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A large EF-4 tornado has struck in a downtown area in the Midwest. The state has asked for assistance in dealing with the massive response needed in this town. The public health nurse informs the staf... f that which government agency will take over the disaster response? - Ans-FEMA A nurse is reviewing the disaster response plan for the community clinic. The plan describes preparedness, mitigation, response, and recovery procedures. The nurse knows, however, that one of the most important steps is missing. This step includes procedures for: - Ans-Response evaluation A nurse is working at a community fair and talking with community members about being ready for an earthquake. The most important piece of advice is to: - Ans-Have an emergency preparedness plan ready. A hospital is managing an extreme epidemic of a new virus. The nurse who has been assigned to collect and report emergency information during an emergency is noticing that hospital supplies are dwindling. How does the nurse proceed? - Ans-Inform the local department of health that they need to access the strategic national stockpile. A nurse is working with a local town council to figure out ways to alert more young people of disaster situations. The nurse suggests which of the following as the most effective means to achieve this? - Ans-Text messages A large tanker truck gets into an accident and the driver is killed. An unknown substance is covering the roadway. How should first responders initially handle the spill? - Ans-Consult the material safety data sheet (MSDS) in the truck to see what the chemical is and how it should be handled. A nurse is teaching a class about the emergency response protocols and explains that there are a series of steps that should be performed when preparing for and responding to an emergency. Place the following steps in the order in which they should occur (1-4): - Ans-Mitigation, Response, Recovery, Evaluation A major plane crash has occurred in a very populated part of town. During the response, the public health nurses have been diligent about tracking victims and potential victims. Which of the following factors may complicate accurate reporting of victims? - Ans-Evacuation to places other than established shelters The dense homeless population in the area A nurse is volunteering on an island where a strong earthquake occurred several days ago. Almost all of the residents have been rescued or accounted for, but flooding is now the biggest problem as a result of broken infrastructure. How should the nurse proceed? - Ans-Set up surveillance programs to monitor for diarrheal diseases A nurse and begins to suspect that an emergency room patient is suffering from a pandemic strain of the flu that has not yet impacted the community. How does the nurse proceed? - Ans-Immediately inform the physician and the nursing supervisor. A nurse is preparing a pamphlet about the danger of mudslides to send to residents living in a small mountainous town and mentions that mudslides can occur after: - Ans-Wildfire Heavy rains Earthquakes A nurse happens to be in a mall parking lot when a large explosion rips through the building. The nurse is unhurt and runs to the scene to help provide medial care. After calling 9-1-1, what should the nurse do next? - Ans-Start sorting victims according to the principles of triage. A nurse is working in the emergency department of a large urban hospital. The nurse is responsible for managing the emergency response and disaster management team and the hospital is just returning to normal functioning after caring for victims of a building explosion. What should the nurse do next? - Ans-Schedule a quality improvement meeting with key staff members to discuss what went well and what needs to be addressed. A nurse is working in an emergency department when paramedics bring in a family who was stranded in their car on the side of the road during a blizzard. When they were found, they were short of breath and confused. The children reported having headaches and dizziness. What does the nurse suspect? - Ans-Carbon monoxide poisoning A nurse is working with lobbyists to fight for increased spending to train health-care providers to manage and detect bioterrorism events. The nurse explains that it is especially important to increase funding at what level for the policy to be most effective? - Ans-Local A nurse is working in a community clinic on the coast of Indonesia when a strong earthquake occurs. There is no damage to the clinic, and everyone is safe. What should the nurse do? - Ans-Immediately start evacuating patients to higher ground. A nurse working in an emergency room has received notification that a firefighter who was fighting a fire nearby will be coming into the emergency room for care. What should they be prepared to treat? - Ans-Respiratory distress A major outbreak of influenza has occurred and the CDC has established Point of Dispensing (POD) sites for rapid vaccination against this virus. A nurse is assisting her local hospital in setting up a POD site in their community clinic. Place the steps for providing care at one of these POD sites in order (1-4): - Ans-Triage and medical assessment Screening for eligibility and epidemiological background Vaccination Registering each patient as they arrive at the POD A nurse is caring for a patient in the emergency room. The patient survived a bomb explosion in a train station but has lost her left arm as a result. How does the nurse document those injuries? - Ans-Tertiary An Orthodox Jewish family just moved from their hometown in Brooklyn to the Midwest. They have no family nearby and there are no other Orthodox families in town. The nurse evaluating the family in the clinic knows that: - Ans-Members of the family are vulnerable medically and socially due to a lack of connection in their community. A nurse is holding a class that is discussing the issues of homelessness in the urban environment. A student asks whether homeless people living in rural environments. How does the nurse respond? - Ans-Yes, there are homeless people living in rural environments, but they are generally more difficult to locate and help. A student nurse is taking a class about the impact of poverty on health outcomes. Which of the following statements about poverty is incorrect? - Ans-We are at the highest percentage of people living in poverty in American history. A nurse has observed that many of the migrant workers who live and work in the area do not visit the community health clinics for their medical care. After performing a community assessment, the nurse discovers that they don't have a lot of time off or access to transportation to get to the clinics. How should the nurse proceed? - Ans-Create a mobile health unit that visits farm sites throughout the day so workers can visit the mobile unit on their breaks. A nursing student is about to begin a clinical rotation at a homeless shelter downtown. At the pre-class meeting, the instructor gives the student which of the following suggestions for providing appropriate care? - Ans--Put follow-up instructions in writing so they can take the instructions with them. -Choose words carefully so that the patient does not feel bias or discrimination from the nurse. -Include screening for addiction, mental health, and domestic violence as part of the initial assessment. -Discuss housing and other government support programs where they may be able to access more services. A nurse is teaching a class on the health needs of the homeless population. One of the students asks, what is the most pressing need for homeless men and women? How does the nurse respond? - Ans-Safe and affordable housing A nurse is caring for a young woman with two young children. They are currently living in a shelter for families escaping from domestic violence. The nurse recognizes that this family is suffering from what type of homelessness? - Ans-Secondary homelessness A nurse is examining factors that may impact teen pregnancy rate as part of a desire to reduce the high rate in her community. During the initial community assessment, the nurse identifies low socioeconomic status as a potential risk factor for increased rate of teen pregnancy. How should the nurse proceed? - Ans-Continue to look for other risk factors to see if they overlap with socioeconomic status. A nurse is teaching her first class about vulnerable populations and health disparities. Which of the following are included as characteristics of vulnerable populations? - Ans-Sexual orientation Health status Legal immigration status A nurse is talking with a young man who was recently diagnosed with bipolar disorder. He is talking with the nurse about feeling stigmatized due to his mental illness and is requesting assistance in finding local support. The nurse knows that stigma is: - Ans-Possessing a characteristic that is typically thought of as less desirable in society A nurse is explaining the concepts of Healthy People 2020 to one of her patients, a young woman who is visiting a community health center. The woman asks what role social and physical environments have on our health and why Healthy People is involved in the environment. How does the nurse respond? - Ans-Having access to safe food, water, and air is essential to maintaining good health for everyone. [Show More]

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