NR 442 COMMUNITY HEALTH
NURSING EXAM 2 STUDY SET WITH
ALL SOLUTIONS
Types of Disasters: - ANSWER-- Natural (eg. tornado, diseases, droughts, wildfires,
hurricane, or earthquake)
- Man-made (e.g. plane crash, terrorism, riots, fires, bridge collapse, toxic spill,
pollution, or wars)
- Combination (natural/technological) - natural disaster that creates or results in a
widespread technological problem
What is a Natural Disaster? - ANSWER-- A natural event such as a flood,
earthquake, or hurricane that causes great damage or loss of life
Mass Casualty Incident (MCI) - ANSWER-- A disaster situation that results in a large
number of victims who need the response of multiple organizations; according to Dr.
Lewis >100 people affected for a mass casualty incident
What is multiple casualties range? - ANSWER-- 1 to 99 individuals
What is terrorism? - ANSWER-- The use of violence and intimidation in the pursuit of
political or social aims; unlawful use of force according to the FBI
What are weapons of mass destruction? - ANSWER-- Weapon designed to cause
death or serious bodily injury; e.g. toxins, chemicals, explosives, biological agents,
etc.
What is Anthrax? - ANSWER-- Spore-forming gram + bacterium Bacillus antracis;
through inhalation is esp deadly
- S/S: Fevers + chills, chest discomfort, shortness of breath, confusion, dizziness,
cough, N/V, stomach pains, headaches, fatigue, body aches are common primarily
through inhalation methods
Purpose of Home Health Nursing - ANSWER-- Provide nursing care to individuals
and families in their home
- Referrals: Physician, NP, hospital discharge planner, school teacher, clinical health
care provider, or patient/patient family
Home Health - Balanced Budget Act of 1997 - ANSWER-- Significantly changed the
way Medicare pays for home health services
- No longer reimbursed using retrospective payment system for services rendered
- Now prospective payment system (PPS)
- HHS receive a fixed amount of money based on cost of client's given diagnosis
Types of Home Health Agencies - ANSWER-- Official (i.e., public)
- Nonprofit
, - Proprietary/private corporate company
- Hospital-based agencies
Reimbursement for Home Care - ANSWER-- Medicare benefits under Title XVIII of
the Social Security Act
- Individual over 65
- Homebound and under the care of a physician
- Requires medically necessary skilled nursing care or therapy services
- Exceptions for Medicare Hospice Benefit
- Medicaid benefits under Title XIX if eligible
- Private health insurance
Bioterrorism - ANSWER-- The deliberate spread of pathogenic organisms into a
community to cause widespread illness, fear, and panic
- E.g. small pox, anthrax, Ebola are category A agents
- E.g. Typhus, ricin toxin, west Nile virus, E.coli, and food safety threats are category
B
- Influenza, TB, or rabies are category C and the third highest priority
Characteristics of Disasters - ANSWER-- Frequency, predictability, preventability,
imminence-speed of onset, scope, and intensity
Prevention in Disasters - ANSWER-primary - aimed at preventing the occurrence of
a disaster/limiting consequences
- during nondisaster/predisaster stages
secondary - search, rescue, triage of victims
- assessment of destruction and devastation
- implemented once disaster occurs
tertiary - focus on recovery and restoring community to previous levels of function
- aimed at preventing a recurrence/minimizing effects of future disasters
Disaster Management - ANSWER-- The plans that are in place designating the
community's response to a disaster
- Respond more quickly, more effectively, and less confusion
- Ensures resources are available
- Basic Disaster Supply Kit - BOB (Bug Out Bag)
- Important papers, antiseptics, food, clothing, etc.
