Question 1

Which fact would suggest to a family that they may want to check building codes and availability of insurance and reconsider the location of their next home?

Accepted Answer

A)  The area where they are looking had a huge neighborhood fire after a lightning strike last year,and people are just starting to rebuild.
B)  The building lot is beautiful but in an area that has had forest fires and all the houses have burned three times in the past 20 years.
C)  The empty building lot was in a neighborhood of very nice homes,but the home that used to be there was burned when the smoker fell asleep in his bed.
D)  The home is very historic with features that cannot be replicated at any price today,but the damage from the fireplace fire is still very visible in the main living area. B

Question 2

A registered nurse flown in to help with a disaster was feeling very tired,irritable,and anxious.In addition,the nurse seemed to be having difficulty concentrating and making decisions.Which of the following is the most likely cause of such feelings?

Accepted Answer

A)  The close involvement in the disaster,which has traumatized the nurse as well
B)  The knowledge that the nurse cannot meet all of the needs of the flood victims
C)  The realization that the nurse cannot undo the damage of the flood
D)  The recognition that the nurse is not adequately compensated for working this hard A

Question 3

In a state where a disaster occurred,which of the following actions should the governor take first?

Accepted Answer

A)  Touring the disaster area with the media
B)  Encouraging community members to volunteer
C)  Publicizing the disaster and asking the national government for funding
D)  Opening the state's Emergency Operations Center D

Question 4

Everyone in the emergency shelter told their neighbors what they were doing and how they got away.Which of the following is the most likely reason why these people are sharing their escape stories?

Accepted Answer

A)  They are euphoric because they are safe in the shelter.
B)  They are in the "honeymoon phase," when everyone draws together.
C)  They are in the reconstruction phase,reviewing just how everything happened.
D)  They are totally unrealistic,as they clearly had no idea of the extent of the disaster.

Question 5

During the aftermath of a disaster,the nurse is assigned to triage incoming injured people.A man shows all the symptoms of a myocardial infarction.What should the nurse do first?

Accepted Answer

A)  Give him a red tag so that he is the next person for the physician to treat.
B)  Give him a green tag because without a cardiac care unit,the man will not survive.
C)  Allow him to die with dignity by giving him a black tag.
D)  Provide care for the man until a physician becomes available.

Question 6

A man continued to state that the flood was not that bad,the town can rebuild,and no real damage was done.From his statements,what can be concluded?

Accepted Answer

A)  He has totally recovered and thinks everyone else has as well.
B)  He is having a strong emotional response but is overcompensating.
C)  He is psychotic and needs medication.
D)  He is still in denial,and the disaster has not really registered yet.

Question 7

A nurse is assisting at a disaster shelter.Which of the following interventions would be most appropriate for the nurse to implement?

Accepted Answer

A)  Encouraging everyone in the shelter to guard their own things from possible theft
B)  Keeping healthy victims busy by assigning them specific duties to perform
C)  Putting hysterical or panic-stricken victims with adults who can listen to them
D)  Separating the children from the adults so that the adults can rest while the children play

Question 8

What should all nurses know about their community?

Accepted Answer

A)  All the medical and social agency resources that may be available
B)  All of the nursing roles that may need to be fulfilled in a disaster
C)  The emergency personnel departments in the local area that may need to be recruited
D)  The nursing actions that may be performed during a disaster as defined by the state's nurse practice act

Question 9

A woman was told that everyone would be getting low-interest loans to rebuild their houses and businesses,and several of her neighbors were starting to rebuild.No one from the government had even come to look at damage to her house yet,which caused her to feel angry and resentful.What is the most likely reason for these feelings?

Accepted Answer

A)  She is focusing on her own problems.
B)  She is grieving over loss of her own property.
C)  She is suffering from acute posttraumatic stress disorder.
D)  She does not care about anyone else's damage.

Question 10

After a disaster,one citizen was most impressed with how much his neighbors went out of their way to help rescue him and take him to the emergency shelter.What is the most likely reason why his neighbors helped him?

