Chapter 17

A community health nurse is engaged in primary disaster prevention activities in the community. Which action would the nurse most likely involved with? A) Conducting disaster drills B) Assisting with early evacuation C) Providing emergency assistance D) Implementing crisis counseling

A) Conducting disaster drills

A community health nurse is working as part of a disaster response team reviewing their disaster management plan as part of the process of improving disaster management. When reviewing this plan, which information would be most important for the team to integrate into their new plan? A) Disaster planning is essential for a community, business, or hospital. B) A disaster plan must be lengthy and detailed. C) The person responsible for community emergency management creates the plan. D) All professionals are assumed to have addressed their own personal preparation

A) Disaster planning is essential for a community, business, or hospital.

A community health nurse is working as part of a disaster management team to develop programs to address disaster preparedness. The team would most likely focus on which area? Select all that apply: A) Evacuation B) Risk factor identification C) Personnel training D) Victim care E) Equipment acquisition

A) Evacuation D) Victim care E) Equipment acquisition

A community health nurse is part of a disaster response team that is first to response to an earthquake. The team evaluates the level of destruction and devastation at the scene, reporting this information to the person in charge as which finding? A) Intensity B) Scope C) Casualty D) Range of effect

A) Intensity

A community health nurse is preparing a presentation for a community group about possible agents of terrorism. Which of the following would the nurse include as an example of a bioweapon? Select all that apply: A) Mustard gas B) Sarin C) VX gas D) Nerve agents E) Bombs

A) Mustard gas B) Sarin C) VX gas

A community health nurse is working with a community to develop a program for disaster management. The community is currently working on identifying factors in the community placing it at risk. The community is in which phase of disaster? A) Prevention B) Preparedness C) Response D) Recovery

A) Prevention

A community health nurse is engaged in primary prevention activities related to disasters. The nurse would be most likely involved in which activity? Select all that apply: A) Providing anticipatory guidance B) Practicing an escape plan C) Providing emergency assistance D) Planning disaster drills E) Providing immediate response F) Reducing the degree of disability

A) Providing anticipatory guidance B) Practicing an escape plan D) Planning disaster drills

As part of secondary prevention during a disaster response, the community health nurse engages in crisis intervention to achieve which effect? A) Reestablish equilibrium to the lives of those involved B) Prevent the crisis altogether C) Involve as many people as possible in the resolution D) Triage clients during the recovery phase of the crisis

A) Reestablish equilibrium to the lives of those involved

A community health nurse is conducting a program for a group of nurses who are members of their community disaster response team. After describing the nurse's role during the rescue response, the community health nurse determines that additional teaching is needed when the group identifies which area as an appropriate location for the nurse? A) The disaster site B) Triage C) Victim treatment area D) Local hospitals

A) The disaster site

After reading a journal article about disasters, a community health nurse demonstrates understanding of the article, identifying which event as an example of a natural disaster? Select all that apply: A) The earthquake and tsunami in Japan in 2011 B) The 2008 shootings at Virginia Tech C) The terrorist attacks on the United States on September 11, 2001 D) Wildfires that affected California in October 2007 E) The oil spill in the gulf coast in 2010 that threatened hundreds of species of wildlife

A) The earthquake and tsunami in Japan in 2011 D) Wildfires that affected California in October 2007

A group of nurses had been involved in providing care to victims involved in a bomb blast in the community, resulting in numerous serious injuries and fatalities. The local community will be providing Critical Incident Stress Debriefing (CISD) to the nurses. At which time after the event would the community most likely offer this debriefing to be most effective? A) 12 hours B) 1 to 3 days C) 4 to 6 days D) 7 to 10 days

B) 1 to 3 days

A community health nurse is conducting a program for a local community group about primary prevention activities associated with a terrorist attack involving biologic weapons such as smallpox and anthrax. Which activity would the nurse most likely include in the discussion as being appropriate during the preparedness phase? A) Investigating outbreaks to determine source B) Administering vaccines C) Screening suspected cases D) Treating persons who have been infected

