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NR 442 COMMUNITY HEALTH NURSING EXAM
2 QUESTIONS AND ANSWERS UPDATED
(2024/2025) (VERIFIED ANSWERS)
FEMA - Federal Emergency Management Agency - ANS ✓- Agency charged
with providing assistance to communities hit by natural disasters; Mission is to
support citizens and first responders to ensure that, as a nation, everyone works
together to build, sustain, and improve the capacity to prepare for, protect
against, respond to, recover from, and mitigate all hazards
Disaster Management Stages - ANS ✓1. prevention
2. preparedness
3. response
4. recovery
Prevention Stage - ANS ✓- Identify potential disaster risks.
- Create risk maps
- Educate citizens regarding what actions to take to prepare for disasters.
- Individual, family, and community level
- Develop a plan for meeting the potential disasters identified.
Preparedness Stage - ANS ✓- Training in first aid
- Assembling a disaster emergency kit
- Establishing a predetermined meeting place
away from home
- Making a family communication plan
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Response Stage - ANS ✓- Response stage begins
immediately after the disaster incident occurs
• May include:
• Shelter in place
• Evacuation
• Search and rescue
• Staging area
• Disaster triage
Disaster Triage - ANS ✓- START triage system- Nurses and other
emergency personnel such as physicians,
EMTs, and paramedics are responsible for
performing triage duties
• "Simple Triage And Rapid Treatment"-
Goal:
- Used in multicasualty or mass casualty
incident
- Triage of injured person should occur in
less than 1 minute based on:
• Respirations
• Perfusion
• Mental status
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• Uses people with minor injuries to assist
• Person is tagged with a colored triage tag
• Victims moved to the treatment area
START Color-Coded Triage Tag - ANS ✓- Green = walking wounded
- Yellow = systemic but not yet life-threatening complications
- Red = life-threatening conditions that can be stabilized and have a high
probability of survival
- Black = deceased or injuries so extensive that nothing can be done to save them
- Hazmat tag = contaminated
Psychological Triage - ANS ✓- Four keys to gauging mental health impact:
- Extreme and widespread property damage
- Serious and ongoing financial problems
- High prevalence of trauma in the form of injuries, threat to life, and loss of life
- When human intent caused the disaster
-In addition, panic during the disaster, horror, separation from family, and
relocation or displacement may play a part
Public Health Activities - ANS ✓- Can take place at any level (e.g. individual,
organization, community)
Responses to Disasters - ANS ✓- Community: heroic phase, honeymoon phase
gratitude reliving the experience, disillusioned phase responders feel depression
and exhaustion, and reconstruction when counseling may be needed
- Individual: cognitive, emotional, physical, behavioral, and PTSD
Recovery Stage: - ANS ✓- Begins when the danger from the disaster
NR 442
NR
NR 442 COMMUNITY HEALTH NURSING EXAM
2 QUESTIONS AND ANSWERS UPDATED
(2024/2025) (VERIFIED ANSWERS)
FEMA - Federal Emergency Management Agency - ANS ✓- Agency charged
with providing assistance to communities hit by natural disasters; Mission is to
support citizens and first responders to ensure that, as a nation, everyone works
together to build, sustain, and improve the capacity to prepare for, protect
against, respond to, recover from, and mitigate all hazards
Disaster Management Stages - ANS ✓1. prevention
2. preparedness
3. response
4. recovery
Prevention Stage - ANS ✓- Identify potential disaster risks.
- Create risk maps
- Educate citizens regarding what actions to take to prepare for disasters.
- Individual, family, and community level
- Develop a plan for meeting the potential disasters identified.
Preparedness Stage - ANS ✓- Training in first aid
- Assembling a disaster emergency kit
- Establishing a predetermined meeting place
away from home
- Making a family communication plan
NR 442
, 2
NR
Response Stage - ANS ✓- Response stage begins
immediately after the disaster incident occurs
• May include:
• Shelter in place
• Evacuation
• Search and rescue
• Staging area
• Disaster triage
Disaster Triage - ANS ✓- START triage system- Nurses and other
emergency personnel such as physicians,
EMTs, and paramedics are responsible for
performing triage duties
• "Simple Triage And Rapid Treatment"-
Goal:
- Used in multicasualty or mass casualty
incident
- Triage of injured person should occur in
less than 1 minute based on:
• Respirations
• Perfusion
• Mental status
NR 442
, 3
NR
• Uses people with minor injuries to assist
• Person is tagged with a colored triage tag
• Victims moved to the treatment area
START Color-Coded Triage Tag - ANS ✓- Green = walking wounded
- Yellow = systemic but not yet life-threatening complications
- Red = life-threatening conditions that can be stabilized and have a high
probability of survival
- Black = deceased or injuries so extensive that nothing can be done to save them
- Hazmat tag = contaminated
Psychological Triage - ANS ✓- Four keys to gauging mental health impact:
- Extreme and widespread property damage
- Serious and ongoing financial problems
- High prevalence of trauma in the form of injuries, threat to life, and loss of life
- When human intent caused the disaster
-In addition, panic during the disaster, horror, separation from family, and
relocation or displacement may play a part
Public Health Activities - ANS ✓- Can take place at any level (e.g. individual,
organization, community)
Responses to Disasters - ANS ✓- Community: heroic phase, honeymoon phase
gratitude reliving the experience, disillusioned phase responders feel depression
and exhaustion, and reconstruction when counseling may be needed
- Individual: cognitive, emotional, physical, behavioral, and PTSD
Recovery Stage: - ANS ✓- Begins when the danger from the disaster
NR 442
