NCM 120 LECTURE

Woman is not breathing, absence pulse, capillary refill is greater than 2 seconds, not responsive. Which of the triage color tag would be assigned to this patient?

- black

Which of the following is not included in basic emergency supply kit?

- candles

Which of the following is or not under mobile sources of air pollution

- hotel

Wounded victim is unable to talk, RR is absence, but when airway is reposition breathing is noted. The wounded victim is assigned to what tag color?

- red

You're working as a triage nurse in a disaster situation, which of the triage color would represent the highest priority of being treated first?

- red

27. During a primary survey of a patient with severe LEG trauma. The nurse observes that the patient left pedal pulse is absence and the leg is swollen. Which of the following action would the nurse take next?

- start IV normal saline fluid infusion large for IV line

During a mass casualty staff roles are divide, if the triage officers is incapacitated, which best choice for replacement?

- triage nurse

A 15-year-old male client was send to emergency unit following a small laceration on the forehead, the client cannot move his legs upon assessment respiratory rate is around 20 with strong pulses and capillary refill time of less than 2 seconds. Which of the following triage is category will the client be assign to?

- yellow

1. What activity takes placed during the mitigation phase of disaster?

: 3 AND 4 3. evaluating the safety of building code 4. conducting epidemiologic studies.

1. There is a radio active explosive nearby the emergency nurse must triage and manage the decontamination of the clients systematically. Which of the following clients should be decontaminated first?

: A client with the least injuries.

1. A nurse is working with an older person following a disaster. Which of the following emotion of the client should be anticipated by the nurse?

: Fear of loss of independence

1. Vulnerability analysis comes in which part of the disaster management cycle?

: Mitigation

1. Several city hospitals create a network of policies and agreement governing the redirection of patients should one emergency department become overwhelmed beyond ability to respond. Which of the following phase of the emergency management plan thus this action exemplify?

: Preparedness

A receptor is teaching a graduate nurse the concept of mitigation. Which of the following statements made by the graduate nurse would indicate understanding of this concept?

A key nursing activity related to mitigation is the active participation and learning of major aspects of disaster

without the incident commanders without the incident command system in place we show The Following often exists

A. lack of accountability B. poor communication answer: Both A and B

1. Which of the following is an example of a natural hazard?

Fault Lines

. Responsibility for securing the scene preserving life and treating the world is the responsibility of a

First Responders

Disaster preparedness

Government

Many

Green

It is defined as a source of danger and something that may cause injury or harm?

Hazard

Disaster has a great impact on

Humanity

in an incident command system organization, the term general staff refers to

Incident Management Personnel organized according to function and who to report to incident commander

1. Which of the following statements is correct with regard to injury resource symptoms associated with bioterrorism attack?

It is not uncommon for the result of biological attack to be known for several hours or days after the attack.

In work setting what is your primary responsibility in preparing for disaster that includes structural disaster or bioterrorism attacks?

Knowledge of the agencies emergency response plan.

An act sets standard of accountability to children in terms of protection and provision of their needs before during and after disaster

RA 10121

Which of the following is also known as act of strengthening the Philippine disaster risk reduction management system

RA 10121

This act shall be known as the risk reduction in preparedness equipment protection act

RA 10344

Children's emergency relief and protection act

RA 10821

An act creating the national water and air control commission

RA 3931

National integrated protection air system or NIPAS Act of 1992 protected areas or identified portions of the land and water set aside by reason of their unique physical and biological significance managed to enhance biological diversity and protected against destructive human exploitation

RA 7586

Agency governing the air quality management in the Philippines

RA 8749

motor vehicle emission test is something activity which of the following act

RA 8749

Otherwise known as your Wildlife Resources conservation and protection act is an act providing for the conservation and protection of Wildlife Resources and their habitats appropriating the funds for other purposes

RA 9147

Known as tobacco regulation Act of 2003

RA 9211

This actually covered the importation, manufacture, processing, handling, storage Transportation, distribution, use, and disposal of all unregulated the chemical substances and mixtures in the Philippines including the entry even in transit as well as keeping the or keeping our storage on disposal of hazardous and nuclear waste into the factory for whatever purpose

RA6969

Soil quality managment and proper solid waste disposal in the Philippines

RA9003

START method -unable to walk CR is 6 seconds

RED 50.

