Community Chapter 20

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

B)A natural disaster

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

C)Preimpact

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 identify areas most vulnerable to damage and plan for an effective response, which data or me

A)Geographic information
B)Satellite imagery
D)Historical data on previous events

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 influe

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

5. Response to a disaster is in its final phase. Although still in the recovery phase of the response, an evaluation meeting is arranged. The purpose of the evaluation meeting is to:
A)Analyze the strengths and weaknesses of the response and submit a plan

A)Analyze the strengths and weaknesses of the response and submit a plan to improve response in the future

6.A tornado touched down in the city. The public health nurse is a member of the disaster management team. The nurse's role includes: (Select all that apply.)
A)Search and rescue
B)Clinical assessment and triage
C)Provision of health education
D)Hazardous

B)Clinical assessment and triage
C)Provision of health education

7.The nurse is a member of the emergency and disaster preparedness committee for an organization. The nurse's role is to head the data collection subcommittee. What are the key areas that would be included in your plan?
A)Morbidity, mortality, mental heal

A)Morbidity, mortality, mental health, and infectious disease

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. The nurse's first action to meet the needs of the community at this time shou

B)Provide access to safe food and water

9.The nurse cares for a client who has symptoms of high fever and unexplained bleeding. After receiving blood test results, the client's primary care provider diagnoses the client with Ebola hemorrhagic fever. What interventions should the nurse anticipat

B)Strict infection control
C)Isolation of the client

10.Which are advantages of disaster management JITT for nurses? (Select all that apply.)
A)Is cost-effective because it requires the least amount of resources to produce the final result
B)Provides the nurse with comprehensive knowledge of how to respond

A)Is cost-effective because it requires the least amount of resources to produce the final result
C)Shortens the period of time between learning and application
D)Includes classroom sessions and on-site presentations
E)Is offered online for easy access

11.The nurse is responsible for triage in a setting where a natural disaster has occurred. The triage is expected to last for an extended period of time. Which triage model would be most effective in this scenario?
A)Simple triage and rapid treatment (STA

D)Start/Save triage

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. One of the

C)POD emergency supply centers

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 be included in this program? (Select all that apply.)
A)Selection, maintenance, an

A)Selection, maintenance, and use of PPE
B)Training of employees in PPE use
C)Identification of hazards present

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 assessm

B)Time and place
C)Name of the Incident Commander
D)General assessment of the field

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 PODs in the community. The function of the POD

B)Administer prophylactic medications

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. The decision to meet the needs of the public on a wide scale includes:
A)Administration

A)Administration of antibiotics via PODs

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. When entering the evacuation site, before the physical assessments, the nurse sho

A)Don PPE

18.The community health nurse works in a receiving station after a radiological 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 th

B)Consider it radioactively contaminated and notify HAZMAT

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. To complete an orderly e

C)Create an environment of trust and credibility

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. The staff will participate in:
A)Critical incident stress debriefing
B)Support group

A)Critical incident stress debriefing

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 expect to implement in this situation?
A)Administration of antivirals
B)Administration

D)Administration of antitoxins