of a disaster? A. Members of the Federal Emergency Management Agency (FEMA) B. Responding law enforcement officers C. Representatives from the American Red Cross D. Nurses and other emergency medical personnel

D

A nurse is participating in a biological disaster situation where citizens are exposed to pneumonic plague. Which of the following isolation precautions should the nurse plan to use while caring for these clients? A. Airborne B. Contact C. Droplet D. Protective

D

A nurse is triaging clients after a local disaster. Which of the following clients should the nurse recommend to discharge first? A. A client who has a large hematoma over the left eyebrow and is reporting a headache B. A client who has a contusion to the upper right abdominal quadrant and is reporting pain C. A client who has a suspected fracture to the right wrist and is reporting limited movement D. A client who has ecchymosis to the left ankle and is reporting swelling

D

There is a Donald Trump protest starting to form at a nearby mall. Protesters are starting to become violent and rowdy. Police officers are called onto the scene and they are preparing to intervene. Which chemical agent are they prepared to use against the rowdy crowd? A. Blister Agents B. Blood Agents C. Nerve Agents D. Riot Control Agents

D

What is the most effective way to break the chain of infection? A. Immunizations B. Frequent Doctors visit C. Showers D. Good Hand Hygiene

D