Public Health Ch. 21

Which statement indicates a need for further education about disaster preparedness and having an emergency supplies kit?

"I should update my kit every year and replace any expired items."

The nurse manager is educating a group of novice nurses about different disaster relief agencies and their roles. Which statement made by a nurse indicates an understanding of the information provided?

"The Emergency Support Function 8 coordinates federal assistance to fill in the gaps from local and state services during disasters."

Which action made by the nurse would be related to the prevention category of disaster management?

Work with environmental engineers to design flood walls and levees.

Which resource would the nurse utilize to assist displaced residents in a community that sustained damage due to flooding that led to transportation issues?

American Red Cross

When the nurse is addressing public health issues that are affected during disasters, which is most important to include according to the Healthy People 2020 initiative? Select all that apply. One, some, or all may be correct.

Access to health services Public health infrastructure

The nurse is assessing the short- and long-term effects to individual community members after a disaster. Which factor would be considered when assessing the responses? Select all that apply. One, some, or all may be correct.

Age Health Culture

When the public health nurse is collaborating with a local hospital to plan bioterrorism-related victim triage and treatment, which plan would be most appropriate to put in place? Select all that apply. One, some, or all may be correct.

Decontamination Mass vaccinations Antibiotic distribution

Based on the Sort-Assess-Lifesaving Interventions-Treatment/Triage (SALT) algorithm, which action by the nurse falls under the lifesaving interventions?

Applying tourniquet to a bleeding leg

Which aspect of disaster planning accounts for the reality that the disaster will never be an exact fit for the plan?

Back-up contingencies

Which program is a data-sharing program to facilitate surveillance of unusual patterns or clusters of disease in the United States?

BioSense

When developing programs related to responding to acts of bioterrorism, which program would include periodic testing for biological agents?

BioWatch

Under the Pandemic and All-Hazards Preparedness Reauthorization Act, what biodefense program was established to help public health professionals mount a proactive response to pandemics and biological disasters? Select all that apply. One, some, or all may be correct.

BioWatch BioSense Project BioShield Cities Readiness Initiative Strategic National Stockpile

Which agency would the nurse use as a resource when establishing policies regarding reporting and treating communicable and bioterrorism-related illnesses?

Centers for Disease Control and Prevention

Which agency would address immunizations and infectious disorders during a disaster?

Centers for Disease Control and Prevention (CDC)

The nurse implements a triage system for patients following a building collapse. Which core competency for disaster medicine and public health does this action represent?

Demonstrate knowledge of public health principles and practices for the management of all ages and populations affected by disasters and public health emergencies.

The public health nurse is working with community officials in developing an Incident Command System (ICS) during a local disaster. Which would the nurse expect to be the function of the IICS?

Develop a uniform approach to disaster coordination.

The local government is working with the public health department in developing a system to alert the community when a disaster is imminent. Which action would be included? Select all that apply. One, some, or all may be correct.

Developing a mass texting system Notifying local health care centers Using announcements on local media Installing neighborhood sirens for storms

Using the national Quality Safety Education for Nurses (QSEN) standards, which action would be chosen as most appropriate for the nurse to review with people in the community under the knowledge domain related to disaster planning?

Developing a plan to help evacuate people with disabilities

The public health nurse is coordinating relief efforts after a hurricane, and community leaders have determined there are more needs than the city can manage. Which would be established to coordinate state and federal assistance?

Emergency Operations Center (EOC)

The public health nurse is preparing a community for a hurricane. According to the first preparedness objective, which action should the nurse perform first?

Ensure community notification by emergency broadcast system.

Which role would the nurse be performing when researching disaster- related diseases that occurred in a community?

Epidemiology

Which action after severe damage and flooding from a hurricane is of highest priority for the public health nurse working with community leaders?

Establish healthy drinking water

Which agency would the nurse work with on a national level to coordinate the emergency response in the event of a disaster?

Federal Emergency Management Agency (FEMA)

The training of lay people in the community to work in disasters includes information regarding the disaster response being coordinated to prevent volunteer overload. Which problem could occur as a result of insufficient volunteer training? Select all that apply. One, some, or all responses may be correct.

Frustration Role conflict Further injuries Inadequate communication

When the public health nurse is working with local businesses to establish emergency plans for disasters, which action would be determined as important to include in the plan for assessing employee preparedness?

Have routine disaster drills.

Which federal program was developed to assist state and local areas prepare for disasters by standardizing terminology as well as design practice drills?

Homeland Security Exercise and Evaluation Program (HSEEP)

When the nurse is working with local agencies in a community to improve disaster preparedness, which action made by the group demonstrates the Homeland Security Presidential Direction 21 (HSPD-21) regarding community resilience?

Implements a system to restore communication

Which factor that occurs in a pandemic would cause a public health surge?

Increase in needs in a short time span

When working with a group of people who sustained major losses resulting from widespread flooding, which finding would the nurse determine as an indication that a survivor needs to receive mental health assistance? Select all that apply. One, some, or all may be correct.

