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Ch. 23 Disaster Management

Support of the family in preparing a personal disaster response plan.
A nurse is assigned to provide community outreach to a small town that was partially destroyed by a tornado 3 years earlier and has been rebuilt. The first client is a family who lost their home and their best friend in the tornado. The best intervention would include:
Answers:
1. Assessment of the family’s home environment to rule out safety issues.
2. Avoidance of discussion of the disaster of 3 years ago.
3. Consideration that the family will have worked through the emotional aftermath by now.
4. Support of the family in preparing a personal disaster response plan.
Immediately developing plans for effective triage and client management.
The highest priority for a nurse who is among the first responders to a disaster is:
Answers:
1. Arranging for shelter for disaster providers.
2. Beginning community assessment as soon as possible to ensure a rapid recovery.
3. Beginning surveillance and planning needed health education for disaster survivors.
4. Immediately developing plans for effective triage and client management.
Written approach, protocol, and common language for responders from federal agencies and other voluntary organizations.
The emergency support functions of the National Response Framework (NRF) and the National Incident Management System (NIMS) provide:
Answers:
1. Authority to step in and take control of state, local, and voluntary organizations during disasters.
2. Command and control for American Red Cross and Disaster Medical Assistance teams.
3. Oversight of federal and state response operations, with minimal interaction with other organizations.
4. Written approach, protocol, and common language for responders from federal agencies and other voluntary organizations.
Educate the rescuer about necessary stress-management techniques and offer to pair up with the individual so that each can monitor the other’s stress level.
A nurse is working with a disaster medical assistance team as it responds to a disaster. A new team member excitedly insists that its personnel can exceed their 12-hour shifts and do not need breaks. The best intervention on the part of the nurse is to:
Answers:
1. Arrange for the team member to be transferred to another unit.
2. Arrange for the team member to leave duty, return home, and talk with his or her pastor.
3. Educate the rescuer about necessary stress-management techniques and offer to pair up with the individual so that each can monitor the other’s stress level.
4. Help the team member to call home to speak with his or her family.
Urbanization.
The major factor that has increased Florida’s vulnerability to natural disasters in recent decades has been:
Answers:
1. El Niño.
2. Geography.
3. Trade winds.
4. Urbanization.
Community preparedness
A nurse takes the time to read and understand the community’s disaster plans and participates in mock disaster drills as a leader of the triage team. The nurse obtained disaster management training through the local Red Cross chapter and registered with the state as a disaster management nurse. The best description of the nurse’s activities is:
Answers:
1. American Red Cross disaster training.
2. Community preparedness.
3. Personal preparedness.
4. Professional preparedness.
Writing after-action reports, updating implementation plans, and implementing changes.
After a mock disaster drill, the nurse participates in a “hot wash” of the exercise in which participants from all units speak about successes, problem solving, failures, and unanticipated challenges or obstacles faced during the mock disaster drill. This activity best addresses the public health workforce competency of:
Answers:
1. Describing the agency chain of command.
2. Identifying the limits of one’s own knowledge, skill, and authority.
3. Recognizing unusual events that might indicate an emergency.
4. Writing after-action reports, updating implementation plans, and implementing changes.
Mutual aid agreement.
An extensive train derailment occurs in the suburbs of a large metropolitan area. First responders determine that although no fatalities occurred, the derailed cars contain a noxious gas that diffuses readily into the air. The event easily overwhelms the capability of the local responders and hazmat teams are required. The local office of emergency management would coordinate through the emergency operation center to request assistance through which of the following?
Answers:
1. Environmental Protection Agency (EPA).
2. Mutual aid agreement.
3. National Incident Management System.
4. National Response Plan.
Red Cross shelter manager.
A nurse wishes to become actively involved in disaster management and is extremely interested in providing first aid and delivering aggregate health promotion, disease prevention, and emotional support. It would be ideal for the nurse to train and volunteer as which of the following?
Answers:
1. Community emergency response team member.
2. Disaster medical assistance team member.
3. Member of the Medical Reserve Corps.
4. Red Cross shelter manager.
-Completion of the American Red Cross disaster management course and registration as a disaster responder.
-Clinical management of blast lung injury.
-Monitoring of the environment to contain infectious disease.
-Planning and organization of mass prophylaxis and vaccine campaigns
Disaster-related nursing is an evolving specialty. Nurses have unique skills that can be applied in which of the following aspects of disaster management (select all that apply)?
