Exam 3 Community - Disaster

Question 1

Natural Disaster

Answer 1

can’t be alleviated by human assistance

Question 2

USDHS: FEMA

Answer 2

Mission: to help people before, during, and after disasters

Question 3

Before disasters

Answer 3

work with community and federal government

preparedness plans, education, training, grants

Question 4

During disasters

Answer 4

Local govs survey damage

submit request for fed declaration

disaster assistance at individual and/or public assistance levels

Disaster recovery centers

Question 5

After disaster

Answer 5

National disaster recovery framework - to get help as quickly to as many people as possible

mitigate future hazards

Question 6

Stage 1: prevention/mitigation

Answer 6

Risk reduction

assesses for potential threats

-> prevention ->
-> mitigation ->
-> preparedness ->
-> response ->
-> recovery ->

Role of nurse: assessments - potential threats, buildings condition, at-risk target populations

(ex: nursing home by a river - potential for flooding)

Question 7

Stage 2: preparedness

Answer 7

develop personal, professional, and community disaster plans

Question 8

Stage 3: Response

Answer 8

local response -> state response -> federal/national

local community and city services
If exceeds ability, then county
If exceeds, then state
If exceeds, then fed gov

ARC (red cross): reduce human suffering; help with stuff

National guard: when community responses aren’t enough

Strategic National Stockpile: governor makes a request, CDC and USDHS decides - bandages, airway equip, vaccines, etc.

Question 9

Stage 3: RN Role

Answer 9

Food water safety is the goal of disaster response

Assessment
Advocate
Case finder/referral agent
Triage
Shelter management: special shelters exist for people with special needs

Question 10

Triage in disaster

Answer 10

START - Simple Triage and Rapid Response

Question 11

Stage 4: Recovery

Answer 11

longest
when no longer threat
moving toward new normal
collaboration important
agencies work together
takes a long time

role of nurse: assessing homes and communities, environmental hazards, seeing if all is safe to resume living in

mental health referrals

Question 12

Stress reactions in the community

Answer 12

Heroic phase: survival is paramount, focus is to get everyone to safety

Honeymoon: threat is gone, effects set in, come together and discuss experience

Disillusionment: time has passed, disappointment sets in, recovery takes a long time

Reconstruction: rebuilding, resuming activities, new normal, mental health referrals - can take years