Community Test 2 Prep

Question 1

Public health nurses as a rule do not respond to community emergencies; they leave the responses to those who are trained such as EMTs and paramedics.

TRUE
FALSE

Answer 1

false

Question 2

Because of the World Trade Center disaster, a key failing of the emergency response system was revealed showing a lack of adequately trained leaders and workers in all areas of the public health service.

FALSE
TRUE

Answer 2

true

Question 3

A key duty of the public health nurse is to educate and provide updated information to the public to prevent the spread of infectious diseases such as MERS-CoV.

FALSE
TRUE

Answer 3

true

Question 4

A nurse is working with the local government to respond to a disaster. The government has exceeded its resources. Which statement demonstrates the best next step?

a. “We should contact the National Response Framework for help.”
b. “We should contact the Department of Health and Human Services for help.”
c. “We should contact other local governments to help.”
d. “We should contact our local authorities to help.”

Answer 4

a.

Question 5

A nurse is studying the community’s disaster preparedness plan. What are key features of an effective disaster plan? (Select all that apply.)

a. Developing leadership
b. Evaluating local governments
c. Developing communication networks
d. Establishing transportation routes
e. Establishing clear authority

Answer 5

c,d,e

Question 6

A new nurse is working in a community setting. The nurse is concerned about the possibility of a disaster affecting the community. Which statement reflects understanding of the best next step?

a. “I should talk to the community members about pandemics.”
b. “It would be helpful if the government would set up a disaster program.”
c. “I should survey the emergency response personnel in the community.”
d. “I should find out if the community has a disaster preparedness plan.”

Answer 6

d.

Question 7

A nurse is anticipating the response for a flu outbreak. Where is the response expected to begin?

National
Public
State
Local

Answer 7

local

Question 8

What type of education does the Community Emergency Response Team (CERT) program provide?

a. Disaster preparedness for hazards that may impact their area
b. Emergency preparation for hospitals
c. Basic disaster response skills for senior citizens
d. Disaster preparedness for young adults

Answer 8

a.

Question 9

International Refugee and Disaster-Relief Assistance is recovery assistance offered to any person who is unwilling or unable to return to their country of origin. What is the agency that helps the vulnerable populations to have safety, food, and shelter?

UNHCR
NIMS
PICM
MDG

Answer 9

UNHCR

Rationale: The United Nations High Commissioner for Refugees (UNHCR) was established by the International Refugee Organization, an organization that was founded on April 20, 1946, to deal with the mas-sive refugee problem created by World War II.

Question 10

Which is an agency that will give assistance to vulnerable population that suffers from alcohol and drug abuse, education, and refers for treatment?

ASSERT
PICM
FEMA
NIMS

Answer 10

ASSERT

Rationale: Project ASSERT (Alcohol and Substance Abuse Services, Education, and Referral to Treatment) is a screening, brief intervention, and referral to treatment (SBIRT) model designed for use in health clinics or emergency departments. Project ASSERT aims to reduce or eliminate unhealthy substance use through collaboration with trained nurses, peer educators, and other health professionals.

Question 11

Domestically displaced persons due to disasters in the U.S. to help them in their recovery period. As was seen with Hurricane Katrina, one federal agency assisted victims of this hurricane for months after the event. Which of the following agencies was the recovery agency?

FEMA
PICM
ASSERT
UNHCR

Answer 11

FEMA

Rationale: In the United States, the DHS is the central organization overseeing many different agencies that focus on the safety and security of the nation. Their many responsibilities include border and transportation security; chemical, biologic, and radiologic countermeasures; informational systems and infra-structure protection; and emergency preparedness and response.

Question 12

The nurse is aware that environmental factors can mitigate or exacerbate disasters. What are environmental factors? (Select all that apply.)

a. Air temperature
b. Scope and intensity
c. Political unrest
d. Coastal flooding
e. Building stability

Answer 12

a. air temperature
c. political unrest
d. coastal flooding
e. building stability

Rationale: Climate factors, political factors, and building structures are all environmental components that can affect the amount of destruction during a disaster. Scope and intensity describe the destruction of a disaster but are not a part of the environment.

Question 13

What is an operational incident management or resource allocation plan?

a. Department of Homeland Security
b. National Incident Management System
c. Incident Command System
d. Federal Emergency Management Agency

Answer 13

c. incident command system

Rationale: The Incident Command System is an operational incident management and resources allocation plan involving five functional areas. The National Incident Management System is not an operational incident management or resource allocation plan. It represents a core set of doctrines, concepts, principles, terminology, and organizational processes that enable effective, efficient, and collaborative incident management. The other choices are agencies not systems.

