Deck 6: Nursing Care of People Experiencing Disasters

Question 1

What is a common response among community members who have experienced a major disaster?

A)Anger
B)Excessive sleeping
C)Apathy
D)Poor concentration

Answer 1

Poor concentration

Question 2

The emergency room nurses are noting an unusually high number of people coming into the department with complaints of nausea, vomiting and severe headache. What should be done with this information?

A)Contact the Infection Control Department and Microbiology Department.
B)Call for more staff to handle all of the people.
C)Close the emergency room.
D)Reassess the situation at the end of shift.

Answer 2

Contact the Infection Control Department and Microbiology Department.

Question 3

A person comes into the clinic with the onset of itching after opening a letter received about a week ago that contained quite a bit of white powder. It is suspected that this person has had an anthrax exposure. Which medication can the nurse anticipate that this person will most likely be prescribed?

A)Doxycycline
B)Amphotericin
C)Methylprednisolone
D)Interferon

Answer 3

Doxycycline

Question 4

Which manifestation would indicate to the nurse that the person might be in the early alarm stage response to severe shock?

A)Weak, thready pulse.
B)Dilated pupils
C)Falling blood pressure
D)Decreased temperature

Question 5

What are the appropriate actions for people with highly contagious respiratory infections?

A)Reverse barrier nursing.
B)Teach them how to stop coughing.
C)Teach them to cover their mouths when they cough or sneeze.
D)These persons need to wear protective gowns, masks and gloves at all times.

Question 6

Which group of persons may experience difficulties during mass vaccination campaigns against highly contagious infections?

A)Young children
B)People with HIV
C)People who are obese
D)People with respiratory disease

Question 7

A person arrives at the site of a disaster, hysterically crying because she was in the building that had collapsed just minutes before the disaster. Which of the following should be done with her?

A)Advise her to go home to her family.
B)Ask psychiatric service personnel to talk with her.
C)Have a nurse talk with her.
D)Triage her and transport her to the hospital.

Question 8

During the disaster preparedness presentation, the nurse learns about the harmful effects of a dirty bomb. Which of the following treatments may preserve life in the event of this disaster?

A)Bone marrow transplant
B)Supporting the person who will develop radiation sickness
C)Total blood replacement
D)Liver transplant

Question 9

The nursing staff are planning to attend a disaster prevention presentation. What is the purpose of this education? To:

A)learn the hospital's disaster plan.
B)learn how the nurses will participate in mitigation.
C)have the nurses participate in the planning for handling a disaster.
D)educate the nurses about recognising possible disaster situations.

Question 10

An Australian emergency room nurse is caring for a person admitted who was in a motor vehicle accident. What would be an appropriate nursing intervention for this nurse to implement?

A)Intubation
B)Insert IV cannulae
C)Staple wounds
D)Insert chest tube

Question 11

A person says to the nurse, 'I'm scared about a terrorist attack since I live so close to the airport'. Which of the following would be an appropriate response for the nurse to make to this person?

A)'Have you thought about moving?'
B)'What do you have in your home to help you in the event of a terrorist attack?'
C)'It is natural to be concerned about this possibility'.
D)'There is no need to be worried/.

Question 12

An elderly person asks the nurse, 'What can we do to be prepared for a disaster in our community?' Which of the following is the best response by the nurse to this person?

A)'Make sure you can contact your family to come and immediately pick you up'.
B)'There is not much we can do to be prepared'.
C)'Plan to evacuate your home at a moment's notice'.
D)'Make sure all of your important papers, health information, medication information and next-of-kin information are in one place'.

Question 13

The hospital has been notified of a train derailment with approximately 250 passengers. Many of the passengers are reported to be injured. What is this situation classified as?

A)An accidental disaster
B)A natural disaster
C)A mass casualty incident
D)A multiple casualty incident

Question 14

Which of the following is a conventional weapon?

A)Radiological bomb
B)Anthrax attack
C)Car bomb
D)Sarin attack

Question 15

The emergency room nurse is caring for a person with fourth degree burns over 50 percent of his body, related to wildfires. What type of disaster was this patient involved in?

A)Natural
B)Technological
C)Terrorist
D)Intentional

Question 16

The nurse is planning to attend a program to learn how to respond to mass casualty incidents. What are the core competencies within this program? Select all that apply.

A)Communication
B)Critical thinking
C)Assessment
D)Nursing process

Question 17

A mass casualty accident has occurred. The first person the nurse receives for triage is assessed as a colour code of red. What needs to be done with this person? The person needs to be:

A)sent with the individual's family for privacy during the dying process
B)evaluated for immediate intervention
C)sent home because the condition is not serious
D)re-evaluated in two hours' time

Question 18

The nursing unit has been alerted to a possible illness associated with the tainting of a popular over-the-counter pain medication. What is this event classified as?

A)A mass casualty incident
B)An accidental disaster
C)A conventional terrorist attack
D)A nonconventional terrorist attack

Question 19

What does care of persons experiencing blast injuries typically focus on?

A)Psychological shock
B)Lung injuries
C)Ear and hearing trauma
D)Head injuries

Question 20

The nurse is planning the coding for a triage disaster plan. What are the colours most associated with triage? Select all that apply.

A)Black
B)Red
C)Yellow
D)Purple .

Question 21

The community is holding a memorial service to honour those members whose lives were lost in the flood one year ago. In which stage of the disaster recovery process is this community?

A)Restoration
B)Disaster reflection
C)Reconstitution
D)Mitigation

Question 22

A person who was exposed to a thermal nuclear blast is experiencing flash blindness. Which of the following can the nurse instruct this person about the eye injury? The blindness:

A)may fully resolve in time. The intense light from the blast caused a temporary blindness.
B)will resolve somewhat in time; however, the person will always have vision changes afterwards.
C)is permanent.
D)will last for several years.

Question 23

What is a tool used in the Australian emergency department to standardize the structure of communication?

A)ISBAR
B)Nurses notes
C)Progress notes
D)Narrative records