NU471 WEEK 5
EAQ #4 EVOLVE
ELSEVIER:
DISASTER
PLANNING -
,NU471 Week 5 EAQ #4 Evolve Elsevier: Disaster Planning -
Mastery Level Target: Level 3
1. Which treatment for anthrax would be included in the biological agent portion of a
disaster plan for terrorist attacks? o Antivirals o Antitoxins o Antibiotics
o Vaccinations: o Antibiotics
· Anthrax is treated effectively with antibiotics if sufficient supplies are available and the
organisms are not resistant. Antivirals would not be effective against anthrax, and there is
no established treatment for most viruses that cause hemorrhagic fever. Botulism is
treated with antitoxin, though several vaccines are being studied. Smallpox can be
prevented or the incidence reduced by vaccination, even when first given after exposure.
2. Which is the minimum length of time victims of a large scale near-drowning incident
brought to the emergency department would be kept under observation in the hospital?
o 12 hourso 18 hours o 23 hours o
48 hours: o 23 hours
· Complications can develop in victims who are essentially free of symptoms immediately
after a near-drowning episode. This secondary drowning refers to delayed death from
drowning due to pulmonary complications. Consequently, all victims of near-drowning
should be observed in a hospital for a minimum of 23 hours, and longer if they have
comorbidities. Twelve hours and 18 hours are too soon to rule out secondary drowning.
The clients need not be kept under observation for 48 hours if they do not have
comorbidities.
3. Which emergency medical service agency offers service for a group of clients admitted
to the emergency unit with mass fatalities? o Medical Reserve Corps (MRC) o Hospital
Incident Command System (HICS) o International Medical-Surgical Response Teams (IMSRT)
o Disaster Mortuary Operational Response Teams (DMORT): o Disaster Mortuary
Operational Response Teams (DMORT)
,NU471 Week 5 EAQ #4 Evolve Elsevier: Disaster Planning -
Mastery Level Target: Level 3
· The National Disaster Medical System (NDMS) is responsible for managing the Federal
Government's medical response to medical emergencies and disasters. One of their
additional services is the DMORT. DMORTs manage mass fatalities. The MRC offers its
services to health care facilities or the community in a supportive to supplemental capacity
during times of need, such as a disaster or pandemic disease outbreak. HICS is a part of
National Incident Management System (NIMS) that standardizes disaster operations.
IMSRT establishes fully functional field surgical facilities.
4. Which personnel of the institutional emergency response plan serves as a liaison
between hospital administration and the media during a mass casualty incident such as
an earthquake or a terrorist attack? o Triage officer
o Medical command physician o Hospital incident commander o Community
public information officer: o Community public information officer
· The community public information officer is a person who serves as a liaison between the
health care facility and the media releasing only appropriate or accurate information about
the incident. A triage officer is a primary health care provider or nurse who rapidly
evaluates each client to determine priorities for treatment. A medical command physician
is the personnel who decides the number, acuity, and resource needs of the clients. A
hospital incident commander is a primary health care provider or administrator who
assumes overall leadership for implementing the emergency plan.
5. Which personnel would the nurse state are responsible for deciding the
number, acuity, and resources needed for clients during a disaster? o Triage
officer o Community relations officer o Medical command physician o Hospital
incident commander: o Hospital incident commander
· Medical command physicians have the authority to decide the number, acuity, and
resources needed for clients during a disaster. Triage officers are the primary health care
, NU471 Week 5 EAQ #4 Evolve Elsevier: Disaster Planning -
Mastery Level Target: Level 3
providers or nurses who are responsible for evaluating the clients rapidly and determining
the priority of treatment. The community relations officer serves as a liaison between the
health care facility and the media. Hospital incident commanders act as leaders and are
responsible for implementing the emergency plan.
6. Which agent of terrorism can cause death within a few minutes? o Sarin
gas o Uranium o Iodine-131
o Mustard gas: o Sarin gas
· Sarin gas is an agent for bioterrorism that can cause death within minutes of exposure
by paralyzing respiratory muscles. Uranium and iodine-131 can be dangerous in close
proximities but are not as harmful as sarin gas. Mustard gas causes blisters on the skin but
does not cause death within a few minutes.
7. Which would the nurse consider to be an example of a potential internal disaster?
o Hospital fire o Fertilizer plant explosion o
Nuclear reactor explosion o Terrorist device
explosion: o Hospital fire
· An internal disaster is any kind of event inside a health care facility or campus that could
endanger the safety of clients or health care staff. A fire in a hospital is an example of an
internal disaster that can cause harm to the clients and the staff. A fertilizer plant explosion
is an external disaster. A nuclear reactor explosion may cause radiation exposure to the
external environment. Terrorism with explosive devices is an external disaster.
