COMMUNITY Chapter 22 - Emergency Preparedness & Disaster Management

A nurse is at the beach with friends when one of them begins to complain about dizziness and fatigue. It is a particularly hot day in the middle of a heat wave. How should the nurse react? 1. Call an ambulance. 2. Tell the friend to close her eyes, rest, and have her take some slow deep breaths. 3. Give the friend some cool water. 4. Leave the beach with the friend and have her sit in an air-conditioned car while drinking an electrolyte replacement drink.

4

A nurse is working at a high school serving as a community shelter during a hurricane. In the surge after the storm, the basement starts filling with floodwaters and then the power shuts off. As a result, the nurse, as indicated in the plan in the event of flooding, contacts the local coast guard to assist in relocating people in the shelter to an unaffected elementary school across town. This is an example of: 1. Mitigation. 2. Response. 3. Triage. 4. Recovery.

2

A nurse is working with a local television station on a public service announcement meant to educate residents on how to prepare for tornadoes. What advice does the nurse give in the event that a tornado is imminent? 1. Watch for the coming storm at the windows. 2. Immediately take shelter in a basement away from any windows. 3. Take shelter in a large room under a blanket. 4. As soon as the alarm goes off, gather your emergency supplies and head to the nearest community shelter.

2

Two nurses are assisting paramedics at the site of a large accident with many injured people. During the initial response, their first priority is to: 1. Notify the media so they can assist in informing the community of what happened. 2. Triage victims according to the severity of their injuries. 3. Interview victims and witnesses to determine what happened. 4. Notify clergy and mental health professionals to assist survivors at the site.

2

A PHN has been sent to the site of a nuclear accident to assist in setting up long-term surveillance. The PHN will want to monitor cases of which of the following diseases? (Select all that apply.) 1. Heart disease 2. Leukemia 3. Mental illness 4. Thyroid disease 5. Diabetes

2,3,4

A PHN has been dispatched to communities along the New Madrid fault in Missouri because the area has seen a recent increase in seismic activity. The nurse is working with the communities to put policies in place that focus on mitigating the potential damages from future earthquakes. Which of the following is an example of an effective policy change related to mitigation? 1. Require a post-earthquake meeting to discuss the town's response. 2. Create an emergency preparedness plan. 3. Update building ordinances to be more resistant to seismic activity. 4. Make the Director of the City Health Department in charge of all emergency response needs.

3

A nurse is reviewing the disaster and emergency plans for the hospital before updating them. What characteristic needs to be addressed, as it is not helpful in a disaster preparedness plan? 1. The plan is broad in scope and able to address multiple types of disasters. 2. The plan is comprehensive and contains plans for advanced preparation, disaster management, and post-disaster evaluation. 3. The plan stresses autonomy and independence from nearby organizations. 4. The plan includes information about long-term management of the aftereffects of the disaster.

3

A nurse is taking care of several patients who were injured as a result of a pipe bomb explosion. The current patient has ruptured eardrums and traumatic injuries to his lower extremities due to flying debris. How does the nurse document these injuries? 1. Primary 2. Secondary 3. Primary and tertiary 4. Primary and secondary

4

A nurse is working at a hospital in Hawaii. A neighboring island has been evacuated due to a volcanic eruption. The hospital has been put on alert that they will be receiving injured people from the evacuated island. What types of injuries or illnesses should the nurse and other staff be prepared to treat? 1. Burns 2. Respiratory disease 3. Severe lacerations or other traumatic injuries 4. All of the above

4

A prison nurse has received notification that there is a powerful storm system approaching the prison that is likely to cause tornados in the area, putting the prison and prisoners at risk. The nurse is reviewing the emergency response plan, which should include: 1. Plans for the safety of first responders. 2.Plans for the protection and safety of prisoners and staff. 3. Plans for the safety of the general public. 4. All of the above.

4

A nurse is responding to the scene of a small plane crash in the community. First responders are on the scene treating victims, but they have asked the nurse to notify the appropriate federal authorities. The nurse informs: 1. The FBI. 2. The FAA. 3. FEMA. 4. The Department of Homeland Security.

2

A public health nurse (PHN) is working with a community after a major wildfire. The fire has been completely contained and will be put out shortly. How does the nurse proceed? 1. Return home and allow the local firefighters to finish putting the fire out. 2. Contact the federal government to ask for assistance in managing the wildfire. 3. Wait another day or two until the fire is confirmed to be out and then return home. 4. Begin surveillance and assess for incidences of respiratory disease related to the fires

4

A nurse is working with the state department of health. Weather forecasters are anticipating that several communities will be impacted by a severe hurricane that will likely decimate the coastline of their community. The county government has ordered a voluntary evacuation for those living along the coast. Which of the following statements is incorrect? 1. Use of the Emergency Alert System by broadcasters during an emergency is voluntary. 2. The county should consider mandatory evacuations if residents chose to not evacuate as suggested. 3. There should be a legal plan in place to deal with residents who are not complying with instructions. 4. A shelter should be established to help vulnerable residents and people who are not able to find somewhere to stay.

1

A nurse is volunteering with the local fire department and is sitting in on a class about dealing with wildfires. The instructor is talking about strategies for fighting a fire that is burning below the forest floor in the humus layer of the soil. This is known as what type of fire? 1. Wildfire 2. Ground fire 3. Surface fire 4. Crown fire

2

A nurse is working very closely with a community after a small plane crashed into an apartment complex and killed many of its residents. Now that the crash site is being cleaned in the days after the crash, what is the priority for this community? 1. Screen for and manage depression, anxiety, and post-traumatic stress disorder. 2. Establish an emergency management plan. 3. Hold a community debriefing about what happened. 4. Encourage residents to get back to their regular routines as soon as possible.

1

A nurse is organizing a disaster drill for the hospital. Which factors should the nurse consider while organizing the drill? (Select all that apply.) 1. They should be scheduled regularly . 2. The materials should be specific to the expected surge at that facility during a disaster. 3. They should only involve a few key staff members. 4. They should maintain the organizational function of the facility. 5. In addition to the actual drill, the entire staff and volunteers should undergo a continuing education in-service.

1,2,4,5

A nurse has just been promoted to serve on the disaster preparedness committee of the hospital. The nurse's role during a disaster is to collect emergency information and distribute it to public health officials as required. What information should the nurse collect? (Select all that apply.) 1. Staffing needs 2. Supply inventory and shortages 3. Name, social security number, and phone number of every employee responding to the disaster 4. Budget needs of the hospital 5. Number of patients who have already been treated and who still need care

1,2,5

A nurse is attending a training session on disaster management and is surprised to learn that: 1. True emergency preparedness and disaster management is a continuous cycle and has no beginning or end. 2. There are four stages of the disaster preparedness framework. 3. There are three stages of the disaster preparedness framework. 4. Emergency preparedness and disaster management should only occur at the local level.

1

A nurse is speaking at a city council meeting in a coastal town on the northeastern coast of the United States. The nurse is explaining that, to protect the rest of the town, the city council needs to restrict people from building homes directly adjacent to the beach . A resident stands up, angry, and demands to know why he can't purchase property there. From the perspective of safety for the community as a whole, the nurse replies: 1. "People living directly adjacent to the beach are at greater risk for property damage from seawater." 2. "Deforestation along the coast can increase risk and severity of strong storm surges during hurricanes or coastal storms." 3. "Remote areas can be more difficult to evacuate in case of an emergency." 4. "All community members need to be able to access the coastline in case of an emergency evacuation."

2