B) Administering vaccines

A community health nurse is conducting an educational program for a group of community health nurses who are working as members of their local community disaster response teams. As part of the program, the nurse discusses primary, secondary, and tertiary prevention activities related to a possible terrorism. Which activity would the nurse most likely emphasize as primary prevention? A) Providing direct care to survivors B) Engaging in surveillance C) Acting as a hospital-community liaison D) Establishing a survivor case management system

B) Engaging in surveillance

A community health nurse suspects that a client who was a victim of a disaster 3 months ago is experiencing posttraumatic stress disorder (PTSD). Which assessment findings would most likely support the nurse's suspicion? Select all that apply: A) Diminished startle response B) Hypervigilance C) Feelings of detachment D) Flashbacks E) Full range of affect

B) Hypervigilance C) Feelings of detachment D) Flashbacks

A community health nurse is working as part of a disaster response team for a local community. The team experts to implement the response phase of the disaster management plan at which time? A) When no disaster is expected or anticipated B) Immediately after the onset of the disastrous event C) Long-term phase occurring after the disastrous event D) Prior to the disastrous event

B) Immediately after the onset of the disastrous event

A community health nurse is working as part of a team providing care during a disaster involving an explosion. The nurse is working to triage victims. Which victim would the nurse categorize as green? A) Person is unconscious with signs of internal and external bleeding. B) Person is conscious with numerous cuts and bruises that are superficial. C) Person is conscious with a fracture of the upper arm. D) Person is unconscious with an open skull fracture with visible brain matter.

B) Person is conscious with numerous cuts and bruises that are superficial.

A community health nurse is working with a community that is involved with improving community and individual reaction and responses, so that the effects of a disaster are minimized. This community is in which phase of disaster management? A) Prevention B) Preparedness C) Response D) Recovery

B) Preparedness

A community health nurse is conduction an in-service presentation for a group of emergency department nurses about disasters. In discussing the topic, the nurse describes the factors that contribute to disasters. The nurse determines that the teaching was successful when the group identifies which item as the agent? A) Population's age B) Radiation C) Level of preparedness D) Flood-prone location

B) Radiation

A community health nurse responding to a disaster is involved with caring for the bodies of the victims who have died. Which method of documentation would be the most appropriate? A) Making a note on the triage tag B) Using a toe tag for identification C) Placing the name on a casualty list D) Recording the name on the victim's body

B) Using a toe tag for identification

A newly hired public health nurse is reviewing the disaster management cycle. Which of the following actions is a component of disaster prevention? A. Outlining specific roles of community agencies B. Identifying community vulnerabilities C. Prioritizing care of individuals D. Providing stress counseling

B. Identifying community vulnerabilities

A community health nurse is providing crisis intervention to individuals experiencing psychological consequences of a disaster. The nurse employs a generic approach, as evidenced by which action? A) Providing situational support for stress relief B) Conveying warmth and concern for the client C) Teaching about expected emotional reactions D) Reunifying family members who were separated

C) Teaching about expected emotional reactions

A community health nurse is addressing personal preparedness for a disaster. Which component would be necessary for the nurse to include? Select all that apply: A) A review of workplace and community disaster plans B) Development of an individual disaster plan for the nurse's own family C) Participation in workplace and family disaster drills D) Copies of nursing license and driver's license to bring to the area E) Ability to use equipment made available during an actual disaster

A) A review of workplace and community disaster plans B) Development of an individual disaster plan for the nurse's own family C) Participation in workplace and family disaster drills D) Copies of nursing license and driver's license to bring to the area

A nurse is working as part of a community task force in a major urban area. The task force has been asked to develop plans for dealing with potential disasters associated with biologic warfare. When developing these plans, the task force would most likely focus on which agent posing the greatest threat? Select all that apply: A) Anthrax B) Ebola virus C) Smallpox D) Ricin toxin E) Yellow fever virus

A) Anthrax B) Ebola virus C) Smallpox

A community health nurse has been asked by the local community leader to evaluate the community's disaster plan. When reviewing the plan, which item would the nurse most likely expect it to address? Select all that apply: A) Chain of command B) Routes for transportation C) Triage D) Basic equipment E) Copies of licenses