8. Which training measure is most effective to adequately familiarize health care
providers with emergency response procedures? o Drills o Tabletop exerciseso Access
to the policy o Computer simulations: o Drills
· Hospital disaster drills are priority training measures to familiarize health care providers
with emergency response procedure. Other methods that can also be used include
EAQ #4 EVOLVE
ELSEVIER:
DISASTER
PLANNING -
,NU471 Week 5 EAQ #4 Evolve Elsevier: Disaster Planning -
Mastery Level Target: Level 3
1. Which treatment for anthrax would be included in the biological agent portion of a
disaster plan for terrorist attacks? o Antivirals o Antitoxins o Antibiotics
o Vaccinations: o Antibiotics
· Anthrax is treated effectively with antibiotics if sufficient supplies are available and the
organisms are not resistant. Antivirals would not be effective against anthrax, and there is
no established treatment for most viruses that cause hemorrhagic fever. Botulism is
treated with antitoxin, though several vaccines are being studied. Smallpox can be
prevented or the incidence reduced by vaccination, even when first given after exposure.
2. Which is the minimum length of time victims of a large scale near-drowning incident
brought to the emergency department would be kept under observation in the hospital?
o 12 hourso 18 hours o 23 hours o
48 hours: o 23 hours
· Complications can develop in victims who are essentially free of symptoms immediately
after a near-drowning episode. This secondary drowning refers to delayed death from
drowning due to pulmonary complications. Consequently, all victims of near-drowning
should be observed in a hospital for a minimum of 23 hours, and longer if they have
comorbidities. Twelve hours and 18 hours are too soon to rule out secondary drowning.
The clients need not be kept under observation for 48 hours if they do not have
comorbidities.
3. Which emergency medical service agency offers service for a group of clients admitted
to the emergency unit with mass fatalities? o Medical Reserve Corps (MRC) o Hospital
Incident Command System (HICS) o International Medical-Surgical Response Teams (IMSRT)
o Disaster Mortuary Operational Response Teams (DMORT): o Disaster Mortuary
Operational Response Teams (DMORT)
,NU471 Week 5 EAQ #4 Evolve Elsevier: Disaster Planning -
Mastery Level Target: Level 3
· The National Disaster Medical System (NDMS) is responsible for managing the Federal
Government's medical response to medical emergencies and disasters. One of their
additional services is the DMORT. DMORTs manage mass fatalities. The MRC offers its
services to health care facilities or the community in a supportive to supplemental capacity
during times of need, such as a disaster or pandemic disease outbreak. HICS is a part of
National Incident Management System (NIMS) that standardizes disaster operations.
IMSRT establishes fully functional field surgical facilities.
4. Which personnel of the institutional emergency response plan serves as a liaison
between hospital administration and the media during a mass casualty incident such as
an earthquake or a terrorist attack? o Triage officer
o Medical command physician o Hospital incident commander o Community
public information officer: o Community public information officer
· The community public information officer is a person who serves as a liaison between the
health care facility and the media releasing only appropriate or accurate information about
the incident. A triage officer is a primary health care provider or nurse who rapidly
evaluates each client to determine priorities for treatment. A medical command physician
is the personnel who decides the number, acuity, and resource needs of the clients. A
hospital incident commander is a primary health care provider or administrator who
assumes overall leadership for implementing the emergency plan.
5. Which personnel would the nurse state are responsible for deciding the
number, acuity, and resources needed for clients during a disaster? o Triage
officer o Community relations officer o Medical command physician o Hospital
incident commander: o Hospital incident commander
· Medical command physicians have the authority to decide the number, acuity, and
resources needed for clients during a disaster. Triage officers are the primary health care
, NU471 Week 5 EAQ #4 Evolve Elsevier: Disaster Planning -
Mastery Level Target: Level 3
providers or nurses who are responsible for evaluating the clients rapidly and determining
the priority of treatment. The community relations officer serves as a liaison between the
health care facility and the media. Hospital incident commanders act as leaders and are
responsible for implementing the emergency plan.
6. Which agent of terrorism can cause death within a few minutes? o Sarin
gas o Uranium o Iodine-131
o Mustard gas: o Sarin gas
· Sarin gas is an agent for bioterrorism that can cause death within minutes of exposure
by paralyzing respiratory muscles. Uranium and iodine-131 can be dangerous in close
proximities but are not as harmful as sarin gas. Mustard gas causes blisters on the skin but
does not cause death within a few minutes.
7. Which would the nurse consider to be an example of a potential internal disaster?
o Hospital fire o Fertilizer plant explosion o
Nuclear reactor explosion o Terrorist device
explosion: o Hospital fire
· An internal disaster is any kind of event inside a health care facility or campus that could
endanger the safety of clients or health care staff. A fire in a hospital is an example of an
internal disaster that can cause harm to the clients and the staff. A fertilizer plant explosion
is an external disaster. A nuclear reactor explosion may cause radiation exposure to the
external environment. Terrorism with explosive devices is an external disaster.
8. Which training measure is most effective to adequately familiarize health care
providers with emergency response procedures? o Drills o Tabletop exerciseso Access
to the policy o Computer simulations: o Drills
· Hospital disaster drills are priority training measures to familiarize health care providers
with emergency response procedure. Other methods that can also be used include
