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WorksheetsEDN MIDTERMS
Total questions: 113
Worksheet time: 1hrs 26mins
Teamwork isn't really teamwork unless the TEAM actually works. What does the acronym TEAM mean?
Tomorrow Emergency And Mitigation
Together Everyone Achieves More
Tomorrow Everyone Acts More
Together Emergency Acts Malevolent
Any sudden illness or injury that is perceived by the client or significant other as requiring immediate intervention. It continues until the condition is stable and no longer threatens the client's integrity or well-being. (ANSWER IN ALL CAPITAL LETTERS)
(a)
A perilous situation that arises suddenly and threatens the life or welfare of a person or group of people, as a natural disaster, medical crisis, or trauma situation. (ANSWER IN ALL CAPITAL LETTERS)
(a)
A procedure for moving a victim from an unsafe place to a place of safety. (ANSWER IN ALL CAPITAL LETTERS)
(a)
An episodic and crisis-oriented care provided by healthcare professional to patients with serious or potentially life threatening injuries or illnesses.
(a)
Scope and practice of emergency nursing. (SATA)
The emergency nurse establishes priorities, monitors and continuously assesses acutely ill and injured patients, supports and attends to families, supervises allied health personnel, and teaches patients and family within a time limited, high pressured care environment
The entire emergency health care staff members work as a team in performing the highly technical, hands-on skills required to care for patients in an emergency situation
Nursing intervention are accomplished interdependently, in consultation with or under the direction of a licensed physician or nurse practitioner
Emergency medical care is a politically important aspect of health service provision as it is often the first contact point with the health system for many patients requiring urgent care and delays in access to treatment are understood to be a matter of 'life or death'.
Emergency medicine is a medical speciality—a field of practice based on the knowledge and skills required to prevent, diagnose, and manage acute and urgent aspects of illness and injury affecting patients of all age groups with a full spectrum of undifferentiated physical and behavioural disorders.
Golden Rules in Giving Emergency Care: What to do (SATA)
Do loosen tight clothing
Do care for the most serious injuries first.
Do handle the victim to a minimum
Do require the patient to make their own decision
Do think of the worst.
Golden Rules in Giving Emergency Care: What NOT to do (SATA)
Do not handle the victim to a minimum
Do not trust the judgment of a confused victim and don’t require to make decision
Do not leave the victim alone except to get help
Do not leave the victim alone except to get help
Do not make unrealistic promises
The first description of disaster and its management comes from the biblical story of ... ?
Thunderstorm of hail and fire
Sodom and Gomorrah
Turning water to blood
Noah and his ark.
T/F: Disasters are old as mankind
True
False
An emergency with greater magnitude, longer duration, generally lower outcomes. (ANSWER IN ALL CAPITAL LETTERS)
(a)
A serious disruption of the functioning of a community or society involving widespread human, material, economic, or environmental losses and impacts, which exceed the ability of the affected community or society to cope using its own resources. (ANSWER IN ALL CAPITAL LETTERS)
(a)
"An occurrence, either natural or manmade that causes human suffering and creates needs that victims cannot alleviate without assistance" - The American Red Cross (ANSWER IN ALL CAPITAL LETTERS)
(a)
Disaster Alphabetically means...
-Destruction-Incidents-Sufferings-Administrative & financial failures-Sentiments-Tragedies-Eruption of communicable diseases-Research programme and its implementation
-Destruction-Incidents-Sufferings-Administrative negligence-Sentiments-Tragedies-Eruption of communicable diseases-Research programme and its implementation
-Destruction-Incidents-Sufferings-Administrative & financial failures-Sentiments-Tragedies-Eruption of volcanoes-Research programme and its implementation
-Destruction-Incidents-Sufferings-Administrative & financial failures-Sentiments-Tragedies-Eruption of communicable diseases-Research agenda
Enumeration: Types of Disaster - Natural Disasters (3)
(ANSWER IN ALL CAPITAL LETTERS | NO PUNCTUATION | ANSWER IN ALPHABETICAL ORDER | PUT A SPACE ONLY AFTER 1 ANSWER
ANSWER EX. SHOULD BE: ALPACA BIRD CAT DOG)
(a)
Enumeration: Types of disaster - Man-made disaster (3)
(ANSWER IN ALL CAPITAL LETTERS | NO PUNCTUATION | ANSWER IN ALPHABETICAL ORDER | PUT A SPACE ONLY AFTER 1 ANSWER ANSWER EX. SHOULD BE: ALPACA BIRD CAT DOG)
(a)
Topographical Disasters (SATA)
El Nino
Volcanic Eruptions
Avalanches
Limnic Eruption
Global Warming
Meteorological Disasters (SATA)
Hail Storm
Snow Storm
Blizzard
Flood
Tsunami
Environmental Disasters (SATA)
Limnic Eruption
Drought
El Nino
Ozone depletion-UVB radiation
Solar Flare
CBRNE is a type of Man-made disaster under Warfare and Violence. What does CBRNE mean?
(ANSWER IN ALL CAPITAL LETTERS | NO PUNCTUATION | PUT A SPACE ONLY AFTER 1 ANSWER
ANSWER EX. SHOULD BE: ALPACA BIRD CAT DOG)
(a)
Technological Disaster (SATA)
Fire
Cyberattacks
Transport Failure
Public place failure
Nudity
Industrial Disaster (SATA)
Solar flare
Chemical spills
Fire
Radioactive spills
Pollution
Warfare and Violence Disaster (SATA)
CBPNE
War
Terrorism
Civil Unrest
Mass Shooting
Transition Phase in Triaging (SATA)
After START completed, hospital admission follows
Resource independent and involves grouping patient together at the scene
Establish communication between the incident command, triage areas to treatment areas
Re-triage if condition changes (SAVE Triage)
Move victims to secondary triage based on tagging
Treatment Unit in Emergency Assessment (SATA)
Reassess patients, conducts secondary triage to match patient with resources
Determine depth of the treatment area
Does not coordinate with the Triage Unit to move patients from the triage area to treatment areas
Coordinates with the Triage Unit to move patients from the triage area to treatment areas
Establish communication with the Incident Command
Transportation Unit in Emergency Assessment (SATA)
Maintains communication with the Incident Command
Management of patient movement from the scene to the receiving hospitals
Designates a parking space
Works with the treatment unit to establish adequately sized, easily identifiable patient loading area
Designates an ambulance staging area
A teenage boy is limping, he tells you he has a broken ankle.
