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Disaster Nursing LECTURE Sas 1 23docx

The document covers essential concepts in disaster nursing, including definitions of disasters, disaster preparedness, and the roles of healthcare professionals in emergency situations. It outlines various types of disasters, the importance of risk assessment, and the psychosocial impacts on affected populations. Additionally, it discusses legal and ethical issues in disaster response, triage systems, and specific guidelines for managing mass casualty incidents and infectious disease emergencies.

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0% found this document useful (0 votes)
573 views10 pages

Disaster Nursing LECTURE Sas 1 23docx

The document covers essential concepts in disaster nursing, including definitions of disasters, disaster preparedness, and the roles of healthcare professionals in emergency situations. It outlines various types of disasters, the importance of risk assessment, and the psychosocial impacts on affected populations. Additionally, it discusses legal and ethical issues in disaster response, triage systems, and specific guidelines for managing mass casualty incidents and infectious disease emergencies.

Uploaded by

alyssamodesto19
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DISASTER NURSING

NUR 114 - CFU 1-23

Abello, Zydryhc Gio Y.

UI-FB1-BSN4-3

PHINMA - UI
2
DISASTER NURSING CFU

SAS # 1 Disaster Preparedness: Essentials of


Disaster Planning

1. It is a catastrophic event that results in casualties


that overwhelm the healthcare resources in that
community and may result in a sudden unanticipated
surge of patients, a change in standards of care, and a
need to allocate scarce resources?
a. Disaster
b. Health Disaster
c. Pandemic
d. Natural disaster

2. It is a serious disruption of the functioning of a


community or a society at any scale due to hazardous
events interacting with conditions of exposure,
vulnerability and capacity, leading to one or more of the
following: human, material, economic and
environmental losses and impacts
a. Disaster
b. Health Disaster
c. Pandemic
d. Natural disaster

