Question 1

The Joint Commission's (TJC's) emergency management accreditation standards call for hospitals to sustain disaster operations for at least ______ hours.

Accepted Answer

A)  24 
B)  48 
C)  72 
D)  96 
A)  24 
B)  48 
C)  72 
D)  96 D

Question 2

In an AHPTF, which of the following entities could be utilized as external ad hoc members (select all that apply)?

Accepted Answer

A)  Facility engineering 
B)  Public health department representatives 
C)  Community physicians 
D)  Vendor representatives 
E)  Chaplain services 
A)  Facility engineering 
B)  Public health department representatives 
C)  Community physicians 
D)  Vendor representatives 
E)  Chaplain services B, C, D

Question 3

What is unique to the role of the nurse that fosters strong leadership in the overwhelming workload of the "keeping the momentum going" phase in the development of an all-hazards preparedness plan? Nurses are experts at:

Accepted Answer

A)  creating key components of disaster protocols. 
B)  developing workable action plans for difficult issues. 
C)  establishing guidelines for policy and procedures. 
D)  improving care by developing patient care plans. 
A)  creating key components of disaster protocols. 
B)  developing workable action plans for difficult issues. 
C)  establishing guidelines for policy and procedures. 
D)  improving care by developing patient care plans. B

Question 4

Hospital leadership should consider which of the following ethical dilemmas prior to experiencing an actual disaster (select all that apply)?

Accepted Answer

A)  Which clinical leader will make the decision about distribution of scarce resources 
B)  Criteria to determine which patients receive aggressive treatment and which will receive palliative care 
C)  Which nursing staff will be the first to report to the hospital in the event of a disaster 
D)  How prophylactic pharmaceuticals will be distributed to protect staff and their families 
E)  Who will be primarily responsible for external communication 
A)  Which clinical leader will make the decision about distribution of scarce resources 
B)  Criteria to determine which patients receive aggressive treatment and which will receive palliative care 
C)  Which nursing staff will be the first to report to the hospital in the event of a disaster 
D)  How prophylactic pharmaceuticals will be distributed to protect staff and their families 
E)  Who will be primarily responsible for external communication

Question 5

A disaster is a sudden event that can cause great destruction and human suffering and often requires external assistance. Which of the following statements are accurate depictions of various types of disasters or disaster-related definitions (select all that apply)?

Accepted Answer

A)  A cyber disaster is a catastrophic event that results from the use of information technology systems. 
B)  A catastrophic event caused by the use of weapons is a radiological disaster. 
C)  A biological disaster occurs when there is a deliberate or unintentional release of biological materials that may affect the health of those exposed. 
D)  A chemical disaster occurs when there is deliberate or unintentional release of biological materials that may adversely affect the health of those exposed. 
E)  A hazard vulnerability analysis is an exercise that identifies an organization's potential emergencies. 
A)  A cyber disaster is a catastrophic event that results from the use of information technology systems. 
B)  A catastrophic event caused by the use of weapons is a radiological disaster. 
C)  A biological disaster occurs when there is a deliberate or unintentional release of biological materials that may affect the health of those exposed. 
D)  A chemical disaster occurs when there is deliberate or unintentional release of biological materials that may adversely affect the health of those exposed. 
E)  A hazard vulnerability analysis is an exercise that identifies an organization's potential emergencies.

Question 6

A conventional disaster is a catastrophic event caused by:

Accepted Answer

A)  a high-magnitude earthquake. 
B)  an exposure to toxic materials. 
C)  an outbreak of a pathogen. 
D)  the use of military weapons. 
A)  a high-magnitude earthquake. 
B)  an exposure to toxic materials. 
C)  an outbreak of a pathogen. 
D)  the use of military weapons.

Question 7

All-hazard preparedness plan drills should occur at least:

Accepted Answer

A)  annually. 
B)  biannually. 
C)  monthly. 
D)  quarterly. 
A)  annually. 
B)  biannually. 
C)  monthly. 
D)  quarterly.

Question 8

In an AHPTF, who would have primary responsibility for serving as spokesperson for emergency physician needs with regard to disaster preparedness?

