Deck 20: Community Preparedness: Disaster and Terrorismpart Five: Specialty Practice

Question 1

The public health nurse works in New England during the winter months. An ice storm cripples the city, and electrical outages affect the power grid. Trees and frozen power lines are down throughout the city, and the timeline for restoration of power is 7 to 10 days. Which classification should the team prioritize for this occurrence?

A) An emergency
B) A natural disaster
C) Terrorism
D) An accidental disaster

Answer 1

A natural disaster

Question 2

The national weather service warns of an impending ice storm that may have crippling effects on the community. Widespread electrical outages are predicted as well as freezing temperatures. The community health nurses are mobilized to establish emergency living quarters and clinics for those without heat. In which phase of this disaster are the nurses' actions occurring?

A) Impact
B) Postimpact
C) Preimpact
D) Preparedness

Answer 2

Preimpact

Question 3

The management team is in the process of identification of hazards associated with the ice storm that is expected to disable electrical service to the city. To predict the areas most vulnerable to damage and plan for an effective response, which data or methods of data collection should the team utilize? (Select all that apply.)

A) Geographic information
B) Satellite imagery
C) Census data
D) Historical data on previous events
E) Planning board declarations

Answer 3

Geographic information
Satellite imagery
Historical data on previous events

Question 4

Five weeks after a category 4 hurricane, a town in southern Louisiana continues to battle for survival. The flood waters have now receded. The nurse is part of the disaster recovery team. Epidemiologic analysis of this town includes factors that influence the health status of this community. Which data may be included in the epidemiologic analysis report? (Select all that apply.)

A) Continuing death
B) Population shift
C) Contamination of water supplies
D) Limited access to places of worship
E) Collapse of access to healthcare

Question 5

Response to a disaster is in its final phase. Although still in the recovery phase of the response, an evaluation meeting is arranged. Which purpose is the team attempting to fulfill by planning this evaluation meeting?

A) Analyze the strengths and weaknesses of the response and submit a plan to improve response in the future
B) Create a report that emphasizes the cohesiveness of the departmental response to the disaster
C) Analyze the effectiveness of the disaster relief teams from respondent states
D) Create a postdisaster report for FEMA

Question 6

A tornado touched down in the city. The public health nurse is a member of the disaster management team. Which actions should the nurse prioritize on this team? (Select all that apply.)

A) Search and rescue
B) Clinical assessment and triage
C) Provision of health education
D) Hazardous materials management
E) Protection of property

Question 7

The nurse as a member of the emergency and disaster preparedness committee for an organization has the key responsibility to head the data collection subcommittee. What are the key areas that would be included in the plan?

A) Morbidity, mortality, mental health, and infectious disease
B) Morbidity, mortality, displacement, and community infrastructure
C) Morbidity, mortality, mental health, and chronic illness
D) Morbidity, mortality, displacement, and healthcare workers

Question 8

The public health nurse is a first responder in a community disaster, secondary to a flood. One section of the town has experienced a loss of water and electricity for 4 days. Which action should the nurse prioritize at this time to best assist the community?

A) Refer the members of the community to a spiritual outreach program
B) Provide access to safe food and water
C) Inform the fire department of potential risks within the community setting
D) Provide an immunization program

Question 9

A client who presented with symptoms of high fever and unexplained bleeding is diagnosed with Ebola hemorrhagic fever. What interventions should the nurse anticipate implementing for this client? (Select all that apply.)

A) Administration of an antiviral
B) Strict infection control
C) Isolation of the client
D) Rinsing of the client's eyes
E) Administration of an antitoxin

Question 10

The public health nurse is aware the weather predictions are including a massive rain storm related to a recent hurricane along the Mexican coast. The nurse is concerned that many of the inhabitants of the community, especially the newer ones, are ill-prepared for the possible damage which can occur. Which factor should the nurse expect to most hinder the efforts to help the community to prepare and provide assistance as needed after the storm?