Answers:
1. Completion of the American Red Cross disaster management course and registration as a disaster responder.
2. Clinical management of blast lung injury.
3. Engagement of the BioWatch system.
4. Monitoring of the environment to contain infectious disease.
5. Planning and organization of mass prophylaxis and vaccine campaigns.
instability
The most recent disasters in this century are associated with global ____________, economic downturns, political upheaval with its often accompanying wars or collapse of government, famine, mass population, displacements, violence, and civil conflicts.
type and timing
The disasters ________ and _________ predict injuries and illnesses
warning
Hurricanes and slow rising floods are examples of disasters with ____________
preparation
Disasters with warning brings fewer injuries and deaths, but people may be injured during the _____________ for the event.
warning
Disasters without _________ have more causalities due to less time to prepare.
disaster
Any human made or natural event causing destruction and devastation that cannot be relieved without assistance is a definition of a ____________.
mitigation
Disaster__________ are actions that can prevent the occurrence of a disaster or reduce the severity of its effects.
natural
hurricanes, blizzards, droughts, earthquakes, avalanches, tzunamis, thunderstorms with extreme lightening, forest fires induced by lightening, tornadoes, hailstorms, cyclones, floods, mudslides, and volcanic eruptions are all examples of _____________ disasters.
human-made
war-fare (conventional and unconventional), transportation accidents, pollution, civil unrest (riots), nuclear power plant incidents, structural collapse, explosions/bombing, hazardous material incident, cyber attacks, terrorism, airplane crashes, radiological incident, critical infrastructure failure, and water supply contamination are all examples of ________-_______ disasters .
HSPD 21
The _________ __ established a national strategy that enables a level of public health and medical preparedness sufficient to address a range of possible disasters.
NIMS
A unified all discipline and all hazards approach to domestic incident management is what the National Incident Management System or _______ does.
Healthy People 2020
Improve the utility, awareness, and use of existing information systems for environmental health is a _______ _______ _______ objective.
flu
A health people 2020 objective is increase the number of people vaccinated annually against the ______ and pneumonias.
H20
A healthy people 2020 objective is to reduce infections transmitted through food and _____.
Red Cross
To be ______ _______ ready you should get a kit, make a plan, and get informed.
emergencies
Nurses should have ID badges, reference material, PPE, 1st aid kit, radio with batteries, cash/cards, sun protection, sturdy shoes, meds for self, toiletries, flashlight with extra batteries, pencil/paper, and map of area for _______________
4
Tennessee is in fema region ______
10
There are ______ Fema regions in the US.
Disaster Management Cycle
Prevention (Mitigation), Preparedness, Response, and Recovery are the 4 stages in the _________ _________ __________.
Stage one prevention
Communities use education, team planning, mock disaster events, and clear assignment of responsiblity to health care professionals in the community to design plans to reduce community vulnerability, develop disaster response plans, and provide training before any hazardous event in ________ _______ __________ of the disaster management cycle.
primary
Assisting to develop a disaster plan is a ___________ prevention level
secondary
Assessing disaster victims and triaging for care is a __________ prevention level
tertiary
Follow up and doing home visits to check on dangers that could cause other problems (frayed wiring) is a _________ prevention level
personal
having a personal checklist and an emergency supply kit is showing __________ preparedness
professional
nurse that understands workplace/community disaster plans and participates in disaster drills and community mock disasters is showing _______________ preparedness
community
office of emergency management (OEM) and a nurse reviewing disaster history of the community and participates in mass causality drills or mock disasters is showing ___________ preparedness.
stage two: preparedness
help initiate or update disaster plans, provide educational programs and materials regarding disasters specific to the area, organize drills, provide an updated record of vulnerable populations within the community, and review individual strategies are all roles of the nurse in ________ ________ ____________.
scope
disaster type, disaster level, and disaster __________ are 3 ways to classify a disaster.
outbreaks
The 5 components of a comprehensive PH response to __________ of illness are: 1. detect the outbreak 2. determine the cause 3. identify factors that place people at risk 4. implementing measures to control the outbreak and 5. informing medical and public communities about the treatment, health consequences, and preventive measures.
F0
_____ gale tornado: 40-72 mph
F1
______ moderate tornado: 73-112 mph
F2
_______ significant tornado: 112-157 mph
F3
______ severe tornado: 158-206 mph
F4
______ devastating tornado: 207-260 mph
F5
______ incredible tornado: 261-318 mph
F6+
_____ inconceivable tornado: 319-379 mph
Tropical Storm
a ________ ______ had winds 39-73 mph
1
A category ____ hurricane has winds 74-95 mph
2
A category _____ hurricane has winds 96-110 mph
3
A category ___ hurricane has winds 111-130 mph
4
A category ____ hurricane has winds 131-155 mph
5
A category ___ hurricane has winds 156+ mph
cognitive
poor concentration, confusion, disorientation, indecisiveness, short attention span, memory loss, unwanted memories, and difficulty making decisions are all examples of ___________ responses to traumatic events
emotional
shock, numbness, overwhelmed, depression, feeling lost, feeling nothing, feeling abandoned, uncertainty of feelings, and volatile emotions are all examples of ___________ responses to traumatic events
physical
nausea, lightheadedness, dizziness, GI problems, rapid heart rate, tremors, HA, teeth grinding, fatigue, poor sleep, pain, hyperarousal, and jumpiness are all examples of __________ responses to traumatic events
behavioral
suspicion, irritability, arguments, withdrawal, excessive silence, inappropriate humor, increased or decreased eating, change in sexual desire, increased smoking, or increased substance use/abuse are all examples of ____________ responses to traumatic events.
primary
participating in community disaster exercises is an example of ___________ prevention
secondary
assessing disaster survivors, conducting rapid needs assessment, and using individual and population based triage for care is ____________ prevention
tertiary
conducting community outreach is an example of _________ prevention

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