RN Emergency Preparedness and Management Assessment

A community health nurse identifies clients who have potentially been exposed to a communicable disease during a disaster. Which of the following actions should the nurse take first? Have a discussion with the clients about their exposure to the communicable disease. Schedule the clients for laboratory and diagnostic testing. Isolate the clients away from others who have not been exposed. Refer the clients to an infectious disease specialist.

Isolate the clients away from others who have not been exposed. The first action the nurse should take is to isolate the clients to prevent further potential spread of the communicable disease.

A nurse is working in a community clinic and observes that numerous clients have come to the clinic reporting nausea, vomiting, and blisters on their skin. Which of the following conditions should the nurse suspect? Smallpox Tuberculosis Radiation exposure Sarin exposure

Radiation exposure Exposure to radiation in high doses is toxic. Manifestations of radiation exposure include nausea and vomiting, local or generalized erythema, impaired skin integrity, such as blisters and necrosis, and low WBC and RBC count.

A community health nurse is at the site of a mass casualty incident and is triaging victims. The nurse is evaluating an adult victim who is unconscious and not breathing spontaneously. Which of the following actions should the nurse take first? Reposition the victim's airway. Tag the victim with the color black. Check the victim's radial pulse. Place the victim in a side-lying position.

Reposition the victim's airway. The first action the nurse should take if a victim of a mass casualty incident is not breathing is to reposition their airway and evaluate for spontaneous breathing.

A community health nurse is assisting with disaster preparedness and is following the eight domains of Core Competencies in Disaster Nursing by the International Council of Nurses. Which of the following actions should the nurse identify as part of the domain of intervention? Obtaining a translator when caring for clients who speak a different language than the nurse Participating in drills with other community members Updating a community's disaster plans and policies Collaborating with disaster response team members to provide surge capacity care

Collaborating with disaster response team members to provide surge capacity care Working with other members of a disaster team to manage surge capacity is a competency in the domain of intervention.

Which of the following are examples of natural disasters? (Select all that apply.) Earthquakes Acts of terrorism Hurricanes Sinkholes Blizzards

Earthquakes is correct. Earthquakes are natural disasters because they are geological events that threaten loss of life and property.A Hurricanes is correct. Hurricanes are natural disasters because they are meteorological events that threaten loss of life and property. Sinkholes is correct. Sinkholes are natural disasters because they are geological events that threaten loss of life and property. Blizzards is correct. Blizzards are natural disasters because they are meteorological events that threaten loss of life and property.

A community health nurse is triaging victims at the site of a mass casualty incident. Which of the following victims should the nurse tag with the color red? (Select all that apply.) A victim who has multiple facial lacerations and is able to walk A child victim who is unconscious and breathing spontaneously A victim who has a broken wrist and states that they are "ok" A victim who is conscious, has a sucking chest wound, and is breathing spontaneously A victim who has an open head injury and agonal breathing

A child victim who is unconscious and breathing spontaneously is correct. This child victim's condition is emergent and they need intervention as soon as possible; therefore, the nurse should tag this child victim with the color red. A victim who is conscious, has a sucking chest wound, and is breathing spontaneously is correct. This victim has a life-threatening injury that requires intervention as soon as possible; therefore, the nurse should tag this victim with the color red.

A community health nurse is teaching a group of newly licensed nurses about emotional phases experienced during a disaster. Place the emotional phases of a disaster in the correct order. (Move the phases into the box on the right, placing them in the order they are experienced. Use all the phases.) Reconstruction phase Honeymoon phase Heroic phase Disillusionment phase

Heroic phase is the first phase. In the heroic phase, the affected individuals are mainly concerned with survival. The main focus is to get themselves and others, if possible, to safety. Honeymoon phase is the second phase. After the threat is gone, the honeymoon phase sets in. This is when those who were affected come together and discuss what they experienced during the disaster. Disillusionment phase is the third phase. The next phase is the disillusionment phase. This phase describes the feeling of disappointment while recovery efforts are being made, often at a slow pace. Reconstruction phase is the fourth phase. The final phase is the reconstruction phase. This phase involves rebuilding, resuming normal activities if possible, establishing a new normal, and referring survivors and first responders for mental health services.

A nurse is working at a local school when a possible gas leak occurs in the building during lunch. Which of the following actions should the nurse take? Evacuate everyone from the building. Shelter everyone in place. Lock everyone down in the building. Dismiss students immediately after lunch.

Evacuate everyone from the building. The nurse should assist in evacuating everyone from the building when danger is present on the premises, such as a fire or gas leak. Students should be calmly, but quickly, moved to a designated outdoor area until first responders evaluate the potential danger.

A community health nurse is reviewing the acts and initiatives that have been adopted to improve disaster preparedness and response. The nurse should identify that which of the following describes the National Health Security Strategy (NHSS)? It is an initiative that keeps disaster preparedness efforts separated by state to reduce confusion. It is a collective effort of governments and includes national, state, territorial, and local agencies. Its focus is on naturally-occurring disasters, not human-made disasters. It addresses only the aftermath of national emergencies and disasters.

