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Week 10: chapter 32 Flashcards

1
Q

What is essential for nurses to have in order to respond effectively in a disaster situation across different communities?
a. Some information on disaster planning
b. Recognition that each disaster is similar
c. Specific expertise in emergency management
d. An effective disaster plan

A

c. specific expertise in emergency management

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2
Q

What statement is correct as it relates to natural disasters? a. Their impacts can sometimes be mitigated
b. They always happen quickly
c. They include infectious diseases
d. They are predictable

A

a. their impacts can sometimes be mitigated

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3
Q

Using the Canadian Disaster Database, what is the most common disaster in Canada? a. Fuel spills
b. Tsunamis
c. Tornadoes
d. Cold waves

A

a. fuel spills

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4
Q

The Canadian government adopted NIMS in 2004 as a framework for all levels of government in Canada to develop emergency response plans. What does NIMS stand for and who developed it?
a. National and International Model for Security, United Kingdom
b. National Incident Management System, United States
c. Natural Incident Modelling Sphere, Canada
d. National Information and Military System, United Nations

A

b. national incident management system, US

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5
Q

Which of the following Canadian disasters claimed the most lives?
a. 1998 Peggy’s Cove, Nova Scotia, aircraft crash
b. 1918-1925 across Canada, Spanish influenza
c. 1927 Newfoundland, hurricane
d. 2003 Toronto, Ontario, SARS

A

b. 1918-1925 across Canada, Spanish influenza

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6
Q

In Canada, at what level of government are emergency management and preparedness responses initiated?
a. Coordinated through Emergency Management Agency
b. Provincial/territorial
c. Federal
d. Municipal

A

d. municipal

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7
Q

A nurse is attending a classroom exercise on disaster management. What stage of the emergency management programming is this exercise?
a. Preparedness b. Response
c. Prevention
d. Mitigation

A

c. prevention

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8
Q

Using the Incident Management System, what is an example of an operations function during a pandemic influenza?
a. Conducts mass immunization of the general public
b. Identifies objectives and develops action plans
c. Procures supplies and physical space
d. Ensures that purchasing of supplies is completed in a timely manner

A

a. Conducts mass immunization of the general public

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9
Q

What would be an example of a technological man-made disaster?
a. The 2001 anthrax-contaminated letters sent to news media offices
b. The 2010 eruption of the volcano in Iceland
c. Hurricane Katrina levee failure in 2005
d. Peggy’s Cove airline crash in 1998

A

d. peggy’s cove airline crash in 1998

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10
Q

What is an example of an activity that a nurse would undertake in Phase II of the Jennings Model?
a. Assess victims of a disaster for serious mental illness
b. Coordinate community services to assist residents in their personal recovery
c. Provide the public with information on how to make a disaster survival kit
d. Implement infection control measures during the recovery operation

A

a. assess victims of a disaster for serious mental illness

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11
Q

The Public Health Agency of Canada devised criteria for the order in which the public would receive the H1N1 flu vaccine during the pandemic. What principle was used in responding to this situation?
a. Medical triage
b. Surge capacity
c. Public health triage
d. Public health surge interventions

A

c. public health triage

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12
Q

What is the name of the organization that provides assistance to countries in disaster planning and has policies that condemn violations of human rights commonly seen during and after a disaster?
a. World Bank
b. International Council of Nurses (ICN)
c. International Union of Health Promotion and Education (IUHPE)
d. Public Health Agency of Canada (PHAC)

A

c. International Union of Health Promotion and Education (IUHPE)

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13
Q

The listeriosis outbreak in 2008 linked to deli meats produced at a Maple Leaf plant in Ontario was a significant public health event. How what this situation dealt with?
a. School children were told not to bring deli meats to school
b. Supermarkets were asked to pull all deli meats off shelves
c. The management of food-borne outbreaks were improved
d. Doctors’ offices were asked to follow news stories

A

c. The management of food-borne outbreaks were improved

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14
Q

“Learning from SARS: Renewal of Public Health in Canada: A Report of the National Advisory Committee on SARS and Public Health” is known as which of the following?
a. The Naylor Report
b. The Romanow Report
c. The Taylor Report
d. The Lalonde Report

A

a. the naylor report

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15
Q

There should be one common emergency response system “to bring an orderly, consistent, and flexible chain of command and control within an emergency response”. This would help build what type of a model to establish infection control networks and standards, improve emergency preparedness, develop a communications infrastructure, and enhance surveillance?
a. A traditional biomedical model
b. A screening and surveillance model
c. A cohesive public health model
d. An acute healthcare model

A

c. a cohesive public health model

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16
Q

Which of the following is the largest group of health care professionals who must play pivotal advocacy and leadership roles to facilitate agency-specific, community-wide preparation for health-related emergencies and disasters?
a. Physicians who work in the community
b. Resident physicians who work in acute care
c. Registered nurses who work in the community health
d. Registered nurses who work in acute care

A

c. registered nurses who work in the community health

17
Q

A small city in Canada has experienced and earthquake. Shemila is a community health nurse who is involved in measuring the overall impact of the disaster to organize the coordination of community services. What phase of the Jennings Disaster Nursing Management Model is Shemila working in?
a. Phase 1
b. Phase 2
c. Phase 3
d. Phase 4

