ATI RN
Emergency Preparedness and Disaster Management Questions
Question 1 of 5
What is the purpose of the National Response Framework?
Correct Answer: C
Rationale: The National Response Framework, a successor to the National Response Plan, 'helps define the roles, responsibilities, and relationships critical to effective emergency planning, preparedness, and response to any emergency or disaster.' The NRF serves as a guide for conducting a nationwide all-hazards response that is flexible and adaptable and that links all levels of the government with nongovernmental organizations and the private sector. The U.S. Department of Homeland Security was developed in 2002 to develop and coordinate the implementing of a comprehensive national strategy to secure the United States from terrorist threats or attacks. Eventually, the NRF was developed within this department. The National Response Framework helps to provide a linkage for the Red Cross to other organizations, but does not assist with it carrying out its mission. The NRF does not change presidential power.
Question 2 of 5
The local hospital, health department, and university together planned and implemented a mock casualty drill, with the university's theater and nursing students playing the injured victims. After the drill, which of the following would the nursing students most likely complete?
Correct Answer: B
Rationale: The nursing students should be prepared to offer a critique of the drill performance and suggest improvements for the next drill-or for an actual disaster. It would be unlikely that the students would be volunteers at the next drill as typically the agencies involved with disaster management are the ones who are coordinating and leading these activities. It is unknown if the student will ever be in the same type of disaster as what they completed the drill for, so their involvement may not change their response in the future. Writing a report and talking about feelings would not be helpful for the agencies to learn what they can do differently if an actual disaster was to occur.
Question 3 of 5
Which of the following older adults is most in need of psychological support?
Correct Answer: C
Rationale: Older adults react deeply to the loss of personal possessions because of the high sentimental value attached to the items. Family photos are a part of family history and are not replaceable. This type of a loss warrants psychological support. Homes and electronic equipment can be replaced, so the older adult may be able to eventually access loans to rebuild his home and replace his equipment. Because these things are replaceable, it is likely that that the older adult will be able to better cope with these losses than with something that is irreplaceable. Depending on the loss of the older adult, he/she may have a need for relocation rather than returning home.
Question 4 of 5
A nurse is assessing persons arriving at a shelter following a disaster. Which of the following would be the first action the nurse should take?
Correct Answer: C
Rationale: Any person who comes to a special needs shelter must be assessed by a nurse to determine whether this type of facility is appropriate. After it has been determined if the facility is appropriate for these people, the nurse can work with them as needed to limit equipment if there is limited space. Assessment of the physical concerns of the people, not the psychological conditions, should be the primary concern of the nurse. The nurse would not be providing medical care at the shelter, rather, the nurse would provide assessments, referrals, assist the client to meet health care needs, keep client records, ensure emergency communications, and provide a safe environment.
Question 5 of 5
A nurse, after working 2 weeks at the site of the largest natural disaster to hit the United States, returns home. Which of the following behaviors would suggest the nurse needs professional assistance?
Correct Answer: A
Rationale: The fact that the nurse needs to continue to ventilate about the disaster, even after the family has quit listening, would suggest a delayed stress reaction that is not resolving and therefore warrants professional intervention. The nurse presenting at a college about the disaster demonstrates that the nurse is able to engage in conversations about the disaster after it has occurred. It is understandable that the nurse would return exhausted and moody. Indeed, concerns of major importance to family members may seem trivial when compared with problems the disaster victims were confronting.