CH14 DISASTER MANAGMENT

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Which of the following best defines a disaster?

a. Any event that results in multiple deaths

b. Devastation that cannot be relieved without assistance B
c. Devastation that covers a broad geographical area
d. When the event results in multiple injuries and deaths as well
as property damage
Which of the following best describes countries that bear the
greatest burden of disasters?

a. Arid regions that are prone to drought B

b. Developing countries with limited resources
c. Industrialized countries with much to lose
d. Water-boundary regions that are prone to floods and hurricanes
What is the purpose of the National Response Framework?

a. Create a new branch of government that deals with bioterrorism

b. Establish a way for the Red Cross to carry out its mission
C
c. Develop a nationwide all-hazards approach to domestic incident
management
d. Extend presidential power to act quickly upon weapons of mass
destruction
When does disaster management begin?

a. Before the disaster occurs

A
b. During the disaster
c. Immediately following the disaster
d. During the recovery period
A nurse is focused on mitigation of disasters at the international
level. Which of the following activities would the nurse most likely
complete?

a. Provide community educational programs and training on how

to prepare for disasters. A
b. Request donations be sent to the affected area.
c. Develop a notification procedure to be used by the international
disaster relief office.
d. Recruit volunteers to be a part of the disaster team that will
travel to the afflicted area.
A nurse is employed by the American Red Cross and is frequently
assigned to fly to a disaster zone. Which of the following should
the nurse's family members have readily available?
D
a. Gloves, mask, and other personal protective equipment
b. A copy of the nurse's professional license
c. A 5-day supply of water
d. A disaster/emergency plan
A nurse is working with a community during the preparedness
stage of disaster management. Which of the following events
would the nurse anticipate occurring?
A
a. Heightened inspection and increased security in the community
b. Incorporation of provision of pets into local disaster plans
c. Purchase of personal protective equipment for all citizens
d. Assembly of disaster kits for the home, workplace, and car
A community health nurse has invited several agencies in the
community to a meeting to discuss the disaster plan for the com-
munity. Which of the following best describes the purpose of this C
meeting?

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 CH14 DISASTER MANAGMENT
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a. To increase stability in the community
b. To improve overall community functioning
c. To manage response to disasters in the community
d. To enhance communication among agencies in the community
The local hospital, health department, and university together
planned and implemented a mock casualty drill, with the universi-
ty's theater and nursing students playing the injured victims. After
the drill, which of the following would the nursing students most
likely complete?
B
a. Volunteer as leaders in the next casualty drill
b. Evaluate the drill and offer recommendations for more effective-
ness in the future
c. Recognize how to respond to a real disaster in the future
d. Write a report on their actions and how they felt during the drill
Which of the following organizations would direct nurses' re-
sponse to a county-wide disaster?

a. American Red Cross C

b. Centers for Disease Control and Prevention
c. Emergency Management Agency
d. The local public health department
A nurse is attempting to minimize damage following a bioterrorism
attack in the community. Which of the following would be the most
crucial aspect for the nurse to consider?

a.Detecting an increase in people with similar signs and symp- A

toms
b. Identifying typical chemical or biological agents
c. Identifying factors that put people at risk
d. Recognizing areas of vulnerability within an area
Which of the following older adults is most in need of psychological
support?

a. The older adult who keeps asking if loans will be available for
him to rebuild
b. The older adult who keeps asking if he can go back home yet C
c. The older adult who keeps lamenting the loss of his family
photos
d. The older adult who keeps talking about how expensive his
home theater was and how he will never be able to afford to
replace it
A community is experiencing the Honeymoon phase following
a disaster. Which of the following is most likely to occur in the
community?
B
a. First responders work tirelessly to save others
b. Survivors share their stories
c. Medical personnel experience exhaustion
d. Community organizations rebuild the community
A nurse was the first on the scene of a disaster and saw people
with injuries ranging from minor to serious. Some of those with
minor injuries were helping others. Which of the following injured
persons would the nurse assist first?
B
a. Those with life-threatening head and chest injuries
b. Those who have life-threatening abdominal injuries
c. Those who have serious injuries of limbs
d. Those who are hurt but still mobile and functioning

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A nurse is assessing persons arriving at a shelter following a
disaster. Which of the following would be the first action the nurse
should take?

a. Limit the amount of equipment and medications brought into the

C
shelter.
b. Determine if the person has a psychological condition requiring
special attention.
c. Assess if this type of facility is appropriate for the person.
d. Provide medical care for persons as if they were in a hospital.
A nurse learns about a huge disaster a few states away. Which of
the following actions by the nurse would be most helpful in this
situation?
D
a. Contributing funds to any charity that is assisting the victims
b. Driving over to the area and volunteering to assist
c. Sending clothes and food to the area for distribution
d. Training to become a Red Cross disaster volunteer
On the second day after a disaster, a male colleague tells the
nurse he has a splitting headache. The nurse notes the colleague
is feeling irritable and having difficulty focusing. Which of the fol-
lowing actions should the nurse take in response to the complaint
of headache?

a. Explain that the headache and problems focusing are probably

the result of worry, so he should concentrate on the work at hand
and deal with emotions later. B
b. Explain that he is experiencing signs and symptoms of psycho-
logical stress and recommend that he take some time off for a
break.
c. Explain to the worker that this is a common problem when
multitasking under pressure and suggest that he focus on one task
at a time.
d. Suspect dehydration and encourage the worker to drink more
fluids.
A nurse, after working two weeks at the site of the largest natural
disaster to hit the United States, returns home. Which of the
following behaviors would suggest the nurse needs professional
assistance?

a. The nurse becomes angry when family members quit listening

to her ongoing stories about the disaster and the problems there.
A
b. The nurse gives a presentation at the local college about the
disaster and describes how health professionals were able to
assist the victims who were injured.
c. The nurse is moody and feels family demands are not really as
important as the other members of her family think they are.
d. The nurse is very exhausted and asks to have 3 personal days
off from employment responsibilities.
After a house fire, a 4-year-old child begins sucking his thumb
and wetting his bed. Which of the following would be the most
appropriate action for the nurse to take?

a.Explain to the child that it is important to be strong and not act

like a baby. B
b. Explain to the family that this behavior is a normal reaction to
disaster.
c. Recommend admission for inpatient psychological counseling.
d. Recommend behavior therapy as a means to overcome regres-
sion.

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Which of the following levels of prevention is being used by a nurse
who is helping to develop a community-wide disaster manage-
ment plan?
A
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. All prevention levels
Which of the following disasters would implementation of disaster
medical assistance teams (DMATs)? (Select all that apply.)

a. Disaster that covers a broad geographical area

b. Disaster that is beyond the coping capabilities of the affected
B, C, D
state
c. Disaster that may result in substantial health and medical prob-
lems
d. Disaster that may cause a large number of deaths and/or
injuries

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