1. Which of the following thus not describe epidemiologist role in a disaster?

Rebuild damage Infrastructure

Disaster recovery efforts includes

Reconnecting displaced population with essential health and social services

1. The process by which communities and organization assist people?

Recovery

1. What activity takes place during the recovery phase of the disaster cycle?

Repairing and maintenance of basic health services.

1. A natural disaster is an event?

Unexpected

1. The act of bioterrorism or natural disaster such as earthquake will often have more casualties because?

Victims have little time to make evacuation plan.

The nurse is the first responder after typhoon has destroyed many homes in the community. Which of the following victim should the nurse attend first?

a child is complaining my leg is bleeding so bad, I'm afraid it is going to fall off

For victims of automobile crash or brought by ambulance in emergency department. A triage nurse determines the victim who has the highest priority for treatment is the one, which of the following symptoms?

a sucking chest wound

Which of the following statement below is incorrect about yellow tag triage color in disaster situation?

a survivor with this tag color is seen after patient with green tag color

United Nations disaster management team is responsible for solving problem resulting from disaster in

all countries

What are the important measures to be taken in community level of disaster preparedness? increased awareness provision of early and timely warning land use planning

all of the above

A family emergency plan should not include, which of the following?

arrangements of each person in the family, to be specific land line, telephone under specific time

Statement A: Pollution Control Law provides permitting requirements- TRUE Statement B: Pollution Control Law provides air and water standard but denies penalty provision- FALSE

statement A is true, while statement B is false

Which of the following is not recommended action for emergency preparedness?

stop filing antibiotics

During a mass casualty which injury received care first?

sucking chest wound

Which of the ff. are key to the effective emergency response?

surveillance epidemiology situational awareness all of the above

Disasters frequently result in all of the following except?

sustained public attention during the recovery phase

Responsible for ensuring that all team members know their role when security incident

team leader

The community health nurse is working with disaster release after the typhoon. The nurse assesses tightening safe housing after the survivors, providing support to the families, organizing counseling and securing physical care when needed. Which of the following level of prevention does the nurse exercise?

tertiary level of prevention

The joint information system or the JIS

the framework for organizing integrating and coordinating the delivery of public information

What is the correct name of the incident command system application used when there are multiple incident commanders each representing a jurisdiction agency or Department that has responsibility of for some aspect of the incident is

unified command

Incident command system encourage encourages their jurisdictions to use common common terminology common terminal common terminology refers to

uses plain English to allow personal from different agencies to work together

Risk is comprised of two factors

vulnerability and susceptibility

Under losing your home on a typhoon 7 years ago, the client says "I get very nervous during thunderstorm and want to hide under the bed". Which of the following of the nurse best response?

what do you do when you feel this way?

The nurse in the disaster is triaging the following clients, which of the following client should be triage as expectant category, priority number 4 and color black?

would head injury and unresponsive

Wounded victim is unable to walk, RR 19, capillary refill is 1 second and able to obey your commands. The wounded victim is assigned to what tag color?

yellow

A nurse is caring for a client whose wife died in mass casualty accident. The client says "I cannot believe that my wife is gone, and I left to raise my children all by myself"

you sound anxious about being a single parent

1. It is called as circum-pacific built, the zone of earth surrounding the pacific ocean where about 99% volts earthquake occurs?

Ring of Fire

A critical function of the safety officer is to?

Stop an emergency operation whenever a rescuer is in danger

1. A nurse responds to human made disaster. Which of the following describes what the nurse is responding to?

Structural Colapse

1. All of the following show effect of disaster except:

Sustained public attention during recovery phase

This is the first person who arrives in on the scene and establishes command of the incident

The Incident Commander

1. An emergency nurse is at work when a major terrorist attack occurs. In addition to carry for injury clients the nurse must control the crowd. Which of the following statement ruled by the nurse demonstrate an understanding at the concept of crowd control?

The agencies security personnel or the local police forces must control the crowd.

. After recognizing trauma, the initial goal is?

stabilization

. A client in a one car role over percent has multiple injuries. What priorities intervention that must be initiated in this patient? 1. assess spontaneous respiration 2. give supplemental oxygen per mask 3. insert a Foley catheter if not contraindicated 4. obtained a full set of vital signs 5. remove patients clothing 6. secure to start or too large for IV normal saline 7. use chin lift or jaw thrust method to open airway

1726453

A hospital response for local mass casualty event. Which of the following actions should the nurse supervisor take to prevent a post traumatic stress disorder during a mass casualty event?