A) Chain of command B) Routes for transportation C) Triage

A nurse in performing triage during a disaster. Assessment reveals that the victim is unconscious and has signs of internal bleeding. The nurse would categorize this victim using which color? A) Red B) Yellow C) Green D) Black

A) Red

A nurse is working as part of a disaster response team. Which federal agencies would a community health nurse expect to be contacted to assist with a disaster in the United States? A) American Red Cross B) Federal Emergency Management Agency (FEMA) C) WHO's Emergency Relief Operations D) Pan American Health Organization

B) Federal Emergency Management Agency (FEMA)

A community health nurse working as part of a disaster response team is told that the disaster is classified as a multiple-casualty incident. Which interpretation by the nurse would be the most accurate? A) There is more than 1 but less than 10 casualties. B) The number of casualties is between 2 and 100. C) Casualties number over 100. D) There are too many casualties to count.

B) The number of casualties is between 2 and 100.

A nurse is preparing a presentation on bioterrorism. Which of the following findings should the nurse include as an indication of potential bioterrorism? A. Nationwide incidence of pneumonia is higher than the prior year. B. A large number of otherwise healthy adults are dying from sepsis. C. A health department reports cases of influenza in October. D. Most of the clients' diagnoses with pneumonia have an elevated white blood cell count.

B. A large number of otherwise healthy adults are dying from sepsis.

A community health nurse is determining available and needed supplies in the event of a bioterrorism attack. The nurse should be aware that community members exposed to anthrax will need access to which of the following medications? A. Metronidazole B. Ciprofloxacin C. Zanamivir D. Fluconazole

B. Ciprofloxacin

A community health nurse is conducting a program for a local community group of first responders about agents associated with chemical warfare. After teaching the group, the nurse determines that additional teaching is needed when the group identifies which as an example? A) Explosives B) Nerve agents C) Anthrax D) Jet fuel

C) Anthrax

A community health nurse is working as part of a disaster response team which is using the epidemiological triad to address factors contributing to disasters. When implementing this framework, which concept about the environmental factors would be most important for the team to incorporate? A) The environment is the natural or technologic element that is the cause of the disaster. B) The environment includes the human being who experiences the full effect of the disaster. C) Factors that could potentially contribute to or mitigate a disaster are environmental. D) Environmental factors that cause a disaster are high winds of a hurricane and the lava of an erupting volcano

C) Factors that could potentially contribute to or mitigate a disaster are environmental.

A community health nurse is working with a group of people who experienced a tornado and have been forced to leave their homes to escape the effects of a disaster. The nurse assists them in relocating to a shelter in a nearby community based on the understanding that these individuals are considered: A) indirect victims. B) refugees. C) displaced persons. D) casualties.

C) displaced persons.

A nurse is interviewing a group of people several weeks after a community tornado. Which of the following statements by a group member should the nurse identify as the emotional reaction of reconstruction? (Select all that apply) A. "I am tired and don't think I'll ever be able to fix everything. " B. "I can't believe we survived. I keep telling everyone what happened. " C. "Things will never be the same, but we will find a way to go on." D. " Our neighborhood is working together to make good changes." E. "My old hobbies don't seem interesting anymore since the tornado."

C. "Things will never be the same, but we will find a way to go on." D. " Our neighborhood is working together to make good changes."

A community health nurse is educating the public on the agents of bioterrorism. Which of the following agents should the nurse include as Category A biological agents? (Select all that apply) A. Hantavirus B. Typhus C. Plague D. Tularemia E. Botulism

C. Plague D. Tularemia E. Botulism

A community health nurse is conducting a program for local community group about disaster preparedness. After teaching the group about the concept of shelter-in-place, the nurse determines that the teaching was successful when the group identifies that individuals should have enough supplies to last how long? A) 24 hours B) 36 hours C) 48 hours D) 72 hours

D) 72 hours

A nurse working as part of a disaster management team is assisting with triage. The nurse assesses a victim and notes that the victim is unresponsive, has no pulse, and is not breathing. The victim also has an open skull injury with that appears to be brain matter visible in the wound. The nurse would classify this victim by which colored triage tag? A) Red B) Yellow C) Green D) Black

D) Black