Deck 25: Emergency Management and Preparedness

Question 1

Which combination of leadership is recommended for chairing an emergency management committee?

A) Chief executive officer and internal medicine physician
B) Chief financial officer and emergency care nurse liaison
C) Representative chief nurse officer and emergency care physician
D) Representative chief information technology officer and critical care physician

Answer 1

Representative chief nurse officer and emergency care physician

Question 2

The nursing leadership role once the all-hazards preparedness plan is completed is to:

A) confirm that resources are allocated appropriately.
B) ensure that every facility department understands their role is a disaster situation.
C) establish goals for all-hazards preparedness.
D) provide rewards for the committee's accomplishments.

Answer 2

ensure that every facility department understands their role is a disaster situation.

Question 3

A health care system's ability to rapidly expand beyond normal capacity to meet an increased demand for qualified personnel, beds, and medical care services in the event of a large-scale emergency or disaster is known as:

A) acuity.
B) surge capacity.
C) mass casualty.
D) natural disaster.

Answer 3

surge capacity.

Question 4

All-hazards disaster is best defined as:

A) all types of natural and human terrorist events.
B) an event involving floods, tornadoes, hurricanes, and earthquakes.
C) an unforeseen and often unplanned event causing great damage.
D) any type of biological, chemical, radiological, or nuclear event.

Question 5

When working with the community, recognizable nomenclature is important for:

A) response.
B) education.
C) reporting.
D) communication.

Question 6

What are the major roles of nursing leadership in disaster planning? (Select all that apply.)

A) Providing clearly defined roles for staff nurses in a disaster situation
B) Ensuring the synchronization of department plans
C) Encouraging staff to stay at home in the event of a disaster to decrease confusion
D) Ensuring that the community is synchronizing internal department plans in the event of a disaster
E) Developing or refining the hospital's emergency operations plan.

Question 7

The system-wide emergency management plan should conduct a gap analysis. What should be evaluated?

A) Differences between standards and policies and procedures
B) Differences between pieces of the program that are and are not in place
C) Similarities between standards and policies and procedures
D) Similarities between pieces of the program that are and are not in place

Question 8

An example of a cyber disaster is a catastrophic event caused by:

A) the use of military weapons.
B) an exposure to toxic materials.
C) an outbreak of a pathogen.
D) an attack initiated from one computer against another.

Question 9

A disaster is a sudden event that can cause great destruction and human suffering and often requires external assistance. Which of the following statements are accurate depictions of various types of disasters or disaster-related definitions? (Select all that apply.)

A) A cyber disaster is a catastrophic event that results from the use of information technology systems.
B) A catastrophic event caused by the use of weapons is a radiological disaster.
C) A biological disaster occurs when there is a deliberate or unintentional release of biological materials that may affect the health of those exposed.
D) A chemical disaster occurs when there is deliberate or unintentional release of biological materials that may adversely affect the health of those exposed.
E) A hazard vulnerability analysis is an exercise that identifies an organization's potential emergencies.

Question 10

What is the role of the project facilitator in the emergency management committee?

A) Creating key components of disaster protocols
B) Keeping the plan current and in the forefront of strategic planning
C) Establishing guidelines for policy and procedures
D) Improving care by developing patient care plans.

Question 11

In a hospital's emergency operations plan, what would be the expected roles of the security department? (Select all that apply.)

A) Overseeing facility security
B) Lockdown of the facility as necessary
C) Managing people entering and leaving the hospital
D) Developing or refining the hospital's emergency operations plan
E) Being the primary source of communication to nursing staff

Question 12

An all-hazards command center usually:

A) facilitates planning meetings.
B) provides a place for the commander to sleep.
C) is operated by an emergency department triage nurse.
D) is located near the security department.

Question 13

In a disaster, it is most important that the:

A) clients are sent home quickly.
B) medications and supplies are secure.
C) nurses and their families feel safe.
D) security department increases its workforce.

Question 14

What are the two agencies that require all health care facilities to have detailed all-hazard preparedness plans? (Select two that are correct)

A) Patient Protection and Affordable Care Act
B) Health Insurance Portability and Accountability Act
C) The Joint Commission
D) National Response Plan

Question 15

A 50-car pileup occurs on a major freeway in California's Central Valley as a result of heavy fog. There are major injuries, and victims are expected to be transported to local emergency departments. Which type of disaster is this classified as?

A) Mass casualty event
B) Conventional disaster
C) Biological disaster
D) Radiological disaster

Question 16

All-hazard preparedness plan drills should occur at least:

A) annually.
B) biannually.
C) monthly.
D) quarterly.

Question 17

In an AHPTF, which of the following entities could be utilized as external ad hoc members? (Select all that apply.)

A) Facility engineering
B) Public health department representatives
C) Community physicians
D) Vendor representatives
E) Chaplain services

Question 18

The Joint Commission's (TJC's) emergency management accreditation standards call for hospitals to sustain disaster operations for at least ______ hours.

A) 24
B) 48
C) 72
D) 96

Question 19

Which of the following warnings is used to alert the American people about credible terrorist threats?

A) Imminent threat
B) Elevated threat
C) Unlikely threat
D) Likely threat

Question 20

In an AHPTF, who would have primary responsibility for serving as spokesperson for emergency physician needs with regard to disaster preparedness?

A) Chief nursing officer
B) Marketing director
C) Department medical director
D) Chief information technology officer

Question 21

Which of the following questions should be considered in the hospital gap analysis survey of safety and security readiness in the event of a disaster? (Select all that apply.)

A) Does the facility have a lockdown plan in case of emergency?
B) Does the facility have procedures in place for use of PPE?
C) Does the facility have a mechanism of tracking costs associated with the event?
D) Do you have a plan for allowing staff entry into the facility during an emergency?
E) Does the facility have emergency-powered phones in case of a disaster?

Question 22

The hospital plays an important role in the community in the case of a disaster. What are some of the expected roles of the hospital? (Select all that apply.)

A) Stockpiling emergency equipment
B) Purchasing personal protective equipment (PPE)
C) Providing additional security for the community
D) Educating staff on all-hazards preparedness
E) Providing emergency shelter to community members

Question 23

Hospital leadership should consider which of the following ethical dilemmas prior to experiencing an actual disaster? (Select all that apply.)

A) Which clinical leader will make the decision about distribution of scarce resources
B) Criteria to determine which patients receive aggressive treatment and which will receive palliative care
C) Which nursing staff will be the first to report to the hospital in the event of a disaster
D) How prophylactic pharmaceuticals will be distributed to protect staff and their families
E) Who will be primarily responsible for external communication

Question 24

Which of the following questions should be considered in the hospital gap analysis survey of clinical operations readiness in the event of a disaster? (Select all that apply.)

A) Does the facility have procedures in place to maximize staff safety in a disaster?
B) Does the facility have procedures in place for use of PPE?
C) Can the facility track patients until discharge or death while maintaining confidentiality?
D) Does the facility have a lockdown plan in case of emergency?
E) Does the facility have a mechanism of tracking costs associated with the event?

Question 25

Testing the all-hazards preparedness plan requires drilling to identify and work through problems. Which of the following are examples of internal drills that can be used to test specific departments and/or hospital responses? (Select all that apply.)

A) Surge capacity drills
B) Lockdown of hospital entrances
C) Prioritization of police response to biological events
D) Simulating decontamination processes
E) Setting up the command center

Question 26

Nursing leadership competencies in disaster planning and crisis management encompass which of the following domains? (Select all that apply.)

A) Assessment of the disaster scene
B) Technical skills
C) Budget and resource allocation
D) Risk communication
E) Critical thinking