3. Which of the following is not a category in


determining disasters?
a. Man-made
b. Natural
c. Anthropogenic
d. Supernatural

4. This is a potential threat to humans and their welfare


a. Risk
b. Disaster
c. Hazard
d. Warning

5. It is used to determine which events are most likely to


affect a community and to make decisions about whom or
what to protect as the basis of establishing measures for
prevention, mitigation, and response.
a. Hazard Identification
b. Vulnerability analysis
c. Risk Assessment
d. Disaster Planning
3
SAS # 2 I. Disaster Preparedness: Leadership and 3. Who are considered to belong in those who have
Coordination in Disaster Healthcare System: DRRM in special needs population?
the Philippine Perspective a. Children and youth
b. Older people
1. It is a systematic approach to identifying, assessing c. Cultural and ethnic people
and implementing strategies and plans that aims to d. All of the above
reduce, the probability of a hazard event.
a. Disaster risk reduction management 4. A disaster survivor started to have trouble sleeping at
b. Rehabilitation and recovery night days after the disaster. What could be the
c. Disaster prevention explanation for this?
d. Nursing process a. It is a normal reaction.
b. It is not a normal reaction to the situation
2. The leading agency for Disaster Prevention and c. Her sleep deprivation is caused by overstimulation
Mitigation. d. She was just not tired.
a. DOST
b. DILG 5. Which of the following may facilitate the process of
c. DOH mourning for the bereaved?
d. DSWD a. Telling them to move on
b. Acting as if nothing happened
3. It is the Government of the Philippines’ “multi-hazard” c. Facilitate rituals, ceremonies, or memorials d. Give
response plan. them all the space they can have
a. National Disaster Response Plan (NDRP)
b. National Disaster Risk Reduction Management Council SAS # 4 : I. Disaster Preparedness: Legal and Ethical
(NDRRMC) Issue in Disaster Response
c. Philippine National Red Cross
d. Philippine Disaster Plan (PDP) 1. This refers to the examination of what it means to live a
moral life.
4. It is the lead agency of Response. a. Law
A. DILG b. Morality
B. DSWD c. Ethics
C. DOH d. Confidentiality
D. NEDA
2. These are the rules and regulations under which nurses
5. It is a purposeful exchange of information about the must carry out their professional duties
existence, nature and severity or acceptability of health a. Law
risk between policymakers, health care providers AND b. Morality
THE MEDIA. c. Ethics
a. Emergency response d. Confidentiality
b. Incident Action Plan
c. Incident management system 3. It encompasses the norms people adopt to direct right
d. Risk Communication and wrong conduct?
a. Law
SAS # 3 : I. Disaster Preparedness: b. Morality
Understanding the Psychosocial Impact of Disasters c. Ethics
d. Confidentiality
1. It is an act of human malice intended to injure and kill
civilians and is associated with higher rate of psychiatric 4. This is usually considered to be the restriction of the
morbidity than are ‘Acts of God’” activities of a healthy person who has been exposed to a
a. Disaster communicable disease?
b. Bioterrorism a. Isolation
c. Calamity b. Quarantine
d. Natural disaster c. Screening
d. Vaccination
2. They are considered to be more vulnerable and
therefore require special consideration both in disaster 5. A nurse told the physician about the patient’s infidelity
planning and response? to his wife. The nurse violated the patient’s
a. Special needs population a. Civil liability
b. Older people b. Nurse-patient contract
c. Children and youth c. Privacy
d. Ethnic people d. Confidentiality
4
a. Check the client for breathing.
SAS 5 Principles of Emergency Care b. Assess the carotid artery for a pulse.
c. Shake the client and shout.
1. During the nursing assessment, which data represent d. Call a code via the bathroom call light.
information concerning health beliefs?
a. Family role and relationship patterns 3. The nurse is triaging four clients injured in a train
b. Educational level and financial status derailment. Which client should receive priority treatment?
c. Promotive, preventive, and restorative health practices a. A 42-year-old with dyspnea and chest asymmetry.
d. Use of prescribed and over-the-counter medications b. A 17-year-oldwith fractured arm.
c. A 4-year-old with facial lacerations.
2. Which assessment data should the nurse include when d. A 30-year-old with blunt abdominal trauma
obtaining a review of body systems
a. Brief statement about what brought the client to the 4. A 56-year-old patient presents in triage with left-sided
health care provider chest pain, diaphoresis, and dizziness. This patient should
b. Client complaints of chest pain, dyspnea, or abdominal be prioritized into which category?
pain a. High urgent
c. Information about the client’s sexual performance and b. Urgent
preference c. Non-urgent
d. The client’s name, address, age, and phone number d. Emergent

3. A male client is admitted to the hospital with blunt chest 5. This status is used for any patient who can wait more
trauma after a motor vehicle accident. The first nursing than 2 hours to be seen without the likelihood of
priority for this client would be to: deterioration in the ED.
a. Assess the client’ s airway a. Emergent
b. Provide pain relief b. Urgent
c. Encourage deep breathing and coughing c. Nonurgent
d. Splint the chest wall with a pillow d. Dead

4. Nurse Kelly is acquiring information from a client in the SAS# 7 II. Emergency and Disaster Management: In
emergency department. Which is an example of Hospital Triage System and Disaster Triage
biographic information that may be obtained during a
health history? 1. It is a process which places the right patient in the right
a. The chief complaint place at the right time to receive the right level of care” (
b. Past health status a. Assessment
c. History immunizations b. Triage
d. Location of an advance c. History taking
d. Nursing process
5. An anxious 24-year-old college student complains of
tingling sensations, palpitations, and chest tightness. 2. It is performed by nurses on a routine basis in the ED,
Deep, rapid breathing and carpal spasms are noted. What often utilizing a standardized approach, augmented by
priority nursing action should you take? clinical judgment.
a. Notify the physician immediately. a. Daily Triage
b. Administer supplemental oxygen. b. Incident Triage
c. Have the student breathe into a paper bag. c. Disaster Triage
d. Obtain an order for an anxiolytic medication. d. Population-based Triage