Encourage counseling upon the activation of emergency response plan

1. A nursing student is learning about how to manage immunocompromised clients in a disaster situation. Which of the following statement made by the nursing student demonstrate understanding of this concept?

A compromised immune system may be due to treatment such as chemotherapy, those who had gone organ or bone marrow transplant or from an other underlying such as HIV.

1. What activity takes placed during the preparedness of the following elements of disaster except:

Establishing Parnertships

Disaster can be determined by the presence of the following elements of disaster except:

Phenomena

1. Which of the following phases of emergency management includes exercises and drill?

Preparation

1. A nurse is participating in the preparedness stage of disaster management. Which of the following describe what is happening?

Assembly of disaster kits for home, workplace and car

1. During which phase of disaster cycle should inventories of supplies and basic needs be conducted?

Preparedness

Which of the following category is not part of man-made hazard?

Preventive and Precautionary measures

In the work setting what is the primary responsibility of the nurse in preparation for disaster management that includes national disaster BIOTERORISM sub incidents?

Being aware of the agency emergency response/PLAN

Wounded victim is unable to walk, RR is absence, but when airway is reposition breathing is still absence. The wounded victim is assigned to what tag color?

Black

1. Which of the following is not a type of natural hazards that causes disaster?

Car Accident

1. A nurse responds to a natural disaster. Which of the following the nurse most likely responding to?

Communicable disease Epidemic

1. What activity takes place during response phase of disaster cycle?

Conducting of surveillance of health problems.

1. Which of the following is not a component of disaster management cycle?

Construction

Disaster management covers a maintaining control over disasters b reducing the effects of disasters c briefing of government officials about disasters or letter

D all of the above

social workers skilled in crisis management work in a violent event such as a. child abuse domestic abuse or crime B. Psychopathology that triggers a crisis examples we said attempt or a drug overdose c. car accident, tornado and flood D all of the above

D. all of the above

1. Community preparedness is being used to plan disaster. Which of the following task is being implemented? ANS: Community preparedness is being used to plan disaster. Which of the following task is being implemented?

Developing an evacuation plan to remove individuals from danger.

An emergency department charge nurse is preparing to receive client from mass casualty within the community. What is the role of this nurse during the event?

Direct medical surgical or medical nurses to assess with clients currently in the ED and while emergency staff to prepare mass casualty victims

1. What is inherently unexpected and happening that comes quickly without warning?

Disaster

Which of the following is a product of massive damages to life and property caused by hazard due to vulnerability within the community?

Disaster

It involves the identification and mapping of the elements at risk and the assessment of people, animals and plants that may be affected?

Disaster Risk

The potential disaster loses and lives, health statuses, livelihood, assessment and services which could occur in a particular community or society over sometimes specified future time is called?

Disaster risk

This legal law order designates the department of environment and national resources aterm-98lso known as DENR for environmental protection

EO 192

Effective record hazard management largely rely on which of the following?

Emergency Responses

A nursing student is studying about disaster and emergency preparedness. Which of the following statement by the nursing student takes a correct understanding on the difference between disaster and emergency?

Emergency is unforeseen circumstances calling for immediate action for range of victims

1. A riverfront community build a retaining wall to prevent flood water away from the town. Which turns describe which had happen?

Mitigation

1. During what phase of disaster thus an epidemiologic play the most limited role?

Mitigation

1. Which of the following statements which best describe the mitigation phase of disaster?

Mitigation begins with identifying the risk.

1. The cycle of disaster consists of which of the following components?

Mitigation, Preparedness, Response, Recovery

1. Which of the following is an example of man cause disaster?

Oil spills from shipping boat

You must secure this permit from DENR for you to be allowed to build a stock where your gaseous waste will be expelled

Permit-to-operate

Which of the following is useful to better priorities and response activities and systematize previous experiences?

Phases of Disaster

A newly graduated nurses learning about the nurse's code if disaster risk as a part of orientation to the hospital. With of the following concepts is after it?

The nurses may have assume expanded roles and making decisions for the most appropriate treatment of casualties

1. Which of the following statements about disaster is true?

They can be natural or human made.

1. A nurse is to wait for client whose wife died in a recent mass casualty accident. The client says " I cannot believe that my wife is gone that I'm left to raise my child all by myself". How should the nurse respond?

You sound anxious about being a single parent

The hospital administration arranges for critical incidents stress DEBFRIEFING for the staff after mass casualty incidents. Which of the following statements by the depriving team leader is most appropriate for this situation?

