DIS PRELIMS Flashcards

1
Q

Disaster management includes ____ _

A. Response
B. recovery
C. Mitigation
D. all the above

A

D. all the above

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2
Q

In the work setting, what is your primary responsibility in preparing for disaster management that includes natural disasters?

A. Knowledge of how and what to report to the CDC
B. Awareness of the signs and symptoms for potential agents of bioterrorism
C. Ethical decision-making about exposing self to potentially lethal substances
D. Knowledge of the agency’s emergency and disaster management response plan

A

D. Knowledge of the agency’s emergency and disaster management response plan

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3
Q

Which one of the following is NOT a natural disaster?

A. Flood
B. Tsunami
C. Blow-out
D. Volcano eruption

A

C. Blow-out

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4
Q

In which phase of disaster damage assessment is done?

A. Impact phase
B. Rescue phase
C. Rehabilitation
D. Warning phase

A

A. Impact phase

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5
Q

Disasters can happen at any time. What is the first part of the disaster management cycle to consider?

A. Response
B. Recovery
C. Mitigation
D. Preparation

A

C. Mitigation

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6
Q

What is an appropriate strategy for responding to an individual experiencing acute distress?

A. Have the individual state their most urgent needs
B. Have the individual list everything that they lost in the disaster
C. Have the individual receive disaster preparedness in the disaster
D. Have the individual think about what they will need in the future

A

A. Have the individual state their most urgent needs

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7
Q

What phase of emergency management includes exercises and drills?
A. Recovery
B. Response
C. Mitigation
D. Preparedness

A

D. Preparedness

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8
Q

Which is an accurate definition of individual resilience?

A. Maintaining safety of infrastructures
B. Sustained action taken to eliminate the long-term risks
C. training respondents to strengthen capabilities
D. The capability to equitably meet the vital human needs

A

C. training respondents to strengthen capabilities

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9
Q

An emergency room nurse is at work when a major terrorist attack occurs. In addition to caring for injured clients, the nurse must control the crowd. Which of the following statements, if made by the nurse, demonstrates an understanding of the concept of crowd control?

A. “Even if the crowd control is maintained, chaos ensues.”
B. “The job of crowd control is under the auspices of the nurses.”
C. Nurses will need to enter areas that have not been secured yet to reach the clients.”
D. The agency’s security personnel and/or the local police force must control these crowds

A

D. The agency’s security personnel and/or the local police force must control these crowds

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10
Q

Which of the following is a seasonally related hazard?

A. Typhoon
B. Earthquake
C. Terrorist attack
D. Volcanic eruption

A

A. Typhoon

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11
Q

A newly graduated nurse is learning about the nurse’s role in disaster relief as part of an orientation to the hospital. Which of the following concepts is accurate?

A. Applying advanced skills can be very helpful until help arrives
B. Nurses take a passive role in helping others to save lives and fulfill an important obligation
C. Learning about the prevention and mitigation of disasters is nice to know, but not essential.
D. Nurses may have to assume expanded roles in making decisions for the most appropriate treatment of casualties

A

D. Nurses may have to assume expanded roles in making decisions for the most appropriate treatment of casualties

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12
Q

An emergency room nurse is working when there is a bioterrorism attack in the city. Which of the following statements is correct about injuries or symptoms associated with a bioterrorism attack?

A. Biological attacks are usually known right away.
B. Detection is easy as clients go to different health care facilities.
C. The main purpose of biological weapon use is contained devastation.
D. Bioterrorism is the intentional release of viruses, bacteria, or other germs that can sicken or kill people, livestock, or crops.

A

D. Bioterrorism is the intentional release of viruses, bacteria, or other germs that can sicken or kill people, livestock, or crops.

