Deck 25: All-Hazards Disaster Preparedness

Question 1

All-hazard preparedness plan drills should occur at least:

A) annually.
B) biannually.
C) monthly.
D) quarterly.

Answer 1

biannually.

Question 2

Which combination of leadership is recommended for chairing an all-hazards preparedness task force (AHPTF)?

A) Chief executive officer and internal medicine physician
B) Chief financial officer and emergency care nurse liaison
C) Representative chief nurse officer and emergency care physician
D) Representative chief information technology officer and critical care physician

Answer 2

Representative chief nurse officer and emergency care physician

Question 3

A disaster is a sudden event that can cause great destruction and human suffering and often requires external assistance. Which of the following statements are accurate depictions of various types of disasters or disaster-related definitions (select all that apply)?

A) A cyber disaster is a catastrophic event that results from the use of information technology systems.
B) A catastrophic event caused by the use of weapons is a radiological disaster.
C) A biological disaster occurs when there is a deliberate or unintentional release of biological materials that may affect the health of those exposed.
D) A chemical disaster occurs when there is deliberate or unintentional release of biological materials that may adversely affect the health of those exposed.
E) A hazard vulnerability analysis is an exercise that identifies an organization's potential emergencies.

Answer 3

A cyber disaster is a catastrophic event that results from the use of information technology systems.
A biological disaster occurs when there is a deliberate or unintentional release of biological materials that may affect the health of those exposed.
A hazard vulnerability analysis is an exercise that identifies an organization's potential emergencies.

Question 4

A health care system's ability to rapidly expand beyond normal capacity to meet an increased demand for qualified personnel, beds, and medical care services in the event of a large-scale emergency or disaster is known as:

A) acuity.
B) surge capacity.
C) mass casualty.
D) natural disaster.

Question 5

Which of the following warnings is used to alert the American people about credible terrorist threats?

A) Imminent threat
B) Elevated threat
C) Unlikely threat
D) Likely threat

Question 6

In a hospital's emergency operations plan, what would be the expected roles of the security department (select all that apply)?

A) Overseeing facility security
B) Lockdown of the facility as necessary
C) Managing people entering and leaving the hospital
D) Restraining uncooperative visitors
E) Being the primary source of communication to nursing staff

Question 7

In an AHPTF, who would have primary responsibility for serving as spokesperson for emergency physician needs with regard to disaster preparedness?

A) Chief nursing officer
B) Marketing director
C) Department medical chair
D) Chief information technology officer

Question 8

A conventional disaster is a catastrophic event caused by:

A) a high-magnitude earthquake.
B) an exposure to toxic materials.
C) an outbreak of a pathogen.
D) the use of military weapons.

Question 9

In a disaster, it is most important that the:

A) clients are sent home quickly.
B) medications and supplies are secure.
C) nurses and their families feel safe.
D) security department increases its workforce.

Question 10

What are the major roles of nursing leadership in disaster planning (select all that apply)?

A) Providing clearly defined roles for staff nurses in a disaster situation
B) Providing policies that speak to expected hours of work in a disaster
C) Encouraging staff to stay at home in the event of a disaster to decrease confusion
D) Ensuring that the community is synchronizing internal department plans in the event of a disaster
E) Sharing written identified roles with every department to ensure disaster preparedness

Question 11

The Joint Commission's (TJC's) emergency management accreditation standards call for hospitals to sustain disaster operations for at least ______ hours.

A) 24
B) 48
C) 72
D) 96

Question 12

When working with the community, recognizable nomenclature is important for:

A) response.
B) education.
C) reporting.
D) communication.

Question 13

An all-hazards command center should:

A) facilitate planning meetings.
B) provide a place for the commander to sleep.
C) be operated by an emergency department triage nurse.
D) be located near the security department.

Question 14

A 50-car pileup occurs on a major freeway in California's Central Valley as a result of heavy fog. There are major injuries, and victims are expected to be transported to local emergency departments. Which type of disaster is this classified as?

