Question 1

The population health nurse is reviewing a disaster response plan. For which principles should the nurse evaluate this plan? (Select all that apply.)

Accepted Answer

2. Response plans should be based on knowledge about how people generally behave in emergency situations. They should enlist the support and coordinate the efforts of the entire community. Response plans should be flexible enough to fit the needs of a given disaster situation and they need to be easy to change. They should account for mental and physical health needs of victim and helpers. They should be well known to all involved.
3. Response plans should be based on knowledge about how people generally behave in emergency situations. They should enlist the support and coordinate the efforts of the entire community. Response plans should be flexible enough to fit the needs of a given disaster situation and they need to be easy to change. They should account for mental and physical health needs of victim and helpers. They should be well known to all involved.

Question 2

The nurse was caring for a client who had a significant cardiac history. The client died from a myocardial infarction during a hurricane. This is an example of what type of disaster death?

Accepted Answer

3. Disaster-related natural deaths are the result of existing conditions that are exacerbated by the disaster, such as this client who died from a myocardial infarction. Direct deaths are those caused by the disaster itself. Indirect deaths are due to circumstances caused by the disaster. Coincidental is not a term that is used to describe disaster deaths.

Question 3

While triaging victims of a hurricane the population health nurse identifies the two victims who need green tags. What does this color designation communicate to all involved in the rescue operation?

Accepted Answer

1. Green tags indicate victims with local injuries without immediate systemic complications who can wait several hours for treatment. Black tags are attached to victims who are already dead. Red tags are attached to victims who have life-threatening injuries but who can be stabilized and who have a high probability of survival. Yellow tags are assigned to victims who have injuries with systemic complications that are not yet life-threatening and who are able to withstand a wait of 45 to 60 minutes for medical attention.

Question 4

The population health nurse is reviewing a community's disaster plan. What should the nurse ensure is clearly identified for rescue operations?

Accepted Answer

4. The rescue operation should focus on removing victims from hazardous conditions and providing first aid as needed. Rescue personnel should refrain from providing other forms of care as much as possible. This care can be provided by others, thus freeing rescue personnel to carry out the rescue operation. Rescue personnel should not document victims' names and ages, triage victims, or identify where victims were located.

Question 5

The community has brought in an expert on disaster planning to evaluate the community's current disaster plan. For which characteristics should the expert evaluate the community's plan? (Select all that apply.)

Accepted Answer

1. A comprehensive disaster plan should address notification, warning, control, coordination, evacuation, and rescue. Cost is not a characteristic of a disaster plan.
2. A comprehensive disaster plan should address notification, warning, control, coordination, evacuation, and rescue. Cost is not a characteristic of a disaster plan.
3. A comprehensive disaster plan should address notification, warning, control, coordination, evacuation, and rescue. Cost is not a characteristic of a disaster plan.
5. A comprehensive disaster plan should address notification, warning, control, coordination, evacuation, and rescue. Cost is not a characteristic of a disaster plan.

Question 6

The population health nurse is preparing a presentation on the roles of the public health care system in preparing for a disaster. The best example of one of these roles would be to:

Accepted Answer

2. Before a disaster, members of the public health care system should be involved in identifying disaster risks. During a disaster, members should be involved in inspecting shelter sites for health risks, assisting in the prevention of injury, and coordinating the provision of emergency health care.

Question 7

The community is conducting a planning session to identify potential disaster risks and to map potential disaster locations in the community. This period of planning and preparation is best described as the:

Accepted Answer

3. In the nondisaster stage, planning and preparation occurs by identifying potential disaster risks and mapping their locations in the community. The predisaster stage occurs when a disaster event is imminent but has not yet occurred. During this stage, warning, preimpact mobilization, and evacuation could occur. In the impact stage, the disaster has occurred and the community experiences its immediate effects. During the recovery stage, the focus is on returning the community to equilibrium.

Question 8

The nurse is determining the extent of the damage caused by a huge tornado. The number of deaths and injuries caused by the tornado is included in the assessment. What type of assessment does this best describe?

Accepted Answer

2. Following the occurrence of an actual disaster event, community health nurses will be actively involved in rapid assessment of disaster effects. Rapid assessment involves determining the extent of damage caused by the disaster as well as the number of deaths and injuries. Predisaster assessment involves assessing the potential for disaster and response capabilities within a specific community. Assessment during a disaster focuses on identification of disaster effects and related health needs.

Question 9

A family learns that there is a strong potential for a severe storm but does not go to the storm cellar. In which stage of a disaster is this family functioning?

Accepted Answer

2. In the predisaster stage, a disaster event is imminent but has not yet occurred. This stage may also be referred to as the warning or threat stage. The nondisaster stage is the period of time before the threat materializes. The disaster has occurred in the impact stage. The emergency stages involves saving lives through rescue efforts for those involved in the disaster.

Question 10

The nurse is using a map to show a group of community members that several pockets of vulnerable populations are located in areas that are likely to be affected by flooding. This type of map is called a community:

Accepted Answer

4. A community risk map pinpoints locations of disaster risks within the community and indicates pockets of particularly vulnerable populations in areas that are likely to be affected by disasters. The community resource map indicates locations of resources that are likely to be needed in the event of each of the types of disasters for which the community is at risk. A community disaster map and community population map are not types of hazard maps.

Question 11

A group of community leaders is meeting to plan for the upcoming hurricane season. The leader reminds the group that the general intent of disaster preparedness is to:

Accepted Answer

1. The general intent of disaster preparedness is to limit the morbidity and mortality that results from a disaster. Decreasing the cost, preparing the community, and increasing public awareness are not the best descriptions of the general intent of disaster preparedness.

Question 12

Earthquakes occur periodically on the West Coast, so residents in that area are encouraged to be prepared in the event of a large quake. What disaster characteristic does this best relate to?

Accepted Answer

1. Some disasters occur relatively frequently in certain parts of the world. People who live in those areas have some knowledge of what to expect and how to be prepared. Frequency best describes the characteristic in this scenario. Preventability relates to prevention measures that could be taken in relationship to the impending disaster. Imminence relates to the speed and onset of the impending disaster. Duration relates to the length of time involved in the disaster.

Question 13

The population health nurse lives in an area that is at great risk for hurricanes. The nurse is advocating for stricter building codes and for barriers such as seawalls or dams. What type of planning is this nurse advocating?

Accepted Answer

1. Health promotion activities include engaging the whole community in policy making and planning, linking public and private performance and interests to resilience goals, improving public and private infrastructure and essential services, and promoting a culture of resilience. The actual emergency response would be injury and illness prevention. Advocacy is not a term used to describe a type of prevention.

Question 14

The nurse is working with a group of elderly clients who were affected by the largest hurricane on record. The clients admit to many psychological responses, from confusion to hysteria. The nurse informs the group that the number of months it takes most people to psychologically recover from a disaster is:

Accepted Answer

4. Psychological recovery occurs for most people within six to twelve months of the disaster. Psychological recovery occurs for most people within six to twelve months of the disaster, not two to three months. Psychological recovery occurs for most people within six to twelve months of the disaster, not four to six months. Psychological recovery occurs for most people within six to twelve months of the disaster, not six to eight months.

Question 15

The nurse is working in a clinic that provides counseling for victims of a recent flood. Which type of care is the nurse providing?

Accepted Answer

3. Providing follow-up care for psychological problems that result from a disaster is a part of health restoration. Providing immediate and supportive care is a part of illness prevention. Disaster prevention and minimizing disaster effects is a part of health promotion. This is not an example of mental health care.

Quiz 25: Care of Clients in Disaster Settings