Increased solitude Poor decision making Excessive alcohol consumption

Which online course related to disaster response would be most beneficial for the staff of a health care facility who are beginning the process for setting up a control center?

Introduction to the Incident Command System for Health Care/Hospitals

A nurse manager is working with community leaders to develop a community disaster preparedness plan. Which aspect should be addressed first?

Jurisdictional boundaries

Which would the nurse establish as a deterrent to people trying to evacuate before a disaster? Select all that apply. One, some, or all may be correct.

Lack of available transportation Shelters not accepting any pets Fear of possessions being stolen

Which work-related equipment would a nurse include in an emergency preparedness kit? Select all that apply. One, some, or all may be correct.

Mask Gloves Flashlight Stethoscope Blood pressure cuff

Which level would be included when providing information about the categories of triage? Select all that apply. One, some, or all may be correct.

Minimal Delayed Expectant Immediate

The public health nurse is working with local and national weather forecasters to develop better weather systems to prepare for disasters. Which actions would the nurse distinguish best meet the community's needs and protect the citizens? Select all that apply. One, some, or all responses may be correct.

Monthly testing of early warning systems Use of supercomputers for weather forecasting

When several health care agencies are working with the public health department to develop policies for local natural and human-made disasters, which program would be chosen as the best resource to help establish a communication structure during a disaster?

National Incident Management System (NIMS)

After an earthquake, which population would the nurse determine to have the most difficulty rebounding from this disaster?

New immigrants

When the public health nurse is working with a health care facility to establish protocols for disaster planning, which federal program would be determined to best meet the needs of both agencies to fund vaccinations under the BioShield Project?

Pandemic and All-Hazards Preparedness Reauthorization Act (PAHPRA)

While prioritizing care in the triage area during a natural disaster, which patient would require immediate attention?

Patient who cannot answer

The nurse is working with agencies to develop disaster plans for high-risk institutions in the community. Which would be included? Select all that apply. One, some, or all may be correct.

Prisons Schools Long-term care facilities

When working in the community for post-disaster recovery, which would the nurse establish to meet victims' psychosocial needs?

Providing support groups

What is a stage of disaster management? Select all that apply. One, some, or all may be correct.

Recovery Response Prevention Preparedness

When working with the public health department to develop a plan for managing disasters, which four stages would the nurse include in the plan? Select all that apply. One, some, or all be correct. responses may

Recovery Response Prevention Preparedness

When working with a family who sustained loss due to a house fire, which finding would the nurse assess for in a 5-year-old child and 7-year-old child who are having difficulty adjusting after the incident? Select all that apply. One, some, or all may be correct.

Refusing to go to school Experiencing bed-wetting Sleeping in parents' room

What component is part of the National Response Framework of the Presidential Policy Directive 8: National Preparedness? Select all that apply. One, some, or all may be correct.

Response Recovery Protection Mitigation Prevention

When working with the American Red Cross to provide information to other nurses and nursing students about joining a local disaster action team (DAT), which task could be executed by nursing students? Select all that apply. One, some, or all may be correct.

Restock medical supplies Communicate with victims Be a liaison between hospitals.

Which action indicates a need for further instruction regarding a community's development of safety plans that reflect the national Quality and Safety Education for Nurses (QSEN) standards?

Selects a neighbor as the family contact person in a disaster

When teaching disaster planning, which information would the nurse explain to a group of people with diabetes mellitus to prevent further complications?

Store diabetic supplies in your home emergency kit.

Which would be included when the nurse is discussing different types of natural disasters that can occur in a community? Select all that apply. One, some, or all may be correct.

Tsunamis Avalanches

When planning a disaster response for the community in the event of an actual incident, which factor enables the nurse to predict the numbers and types of injuries? Select all that apply. One, some, or all may be correct.

Type of disaster Timing of incident

During a discussion about disaster response and outcomes to a group of federal politicians, which factor would the nurse include to explain why the country's ability to provide adequate disaster relief has decreased?

Variations in policies between states

The nurse is working with local community leaders to develop a disaster response program based on the National Incident Management System (NIMS) model. Which action would best reflect the administrative/financial function?

Verifying nursing licenses

Which would the nurse include when implementing disaster plans to meet the National Health Security Strategies (NHSS) goals? Select all that apply. One, some, or all may be correct.

Build community resilience Strengthen emergency response systems

During a presentation to a group of emergency room nurses, which statement made by a participant correlates to a need for further education about managing different types of disasters?

"A worldwide influenza outbreak would be considered a man-made disaster."

When the nurse working with community leaders to develop disaster plans expresses a need to also establish contingency plans, which rationale best explains the of implementing these purpose contingency plans?

All disasters will not match the disaster plans perfectly.

While making visits to families in a community affected by a disaster, which finding at a home of a young married couple with a 6-year-old child would the nurse distinguish indicates a need for intervention?

Allowing the child to watch the news about the disaster

The nurse is developing a post-disaster debriefing plan for a health care center. Which action best distinguishes the attitudes portion of the national Quality Safety Education for Nurses (QSEN) standards?

Discussing staff feelings regarding deaths that occurred