SAS # 6 Scope and Practice of Emergency 3. It occurs when the ED is stressed by a large number of
patients due to an acute incident or an ongoing medical
1. You are a nurse in the emergency department and it is crisis such as pandemic influenza, but is still able to
during the shift that Mr. CT is admitted in the area due to a provide care to all patients utilizing existing agency
fractured skull from a motor accident. You scheduled him resources.
for surgery under which classification? a. Daily Triage
a. Urgent b. Incident Triage
b. Emergent c. Disaster Triage
c. Required d. Population-based Triage
d. Elective
4. These are those who have difficulty in breathing,
2. The nurse finds the client unresponsive on the floor of uncontrolled hemorrhage, absence of peripheral pulses,
the bathroom. Which action should the nurse implement and inability to follow commands.
first? a. Minimal
5
b. Delayed a. Documenting the findings
c. Expectant b. Loosening any dressings on the chest
d. Immediate c. Raising the head of the bed
d. Preparing for intubation

5. This status is used for any patient who can wait more 2. A client who is admitted after a thermal burn injury has
than 2 hours to be seen without the likelihood of the following vital signs: blood pressure, 70/40; heart rate,
deterioration in the ED. 140 beats/min; respiratory rate, 25/min. He is pale in color
a. Emergent and it is difficult to find pedal pulses. Which action will the
b. Urgent nurse take first?
c. Nonurgent a. Start intravenous fluid line
d. Dead b. Check the pulses with a Doppler device
c. Obtain a complete blood count
SAS # 8 : Mass Casualty Incidents: Traumatic injury d. Obtain an electrocardiogram
due to Explosives and Blast Incidents
3. What is the priority nursing diagnosis during the first 24
1. The nurse is caring for a client with a blast injury. Which hours for a client with full-thickness chemical burns on the
of the following nursing assessments would be most anterior neck, chest, and all surfaces of the left arm?
appropriate for this client? a. Risk for ineffective breathing pattern
a. Assess for vasovagal hypotension b. Decreased tissue perfusion
b. Assess the client for confusion c. Risk for disuse syndrome
c. Assess for asphyxia d. Disturbed body image
d. Assess for hypervolemia
4. When should ambulation be initiated in the client who
2. The patient has a blasted lung and injury to his has sustained a major burn?
tympanic membrane. This classification of blast injury is: a. When all full-thickness areas have been closed with
a. Primary blast injury skin grafts
b. Secondary blast injury b. When the client’s temperature has remained normal for
c. Tertiary blast injury 24 hours
d. Quarternary blast injury c. As soon as possible after wound debridement is
complete
3. The patient has crushing injuries, fracture, traumatic d. As soon as possible after resolution of the fluid shift
amputation, and open brain injury This classification of
blast injury is: 5. Which intervention is most important to use to prevent
a. Primary blast injury infection by auto-contamination in the burned client during
b. Secondary blast injury the acute phase of recovery?
c. Tertiary blast injury e. Changing gloves between wound care on different parts
d. Quarternary blast injury of the client’s body.
f. Avoiding sharing equipment such as blood pressure
4. After a blast incident, the primary responsibility of the cuffs between clients
responders is to: g. Using the closed method of burn wound management.
a. Search and rescue h. Using proper and consistent handwashing
b. Conduct survey
c. Raise an alarm SAS # 10: Infectious Disease Emergencies and
d. Provide medications Coronavirus (Covid-19)