Accepted Answer

A)  Chief nursing officer 
B)  Marketing director 
C)  Department medical chair 
D)  Chief information technology officer 
A)  Chief nursing officer 
B)  Marketing director 
C)  Department medical chair 
D)  Chief information technology officer

Question 9

When working with the community, recognizable nomenclature is important for:

Accepted Answer

A)  response. 
B)  education. 
C)  reporting. 
D)  communication. 
A)  response. 
B)  education. 
C)  reporting. 
D)  communication.

Question 10

What are the major roles of nursing leadership in disaster planning (select all that apply)?

Accepted Answer

A)  Providing clearly defined roles for staff nurses in a disaster situation 
B)  Providing policies that speak to expected hours of work in a disaster 
C)  Encouraging staff to stay at home in the event of a disaster to decrease confusion 
D)  Ensuring that the community is synchronizing internal department plans in the event of a disaster 
E)  Sharing written identified roles with every department to ensure disaster preparedness 
A)  Providing clearly defined roles for staff nurses in a disaster situation 
B)  Providing policies that speak to expected hours of work in a disaster 
C)  Encouraging staff to stay at home in the event of a disaster to decrease confusion 
D)  Ensuring that the community is synchronizing internal department plans in the event of a disaster 
E)  Sharing written identified roles with every department to ensure disaster preparedness

Question 11

An all-hazards command center should:

Accepted Answer

A)  facilitate planning meetings. 
B)  provide a place for the commander to sleep. 
C)  be operated by an emergency department triage nurse. 
D)  be located near the security department. 
A)  facilitate planning meetings. 
B)  provide a place for the commander to sleep. 
C)  be operated by an emergency department triage nurse. 
D)  be located near the security department.

Question 12

What are the two agencies that require all health care facilities to have detailed all-hazard preparedness plans (select two that are correct)?

Accepted Answer

A)  Patient Protection and Affordable Care Act 
B)  Health Insurance Portability and Accountability Act 
C)  TJC 
D)  National Response Plan 
A)  Patient Protection and Affordable Care Act 
B)  Health Insurance Portability and Accountability Act 
C)  TJC 
D)  National Response Plan

Question 13

The system-wide AHPTF should conduct a gap analysis. What should be evaluated?

Accepted Answer

A)  Differences between standards and policies and procedures 
B)  Differences between pieces of the program that are and are not in place 
C)  Similarities between standards and policies and procedures 
D)  Similarities between pieces of the program that are and are not in place 
A)  Differences between standards and policies and procedures 
B)  Differences between pieces of the program that are and are not in place 
C)  Similarities between standards and policies and procedures 
D)  Similarities between pieces of the program that are and are not in place

Question 14

Which of the following questions should be considered in the hospital gap analysis survey of clinical operations readiness in the event of a disaster (select all that apply)?

Accepted Answer

A)  Does the facility have procedures in place to maximize staff safety in a disaster? 
B)  Does the facility have procedures in place for use of PPE? 
C)  Can the facility track patients until discharge or death while maintaining confidentiality? 
D)  Does the facility have a lockdown plan in case of emergency? 
E)  Does the facility have a mechanism of tracking costs associated with the event? 
A)  Does the facility have procedures in place to maximize staff safety in a disaster? 
B)  Does the facility have procedures in place for use of PPE? 
C)  Can the facility track patients until discharge or death while maintaining confidentiality? 
D)  Does the facility have a lockdown plan in case of emergency? 
E)  Does the facility have a mechanism of tracking costs associated with the event?

Question 15

A health care system's ability to rapidly expand beyond normal capacity to meet an increased demand for qualified personnel, beds, and medical care services in the event of a large-scale emergency or disaster is known as:

Accepted Answer

A)  acuity. 
B)  surge capacity. 
C)  mass casualty. 
D)  natural disaster. 
A)  acuity. 
B)  surge capacity. 
C)  mass casualty. 
D)  natural disaster.

Question 16

All-hazards disaster is best defined as:

Accepted Answer

A)  all types of natural and human terrorist events. 
B)  an event involving floods, tornadoes, hurricanes, and earthquakes. 
C)  an unforeseen and often unplanned event causing great damage. 
D)  any type of biological, chemical, radiological, or nuclear event. 
A)  all types of natural and human terrorist events. 
B)  an event involving floods, tornadoes, hurricanes, and earthquakes. 
C)  an unforeseen and often unplanned event causing great damage. 
D)  any type of biological, chemical, radiological, or nuclear event.

