Disaster Phases
The community/public health nurse understands that the recovery phase of a disaster event is consistent with which timeframe?
A) Approximately 12 hours after the disaster event occurs
B) Long term after the response phase of the disaster event
C) One or two days after the disaster event occurs
D) Immediately after the onset of the disaster event
Correct:B) Long term after the response phase of the disaster event
• Rationale: The recovery phase of a disaster event occurs over the long term, after the response phase of the disaster event. Immediately after the event, approximately 12 hours after the event occurs, and 1 or 2 days after the event occurs are consistent with the response phase.
A community/public health nurse suspects that a client who was a victim of a disaster 3 months ago is experiencing post traumatic stress disorder (PTSD). Which of the following would the nurse expect to find in this client? (Select all that apply.)
A) Feelings of detachment
B)Diminished startle response
C) Reports of flashbacks
D) Hypervigilance
E) Full range of emotions
•Correct: A, C, D, Feelings of detachment, Hypervigilance, Reports of flashbacks
•Rationale: Victims of disasters who are experiencing posttraumatic stress disorder (PTSD) are observed to be hypervigilant, have feelings of detachment, and can experience flashbacks. A full range of emotions and a diminished startle response are not associated with PTSD.
The role of the community/public health nurse in disaster and post-disaster situations often includes which of the following?
A) Working only at the community and systems levels
B) A unique awareness of vulnerable populations in the community who are at higher risk
C) Limited awareness of disaster preparedness plans
D) Working beyond the scope of the RN license and PHN practice due to necessity
•Correct: B) A unique awareness of vulnerable populations in the community who are at higher risk
•Rationale: A unique awareness of vulnerable populations in the community who are at high risk is part of the public health/community health nurse's role in post-disaster situations. Public health/community health nursing roles and activities remain consistent with the scope of the nurse's license; the scope of practice does not change. The public health/community health nurse works at the individual and family levels as well as the community and systems levels and is expected to have familiarity with and understanding of principles of disaster preparedness.
Which of the following actions by the community/public health nurse are associated with the provision of psychological first aid? (Select all that apply.)
A) Working without a break because victims need timely help
B) Giving clear and reliable information
C) Helping survivors help themselves
D) Being calm and compassionate
Correct: B, C, D Being calm and compassionate, Helping survivors help themselves, Giving clear and reliable information
•Rationale: Psychological first aid activities include giving clear and reliable information, helping survivors help themselves, and being calm and compassionate. Relief workers need to know their own limits and take care of themselves, so working without a break even though victims need help is not advised.
•According to a study by Zidek, West, Holmes, and Crytzer (2014), approximately how many people who rely on electronic medical equipment to maintain their health have no plan for a sustained power outage?
• 10%
• 25%
•75%
50%
•Correct Response:25%
•
• Rationale: According to Zidek, West, Holmes, and Crytzer (2014), 24% of rural residents and 28% of urban residents who rely on electronic medical equipment to maintain their health had no plan for a sustained