5. During initial stabilization, the nurse should keep in 1. What are the common symptoms of Covid 19?
mind that a. A new and continuous cough
a. Provide first aid in a safe place b. fever
b. Alleviate the worries of patients who are panicking c. tiredness
c. Find the patient’s belongings for identification d. All of the above
d. Ask questions to the patient during first aid
2. How is Covid-19 passed on?
SAS # 9; Management of Burns Mass Casualty a. Through droplets that come from the mouth and nose
Incident when sneezes, cough or breathes out.
b. By drinking unclean water
1. On assessment, the nurse notes that the client has c. In sexual fluids, including semen, vaginal fluids and
burns inside the mouth and is wheezing. Several hours mucous.
later, the wheezing is no longer heard. What is the nurse’s d. All of the above
next action?
6
3. The most effective way for healthcare providers to SAS # 12: Natural Disasters: Tsunami, Winter
protect themselves, their family and their patients from storm,Wildfire Environmental
influenza is to: Disasters and Emergencies
a. Wear a surgical mask at all times at work.
b. Stay at home if they have respiratory symptoms. 1. All are true about wildfires except:
c. Get an annual shot and encourage their family, co- a. It occurs in forests, grasslands, and wooded areas
workers and patients to get the flu-vaccine annually. b. Controlled fire often occurring wildland areas
d. Not to go to work at all. c. Most common causes are lightning and human
accidents
4. What is the most important hygiene habit to teach d. A wildfire also known as a wildland fire
young children?
a. Wash hands frequently 2. After tsunami, the nurse should:
b. Use tissue to cover nose when sneezing a. Help injured or trapped people
c. Take a bath daily b. Stay inside of a building if water remains around it.
d. Don’t share glass or eating utensil : c. When re-entering homes, caution is not needed.
d. Ignore gas leaks.
5. It is a model for explaining the organism causing the
disease and condition that allow it to reproduce and 3. Which of the following is an indicator of a tsunami?
spread. a. thunderstorms
a. One health b. water receding from a great distance from the coast
b. Nursing care plan c. excessive rain clouds
c. Chain of infection d. peaceful waves in the shore
d. Epidemiological Triangle
4. What should you do during a winter storm if you’re
SAS # 11 : Natural Disasters inside a vehicle?
a. Drive slowly
1. What should you do during an earthquake if you are b. b. Find a warm shelter
staying outdoors? c. c. Keep the headlights on
a. Lie on the ground and stay there until the shaking stops d. All of the above
b. Stay under cable or power lines
c. Immediately enter a building 5. Oil spill is a man-made disaster that may cause:
d. Stay in a field around trees. Stand there until the a. Nourishment for the earth
shaking stops b. Destruction of marine ecosystem
c. Wildfire
2. Which is a possible cause of a flood? d. Nourishment for fishes
a. Overflows from dams, rivers, and lakes
b. Low tides SAS # 13 Mental Health and Psychosocial Support in
c. Converging winds Emergency Settings
d. All of the above
1. The core principles of MPHSS are the following except:
3. What should you do after an earthquake? a. Participation
a. Never replace damaged gas, water, and electrical lines b. Human rights and equity
b. Enter and stay inside damaged buildings c. Incoordination
c. Check for injuries. Give first aid as necessary d. Do No Harm
d. Install smoke detectors on every level of your home
2. The first intervention pyramid for mental health and
4. Which of the following is a good sign of an approaching psychosocial support in emergency is:
earthquake? a. Specialized services
a. Volcanic eruption b. Basic services and security
b. Strong winds c. Community and family support
c. Sunny day d. Focused, non-specialized supports
d. Traffic
3. In the matrix of interventions, which of the following
5. What should you do during a hurricane evacuation? has the high- priority responses that should be
a. Walk through floodwaters implemented as soon as possible in emergency?
b. Unplug home appliances a. emergency preparedness
c. Leave with all your valuables b. specialized preparedness
d. All of the above c. minimum responses
d. comprehensive responses
7
4. All of the following are examples of Pre-emergency d. Develop policies and plans that support individual and
social problems in Predominantly Social Nature Problems community health efforts.
in Emergencies, except:
a. extreme poverty
b. political oppression
c. belonging to a group that is discriminated against or
marginalized SAS # 15: Climate Change and Health: The Nurse’s
d. family separation Role in Policy and Practice

