Pretest

Multiple Choice

Circle the correct answer(s):

1. Most rural health centers are set up to perform:

a. health promotion
b. disease prevention
c. first aid
d. all of the above

2. One function of a hospital's disaster plan committee is to:

a. give final approval to the proposal submitted by the chairperson
b. be sure the plan can function autonomously without outside help
c. arrange for drills and simulation exercises
d. accommodate the plan to the hospital's budgetary program
e. assign responsibility for the plan's execution to personnel outside the committee

3. There are several ways to increase the number of beds available in a disaster situation. Which of the following methods are accepted practice:

a. limit hospitalization to patients in critical or serious conditions
b. hallways can be used for extra beds
c. single-bed rooms can be converted into double rooms
d. all of the above
e. a and c

4. During disaster conditions, the head nurse has among his/her responsibilities:

a. placing an orange armband on each member of the emergency department staff
b. receiving the instruction sheet from a member of the nursing staff
c. notifying all people in the emergency room that they will be examined in turn
d. assigning a physician to each of the triage areas
e. conducting members of the patients' families to a waiting room

5. A disaster notification list comprises:

a. names of family and close relatives of disaster victims
b. units, departments, or services of the hospital that will be required to spring into action
c. a high-level staff at the national medical center, the lead hospital, satellite medical care units and special medical care centers
d. key administrators in the armed forces, civil defense, police, fire departments, and other emergency units of government
e. areas likely to be struck by an approaching disaster and medical care units in and around the area

6. A simulation exercise runs participants through a true-to-life disaster occurrence-response situation except that it does so:

a. within the confines of the hospital
b. without supplying clear and precise information
c. only with respect to the disaster occurrence period
d. by slowing down and highlighting one particular sequence of events
e. at an accelerated pace

7. The three stages of disaster management are:

a. early warning, initial response, treatment and maintenance
b. predisaster preparedness, action during the emergency, postdisaster rehabilitation
c. drills and simulations, action during the emergency, evaluation of the disaster management plan
d. search and rescue, care for victims, rehabilitation and reconstruction
e. initial disaster response, action during the disaster, evaluation of response

8. Which of the following is not one of the five general planning objectives for a health preparedness plan:

a. coordinate the use of resources to avoid duplication of effort
b. carry out training for professional and volunteer staff of the emergency care system
c. increase stocks of medical supplies and equipment
d. orient community action in disaster situations
e. keep a current inventory of all resources in the medical care area

9. Health resources workers who should be involved in disaster planning include:

a. physicians
b. social workers
c. healers
d. all of the above
e. only a and b

10. Triage begins when victims are encountered by:

a. search and rescue personnel
b. local survivors
c. rural hospital personnel
d. base hospital personnel
e. emergency room personnel

11. Which of the following is not among the subjects that should be taught to the general public as part of a predisaster preparedness plan:

a. search and rescue
b. first aid
c. triage and tagging
d. transportation of the injured
e. rehabilitation measures

12. The priority aspect of a rural health care preparedness plan should be:

a. training of medical and paramedical personnel
b. organization and outfitting of facilities
c. training and motivation of communities
d. all of the above
e. a and c

13. Which of the following is not one of the minimal standards of organization and coordination to be observed at a disaster scene:

a. establish a command post
b. assess the disaster's magnitude
c. select an area for triage and tagging
d. deliver medical care for serious casualties
e. establish communications with health facilities

14. Which of the following is not a principal objective of a disaster plan for a health facility:

a. prepare the staff and institutional resources for optimal performance in an emergency situation of a certain magnitude

b. make the community aware of the importance of the disaster plan, how it is executed and the benefits it provides

c. plan the construction of facilities and train new staff to meet the requirements of a disaster

d. establish security arrangements to be implemented in the event of an accident within the institution

True/False

Indicate T or F:

__ 15. Private health facilities should be excluded from a national system of disaster response.

__ 16. Regionalization should set forth a clear definition of the category, location and degree of sophistication for health institutions.

__ 17. When the switchboard operator is informed of a disaster, but before the disaster plan is put into operation, the first person he/she should call is the director of the hospital.

__ 18. It is important that search and rescue personnel be trained in first aid.

__ 19. The order of evacuation for red, yellow, and green-tagged casualties is the same whether casualties are trapped or buried.

__ 20. The immediate care of disaster victims is usually the only problem facing health personnel.

__ 21. A health care preparedness plan is developed separately from a national disaster preparedness plan.

__ 22. In determining its peak operational capacity, a hospital need not be concerned about facilities for minimally injured and ambulatory patients since they will be treated elsewhere if a disaster occurs.

__ 23. Voluntary agencies are expected to provide assistance in areas not covered by a disaster emergency plan.

__ 24. A hospital planning a drill to evaluate its disaster plan should invite the Red Cross as a participant.

__ 25. Hospital disaster plans should be updated frequently.

__ 26. A hospital should be prepared to handle every aspect of a disaster situation.

__ 27. Unannounced drills are carried out without prior scheduled drills having taken place.

__ 28. Disaster planning includes measures to lift bureaucratic barriers.

__ 29. The recommended procedure is to update a hospital disaster management plan by accounting for changes in staff and resources, and then to evaluate its effectiveness.

__ 30. Following an earthquake, widespread looting and criminal behavior are generally not the norm.

__ 31. During a disaster, the hospital switchboard operator will attempt to continue processing normal calls that do not interfere with emergency procedures.

__ 32. Demarcation of health center service areas is an important factor in the structuring of emergency plans.

__ 33. If there are no red-tagged patients, green-tagged patients with apparently fatal injuries become red-tagged candidates.

__ 34. A mobile hospital is an inexpensive way of adding facilities at times of disasters.

__ 35. A hospital disaster plan should show the location of drains and of sewage and solid waste outlets.

__ 36. Persons entering a hospital under their own power need not pass through the triage area.

__ 37. A performance audit of a hospital's disaster plan could lead to punitive action if substantial defects are found.

__ 38. A hospital emergency plan should be coordinated with similar plans in other institutions.

__ 39. One objective of holding a drill to evaluate a hospital disaster plan is to minimize the time required to put the hospital on an emergency footing.

__ 40. A hospital disaster plan need not deal with firefighting techniques since that is done by firefighters and not health personnel.

Answer Key

1. d	15. F	29. F
2. c	16. T	30. T
3. e	17. F	31. F
4. a	18. T	32. T
5. b	19. T	33. F
6. e	20. F	34. F
7. b	21. F	35. T
8. c	22. F	36. F
9. d	23. F	37. T
10. a	24. T	38. T
11. c	25. T	39. T
12. c	26. F	40. F
13. d	27. F
14. c	28. T