Accepted Answer

A)  They feared that he would sue them if they did not help him.
B)  They hoped that,because he was very wealthy,he might give a reward for their help.
C)  Such help is part of the pattern of behavior during the heroic phase of reaction to a disaster.
D)  Such behavior is what any American would expect of a neighbor today.

Question 11

A local community has experienced a disaster.What should the community do first?

Accepted Answer

A)  Call the federal government for immediate funding assistance.
B)  Implement its emergency operations plan.
C)  Recruit volunteers who will see what needs to be done and start doing it.
D)  Try to escape the disaster area.

Question 12

In a city where tornadoes have been known to strike,an emergency siren sounds,suggesting to its citizens that an emergency is imminent.What should a community/public health nurse do first?

Accepted Answer

A)  Call every family member and tell them to come home immediately.
B)  Call the local civil defense office for specific instructions for the nurse's agency.
C)  Follow the disaster plan of the local emergency management agency.
D)  Start driving to the hospital and prepare to care for the injured.

Question 13

Several people were involved in a local community shooting,and one victim died shortly thereafter.Which person will need the most help immediately after the shooting?

Accepted Answer

A)  The police officer who will have to notify the victim's family and follow up with the crime investigation
B)  The woman who has been living with victim and has never experienced death of a close friend or family member
C)  The woman who broke up with victim about a month ago and has not forgiven him for moving out of her apartment
D)  The victim's best friend,who is accustomed to gang shootings and random violence

Question 14

Which of the following actions is the most important to perform first in caring for victims of a mass casualty incident?

Accepted Answer

A)  Call in all part-time and on-call staff to help care for newly admitted clients.
B)  Contact surrounding communities for assistance.
C)  Call the hospital supply store and order extra dressings,intravenous fluids,and other materials.
D)  Discharge as many hospital patients as possible to make room for disaster victim admissions.

Question 15

A family is supporting each other in the emergency shelter after a flood.The nurse overhears the conversation.Which family member most needs the other family members to listen and understand?

Accepted Answer

A)  An 11-year-old girl,who lost her teddy bear collection and is crying
B)  A 45-year-old adult,who keeps telling everyone that at least he still has his job and that they can cope with this
C)  A 43-year-old woman,who keeps saying,"Without our family pictures,we've lost our history"
D)  A 16-year-old boy,who has lost his favorite hunting rifle and seems angry

Question 16

Why might citizens be concerned about disasters,especially terrorism,even before they occur?

Accepted Answer

A)  Charities will be trying to collect money for the victims by using personal stories.
B)  Financial costs of a disaster or terrorist attack increase citizens' taxes.
C)  Laws have been passed requiring preparation for disaster education for laypeople.
D)  There have been an increased number of terrorist activities throughout the world.

Question 17

Of the following disasters,which would probably cause the most suffering?

Accepted Answer

A)  A fire during finals' week in a private residential college
B)  A fire in an Alzheimer disease unit of an extended-care facility
C)  A fire in an outpatient dermatology clinic at a major urban hospital
D)  A thunderstorm that downs electrical lines to the local rural hospital

Question 18

Which of the following actions is considered most important by the Centers for Disease Control and Prevention?

Accepted Answer

A)  Assisting in recognizing and detaining known terrorists
B)  Educating health professionals to recognize and treat biochemical hazards
C)  Establishing and maintaining a database about known biochemical hazards
D)  Printing and distributing informational materials about known biohazards

Question 19

What group or organization defined the term disaster as "a threatening or occurring event," either natural or man-made,"that causes human suffering and creates human needs that victims cannot alleviate without assistance"?

Accepted Answer

A)  American Red Cross
B)  Department of Health and Human Services
C)  National Office of Disaster Control
D)  Department of Homeland Security

Question 20

Which of the following actions should every nurse take to prepare for a possible local disaster?

Accepted Answer

A)  Completing an American Red Cross training program
B)  Having a personal preparedness kit stored in the home
C)  Providing volunteer assistance during a disaster in a neighboring community
D)  Educating the community about the recovery phases after a disaster

Exam 22: Disaster Management: Caring for Communities in an Emergency