Question 14

The nurse is involved in supervision using the Incident Command System (ICS). The nurse should recognize the following are functional areas of the system. (Select all that apply.)

a. Command
b. Operations
c. Partnering
d. Logistics
e. Leadership

Answer 14

a. command
b. operations
d. logistics

Rationale: The ICS organizes emergency response in five major functional areas: command, planning, operations, logistics, and finance and administration.

Question 15

The nurse admits a client to the emergency room without health insurance. The client is considered part of what type of population?

At risk
Culturally diverse
Vulnerable
Disenfranchised

Answer 15

vulnerable

Rationale: Vulnerable populations are at risk specifically for poor health outcomes. This can be the result of a variety of situations, including homelessness, poverty, and lack of insurance. This person may not be disenfranchised or culturally diverse.

Question 16

A nurse wants to better understand the Incident Command System (ICS). Where should the nurse look for courses related to the ICS?

Department of Homeland Security website
Local government seminars
Department of Health and Human Services website
Federal Emergency Management Agency website

Answer 16

Federal Emergency Management agency website

Rationale: The Federal Emergency Management Administration (FEMA) website provides free courses for nurses and other health care professionals to educate regarding the ICS.

Question 17

The Federal Emergency Management Agency (FEMA) is responsible for assessing and responding to disaster events in the United States.

FALSE
TRUE

Answer 17

true

Rationale: FEMA develops training programs for disaster response, including planning for execution and deactivation of points of distribution.

Question 18

Historically, disaster management has been associated with public health nurses.

FALSE
TRUE

Answer 18

false

Rationale: Historically, disaster management has been associated with police, firefighters, emergency medical technicians, and hazardous materials (HAZMAT). Public health nurses are now seen as having a crucial role in all phases of disaster management

Question 19

The agency that protects public health by developing guidelines that promote health and quality of life by preventing and controlling disease, injury, and disability is the Centers for Disease Control (CDC).

FALSE
TRUE

Answer 19

true

rationale: The CDC also offers online training for disaster management.

Question 20

Which federal department bears the most responsibility in the event of a disaster in the United States?

a. Department of Homeland Security
b. Department of Health and Human Services
c. Department of Defense
d. Department of Transportation

Answer 20

a. department of homeland security

Rationale: The Department of Homeland Security houses the Federal Emergency Management Agency (FEMA). FEMA is responsible for assessing and responding to disaster events in the United States. The other answer choices play a role in disaster management and preparation, but not the primary role in the United States.

Question 21

Which is a secondary prevention strategy during a disaster that can be performed by a nurse?

a. Hazardous material cleanup
b. Long-term community stabilization
c. Disaster planning
d. Victim triage

Answer 21

d. victim triage

Rationale: Nurses are able to perform triage in the event of a disaster to promote early identification and prompt treatment. The nurse should be trained and be able to remain safe during the triage procedures. Disaster planning is a primary prevention strategy. Long-term community stabilization efforts are considered tertiary prevention. Hazardous material cleanup should not be performed by a nurse

Question 22

The nurse has learned about complex systems developed to intervene in the event of a disaster. What are the responsibilities of the Department of Homeland Security? (Select all that apply.)

a. Incident command systems
b. Disaster housing
c. Search and rescue operations
d. Firefighting
e. Public health management

Answer 22

a. incident command system
b. disaster housing
c. search and rescue operations

Rationale: Many federal departments and agencies work together to mitigate and manage disasters. Firefighting is the responsibility of the Department of Agriculture. Public health management is the responsibility of the Department of Homeland Security. Disaster housing, search and rescue, and the incident command system are all under the jurisdiction of the Department of Homeland Security, which includes FEMA.

Question 23

The nurse is trying to determine which government agency is responsible for rebuilding the physical structures in the community. Which is the nurse’s best response?

a. “No federal agency will be responsible for rebuilding the physical structures.”
b. The Federal Emergency Management Agency will be responsible for rebuilding the physical structures.
c. The Department of Defense - Army Corps of Engineers will be responsible for rebuilding the physical structures.
d. The Department of Homeland Security will be responsible for rebuilding the physical structures.

Answer 23

c.
Rationale: The Army Corps of Engineers rebuilds buildings, roads, bridges, and all the infrastructures that make communities function after a disaster. The other agencies described have other functions within a disaster situation

Question 24

A nurse is concerned about biological warfare in the United States. Which statement best answers this concern?

a. “The United States has stockpiled vaccines and antidotes in the event of biological warfare.”
b. “There are currently plans in place to destroy biological warfare weapons.”
c. “The United States does not have any plans to combat biological warfare.”
d. “We do not need to be concerned about biological warfare in the United States.”