5. What level of intervention pyramid for mental health 1. Which is the name of the gas that is responsible for the
and psychosocial support in emergencies includes the warning effect from greenhouse gases?
psychosocial first aid and basic mental health care by a. Carbon dioxide (CO2)
primary health care workers? b. Methane (CH4)
a. Level1: Basic services and security c. Nitrous Oxide (N2O)
b. Level 2: Community and family Supports d. All of the above
c. Level 3: Focused: non- specialized Supports
d. Level 4: Specialized services 2. What is the main man-made greenhouse gas?
a. CO2
SAS # 14: Restoring Public Health Under Disaster b. CH4
Conditions: Basic Sanitation, Water, Food Supply and c. N2O
Shelter
3. Things you can do to help decrease global warming
1. It is a state of complete physical, mental and social well include:
-being and not merely the absence of disease or infirmity. a. Keep your air condition on high.
a. Hygiene b. Turn off your lights when not using.
b. Sanitation c. Keep your freezer door open.
c. Health d. Eat more ice cream.
d. Infection control
4. The likelihood of which extreme weather event is
2. The 3 core functions of Public Health are the following, expected to increase with climate change?
except: a. Heat waves
a. Assessment b. droughts
b. Policy development c. hurricanes
c. Assurance d. all of the above
d. treatment
5. Certain gases in the atmosphere: water vapor, CO2,
3. It is an individual perception of his/her position in life in methane and nitrous oxide, help maintain the Earth’s
the context of the culture and value of system where the temperature and climate. These are called:
individual lives and in relation to a personal goals, a. Ozone gases
expectations and concerns. b. Greenhouse gases
a. Health promotion c. Solar gases
b. Health assessment d. Stomach gases
c. Quality of life
d. Rapid assessment SAS # 16: Bioterrorism

4. The exercise of collecting information in order to 1. All but one is correct about Bio-Agent Response:
measure the damages and identify the basic needs that a. Identify: Bio-Agent(s), source, area affected, population
require immediate response as a result of a disaster. exposed
a. Quality of life b. Notify local medical facilities
b. Rapid assessment c. Isolate and contain unaffected areas and population
c. Health assessment d. Treat -- provide vaccine or medications to the affected
d. Health promotion population

