DISASTER MANAGEMENT - EXAM 1

What kind of disaster involves results in mass casualties due to war or political conflict? A. Health disaster B. Natural disaster C. Human-generated disaster D. All of the above - answerC When should leadership roles be established to manage a disaster? A. Before a disaster B. During a disaster C. After a disaster D. Whenever it is convenient - answerA After a bombing, a group of individuals take credit for the political unrest and fear that ensues. This type of event is considered what? A. Terrorism B. Bombing C. Political distress D. Disaster - answerA After a disaster and a response, evaluation of the response helps to do what? Select all that apply: A. Identify what procedures worked B. Identify what procedures didn't work C. Nutritional needs of population D. Challenges identified - answerA, B, D NIMS encourages the development of mutual aid and assistance agreements that allow organizations and governments to respond quickly by deploying help. Which one of these are a part of the interrelated components? Select all that apply. A. Preparedness B. Readiness C. Resource management D. Command and control - answerA, C, D What does ESF stand for? A. Emergency System Functions B. Emergency Support Functions C. Early Seasonal Feasts D. Early Support Functions - answerB An F5 tornado just hit the DFW area, and you, the mighty RN, were called in during the middle of your slumber to help triage patients at the hospital you work at. You know ____ has your back, because it happens to be the primary agency for _______ , which provides coordinated federal assistance to your community following major disasters. A. Health and Human Services; ESF18 B. Hope and Happy Services; ESF4 C. Department of Transportation: ESF1 D. Health and Human Services; ESF8 - answerD The National Response Framework (NRF) presents the guiding principles that: A. Provide the structure and mechanisms to ensure effective Federal support of State, tribal, and local related activities. B. Is the framework for organizing, integrating, and coordinating the delivery of public information. C. Are a set of preparedness concepts & principles for all hazards D. None of the above - answerA ESF8- Public Health and Medical Services provide resources in response to: A. Public health and medical care needs B. Potential or actual incidents of national significance C. Veterinary and/or animal health issues in coordination with the U.S. Dep't of Agriculture (USDA) D.A developing potential health and medical situation E. All of the above - answerE Which of the following descriptions MOST accurately portrays emergency medical services (EMS)? A. A vast network of advanced life support (ALS) providers who provide definitive emergency care in the prehospital setting. B. A team of health care professionals who are responsible for providing emergency care and transportation to the sick and injured. C. A system composed exclusively of emergency medical responders (EMRs) and emergency medical technicians (EMTs) who are responsible for providing care to sick and injured patients. D. A team of paramedics and emergency physicians who are responsible for providing emergency care to critically injured patients. - answerB The American Red Cross was founded by ____________, as an outgrowth of service during the ___________ war. A. Dorothea Dix, First World B. Clara Barton, Civil C. Lillian Wald, Second World D. Florence Nightingale, Crimean - answerB The American Red Cross does which of the following: (select all that apply) A. Prevents and alleviates human suffering. B. Respond only to natural disasters. C. Mobilizes the power of volunteers and generosity of donors. D. Provides the highest quality of care to the clients - answerA, B, C Which of the following types of disasters does the American Red Cross respond to: (select all that apply) A. Hurricanes B. Acts of Terrorism C. Earthquake D. Tornadoes - answerA, B, C, D What are some of the challenges nurses encounter during disasters: (select all that apply) A. Not enough supplies to treat patients B. Long hours, extended periods of time C. Adequate help D. Disaster response work is stressful E. Plenty of sleep - answerA, B, D Which ethical principle involves the right of the client to make his or her own decisions? A. Beneficence B. Autonomy C. Non-Maleficence D. Justice - answerB Ethical principles for professional nursing practice in a clinical setting are guided by the principles of conduct that are written as the A. American Nurses Association Code of Ethics B. Good Samaritan Laws of Civil Guidelines C. Nurse Practice Act written by State Legislation D. Standards of Care from Experts of the practice Field - answerA A health care issue often become an ethical dilemma because A. A clients legal right co-exists with the health professionals obligation B. Decisions must be made quickly often under stressful situations C. Decisions must be made based on value systems D. Choices involved do not appear to be clearly right or wrong. - answerD Which of the following is not legally required to be reported to the authorities: A. A 78 year-old women who presents with multiple bruises and different stages of healing. B. A 6 year-old girl that who acts inappropriately to grown males C. A woman who is admitted to the hospital for HTN. During the assessment the nurse comes across many bruises on her back and arms. The patients husband is always in her room and speaks for the patient. D. A 38 year-old female with multiple cuts on her wrists from an apparent suicide attempt. - answerC The National Preparedness goal has now focused efforts in preparing for, responding to, and recovering from: A. Bioterrorism events B. Chemical terrorism events C. Natural disaster events D. All-Hazard events - answerD A positive central role of mass-media during a disaster is to: (select all that apply) A. Supply information and directions to the affected population B. Disseminates information on preparedness measures for future disasters C. Stimulates volunteerism and donations, including blood donations. D. Cause anxiety and fear. - answerA, B, C A client comes into the emergency room complaining of a headache, nausea, vomiting, dizziness, fatigue, and it tachycardia. Upon further assessment the patient tells you he was working outside all day. Which would you suspect the patient is suffering from? A. Drug and Alcohol abuse B. Heat Exhaustion C. Heat Stroke D. Dehydration - answerB Medical/Nursing aid station should (select all that apply) A. Easily accessible within reasonable time B. Marked by signs C. Sufficient room for equipment D. Sufficient room for rest areas - answerA, B, C As the primary nurse in response to a local disaster in your community, what is the first thing you would do as a first responder? A. Detect any changes in the environment B. Re-establish the sanitary barriers that protect communities from environmental hazards C. Assess the affected community for the presence or absence of the fundamentals for health such as clean water, safe food, sanitation, and shelter D. Plan for continuous maintenance and monitoring the facilities for adequate needs. - answerC Which of the following essential public health functions is responsible for vital statistics, identification, and diagnosis of the community's health status? A. Diagnose and investigate health problems and health hazards in the community. B. Inform, educate and empower people about health issues C. Develop policies and plans that support individual and community health efforts D. Monitor health status to identify and solve community health problems. - answerD You are the charge nurse working in the emergency department and have received patients from a burn MCI. You have reached full capacity and need to prepare to transfer patients out to other burn centers. How do you determine which patients need to be transferred? A. Patient Age B. Patient Burn Size C. Degree of Pain D. Both A & B - answerD The American Burn Center Association has developed criteria for referring a patient to a burn center. What are the factors included in that criteria? Select all that apply A. Third degree burns B. Any patient with burns C. Chemical burns D. Partial thickness burns greater than 10% of TBSA (total body surface area) E. Burns that involve the face only - answerA, C, D Explosives can be categorized into what two categories? A. Low order, low class B. High order, low order C. Low class, high class D. Low weight, high weight - answerB Primary blast injury is the direct result of A. Wind blast B. Pressure of force C. Proximity of epicenter D. Atmospheric pressure and blast wind - answerD The PHN is speaking in a community healthcare setting where nurses provide health services to children. When asked which of the following is the best place to go the nurses best response will be (Select all that apply) A. Childcare Centers B. Local Schools C. Camps D. Home visiting - answerA, B, C In an emergency response, the PHN are prepared to do which of the following? (Select all that apply) A. Operate points of distribution (POD) mass countermeasures centers as needed B. Assume responsibility for operating shelters until the Red Cross volunteers arrive C. Stay out of the way until authorities delegate where to go D. Assess the needs of the community as the event unfolds based on the information available - answerA, B, D The heat index indicates.