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13
Q

What does CBRNE stand for

A. Chemical, biological, radiological, nuclear, explosive
B. Chemical, biological, radiological, nuclear, extensive
C. Chemical, biochemical, radioactive, nuclear, explosive
D. Chemical, biochemical, radiological, natural, explosive

A

A. Chemical, biological, radiological, nuclear, explosive

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14
Q

Effective hazard management largely relies on

A. disaster response
B. pre-disaster planning
C. emergency responses
D. government agencies

A

B. pre-disaster planning

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15
Q

A nursing student is studying about disasters and emergency preparedness. Which of the following statements by the nursing student depicts a correct understanding of the difference between a disaster and an emergency?
A. “Disasters are man-made only.”
B. Man-made disasters are intentional only.”
C. “Emergencies are caused by acts of nature or emerging diseases.”
D. Disasters are serious disruptions to the functioning of a community that exceed its capacity to cope using its own resources.

A

D. Disasters are serious disruptions to the functioning of a community that exceed its capacity to cope using its own resources.

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16
Q

What is an example of a natural threat?

A. Aircraft incident
B. Workplace violence
C. Animal disease outbreak
D. Hazardous material release

A

C. Animal disease outbreak

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17
Q

A preceptor is teaching a graduate nurse the concepts of mitigation. Which of the following statements, if made by the graduate nurse, would indicate an understanding of this concept?

A. “The key to effective disaster management is predisaster planning and response.”
B. “Response is having a comprehensive disaster plan in place that coordinates efforts.”
C. A key nursing activity related to mitigation is reducing risk of loss from the occurrence of any
undesirable event.
D. Mitigation is the health care system’s ability to rapidly expand beyond normal services to meet the increased demand for qualified personnel.”

A

C. A key nursing activity related to mitigation is reducing risk of loss from the occurrence of any
undesirable event.

18
Q

Which of the following is NOT an example of a rapid-onset disaster?

A. Cyclone
B. Drought
C. Tsunami
D. Earthquake

A

B. Drought

19
Q

Which of the following is a man-made disaster?

A. Pollution
B. Terrorism
C. Major fire
D. All the above

A

D. All the above

20
Q

Disaster recovery efforts include

A. Conducting a hazard vulnerability analysis
B. strategies for reducing the impact of disasters
C. training respondents to strengthen capabilities
D. reconnecting displaced populations with essential health and social services

A

D. reconnecting displaced populations with essential health and social services

21
Q

You’re working as a triage nurse during a disaster situation. Based on the triage color code tags placed on each of the wounded, which tag color represents the wounded who have the highest priority of being treated first?

Red
Black
Green
Yellow

22
Q

The wounded victim is unable to walk, respiratory rate is absent but when airway is repositioned breathing is noted. The wounded victim is assigned what tag color?

Red
Black
Green
Yellow

23
Q

In conducting a primary survey on a trauma patient, which of the following is considered one of the priority elements of the primary survey?

A. Complete set of vital signs
B. Initiation of pulse oximetry
C. Brief neurologic assessment
D. Palpation and auscultation of the abdomen

A

C. Brief neurologic assessment

24
Q

Once a victim is assessed, their triage status stays the same throughout the entire length of care

True
False

25
Q

The wounded victim can walk and obey commands. The wounded victim is assigned what tag color?

Red
Black
Green
Yellow

26
Q

The triage nurse is working as the main responder in a Mass Casualty Incident. Which client should
be assessed first?

A. The 25-year-old male who cut his hand with a hunting knife
B. The 10-year-old child whose dad thinks the child’s leg is broken
C. The 45-year-old male who is diaphoretic and clutching his chest
D. The 58-year-old female complaining of a headache and seeing spots

A

C. The 45-year-old male who is diaphoretic and clutching his chest

27
Q

The nurse in a disaster is triaging the following clients. Which client should be triaged as an Expectant Category, priority 4, and color black?

A. The client with a sprain
B. The client with a head injury and confused
C. The client with a sucking chest wound and unresponsive
D. The client with an abdominal wound and stable vital sign

A

C. The client with a sucking chest wound and unresponsive

28
Q

The nurse observes that the family members of a patient who was injured in an accident are blaming each other for the circumstances leading up to the accident. The nurse appropriately lets the family members express their feelings of responsibility, while explaining that there was probably little, they could do to prevent the injury. In what stage of crisis is this family?