5. Essential functions of the public health as they relate to 2. One advantage of a biological weapon is
a disaster are the following, except: a. It is odorless, colorless, and tasteless
a. Immobilize community partnerships and to identify and b. It has a small attack area
solve health problems. c. It will immediately result in massive cases of human
b. Monitoring health status to identify and solve problems. illness
c. Inform, educate and empower people about health d. It will kill the perpetrator of the release
issues.
8
3. The difference between the cost of biological weapons
and other types of weapons is 1. The nurse should plan to assess soldiers who might
a. Biological agents cost much more but can impact a have been exposed to nerve gas agents for which
much larger area making them cheaper overall symptoms?
b. Biological agents cost about as much as chemical a. Nausea and vomiting
agents b. Convulsion and loss of consciousness
c. Biological agents are about half the cost of other types c. Diarrhea
of weapons d. Constipation
d. Biological agents are several hundred times less
expensive than other weapons 2. A nurse is responding to a biochemical incident, to
protect the nurse from exposure to these chemicals, the
4. Which of the following is the worst-case scenario for a nurse must:
biological release? a. Handwash
a. Particle size 1 to 5 microns b. Wear mask
b. Weather pattern includes a thermal inversion c. Wear appropriate PPE
c. Aerosol release d. Call for emergency backup
d. All of the above
3. The best room to use for shelter during a chemical
5. One disadvantage of a biological weapon is that accident or attack is a room with many windows and doors
a. It is not easy to control that can be used as possible escape routes.
b. It is too easy to disperse and may leak prior to delivery a. True
c. It is difficult to use due to International restrictions b. False
d. None of the above
4. Chemical agents that destroy skin and tissues, cause
SAS # 17: Disaster Caused by Biological Agents blindness, may be fatal
a. Blood agents
1. What is the most common naturally occurring form of b. Blister agents
anthrax? c. Nerve agents
a. inhalation d. Choking agents
b. cutaneous
c. gastrointestinal 5. You work in a large convention center. Approximately
d. neurologic 500 people have been attending an all -day computer
software conference. By mid- afternoon, however, more
2. Which form of plague can be spread from person to than a hundred attendees have developed complaints of
person? disorientation, dizziness, and nausea. Some have even
a. Pneumonic left to go to the hospital. What is the most likely causing
b. Bubonic these symptoms?
c. septicemic a. Radiation agents
d. foodborne b. Biological agent
c. Chemical agents
3. Which of the following forms of anthrax infection causes d. None of the above
most fatalities?
a. Cutaneous SAS # 19: Preparing for Terrorism: Nuclear Radiation
b. inhalation Exposure
c. gastrointestinal
d. neurologic 1. There has been a radioactive explosion nearby. The
emergency room nurse must triage and manage the
4. The deadliest form/ type of plague. decontamination of the clients systematically. Which of the
a. Bubonic plague following clients would be decontaminated first?
b. Septicemic plague a. A client with severe injuries.
c. Pneumonic plague b. A client with minor injuries.
d. All of the above c. A client with the least injuries.
d. A client with the most injuries.
5. Which of the following would be a symptom of
botulism? a. Disfigured nodules on the skin 2. All are true about Radiation Detection except:
b. lockjaw a. Cannot be seen
c. flaccid paralysis b. Cannot be smelled
d. sepsis c. Can be tasted
d. Cannot be felt
SAS # 18: Preparing for Terrorism: Chemical Weapons
9
3. All except one are forms of radiation 5. A newly graduated nurse is learning about the nurse’s
a. Alpha radiation role in disaster relief as part of an orientation to the
b. Beta radiation hospital. Which of the following concepts is accurate?
c. Gamma radiation a. Learning about the prevention and mitigation of
d. Proton radiation disasters is nice to know, but not essential.
b. Nurses take a passive role in helping others to save
4. When taking care of a patient undergoing radiation lives and fulfill an important obligation.
therapy, the nurse should c. Applying advanced skills can be very helpful until help
a. Be with the patient all the time arrives.
b. Minimize time together with patient d. Nurses may have to assume expanded roles in making
c. Use hazmat decisions for the most appropriate treatment of casualties.
d. Wash hands

5. What clinical manifestation should alert the nurse to SAS # 21: Community Health Nursing Interventions
possible fatal exposure to radiation? during Disaster
a. Elevated levels of chromosomal aberrations
b. Redness in the chest 1. What emotion would a nurse anticipate when working
c. Decreased in WBC count with an older person following a disaster??
d. Presence of white spots all over the body a. Anger
b. Fear of loss of independence
c. Violence
SAS # 20 Role of Nursing in Disaster Response Plan d. Regression

