When does the mitigation phase of disaster management begin?
a) before the disaster occurs
b) during the disaster
c) immediately following the disaster
d) during the recovery period - ANSWER-A-disaster management includes four stages,
prevention and mitigation, preparedness, response and recovery.
In the event of a disaster localized to one district, nursing response would most likely be
directed by which following group?
a) Canadian red cross
b) Centres for disease control and prevention
c) centre for emergency preparedness and response
d) paramedics - ANSWER-C- The CEPR is responsible for coordinating services required to handle
all health risk and security threats in Canada.
After surviving a house fire, a 5-year-old begins sucking his thumb and wetting his bed. What
would be the best intervention by the community health nurse (CHN)?
a) Explain to the child that it is important to be strong and not act like a baby.
b) Reassure the family that this behaviour is a normal reaction to a traumatic experience.
c) Recommend admission into a hospital for psychological counselling.
d) Recommend behaviour therapy to treat regression. - ANSWER-B- The effects of a traumatic
experience can be especially severe on young children, who may resort to regressive behaviours
such as sucking the thumb, wetting the bed, crying, and clinging to caregivers as a coping
mechanism. This regressive behaviour is a normal response to trauma.
On the second day after a disaster, a disaster relief worker is found to be irritable and having
difficulty focusing. He denies having any problem other than a headache. Which of the following
actions is the best one for the CHN to take?
,COMMUNITY MULTIPLE CHOICE QUESTIONS AND ANSWERS 2026-2027
a) Dismiss the problem of inability to focus as probably being the result of worry, so that the
worker can concentrate on the work at hand and deal with his emotions later.
b) Explain to the relief worker that he is experiencing signs and symptoms of psychological
stress and recommend that he take some time off from work to relax.
c) Explain to the worker that his problem arises from multitasking and advise him to focus on
one task at a time.
d) Suspect dehydration and encourage the worker to drink more fluids. - ANSWER-B- Early
symptoms of stress and burnout include minor tremors, nausea, inability to concentrate,
difficulty thinking, and problems with memory
Which level of prevention is the CHN implementing when participating in the development of a
community-wide disaster management plan?
a) Primary prevention
b) Secondary prevention
c) Tertiary prevention
d) All prevention levels - ANSWER-A- Developing a disaster management plan for the
community constitutes primary prevention, which takes place before a disaster occurs.
What is the purpose of disaster planning?
a) Decreasing global instability
b) Disrupting and altering community functioning
c) Managing response to disasters
d) Preventing disasters - ANSWER-C- Although natural disasters cannot be prevented, much can
be done to prevent more accidents, deaths, and destruction following a disaster. A concise,
realistic, and well-rehearsed disaster plan is essential for managing the response to disasters.
What is the ultimate contribution of the disaster preparedness plan?
a) It reduces injuries.
b) It enhances collaboration among the community partners.
c) It reduces stress and panic behaviours.
d) It reduces involvement. - ANSWER-A- Disaster preparedness plans contribute to safer
communities, reduce loss of life, and can reduce the number of injuries.
,COMMUNITY MULTIPLE CHOICE QUESTIONS AND ANSWERS 2026-2027
In which of the following scenarios has an influenza pandemic occurred?
a) There is a lack of pandemic vaccine production.
b) A new strain of influenza appears.
c) Cases of H1N1 outnumber those of influenza A.
d) More than 75% of the population is affected. - ANSWER-C- An influenza pandemic occurs
when a change in the influenza A virus takes place, causing the development of a new strain to
which people have little or no immunity. As a result, a worldwide outbreak of influenza, called
an influenza pandemic, can occur.
Women who develop vaginal fungal infections (commonly referred to as yeast infections)
usually have a history of having been prescribed antibiotics for bacterial infections. Which
component of the epidemiological triangle (agent-host-environment) contributes most to the
development of vaginal infections?
a) Agent
b) Environment
c) Host
d) Agent and host - ANSWER-B- Antibiotic therapy not only eliminates a specific pathological
agent but may also alter the balance of normally occurring organisms in the body. As a result,
one of these agents overruns another, and disease, such as a yeast infection, occurs.
A communicable disease outbreak has occurred in a town. At a town meeting with public health
officials, a community health nurse (CHN) is asked to explain the phrase "virulent organism."
Which of the following definitions of virulence is correct?
a) Virulence is the ability to bypass normal immunological response mechanisms.
b) Virulence is the ability to invade major organ systems.
c) Virulence is the ability to produce toxins and poisons that weaken the body.
d) Virulence is the ability to produce severe physical reactions. - ANSWER-D- Virulence is the
ability to produce severe physical reactions
CHNs have been advised by the medical director to give injections of hepatitis A
immunoglobulin to selected susceptible persons in the event of a hepatitis A epidemic. Which
of the following outcomes will be the result?
a) Active immunization
, COMMUNITY MULTIPLE CHOICE QUESTIONS AND ANSWERS 2026-2027
b) Long-lasting immunity
c) Natural immunity
d) Passive immunization - ANSWER-D- Passive immunization refers to immunization through the
transfer of a specific antibody from an immunized individual to a nonimmunized individual, such
as the transfer of antibodies from mother to infant or the administration of an antibody-
containing preparation (immune globulin or antiserum).
Of the following statements about Salmonella made by class members in a class about disease
prevention, which one indicates that additional teaching is needed?
a) "Certain pets and farm animals may be Salmonella carriers."
b) "It is possible to transmit Salmonella through person-to-person contact."
c) "Salmonella may be spread through blood once the infected blood is exposed to air."
d) "Salmonella outbreaks are usually due to contaminated meat, poultry, and eggs." - ANSWER-
C- Meat, poultry, and eggs are the foods most often associated with salmonellosis outbreaks.
Animals are common reservoirs for the various Salmonella serotypes. Although infected humans
may also be carriers, animals are more likely to be chronic carriers.
Of the following interventions for infectious diseases, which one best represents primary
prevention?
a) Giving a tetanus booster every 10 years.
b) Giving a tetanus booster to a client after she steps on a nail.
c) Giving tetanus immunoglobulin to a client after he steps on a nail.
d) Giving antibiotics to a client who has tetanus and placing the client on seizure precautions. -
ANSWER-A- Giving tetanus boosters before any exposure has occurred is a primary prevention
measure.
Of the following infectious disease interventions, which one is most representative of secondary
prevention?
a) Clients with human immunodeficiency virus (HIV) infection are encouraged to use condoms
to protect their sexual partners.
b) Clients with HIV infection are given medications to improve immunological response.
c) Health care workers are encouraged to receive annual vaccinations for influenza.