Anger
Grief
Anxiety and denial
Remorse and guilt

A

Remorse and guilt

29
Q

The nurse is teaching a class on disaster preparedness. Which are components of an Emergency Operations Plan (EOP)? Select all
that apply (12-16)

A. A security plan
B. A plan for practice drills
C. A deactivation response
D. A post-incident response
E. Clinical and support activities
F. A plan for internal communication only

A

A. A security plan
B. A plan for practice drills
C. A deactivation response

30
Q

A catastrophic disaster has occurred 5 miles from the hospital you are working in. The hospital’s disaster plan is activated, and the wounded are brought to the hospital. You’re helping triage the survivors. One of the wounded can walk around and has minor lacerations on the arms, hands, chest, and legs. You would place what color tag on this survivor?

Red
Black
Green
Yellow

31
Q

During the primary assessment of a trauma victim, the nurse determines that the patient has a patent airway. The next assessment by the nurse should be to

A. observe the patient’s respiratory effort.
B. check the patient’s level of consciousness
C. palpate for the presence of peripheral pulses
D. examine the patient for any external bleeding

A

A. observe the patient’s respiratory effort.

32
Q

You respond to a call for help from the ED waiting room. There is an elderly patient lying on the floor. List the order for the actions that you must perform.
1. Establish unresponsiveness.
2. Call for help and activate the code team.
3. Perform the chin lift or jaw thrust maneuver.
4. Initiate cardiopulmonary resuscitation (CPR).
5. Instruct a nursing assistant to get the crash cart.

A. 1, 2, 3, 4, 5
B. 1, 3, 2, 4, 5
C. 1, 4, 2, 3, 5
D. 1, 5, 2, 3, 4

A

A. 1, 2, 3, 4, 5

33
Q

Mass Casualty Triage is

A. doing nothing currently
B. deciding who gets to take a break first
C. determining what patients gets admitted first
D. the assignment of response priority based on level of injury and available resources

A

D. the assignment of response priority based on level of injury and available resources

34
Q

An emergency incident that produces several patients that exceeds the capacity of area medical systems and facilities is called a

A. large scale disaster
B. multiple injury event
C. mass casualty incident
D. multiple casualty incident

A

C. mass casualty incident

35
Q

On JuLY 16, 1990, a 7.7 magnitude earthquake in the Philippines killed approximately 2, 412 people
and injured thousands more. Lines of communication (including road and rail networks) were severed
hindering rescue attempts. Hundreds of thousands were left homeless, and treatment of casualties delayed. Which of the following statements apply in the context of major incidents?

A.The major incident was simple
B. The major incident was natural
C. The major incident was man-made
D. The major incident was compensated

A

B. The major incident was natural

36
Q

The wounded victim is unable to walk; respiratory rate is absent and when airway is repositioned breathing is still absent. The wounded victim is assigned what tag color?

Red
Black
Green
Yellow

37
Q

Which of these are included in the defining features of a traumatic disastrous experience?

A. Disaster, violence, and loss
B.Fear, helplessness, and horror
C. Depression, anger, and helplessness
D. Memory loss, confusion, and anxiety

A

B.Fear, helplessness, and horror

38
Q

The wounded victim is unable to walk, has respiratory rate of 19, capillary refill of one second, and can obey your commands. The wounded victim is assigned what tag color?

Red
Black
Green
Yellow

39
Q

Labeling all patients with a triage tag provides __ . Select all that apply

A. allergies.
B. pre-existing conditions
C. color coding for treatment priority
D. triage tag numbers for reference and patient tracking

A

C. color coding for treatment priority
D. triage tag numbers for reference and patient tracking

40
Q

Reasons why patient tracking, and identification is important include –

A. family reunification
B. people respond better to their own name instead of a number
C. patient accountability - to ensure all surviving casualties have been transported from the scene to a treatment destination
D. All the above

A

D. All the above