A

d. phase 4

18
Q

Cheveyo is a community health nurse who is working with community stakeholders on his reserve to plan for any long term health concerns following a flood in his community. What phase of the nursing process is Cheveyo working in?
a. Planning
b. Preparedness c. Response
d. Recovery

A

a. planning

19
Q

Cheveyo is a community health nurse who is working with community stakeholders on his reserve to conduct an evaluation of the long-term impact of the flood on the whole community. What phase of disaster is Cheveho working in?
a. The phase that involves assessing resources and risks to plan for primary prevention
b. The phase in which nurses need to work in multiple roles to improve the health of victims
c. The phase in which nurses implement secondary prevention initiatives
d. The phase in which nurses organize community services to help residents in their
recovery

A

d. The phase in which nurses organize community services to help residents in their
recovery

20
Q

Which of the following terms is used to describe the “healthcare systems ability to
expand quickly beyond normal services to meet an increased demand for medical care in the event of bioterrorism or other large-scale public emergency”?
a. Public health triage
b. Medical triage
c. Surge capacity
d. Increased capacity

A

c. surge capacity

21
Q

In some provinces in Canada, emergency management programming is organized into five stages. Which of the following terms below is one of these five stages?
a. Planning
b. Mitigation
c. Evaluation
d. Surveillance

A

b. mitigation

22
Q

The Public Health Agency of Canada and Public Safety Canada work with the provincial and territorial governments to coordinate a unified response to any national public health emergency. When was the Public Health Agency of Canada established?
a. November 2001
b. February 2005
c. September 2004
d. June 2004

A

c. september 2004

23
Q

In 2000 there was a public health emergency in Walkerton Ontario. What was this public health emergency?
a. E-coli contaminated the town’s water supply
b. Listeriosis outbreak at the Maple Leaf plant
c. SARS outbreak at the local hospital
d. Pandemic H1N1 flu virus hit seniors homes

A

a. E-coli contaminated the town’s water supply

24
Q

Which of the following terms is used to describe the intentional use of a microorganism to cause infection or death?
a. An epidemic
b. Man-made disaster
c. Bioterrorism
d. A pandemic

A

c. bioterrorism

25
Q

There are four categories of national emergency. Which of the following is one of these?
a. Private order emergencies
b. International emergencies
c. A state of turmoil
d. Internal emergency

A

b. international emergencies

26
Q

A team of nurses and other emergency professionals are working with an Incident Command System (ICS) during a large train wreck outside their medium-sized community. What is the ICS and what does it do? Where, when, and why was it developed?

A
  • ICS is a standardized, on-scene incident management concept designed specifically to allow public health officials to respond efficiently in an emergency situation by implementing an organized and integrated response across jurisdictional boundaries, irrespective of the nature of the emergency.
  • ICA was developed in the early 1970s in California to assist firefighters in responding to any size or type of wildfire emergency.
27
Q

Discuss the four categories of a national emergency and give an example for each.

A
  • Public welfare emergencies: natural disaster or accident beyond the authority of the province/territory, e.g., Quebec ice storms
  • Public order emergencies: serious security threat to the nation, e.g., terrorist bombing of a large city
  • International emergencies: arising from acts of coercion or intimidation or serious use of force or violence, which threaten Canada, e.g., 9/11 in the United States
  • A state of war: either active or imminent involving Canada or its allies, e.g., World War II
28
Q

An industrial community has a higher risk of having a hazardous materials disaster. Describe the three phases of such a potential disaster according to Jennings Disaster Nursing Management Model. Give an example related to community health nursing for each phase.

A
  • Pre-disaster: prevention, mitigation, and preparedness. Plans are developed, people are trained and educated, and the public is informed. CHN e.g., CHNs can educate families about personal preparedness plans
  • Disaster occurs: includes a warning that a disaster is imminent, the actual impact of the disaster, and the response to the disaster through nursing care, education, and case management. CHN e.g., CHNs may work at a walk-in clinic or evaluation shelter doing first aid and crisis interventions.
  • Post-disaster: focus is on tertiary prevention through assessment, planning, and implementation. CHN e.g., CHNs will apply infection control measures.
  • Positive client/population outcomes: measure the overall impact and plan for recovery and rehabilitation. The whole disaster response is evaluated and the plan improved. CHN e.g., CHNs may take part in evaluating the impact of the disaster on the community.
29
Q

List and describe the key components of the Emergency Preparedness Standard and
Protocol.

A
  • Identifying and assessing the relevant hazards and risk to public health
  • Developing a continuity of operations plan
  • Developing an emergency response plan utilizing the IMS
  • Developing and implementing 24/7 notification protocols for communications with
    staff, community partners and government bodies
  • Increasing public awareness regarding emergency preparedness activities
  • Delivering emergency preparedness and response education and training for board of
    health staff and officials
  • Exercising or testing the continuity of the operations plan, the emergency response
    plan, and the 24/7 notification protocols

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