You're free to express your feeling whatever it said here, stays here

. Incident Command system is designed to aim a. meet the needs of incidents of any kind or size b. provide a specific response plan C. provide logistical and administrative support to operational staff D. Meet the physiological needs of the people

a. meet the needs of incidents of any kind or size b. provide a specific response plan Answer:Both A and B

Which of the following situation requires the emergency department manager to schedule to abduct a critical incident stress management?

caring for a 2-year-old child who died from severe physical abuse

You are performing triage in a 5-year-old infant non-breathing, you position the airway and child remain breathless, which of the following is your next step?

check the pulse AND GIVE 2 rescue breaths

The act of erecting ordering or controlling by virtue of explicit statutory regulatory or delegated authority at the field level is referred to as

command

The level of risk of disaster depends on which of the following a. nature hazards b. Vulnerability of the elements which are affected economic c. value of the elements which are affected all of the above

d. all of the above

. Disaster management is aimed at?

restoring a community services facilities and residents to pre-disaster levels in Facilities and disaster responsibilities and Residences to be disaster levels

Which of the following guidelines is appropriate to help family members cope with sudden death?

show acceptance by the body by touching it giving the family permission to touch

A clear concise document which outlines preventive and Preparatory measures in the event of a disaster to minimize its effect is a

disaster plan

You must secure this permit from DNR for you to be allowed to throw your Wastewater to the nearby bodies of water

discharge permit

. Knows how to document that entire response process incident response team

documentation specialist

A 65-year-old patient arrive at the triage area with complain of diaphoresis, dizziness, and left side chest pain. This patient should be priorities into which of the following category?

emergent

A hospital response a local mass casualty events which of the following action should the nurse supervisor talk to prevent the stop post-traumatic stress disorder during a mass casualty events?

encourage counseling upon the activation of emergency in response plan

Refers to the document issued by the DENR-EMB that allows a proposed project to proceed to the next stage of project planning, which is the acquisition of approvals from other government agencies and LGU's, after which the project can start implementation?

environmental compliance certificate

How often should you practice family emergency plan?

every 3 months

Typhoon

follow official advices and warnings

Which do you NOT do during triage?

get the victim out from underlying HEAVY debris

Control the bleeding in this order

glove up, place a clean dressing, apply direct pressure

Reuse, Recycling, and composting of wastes generated in their respective jurisdictions

government Solid Waste Management plan

Assigned triage category to the following patient, abrasion to the face and night distal fifth finger swelling, with no other injuries

green

One of the wounded is able to walk and have miLDer lacerations in the arms, hands, chest and leg. Which the following color would be tag in this survivor?

green

Wounded victim is able to walk and obey commands. The wounded victim is assigned to what tag color?

green

You are triaging victim in a building after an earthquake you come upon a victim for personally trap under heavy debris. They are unconscious but when you open their airway they start breathing. You can't roll them into recovery position because their hips are trap. What do you do next?

have a walking wounded keep their airway open & stop triage and get them out from under debris

The nurse care for a client during a community wide disaster drill. One of the client asks, why are the individual with black tag does not receiving any care. How should the nurse response?

in a disaster expect an intensive resources or infuse from one person as the expense of many others.

Do not stay in low lying or in seashore are

in case of tsunamis

___should define each member roles and responsibilities

incident response plan

Pio or the public information officer a

interfaces with the public in media and or with other agencies regarding incident related information requirements

Which of the following agency is important in disaster prevention?

media

A nurse is still triaging client after an industrial accident, which of the following client condition with a red tag?

multiple fracture limbs and shortness of breath

Select the true statement about the incident plan

must be written document must be written document that is distributed to

. During the primary assessment of motor vehicle collision, the nurse determines that the patient is breathing and has had an obstructive airway. Which of the following nurse take next?

observe the patient respiratory effort

The nurses been assigned to a role of triage nurse after weather related disaster. Which of the following is the priority action of the nurse?

perform a rapid assessment on client needs priority of care

Which of the following essential items to is add on personal supply go bag?

potable water

Open chest wound, breathing 8 per minutes, thready radial pulse, confuse, diaphoretics?-

red

Wounded patient is unable to walk, RR is 12, capillary refills is 8 seconds and unresponsive. The wounded victim is assigned to what tag color?

red

if an incident increases in scope and complexity The Incident Commander should consider which of the following?

relinquishing command to someone with more experience

The START triage relies on assessing

respiration, pulse and mental status