chapter 18

Question 1

1. When does the mitigation phase of disaster management begin?
   a. Before the disaster occurs
   b. During the disaster
   c. Immediately following the disaster
   d. During the recovery period

Answer 1

a. Before the disaster occurs

Question 2

2. In the event of a disaster localized to one district, what group would most likely direct the
   community nursing response?
   a. Canadian Red Cross
   b. Centres for Disease Control and Prevention
   c. Centre for Emergency Preparedness and Response (CEPR)
   d. Paramedics

Answer 2

c. Centre for Emergency Preparedness and Response (CEPR)

Question 3

3. After surviving a house fire, a 5-year-old begins sucking his thumb and wetting his bed. What
   would be the best community health nurse (CHN) intervention?
   a. Explain to the child that it is important to be strong and not act like a baby.
   b. Reassure the family that this behaviour is a normal reaction to a traumatic
   experience.
   c. Recommend admission into a hospital for psychological counselling.
   d. Recommend behaviour therapy to treat regression.

Answer 3

b. Reassure the family that this behaviour is a normal reaction to a traumatic
experience.

Question 4

4. On the second day after a disaster, a disaster relief worker is found to be irritable and having
   difficulty focusing. He denies having any problem other than a headache. Which is the best
   action?
   a. Dismiss the problem of inability to focus as probably being the result of worry, so
   that the worker can concentrate on the work at hand and deal with his emotions
   later.
   b. Explain to the relief worker that he is experiencing signs and symptoms of
   psychological stress and recommend that he take some time off from work to relax.
   c. Explain to the worker that his problem arises from multitasking and advise him to
   focus on one task at a time.
   d. Suspect dehydration and encourage the worker to drink more fluids.

Answer 4

b. Explain to the relief worker that he is experiencing signs and symptoms of
psychological stress and recommend that he take some time off from work to relax.

Question 5

5. What level of prevention is the CHN implementing when participating in the development of
   a community-wide disaster management plan?
   a. Primary prevention
   b. Secondary prevention
   c. Tertiary prevention
   d. All prevention levels

Answer 5

a. Primary prevention

Question 6

6. What is the purpose of disaster planning?
   a. Decreasing global instability
   b. Disrupting and altering community functioning
   c. Managing response to disasters
   d. Preventing disasters

Answer 6

c. Managing response to disasters

Question 7

7. What is the ultimate contribution of the disaster preparedness plan?
   a. It reduces injuries.
   b. It enhances collaboration among the community partners.
   c. It reduces stress and panic behaviours.
   d. It reduces involvement.

Answer 7

a. It reduces injuries.

Question 8

8. Which scenario exemplifies that an influenza pandemic has occurred?
   a. There is a lack of pandemic vaccine production.
   b. A new strain of influenza appears.
   c. Cases of H1N1 outnumber those of influenza A.
   d. More than 75% of the population is affected.

Answer 8

c. Cases of H1N1 outnumber those of influenza A.