What is the primary aim of Disaster Management?
- A. Economic recovery
- B. Minimizing suffering and damage
- C. Increasing property losses
- D. Enhancing infrastructure development
Correct Answer: B
Rationale: Rationale A: Incorrect, economic recovery is a secondary goal, not primary. Rationale B: Correct, the primary aim of disaster management is to minimize suffering and damage through prevention, response, and recovery. Rationale C: Incorrect, increasing losses contradicts disaster management goals. Rationale D: Incorrect, infrastructure development is a long-term outcome, not the primary aim.
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Hospital leadership should consider which of the following ethical dilemmas prior to experiencing an actual disaster?Select one that does not apply
- A. Which clinical leader will make the decision about distribution of scarce resources
- B. Criteria to determine which patients receive aggressive treatment and which will receive palliative care
- C. Which nursing staff will be the first to report to the hospital in the event of a disaster
- D. How prophylactic pharmaceuticals will be distributed to protect staff and their families
Correct Answer: C
Rationale: Rationale A: Correct, leadership decision-making is an ethical issue. Rationale B: Correct, treatment criteria pose ethical dilemmas. Rationale C: Incorrect, staff reporting is logistical, not ethical. Rationale D: Correct, drug distribution raises fairness issues. Rationale E: Communication is operational, not ethical.
A contaminated wound should be treated by:
- A. Cleaning the wound with sterile water or saline solution and covering it with a sterile dressing
- B. Pouring alcohol into the wound
- C. Ignoring the wound
- D. Applying a tourniquet immediately
Correct Answer: A
Rationale: Rationale A: Correct, cleaning and covering prevent infection. Rationale B: Incorrect, alcohol damages tissue. Rationale C: Incorrect, ignoring risks infection. Rationale D: Incorrect, tourniquets are for bleeding.
A CHN suspects that an elementary school student is being physically abused. Which action would be the most appropriate one for the CHN to take?
- A. Ask the student about the abuse.
- B. Document findings in the student's school record.
- C. Discuss the suspicions of abuse with the student's teachers or the family's spiritual leader.
- D. Notify legal authorities.
Correct Answer: D
Rationale: Rationale A: Incorrect, direct questioning may retraumatize. Rationale B: Incorrect, documentation alone doesn't protect the child. Rationale C: Incorrect, discussing delays reporting. Rationale D: Correct, CHNs are mandated reporters; legal authorities must investigate.
Cardiac arrest refers to:
- A. A severe allergic reaction
- B. The sudden loss of heart function
- C. A stroke
- D. Lung failure
Correct Answer: B
Rationale: Rationale A: Incorrect, that's anaphylaxis. Rationale B: Correct, cardiac arrest is heart stoppage. Rationale C: Incorrect, stroke is brain-related. Rationale D: Incorrect, lung failure is respiratory.
A nurse is working in a community clinic and observes that numerous clients have come to the clinic reporting nausea, vomiting, and blisters on their skin. Which of the following conditions should the nurse suspect?
- A. Smallpox
- B. Tuberculosis
- C. Radiation exposure
- D. Sarin exposure
Correct Answer: D
Rationale: Sarin, a nerve agent, causes nausea, vomiting, and skin blisters due to chemical exposure, aligning with the symptoms described. Smallpox (A) features fever and rash, tuberculosis (B) involves respiratory symptoms, and radiation (C) may cause nausea but typically not blisters acutely.
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