Chapter 22: Disaster Management and Public Health Emergency Preparedness Flashcards
A nurse is attending a training session on disaster management and is surprised to learn that:
a. True emergency preparedness and disaster management is a continuous cycle and has no beginning or end.
b. there are four major phases of a disaster life cycle
c. there are three stages of the disaster preparedness framework
d. Emergency preparedness and disaster management must only occur at the local level.
a. true emergency preparedness and disaster management is a continuous cycle and has no beginning or end
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?
a. The plan is broad in scope and able to address multiple types of disasters.
b. The plan is comprehensive and contains plans for advanced preparation, disaster management and post-disaster evaluation.
c. The plan stresses autonomy and independence from nearby organizations.
d. The plan includes information about long-term management of the after effects of the disaster.
c. The plan stresses autonomy and independence from nearby organizations.
A nurse is working at a high school that is 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 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:
a. mitigation
b. preparedness
c. triage
d. recovery
a. mitigation
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?
a. Return home and allow the local firefighters to finish putting the fire out.
b. Contact the Federal Government to ask for assistance in managing the wildfire.
c. Wait another day or two until the fire is confirmed to be out and then return home.
d. Begin surveillance and assess for incidences of respiratory disease related to the fires.
d. Begin surveillance and assess for incidences of respiratory disease related to the fires.
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 in order to protect the rest of the town, the city council needs to restrict people from building homes along the immediate coastline. A resident stands up, angry, and demands to know why he can’t purchase property there. The nurse replies:
a. “People living along the coastline are at greater risk for property damage from seawater.”
b. “Deforestation along the coast can increase risk and severity of strong storm surges during hurricanes or coastal storms.”
c. “Remote areas can be more difficult to evacuate in case of an emergency.”
d. “All community members need to be able to access the coastline in case of an emergency evacuation.”
b. “Deforestation along the coast can increase risk and severity of strong storm surges during hurricanes or coastal storms.”
A nurse 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 attempting to put policies in place that mitigate the potential damages from future earthquakes. Which of the following is an example of an effective policy change?
a. require a post-earthquake meeting to discuss the town’s response
b. create an emergency preparedness plan
c. update building ordinances to be more resistance to seismic activity
d. make the director of the city health department in charge of all emergency response needs
c. update building ordinances to be more resistance to seismic activity
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?
a. call an ambulance
b. tell her to close her eyes and rest
c. give her some cool water
d. leave the beach with the friend and have her sit in an air conditioned car while drinking an electrolyte replacement drink
d. leave the beach with the friend and have her sit in an air conditioned car while drinking an electrolyte replacement drink
A nurse is working with a local television station to work on a public service announcement meant to educate residents on how to prepare for tornados. What advice does the nurse give in the event that a tornado is imminent?
a. watch for the coming storm at the window
b. immediately take shelter in a basement away from any window
c. take shelter in a large room under a blanket
d. As soon as the alarm goes off, gather your emergency supplies and head to the nearest community shelter.
b. immediately take shelter in a basement away from any window
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 for?
a. burns
b. respiratory disease
c. severe lacerations or other traumatic injuries
d. all of the above
d. all of the above
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?
a. wildfire
b. ground fire
c. surface fire
d. crown fire
b. ground fire
A nurse is taking care of a 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?
a. primary
b. secondary
c. tertiary
d. primary and secondary
d. primary and secondary
A nurse is assisting paramedics at the site of a large accident with many injured people. During the initial response, it is especially important to:
a. Notify the media so they can assist in informing the community of what happened.
b. Triage victims according to the severity of their injuries.
c. Interview victims and witnesses to determine what happened.
d. Notify clergy and mental health professionals to assist survivors at the site.
b. Triage victims according to the severity of their injuries.
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:
a. FBI
b. FAA
c. FEMA
d. department of homeland security
b. FAA
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 has been cleaned and the community is starting to return to normal, what is the priority for this community?
a. screen for and manage depression, anxiety, and post-traumatic stress disorder
b. establishing an emergency management plan
c. hold a community debriefing about what happened
d. Encourage residents to get back to their regular routines as soon as possible.
a. screen for and manage depression, anxiety, and post-traumatic stress disorder
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. They order a voluntary evacuation for several communities, in particular those that are likely to be most severely impacted. Which of the following statements is incorrect?
a. Use of the Emergency Alert System by broadcasters during an emergency is voluntary.
b. They should consider mandatory evacuations if residents chose to not evacuate as suggested.
c. There should be a legal plan in place to deal with residents who are not complying with instructions.
d. A shelter should be established to help vulnerable residents and people who are not able to find somewhere to stay.
a. Use of the Emergency Alert System by broadcasters during an emergency is voluntary.