Answer 24

a. the us has stockpiled vaccines and antidotes in the event of biological warfare

Rationale: The United States, through the Centers for Disease Control, has stockpiled vaccines and antidotes to commonly used biological warfare weapons, such as anthrax. Biological warfare will be an ongoing problem to prevent.

Question 25

The nurse is involved in program evaluation for an evidence-based practice project in the outpatient pediatric setting. Which is the best strategy to include children’s parents during program evaluation?

a. Review data in the electronic health record.
b. Speak to the child’s provider.
c. Interview the child.
d. Provide online surveys for the parent.

Answer 25

d. provide online surveys for the parent

Rationale: If the parent’s feedback is desired during program evaluation, the parent needs to be directly involved. An online survey is a great tool to determine if the objectives of a program are being accomplished. The other choices will provide data but are not specific to the parent’s perceptions or outcome goals.

Question 26

A nurse is brought into an interprofessional team in order to develop a health promotion program. What should be the first question the nurse asks of the team?

a. “Who will be responsible for program evaluation?”
b. “What is the time frame of the program?”
c. “What are my responsibilities in the intervention?”
d. “What are the measurable objectives for this program?”

Answer 26

d. what are the measurable objectives for this program

Rationale: Although each of the questions is valid in the program-planning process, determining measurable objectives is the best first question when joining the team. This will allow the nurse to see the needs and goals of the program before figuring out the other logistical questions.

Question 27

A nurse is on a program planning team to discover factors that may influence medication adherence in the outpatient setting. What is the best way to understand the effectiveness of the new program?

a. Look to previous research articles.
b. Identify whether the program goals were met.
c. Ask the program director for guidance.
d. Develop research questions once the program begins.

Answer 27

b. identify whether the program goals were met

Rationale: New programs need to have clear goals or objectives from the beginning. These goals will be used to evaluate the program at different points during the program duration. Although previous research and expert advice are helpful they will not be the objective way a program is evaluated for its effectiveness. Also, research questions, if developed, should be created before a program begins.

Question 28

Who is the best evaluator of a program? (Select all that apply.)

a. Staff members unaffiliated with program
b. Staff members affiliated with program
c. Clients
d. Program administrator
e. Outside consultant

Answer 28

a, e

Rationale: Outside consultants are the best evaluators, including staff members within your organization who are not associated with your program and who have no personal interest in the results of an evaluation. Program administrators, clients, and staff members affiliated with the program may play a part in evaluation, but a third-party consultant has the best perspective in evaluation.

Question 29

The nurse is responsible for developing objectives for a program that helps clients with medication adherence. What reflects the best objective for this program?

a. Clients will report a 20% reduction in missed doses at the end of the program.
b. Clients will rate the program positively on the survey provided.
c. Clients will respond to the survey provided at the end of program.
d. Clients will rotate injection sites for their insulin administration.

Answer 29

a. clients will eport a 20% reduction in missed doses at the end of the program

Rationale: SMART objectives are the best goals to develop for the purposes of program evaluation. This ensures that objectives are specific, measurable, attainable, relevant, and time specific.

Question 30

Access, availability, and cost issues can be barriers to the use of telehealth.

FALSE
TRUE

Answer 30

true

Rationale: Advances in technology, specifically medical devices, sensors, and high-speed telecommunication networks, have made it possible to assess clients’ conditions remotely in their homes, either by storing information for later access or by performing assessments in real time using Internet video systems. It is also possible to obtain the advice of expert specialty consultants without meeting in person. All of these advances require investment.

Question 31

Electronic health records and other HIT systems are powerful tools that will have a significant impact on health care in coming years.

FALSE
TRUE

Answer 31

true

Rationale: Consumers will be empowered with more information, choices, and control. All necessary health information, from medical histories to billing information, ultimately will be accessible from the Internet and readily available to all appropriate health care facilities and providers of care (with permission of the client).

Question 32

What is the definition of health information technology (HIT)?

a. The electronic medical record and the electronic health record used by health care facilities
b. The exchange of information over the internet used in health care management
c. The comprehensive management of health information in a secure manner that enhances quality, safety, and efficiency of the health care system
d. Electronic equipment needed for performing the duties of patient needs in health care

Answer 32

c. the comprehensive management of health information in a secure manner that enhances quality, safety, and efficacy of the healthcare system

Rationale: Health information technology (HIT) is defined as the comprehensive management of health information and its exchange among consumers, providers, government, and insurers in a secure manner. HIT is increasingly viewed as the most promising tool for improving the overall quality, safety, and efficiency of the health delivery system.