Nurses and community officials are working together to ensure that churches and schools have needed supplies to provide shelter for large numbers of individuals in the event of a natural or manmade disaster. These activities represent which phase of a disaster continuum?
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Preparedness
Relief response
Recovery
Crisis intervention
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Question 2
Free
Multiple Choice
A nurse at a school notices that several students have "blisters" on their bodies. Further investigation reveals that a terrorist incident has occurred, causing smallpox. If the chemical, biologic, radiologic, nuclear, and explosive (CBRNE) agent categories are used, this incident would be classified as:
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chemical.
biologic.
radiologic.
nuclear.
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Question 3
Free
Multiple Choice
The Metropolitan Medical Response System (MMRS):
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is totally financed by the federal government national disaster fund.
consists of responders who have obtained specialized training and equipment to deal with mass casualty events.
has a storehouse of medications and antidotes to be used during response in times of national emergencies.
arranges for patient admissions to federal hospitals.
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Question 4
Free
Multiple Choice
A community in the New Madrid fault zone experiences an earthquake resulting in injuries from propelled objects and abrasions for many victims. The local supply of antibiotics is quickly exhausted. Local authorities would contact the:
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Commissioned Corps Readiness Force.
Strategic National Stockpile.
Department of Homeland Security.
local Young Men's Christian Association (YMCA).
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Question 5
Free
Multiple Choice
During the relief response phase of a disaster resulting from a "dirty bomb":
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treatment for burns and poisoning is provided for victims.
emergency plans are coordinated between agencies.
reconstruction of destroyed facilities and homes begins.
food stores are collected for potential victims.
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Question 6
Multiple Choice
A nurse learns of a mass casualty disaster following a known terrorist attack. On arriving at the scene, the nurse knows that:
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the response of local hospitals will be dictated by the federal government.
the same ground rules practiced in other settings and during smaller crises will be applicable.
the least experienced nurses will be assigned to triage low-risk victims and victims who have no chance of survival.
multiple incident commanders ensure a quick, effective response.
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Question 7
Multiple Choice
Nurses caring for the victims of a mass casualty incident:
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determine the common terminology to be used by hospitals and participating agencies.
take charge of communicating with the news media.
determine whether there is a credible threat of a terrorist attack.
give priority for care to those with the greatest chance of survival rather than those most critically ill.
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Question 8
Multiple Choice
During a community health fair the disaster medical assistance team (DMAT) informs participants that every community must be ready to provide disaster care. A participant asks, "In a disaster, the local community cannot possibly be effective, so why not have a plan to call federal agencies immediately to provide relief?" The correct response by the DMAT is:
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"Unless known terrorist activities involving mass destruction occur, the federal government does not become involved."
"The community is essentially the 'first responder' to any disaster."
"The preparedness phase of a disaster is the responsibility of the community, the relief response phase is assigned to state agencies, and the recovery phase is the responsibility of federal agencies."
"Unless local health care facilities are incapacitated, state and federal agencies will withhold assistance."
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Question 9
Multiple Choice
A nurse who is conducting a staff in-service on the phases of a disaster continuum teaches participants that, during the impact/response stage, activities focus on:
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community awareness in anticipation of a terrorist attack or natural disaster.
determining the effectiveness of the disaster medical assistance team (DMAT).
the use of an all-hazards approach.
initiating response activities.
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Question 10
Multiple Choice
Following a terrorist attack, victims are exhibiting posttraumatic stress syndrome, and care providers are exhibiting compassion fatigue. Which federal response system should be initiated?
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Strategic National Stockpile
Metropolitan Medical Response System (MMRS)
Commissioned Corps Readiness Force
National Disaster Medical System
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Question 11
Multiple Choice
The crisis communication officer may first inform the public or health care facility of a disaster or an act of terrorism. This representative has the responsibility to:
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contain the facts to within the administration group.
incite the public to quickly take cover and obtain emergency supplies.
provide understandable and straightforward facts about the event within the facility and possibly to the news media.
inform the public that no information can be released until it has been confirmed by state and federal agencies.