1. Who has the primary responsibility for safe guarding 2. Which of the following is a direct impact of earthquake
the workplace, or community against a bioterrorist attack? on health? Select that all apply.
a. The local department of public health a. Respiratory diseases due to exposure to dust
b. employer b. High mortality from severe asphyxia due to dust
c. law enforcement inhalation
d. all of the above c. Many people with minor cuts and bruises, some with
simple fractures
2. A nursing student is studying about disasters and d. Disruption of the water supplier and sewerage system
emergency preparedness. Which of the following in urban areas
statements by the nursing student depicts a correct
understanding of the difference between a disaster and an 3. In cluster approach, which of the following is
emergency? responsible for leading the response effort of Nutrition and
a. “Disasters are man- made only.” WASH (Water, Sanitation and Hygiene)
b. “An emergency is an unforeseen combination of a. DOH (Department of Health)
circumstances calling for immediate action for a range of b. DSWD (Department of Social Welfare and
victims.” Development) c. OCD (Office of Civil Defense)
c. “Man- made disasters are intentional only.” d. DepED (Department of Education)
d. “Emergencies are caused by acts of nature or emerging
diseases. 4. The indirect impact on health of volcanic eruption is the
following, except:
3. A military nurse is working in Iraq. Because of the a. Injuries to and asphyxiation of people in buildings that
potential threat of hazardous gas, which of the following collapse under the weight of ash –especially wide-span
should be worn when working in a dangerous war zone? buildings and particularly if the ash is wet.
Select all that apply. b. Possible gastrointestinal problems due to ingestion of
a. Gas mask food or water contaminated by ash.
b. Surgical mask c. Accidents resulting from poor visibility and slippery
c. Protective clothing roads due to ash.
d. A hood, helmet, or headgear d. Bury people with little chance of being rescued alive
e. sunglasses due to hot mudflows and lahars

4. Responsibility for securing the scene, preserving life 5. The specific health intervention of the community during
and treating the wounded is the responsibility of: earthquake disaster.
a. First responders a. Evacuation of people from the ash-fall area until the ash
b. Mental health professionals has settled and no more eruptions are expected.
c. Social workers b. Search and rescue; recovery of bodies.
d. All citizens c. Emergency shelter.
d. All of the above
10
rate 28. He appears ill. Because you’ve seen a number
SAS # 22: Psychological First Aid of similar patients tonight you suspect a biological attack
has taken place. After your initial assessment, the best
1. What is psychological first aid? course of action should be to:
a. Is a humane, supportive and practical first response a. Immediately notify the local health department
given to people or persons in emotional distress b. Momentarily return to your ambulance to retrieve and
b. Helping people access information and services put on your N95 mask
c. Understanding their needs and concerns, and respond c. Undress the patient to look for any rashes
accordingly d. Obtain a history regarding the patients travels,
d. Protecting affected persons from any further harm activities, and whereabouts for the previous two weeks

2. What are the 3 action principles of PFA? Select that all 3. Which method is most effective for the decontamination
apply. of individuals?
a. Prepare a. Bleach and water
b. Look b. Charcoal
c. Listen c. Dry brush
d. Link d. Soap and water

3. Who delivers psychological first aid? 4. Where is the best place to decontaminate a person?
a. Depressed clients a. In their house
b. Non-mental professional b. In the ambulance
c. Mental Professional c. In the hospital
d. All of the above d. In an outside area

4. Who receives psychological first aid? Select that all 5. When removing PPE, it is important to know what areas
apply. of the PPE are considered "clean" vs "contaminated".
a. Disaster survivors Select ALL the areas on PPE that are considered "clean":
b. Individual in crisis a. Ties on the gown
c. Disaster responders b. Outside of the mask
d. None of the above c. Sleeves of the gown
d. Back of the gown
5. Which of the following is NOT a sign that a survivor e. Inside of the gloves
may need stabilization?? f. Straps on the goggles
a. Excessive talking
b. Insomnia
c. Fear
d. Nightmares

SAS # 23: Decontamination and Personal Protective


Equipment

1. A group of people arrived at the emergency unit by a


private car with complaints of periorbital swelling, cough,
and tightness in the throat. There is a strong odor
emanating from their clothes. They report exposure to a
“gas bomb” that was set off in the house. What is the
priority action?
a. Direct the clients to the decontamination area.
b. Direct the clients to the cold or clean zone for
immediate treatment.
C. Measure vital signs and auscultate lung sounds.
d. Immediately remove other clients and visitors from the
area.

2. You are a volunteer EMT in your hometown. You live in


a rural suburb of a large west coast city. You respond to a
911 call from a private residence where a 30 year male is
complaining of fever, headache, and vomiting. Upon
arrival you find him with mild shortness of breath, T =
101.2oF, heart rate 98, blood pressure 112/68, respiratory

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