Question 1

A friend who was raped and beaten appeared to be coping well.However,she recently dropped out of school and shared with the nurse that she is having nightmares where it happens all over again,and these nightmares are becoming impossible to live with.Which would be the concern of the nurse?

Accepted Answer

A)  A late psychological reaction of despair and hopelessness
B)  Depression that no one rescued her and saved her from the traumatic event
C)  Guilt and concern over what she could possibly have done to invite such an event
D)  Posttraumatic stress syndrome disorder (PTS
D)   D

Question 2

Who is responsible for ensuring the safety and welfare of communities?

Accepted Answer

A)  Federal government
B)  Federal Emergency Management Agency
C)  Local government
D)  State government C

Question 3

Which are the responsibilities of the Centers for Disease Control and Prevention (CDC)in relation to disasters? (Select all that apply.)

Accepted Answer

A)  Contacting family members with up-to-date information regarding victims and their condition
B)  Coordinating local services to prevent duplication and fragmentation
C)  Delivering first aid and arranging for prescription medications that were lost to be replaced
D)  Detecting disease outbreaks,their cause,and risk factors,and implementing interventions for control
E)  Ensuring that drinking water,food,shelter,and medical care are available to victimsF) Setting up safe and comfortable disaster shelters (emergency housing) for families D,E

Question 4

When would the National Guard become involved in a disaster?

Accepted Answer

A)  When the Federal Emergency Management Agency requests such assistance
B)  When the local government requests help keeping order in the community
C)  When the president has declared the area a national disaster
D)  When the state has been asked to help an overwhelmed community

Question 5

Which agency should develop a community disaster plan,have emergency drills to test the plan,and determine the proper response?

Accepted Answer

A)  Federal Emergency Management Agency (FEM
A)  
B)  Office of Emergency Management
C)  State Disaster Office
D)  The National Disaster Relief Agency

Question 6

Which best describes why earthquakes would be more frightening than floods to many people,even though both can cause extensive damage? (Select all that apply.)

Accepted Answer

A)  Death rate and scope are higher in earthquakes
B)  There is a higher frequency of earthquakes
C)  Imminence of earthquakes is unknown
D)  It is not possible to prevent an earthquake
E)  The intensity of earthquakes is higherF) The predictability of earthquakes is lower.

Question 7

A man walked to the staging area after an earthquake crying that he was hurt.A triage nurse noted he had cuts,abrasions,and an open (bone was seen)fractured arm.Which action should be taken next?

Accepted Answer

A)  Put a green tag on his shirt and he can get in line to wait his turn for medical treatment
B)  Put a yellow tag on his shirt and then await transport to a medical facility
C)  Put a black tag on his shirt and give him a chair to rest in until something can be done
D)  Put a green tag on his shirt and ask him to use his good arm to help others make it to the staging area

Question 8

Which statement best describes how the American Red Cross (ARC)is different from the Federal Emergency Management Agency (FEMA)or the National Incident Management System?

Accepted Answer

A)  Funding includes only voluntary contributions
B)  It emphasizes being prepared for emergencies,not just reacting to them
C)  It has only volunteers as staff
D)  It is a nongovernmental volunteer agency.

Question 9

Which disaster would most likely cause the most long-lasting mental health concerns for its victims?

Accepted Answer

A)  For the fourth year in a row a flood hit an area,demolishing several houses,but families heard the warning siren and evacuated in time
B)  A forest fire was deliberately set but was not a major concern until the fire suddenly changed direction and people attempting to evacuate at the last minute were burned in their cars
C)  A tsunami hit the beach with unbelievable force,water sweeping over the entire harbor,although most boats had been moved to deep water
D)  A volcano erupted and lava destroyed the main road to the village where several houses burned,but no one died in the eruption.

Question 10

Which action should be taken during a biological attack?

Accepted Answer

A)  Close doors and windows and turn off all ventilation
B)  Seek medical attention if you become sick
C)  Develop a family emergency plan
D)  Keep a written record of everything that you have eaten

Question 11

Which U.S.agency is responsible for overseeing the actions of protecting against,responding to,recovering from,and preventing the effects of disaster?

Accepted Answer

A)  American Red Cross (AR
C)  
B)  The Department of Homeland Security (DHS) 
C)  Federal Emergency Management Agency (FEM
A)  
D)  The National Incident Management System (NIMS)

Question 12

Which type of behaviors would a nurse expect to see when a disaster first strikes a community?

Accepted Answer

A)  A sense of all being okay and that one can rebuild and go on
B)  Anger and despair that help being offered is insufficient,slow,and inadequate
C)  Everyone trying to help strangers,as well as their neighbors,survive
D)  People involved sharing their stories and reliving what occurred

Question 13

Eight patients were burned in a factory fire.Shortly thereafter,four firefighters were seen with possible smoke inhalation problems.Which best describes how these patients are different from the first patients to arrive?

Accepted Answer

A)  Burn patients probably have skin damage,whereas the firefighters have lung damage
B)  Burn patients will need extensive care over time,whereas the firefighters can probably stay the night with oxygen treatment and then be discharged
C)  The burn patients were direct victims,whereas the firefighters are indirect victims
D)  The second set of victims may have scarring,shortness of breath,and persistent hoarseness for the next few days.

Question 14

Which do terrorists hope to accomplish by causing mass destruction and violence toward innocent persons going about their daily lives?

Accepted Answer

A)  Create fear to intimidate and coerce to accomplish a political goal
B)  Encourage others with similar beliefs to join them and their cause
C)  Obtain publicity for themselves and their goals
D)  Obtain increased negotiating power and respect

Question 15

Which step should the nurse take first when triaging a victim of a disaster?

Accepted Answer

A)  Assess mental status
B)  Assess perfusion
C)  Assess respirations
D)  Assess blood pressure

Question 16

Who should create a disaster plan including emergency supplies and where to meet in case of an emergency?

Accepted Answer

A)  All families
B)  All government officials
C)  All public health employees
D)  Members of Congress and the Supreme Court

Question 17

Which best describes the mission of the U.S.Department of Homeland Security (DHS)?

Accepted Answer

A)  To consolidate all existing agencies,groups,and organizations into a single department
B)  To distribute federal financial aid to disaster-stricken areas
C)  To enable appropriate response to assist a state having a disaster
D)  To prevent terrorism and ensure resilience to disasters

Question 18

Which best describes how a community will know whether its disaster plan is adequate?

Accepted Answer

A)  After a disaster occurs and reports of deaths and injuries are fairly accurate
B)  By following practice drills involving various feasible scenarios as an initial step of planning
C)  When federal experts have reviewed and approved the plan
D)  When state officials have reviewed and approved the plan

Question 19

Which disasters are considered natech (natural-technological)disasters? (Select all that apply.)

Accepted Answer

A)  Constant rain led to mud slides,and whole neighborhoods were buried
B)  An earthquake caused structural collapse of bridges and highways in the area
C)  People stampeded out of the overcrowded arena,trampling people who had fallen
D)  River flooding resulted in overflow of the sewage plant and contaminated drinking water throughout the city
E)  The tsunami washed out all the power and telephone lines throughout the downtown area of the cityF) Volcanic eruption covered the town with ash,making it difficult to breathe.

Question 20

Which type of maps is crucial to be included in any disaster plan?

Accepted Answer

A)  Communication map showing telephone wires and cell phone towers
B)  Geographic map showing,for example,roads,highways,and train routes
C)  Resource map showing potential resources in persons and supplies
D)  Response maps showing sites of first responders,such as fire stations and police stations

Exam 29: Natural and Man-Made Disasters