The SNS has the capacity to provide large quantities of medicine and medical supplies
to protect the American public in a public health emergency. The Cities Readiness
Initiative aids cities in increasing their capacity to deliver medicines and medical
supplies during a public health emergency. The PHIN helps ensure information access
and sharing. Project BioShield is a program to develop and produce new drugs and
vaccines against potential bioweapons.
A nurse experiences a stress reaction while working with the survivors of a disaster.
Which of the following best describes what has happened?
a. The nurse makes decisions to assist with care coordination of the survivors.
b. The nurse tells the supervisor of the disaster the details of the care that was
provided.
c. The nurse cries after returning home at the end of the day.
d. The nurse refuses to follow orders. - ANSWER-ANS: D
Symptoms that may signal a need for stress management assistance include the
following: being reluctant or refusing to leave the scene until the work is finished;
denying needed rest and recovery time; feelings of overriding stress and fatigue;
engaging in unnecessary risk-taking activities; difficulty communicating thoughts,
remembering instructions, making decisions, or concentrating; engaging in unnecessary
arguments; having a limited attention span; and refusing to follow orders.
A nurse is assessing persons arriving at an alternate care center following a disaster.
Which of the following actions should the nurse take first?
a. Assess the amount of equipment and medications needed for each client
b. Determine if the client has a psychological condition requiring special attention
c. Assess whether this type of facility is appropriate for the client
d. Determine if the client has a support system to assist with additional care needs -
ANSWER-ANS: C
Alternate care centers may be used to shelter patients with medical needs designated
as "non-ambulatory care/hospital overflow" e.g., care of non-ambulatory patients with
less intense medical needs. After determination of the appropriateness of the facility,
the nurse can then provide medical care as needed. It should not be necessary to
initially determine if the client has a psychological condition or limit the amount of
equipment or medications.
A nurse is developing and coordinating an emergency response plan for a community.
With which of the following organizations would the nurse collaborate?
a. American Red Cross (ARC)
b. National Disaster Medical System (NDMS)
c. Centers for Disease Control and Prevention (CDC)
d. Emergency Management Agency (EMA) - ANSWER-ANS: D
, The EMA is responsible for developing and coordinating emergency response plans in a
defined area. The ARC works with communities in the preparedness, response, and
recovery phases of a disaster. The CDC studies the effect that disasters have on
population health and continuously develops new prevention strategies. The NDMS
provides nurses the opportunity to work on specialized disaster response teams.
A nurse is examining the future of disaster management. Which of the following should
the nurse anticipate?
a. Vague and unorganized future due to constant emergence of new disasters
b. Increasing sophistication in technology and surveillance
c. Lack of involvement by national and state officials
d. Decreasing need for public health workers to provide care - ANSWER-ANS: B
The terrorist event of September 11, 2001, and the anthrax cases have increased the
awareness for the need to plan for disasters. Technology and surveillance will continue
to advance. Disaster management continues to change and become more organized as
learning occurs after each incident, producing progressive best practices. National and
state officials are very involved in disaster management. PHNs are particularly critical
members of the multidisciplinary disaster health team given their population-based
nursing focus and specialty knowledge in epidemiology and community assessment
skills.
A nurse is participating in the preparedness stage of disaster management. Which of
the following describes what is happening?
a. Heightened inspection and increased security in the community
b. Incorporation of provision of pets into local disaster plans
c. Purchase of personal protective equipment for all citizens
d. Assembly of disaster kits for the home, workplace, and car - ANSWER-ANS: D
Disaster kit assembly for the home, workplace, and car, especially by nurses, occurs
during the preparedness phase. Heightened inspection and increased security in the
community is part of the prevention activities. Purchase of personal protective
equipment for all citizens and incorporation of provision of pets into local disaster plans
are not realistic plans for preparedness.
A nurse is responding to a disaster. Which of the following is the priority of the disaster
response?
a. Clean up the environment
b. Handle the stress reaction of the victims
c. Bring in as many aid workers and nurses as possible
d. Reestablish sanitary barriers and focus on basic needs - ANSWER-ANS: D
Reestablishing sanitary barriers and focusing on water, food, waste disposal, vector
control, shelter, and safety are the first goals. After this has been established, the nurse