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Question 12
Multiple Choice
The disaster medical assistance team works quickly to contain contaminants from a chemical plant explosion. Afterward, personnel undergo a special process to remove harmful chemicals from equipment and supplies. This removal process is known as:
Choose correct answer/s
containment.
decontamination.
triage.
scene assessment.
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Question 13
Multiple Choice
A group of local volunteers respond to a tornado. Volunteers have completed an emergency response course and are able to assist with triage of injured citizens. They also participate in local health fairs to teach residents how to react during tornadoes. The responders are members of the:
Choose correct answer/s
Medical Reserve Corps (MRC).
Metropolitan Medical Response System (MMRS).
National Disaster Medical System (NDMS).
Commissioned Corps Readiness Force (CCRF).
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Question 14
Multiple Choice
Troops from the United States participating in a peace mission in a foreign country were the victims of suicide bombers and many soldiers were evacuated back home to receive specialized medical care. The nation's medical responses will be augmented by:
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the federally coordinated National Disaster Medical System.
local homeland communities where troops receive care.
the Medical Reserve Corps, which organizes and utilizes public health, nursing, medical, and other volunteers.
the National Incident Management System, which guides government, nongovernmental organizations, and the private sector to work seamlessly during disaster situations.
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Question 15
Multiple Choice
A nurse is informed that the Federal Bureau of Investigation has determined that a bomb has been detected and is in the possession of a known terrorist group. The government buildings in the local community are the target. This situation is termed a(n):
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all-hazards approach.
biologic event.
credible threat.
natural disaster.
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Question 16
Multiple Choice
The emergency response team responded to a terrorist attack where hundreds of people died following symptoms of chest tightness, palpations, seizures, and finally paralysis. A colorless odorless liquid known as Sarin (GB) was the agent, which is primarily inhaled with limited exposure through the skin. The concentration of Sarin has not been measured. What level is the minimum level of personal protection and safety equipment (PPE) that would be needed?
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A
B
C
D
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Question 17
Multiple Choice
A state is devastated by a tornado killing many people, destroying communication systems, utility services, homes, and medical facilities. The state requests immediate assistance from the U.S. Congress and from surrounding states. The affected state should first contact the:
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Emergency Management Assistance Compact (EMAC).
Institute of Medicine (IOM).
Red Cross.
Strategic National Stockpile.
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Question 18
Multiple Choice
A nurse is interested in learning the phases of the disaster continuum and realizes it has many similarities to the nursing process. To better understand the phases of a disaster, which is true when comparing the phases of the disaster continuum to the nursing process?
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The preparedness phase of the disaster continuum is consistent with the assessment and planning steps of the nursing process.
The recovery phase of the disaster continuum is consistent with the planning step of the nursing process.
The recovery phase of the disaster continuum is consistent with the implementation step of the nursing process.
The response relief phase of the disaster continuum is consistent with the evaluation step of the nursing process.
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Question 19
Multiple Choice
In the preparedness phase for disasters, the community plans for a possible terrorist attack using anthrax as the weapon of destruction. What treatments and/or preparations would be needed?
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Vaccines and Level B Personal Protection Equipment (PPE)
Treatment for burns, decontamination, and Level A PPE
Social distance determination, decontamination for radioactive fallout
Identify and detect incendiary devices, treatment for burns and propellants
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Question 20
Multiple Choice
Health care professionals have been activated to respond to a disaster, and the registered nurse who is coordinating the effort realizes that: (select all that apply)
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in the event of a mass casualty incident, care is prioritized to those who have the greatest chance of surviving.
communities should use their own resources first to attempt to stabilize and organize the response.
state assistance occurs any time a disaster occurs, regardless of the community's resources.
the emergency operating plan developed by one central agency rather than individual facilities should be put into operation.
strict protocols regarding the use of resources must be followed.