Question 17

The nursing leadership role in the "working the issues list" phase of an all-hazards preparedness plan is to:

Accepted Answer

A)  confirm that team members are working on their assignments. 
B)  ensure that every facility department has a disaster plan. 
C)  guarantee that all work will be completed by the deadline. 
D)  provide rewards for the committee's accomplishments. 
A)  confirm that team members are working on their assignments. 
B)  ensure that every facility department has a disaster plan. 
C)  guarantee that all work will be completed by the deadline. 
D)  provide rewards for the committee's accomplishments.

Question 18

Nursing leadership competencies in disaster planning and crisis management encompass which of the following domains (select all that apply)?

Accepted Answer

A)  Assessment of the disaster scene 
B)  Technical skills 
C)  Budget and resource allocation 
D)  Risk communication 
E)  Critical thinking 
A)  Assessment of the disaster scene 
B)  Technical skills 
C)  Budget and resource allocation 
D)  Risk communication 
E)  Critical thinking

Question 19

In a hospital's emergency operations plan, what would be the expected roles of the security department (select all that apply)?

Accepted Answer

A)  Overseeing facility security 
B)  Lockdown of the facility as necessary 
C)  Managing people entering and leaving the hospital 
D)  Restraining uncooperative visitors 
E)  Being the primary source of communication to nursing staff 
A)  Overseeing facility security 
B)  Lockdown of the facility as necessary 
C)  Managing people entering and leaving the hospital 
D)  Restraining uncooperative visitors 
E)  Being the primary source of communication to nursing staff

Question 20

Which combination of leadership is recommended for chairing an all-hazards preparedness task force (AHPTF)?

Accepted Answer

A)  Chief executive officer and internal medicine physician 
B)  Chief financial officer and emergency care nurse liaison 
C)  Representative chief nurse officer and emergency care physician 
D)  Representative chief information technology officer and critical care physician 
A)  Chief executive officer and internal medicine physician 
B)  Chief financial officer and emergency care nurse liaison 
C)  Representative chief nurse officer and emergency care physician 
D)  Representative chief information technology officer and critical care physician

Exam 25: All-Hazards Disaster Preparedness

The Joint Commission's (TJC's) emergency management accreditation standards call for hospitals to sustain disaster operations for at least ______ hours.

In an AHPTF, which of the following entities could be utilized as external ad hoc members (select all that apply)?

What is unique to the role of the nurse that fosters strong leadership in the overwhelming workload of the "keeping the momentum going" phase in the development of an all-hazards preparedness plan? Nurses are experts at:

Hospital leadership should consider which of the following ethical dilemmas prior to experiencing an actual disaster (select all that apply)?

A disaster is a sudden event that can cause great destruction and human suffering and often requires external assistance. Which of the following statements are accurate depictions of various types of disasters or disaster-related definitions (select all that apply)?

A conventional disaster is a catastrophic event caused by:

All-hazard preparedness plan drills should occur at least:

In an AHPTF, who would have primary responsibility for serving as spokesperson for emergency physician needs with regard to disaster preparedness?

When working with the community, recognizable nomenclature is important for:

What are the major roles of nursing leadership in disaster planning (select all that apply)?

An all-hazards command center should:

What are the two agencies that require all health care facilities to have detailed all-hazard preparedness plans (select two that are correct)?

The system-wide AHPTF should conduct a gap analysis. What should be evaluated?

Which of the following questions should be considered in the hospital gap analysis survey of clinical operations readiness in the event of a disaster (select all that apply)?

A health care system's ability to rapidly expand beyond normal capacity to meet an increased demand for qualified personnel, beds, and medical care services in the event of a large-scale emergency or disaster is known as:

All-hazards disaster is best defined as:

The nursing leadership role in the "working the issues list" phase of an all-hazards preparedness plan is to:

Nursing leadership competencies in disaster planning and crisis management encompass which of the following domains (select all that apply)?

In a hospital's emergency operations plan, what would be the expected roles of the security department (select all that apply)?

Which combination of leadership is recommended for chairing an all-hazards preparedness task force (AHPTF)?

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