A) Mass casualty event
B) Conventional disaster
C) Biological disaster
D) Radiological disaster

Question 15

The nursing leadership role in the "working the issues list" phase of an all-hazards preparedness plan is to:

A) confirm that team members are working on their assignments.
B) ensure that every facility department has a disaster plan.
C) guarantee that all work will be completed by the deadline.
D) provide rewards for the committee's accomplishments.

Question 16

All-hazards disaster is best defined as:

A) all types of natural and human terrorist events.
B) an event involving floods, tornadoes, hurricanes, and earthquakes.
C) an unforeseen and often unplanned event causing great damage.
D) any type of biological, chemical, radiological, or nuclear event.

Question 17

What is unique to the role of the nurse that fosters strong leadership in the overwhelming workload of the "keeping the momentum going" phase in the development of an all-hazards preparedness plan? Nurses are experts at:

A) creating key components of disaster protocols.
B) developing workable action plans for difficult issues.
C) establishing guidelines for policy and procedures.
D) improving care by developing patient care plans.

Question 18

The system-wide AHPTF should conduct a gap analysis. What should be evaluated?

A) Differences between standards and policies and procedures
B) Differences between pieces of the program that are and are not in place
C) Similarities between standards and policies and procedures
D) Similarities between pieces of the program that are and are not in place

Question 19

In an AHPTF, which of the following entities could be utilized as external ad hoc members (select all that apply)?

A) Facility engineering
B) Public health department representatives
C) Community physicians
D) Vendor representatives
E) Chaplain services

Question 20

What are the two agencies that require all health care facilities to have detailed all-hazard preparedness plans (select two that are correct)?

A) Patient Protection and Affordable Care Act
B) Health Insurance Portability and Accountability Act
C) TJC
D) National Response Plan

Question 21

Which of the following questions should be considered in the hospital gap analysis survey of safety and security readiness in the event of a disaster (select all that apply)?

A) Does the facility have a lockdown plan in case of emergency?
B) Does the facility have procedures in place for use of PPE?
C) Does the facility have a mechanism of tracking costs associated with the event?
D) Do you have a plan for allowing staff entry into the facility during an emergency?
E) Does the facility have emergency-powered phones in case of a disaster?

Question 22

Nursing leadership competencies in disaster planning and crisis management encompass which of the following domains (select all that apply)?

A) Assessment of the disaster scene
B) Technical skills
C) Budget and resource allocation
D) Risk communication
E) Critical thinking

Question 23

The hospital plays an important role in the community in the case of a disaster. What are some of the expected roles of the hospital (select all that apply)?

A) Stockpiling emergency equipment
B) Purchasing personal protective equipment (PPE)
C) Providing additional security for the community
D) Educating staff on all-hazards preparedness
E) Providing emergency shelter to community members

Question 24

Hospital leadership should consider which of the following ethical dilemmas prior to experiencing an actual disaster (select all that apply)?

A) Which clinical leader will make the decision about distribution of scarce resources
B) Criteria to determine which patients receive aggressive treatment and which will receive palliative care
C) Which nursing staff will be the first to report to the hospital in the event of a disaster
D) How prophylactic pharmaceuticals will be distributed to protect staff and their families
E) Who will be primarily responsible for external communication

Question 25

Testing the all-hazards preparedness plan requires drilling to identify and work through problems. Which of the following are examples of internal drills that can be used to test specific departments and/or hospital responses (select all that apply)?

A) Surge capacity drills
B) Lockdown of hospital entrances
C) Prioritization of police response to biological events
D) Simulating decontamination processes
E) Setting up the command center

Question 26

Which of the following questions should be considered in the hospital gap analysis survey of clinical operations readiness in the event of a disaster (select all that apply)?

A) Does the facility have procedures in place to maximize staff safety in a disaster?
B) Does the facility have procedures in place for use of PPE?
C) Can the facility track patients until discharge or death while maintaining confidentiality?
D) Does the facility have a lockdown plan in case of emergency?
E) Does the facility have a mechanism of tracking costs associated with the event?