Governmental Responsibilities - ANSWER-- Local government (first responders)
responsible for safety and welfare
- State government involved when disaster overwhelms local community resources
- Federal government through Department of Homeland Security, CDC, FEMA
U.S. Department of Homeland Security (DHS) - ANSWER-- Federal agency that is
an umbrella for several existing agencies that was designed to bring together all the
functions related to emergencies, immigration, border security, and antiterrorism
efforts
NURSING EXAM 2 STUDY SET WITH
ALL SOLUTIONS
Types of Disasters: - ANSWER-- Natural (eg. tornado, diseases, droughts, wildfires,
hurricane, or earthquake)
- Man-made (e.g. plane crash, terrorism, riots, fires, bridge collapse, toxic spill,
pollution, or wars)
- Combination (natural/technological) - natural disaster that creates or results in a
widespread technological problem
What is a Natural Disaster? - ANSWER-- A natural event such as a flood,
earthquake, or hurricane that causes great damage or loss of life
Mass Casualty Incident (MCI) - ANSWER-- A disaster situation that results in a large
number of victims who need the response of multiple organizations; according to Dr.
Lewis >100 people affected for a mass casualty incident
What is multiple casualties range? - ANSWER-- 1 to 99 individuals
What is terrorism? - ANSWER-- The use of violence and intimidation in the pursuit of
political or social aims; unlawful use of force according to the FBI
What are weapons of mass destruction? - ANSWER-- Weapon designed to cause
death or serious bodily injury; e.g. toxins, chemicals, explosives, biological agents,
etc.
What is Anthrax? - ANSWER-- Spore-forming gram + bacterium Bacillus antracis;
through inhalation is esp deadly
- S/S: Fevers + chills, chest discomfort, shortness of breath, confusion, dizziness,
cough, N/V, stomach pains, headaches, fatigue, body aches are common primarily
through inhalation methods
Purpose of Home Health Nursing - ANSWER-- Provide nursing care to individuals
and families in their home
- Referrals: Physician, NP, hospital discharge planner, school teacher, clinical health
care provider, or patient/patient family
Home Health - Balanced Budget Act of 1997 - ANSWER-- Significantly changed the
way Medicare pays for home health services
- No longer reimbursed using retrospective payment system for services rendered
- Now prospective payment system (PPS)
- HHS receive a fixed amount of money based on cost of client's given diagnosis
Types of Home Health Agencies - ANSWER-- Official (i.e., public)
- Nonprofit
, - Proprietary/private corporate company
- Hospital-based agencies
Reimbursement for Home Care - ANSWER-- Medicare benefits under Title XVIII of
the Social Security Act
- Individual over 65
- Homebound and under the care of a physician
- Requires medically necessary skilled nursing care or therapy services
- Exceptions for Medicare Hospice Benefit
- Medicaid benefits under Title XIX if eligible
- Private health insurance
Bioterrorism - ANSWER-- The deliberate spread of pathogenic organisms into a
community to cause widespread illness, fear, and panic
- E.g. small pox, anthrax, Ebola are category A agents
- E.g. Typhus, ricin toxin, west Nile virus, E.coli, and food safety threats are category
B
- Influenza, TB, or rabies are category C and the third highest priority
Characteristics of Disasters - ANSWER-- Frequency, predictability, preventability,
imminence-speed of onset, scope, and intensity
Prevention in Disasters - ANSWER-primary - aimed at preventing the occurrence of
a disaster/limiting consequences
- during nondisaster/predisaster stages
secondary - search, rescue, triage of victims
- assessment of destruction and devastation
- implemented once disaster occurs
tertiary - focus on recovery and restoring community to previous levels of function
- aimed at preventing a recurrence/minimizing effects of future disasters
Disaster Management - ANSWER-- The plans that are in place designating the
community's response to a disaster
- Respond more quickly, more effectively, and less confusion
- Ensures resources are available
- Basic Disaster Supply Kit - BOB (Bug Out Bag)
- Important papers, antiseptics, food, clothing, etc.
Governmental Responsibilities - ANSWER-- Local government (first responders)
responsible for safety and welfare
- State government involved when disaster overwhelms local community resources
- Federal government through Department of Homeland Security, CDC, FEMA
U.S. Department of Homeland Security (DHS) - ANSWER-- Federal agency that is
an umbrella for several existing agencies that was designed to bring together all the
functions related to emergencies, immigration, border security, and antiterrorism
efforts