A) Community does not like the designated shelters
B) Lack of family support system to assist with evacuation
C) Nonbelief in the seriousness of the weather prediction
D) Fear of deportation by recent immigrants

Question 11

The nurse has reported to the triage center where a natural disaster has occurred. After triaging each victim into a category based on his or her wounds, which individuals should the nurse ensure are evacuated as soon as possible?

A) 0
B) 1
C) 2
D) 3

Question 12

After a hurricane, the nurse is placed on a planning committee to meet the direct needs of the community. Most of the clean-up and rescue work has been completed, and several members of the community are living in shelters and are homeless. Which resource should the committee prioritize establishing for this community?

A) Ecumenical centers for long-term worship
B) Home repair resources
C) POD emergency supply centers
D) Financial aid centers

Question 13

The nurse is in charge of implementing a personal protective equipment (PPE) program at the hospital, in response to a chemical terrorist attack. Which components should the nurse ensure are included in this program? (Select all that apply.)

A) Selection, maintenance, and use of PPE
B) Training of employees in PPE use
C) Identification of hazards present
D) Identification of commodities to be distributed via POD emergency supply centers
E) Clinical assessment and triage drills

Question 14

The nursing team cares for victims of a possible anthrax white powder investigation. Which information must be documented by the nurse scribe? (Select all that apply.)

A) Victims' names
B) Time and place
C) Name of the Incident Commander
D) General assessment of the field
E) Victims' health histories

Question 15

The nurse is notified that a possible anthrax exposure occurred at the local military base. Civilian workers are routed to the local hospital's emergency department. The nurse's responsibility is to set up points of distribution (PODs) in the community. Which function should the POD prioritize in response to the anthrax exposure?

A) Distribute decontaminated food
B) Administer prophylactic medications
C) Distribute decontaminated water
D) Provide triage

Question 16

As a member of a disaster team, the nurse responds to a confirmed outbreak of the plague. The nurse understands that the pneumonic plague has a high mortality rate. Which action will best meet the needs of the public on a wide scale basis?

A) Administration of antibiotics via PODs
B) Administration of antivirals via PODs
C) Door-to-door visits to administer preventative medication
D) Isolating designated hospitals to prevent spread of the plague

Question 17

The nurse is a member of a disaster team responding to a chemical disaster. The nurse assesses clients in a systematic fashion, concentrating on their ability to breathe. Which action should the nurse prioritize before conducting the physical assessments?

A) Don PPE
B) Interview the client
C) Report to the hot zone
D) Request a HAZMAT expert to witness the client assessment

Question 18

The community health nurse works in a receiving station after a radiologic disaster. The nurse wears the requisite PPE and notes that the majority of the victims have blast injuries. A volunteer worker reports that many of the victims have dust on their clothes. Which action should the nurse perform in response?

A) Recognize that the dust is common with blast injuries
B) Consider it radioactively contaminated and notify HAZMAT
C) Consider the dust a biologic agent and therefore a contaminant
D) Flush all wounds to prevent chemical contamination

Question 19

The nurse is appointed to be a member of the risk communication team during a disaster response situation. During an evacuation, the nurse is informed that an increasing number of individuals are reluctant to leave their homes. On which action should the nurse focus to improve the situation?

A) Involve the armed forces
B) Declare martial law
C) Create an environment of trust and credibility
D) Disseminate information regarding the necessity of the evacuation

Question 20

The disaster is over and the team prepares to return to normal operations. Before disbandment of the team, it is essential to create a safe environment for the staff. Which step will be the best step for the team to focus on next?

A) Critical incident stress debriefing
B) Support group to foster recovery
C) Information debriefing for prevention purposes
D) Interrogation process to identify unsafe behaviors

Question 21

An outbreak of foodborne botulism has occurred in the community, and the nurse is on the disaster management team to address it. Which intervention should the nurse predict to be implemented in this situation?

A) Administration of antivirals
B) Administration of antibiotics
C) Distribution of personal protective equipment (PPE)
D) Administration of antitoxins