It is a collective effort of governments and includes national, state, territorial, and local agencies. The NHSS includes participation by all levels of government from local to federal, as well as individuals from the public and private sectors.

A community health nurse is reviewing disaster preparedness. Which of the following actions should the nurse plan to take when providing care during a disaster? (Select all that apply.) Perform ongoing data collection as the disaster situation evolves. Practice the principle of utilitarianism when responding to a disaster. Intervene as needed to provide care to others, even if the action is outside the nurse's scope of practice. Report potential risks concerning safety and security to disaster response supervisors. Consider the need for their own physical and psychological support.

Perform ongoing data collection as the disaster situation evolves is correct. A disaster situation evolves as time goes by. It is important to continue collecting data to identify changes in the current situation and adjust interventions accordingly. Practice the principle of utilitarianism when responding to a disaster is correct. The utilitarian principle is to do what is best for the greatest number of people. This is the approach the nurse and first responders should take when responding to a disaster. Report potential risks concerning safety and security to disaster response supervisors is correct. The nurse should report all potential safety and security risks to the appropriate supervisor as soon as they are identified, so that these risks can be immediately assessed and addressed if needed. This helps to ensure the safety of first responders and the nearby community. Consider the need for their own physical and psychological support is correct. The nurse should regularly consider their need for physical and psychological support to prevent becoming overwhelmed and burnt out.

A nurse is discussing disaster preparedness and response with a newly licensed nurse. Which of the following information should the nurse include when discussing schools and places of worship? (Select all that apply.) Public schools provide disaster preparedness education to students. Places of worship receive state funding to provide disaster preparedness community education. Places of worship can be used as sites for shelter during a disaster. Private schools do not provide disaster drills for students because they are not federally funded. Places of worship often provide food and supplies following a disaster.

Public schools provide disaster preparedness education to students is correct. Public schools provide students with education regarding disasters. Schools prepare students by performing disaster drills, such as those for tornadoes, fires, and active shooters. Places of worship can be used as sites for shelter during a disaster is correct. Churches and places of worship can be used as shelters during a disaster. Places of worship can also allow community members inside for protection during a disaster. Places of worship often provide food and supplies following a disaster is correct. Places of worship can provide refuge for those affected by a disaster. Places of worship can offer resources, such as food supplies, counseling, and monetary support.

A community health nurse is teaching a group of new nurses about their role in the recovery phase of the disaster management cycle. Which of the following activities should the nurse include in the teaching? Identify vulnerabilities in the community. Educate community members on stockpiling food, water, and medication. Mobilize first responders to a disaster site. Refer community members to mental health services.

Refer community members to mental health services. Recovery involves actions such as rebuilding and reconstruction. Ultimately, the goal is to return to a sense of normalcy. Community members affected by a disaster might require mental health services as a part of recovery.

A public health nurse is discussing the principle of utilitarianism when responding to a disaster with a group of nurses. Which of the following actions is an example of utilitarianism? Reusing personal protective equipment (PPE) to increase its availability Providing care to the youngest victims first Providing treatment to victims in the order of their arrival to the emergency department (ED) Using resources on victims who are more likely to survive

Using resources on victims who are more likely to survive Utilitarianism is based on the principle of doing the greatest amount of good for the greatest number of people. Using resources on those who have the greatest potential for survival is an example of utilitarianism.

A community health nurse is discussing disasters with a group of new nurses. Which of the following statements by one of the new nurses indicates an understanding of the information? "Human-made disasters are always intentional." "Disasters often overwhelm the availability of local resources." "Mass casualty incidents are always the result of human-made events." "Disasters affect everyone equally."

"Disasters often overwhelm the availability of local resources." A disaster affects the functioning of communities and often requires the need for additional resources.

A nurse is discussing the domains within the Core Competencies in Disaster Nursing by the International Council of Nurses with a group of nurses. In which of the following domains should the nurse include the action of reporting an event that might indicate an emergency? Assessment Intervention Recovery Communication

Assessment Actions in the domain of assessment include reporting any events or conditions that might indicate a possible emergency or disaster.

A community health nurse is helping community members with their disaster planning. Which of the following are objectives of Healthy People 2030 regarding disaster preparedness? (Select all that apply.) Increase awareness of local evacuation plans. Decrease the number of human-made disasters that occur each year. Increase the number of evacuation routes and shelters. Increase the number of individuals who have a disaster plan. Increase the number of individuals who are prepared for a disease outbreak.

Increase awareness of local evacuation plans is correct. Increasing awareness of local evacuation plans is an objective of Healthy People 2030. Increase the number of individuals who have a disaster plan is correct. Increasing the number of individuals who have a disaster plan is an objective of Healthy People 2030. Increase the number of individuals who are prepared for a disease outbreak is correct. Increasing the number of individuals who are prepared for a disease outbreak is an objective of Healthy People 2030.