Immediate
Delayed
Minor
Dead
The driver, a 38-year-old male is slumped over the steering wheel, unresponsive and not breathing.
Immediate
Delayed
Minor
Dead
A middle-aged female is unconscious but breathing fast (>25bpm).
Immediate
Delayed
Minor
Dead
An unresponsive male appears to be snoring. His breathing improves when you open his airway.
Immediate
Delayed
Minor
Dead
An elderly casualty is found, disoriented on the floor but breathing normally.
Immediate
Delayed
Minor
Dead
A middle-aged male is found, unable to move is clearly injured legs but is breathing normally.
Immediate
Delayed
Minor
Dead
A 67-year-old female is conscious with no obvious injuries but breathing fast. She is cold and pale.
Immediate
Delayed
Minor
Dead
A young child is found unresponsive and not breathing.
Immediate
Delayed
Minor
Dead
A young woman approaches you and offers help
Immediate
Delayed
Minor
Dead
A middle-aged male with an obvious head injury and exposed brain tissue.
Immediate
Delayed
Minor
Dead
What does SAVE mean in SAVE Triage? (ANSWER IN ALL CAPITAL LETTERS)
(a)
The removal of the victim from difficult situation or position; or removal of a patient from a wrecked care or other place of entrapment (ANSWER IN ALL CAPITAL LETTERS)
(a)
Equipments for Transfer (SATA)
Patient transfer sheet
Dunhills
Body straps
Babcock
Scooper
Criteria for Selection of Methods of Transfers (SATA)
Distance of the place where the victim will be transferred
Size of the victim
proper body position
Physical capabilities of rescuer
Nature and severity of the injury
Basic principles of emergency rescue and Emergency transfer (SATA)
Moving victim as one unit and in proper body position
Widest first aider must stay at the head part of the victim
Methods of ERT should be safe, comfortable and fast
Immobilization of injured body parts before extrication and transfer
Check victim’s condition regularly before, during, and after ERT
Indications for emergency rescue (SATA)
Risk for drowning
Danger of collapsing walls
Serious traffic hazard
Danger of fire and explosion
Danger of attachment
Moving of a patient from a safe place to a safer place after giving first aid. (ANSWER IN ALL CAPITAL LETTERS)
(a)
5 levels of Acuity/triage in emergency dept. setup
(ANSWER IN ALL CAPITAL LETTERS | NO PUNCTUATION | ANSWER IN THE RIGHT LEVEL ORDER | PUT A SPACE ONLY AFTER 1 ANSWER
ANSWER EX. SHOULD BE: ALPACA BIRD CAT DOG)
(a)
Non urgent cases classified in the ED should be treated within?
2 hrs
1.5 hrs
1 hr
30 mins
Emergent patients categorized in the ER should be treated within?
Immediately upon arrival
15 mins.
W/in 30 mins
W/in 5 mins
All of the following are example of Triage Level 1 in emergency room, except:
A patient who has trauma to the head who is lethargic
A patient with a neck fracture with obvious airway compromise
Patient who has a massive blunt trauma to the chest and abdomen with bp of palpatory 70
A pregnant lady who is having active seizures
All of the following are SAVE categories EXCEPT:
Those who will die regardless of care
Those who will survive whether or not they receive care
Those who will benefit from limited immediate field intervention
Those who have high risk illnesses (e.g. diabetes, high blood pressure etc.)
All of the following are the definitions of a Staging Area EXCEPT:
Set up the perimeter; should have gate keeper and security
Only one staging area is required
Mark off areas for support needs
Place where media should be designated
A form of traumatic injury caused by thermal, electrical, chemical and radioactive substances. (ANSWER IN ALL CAPITAL LETTERS)
(a)
STOP, DROP, & ROLL is the best way to put a fire out from the person. What is the other alternative?
roll the person out until the fire extinguishes with the ground
throw a pale of water unto the person
smother the person with a wet blanket
leave them be for the air to extinguish
This results from an energy transfer from a heat source to a part of the body. (ANSWER IN ALL CAPITAL LETTERS)
(a)
What are the different kinds of burns? (5)
(ANSWER IN ALL CAPITAL LETTERS | NO PUNCTUATION | ANSWER IN ALPHABETICAL ORDER | PUT A SPACE ONLY AFTER 1 ANSWER | NO NEED TO ADD 'BURNS'
ANSWER EX. SHOULD BE: ALPACA BIRD CAT DOG)
(a)
damage is limited to the epidermis, causing erythema and pain
1st degree
2nd degree (superficial)
2nd degree (deep layer)
3rd degree
epidermis and part of dermis are damage, producing blisters and mild to-moderate edema and pain
1st degree
2nd degree (superficial)
2nd degree (deep layer)
3rd degree
epidermis and dermis are damage. No blister appear, but white, brown, or black leathery tissue and thrombosed vessel are visible
1st degree
2nd degree (superficial)
2nd degree (deep layer)
3rd degree
damage extends through deeply charred subcutaneous tissue, to muscles and tendons, and bones
1st degree
2nd degree (superficial)
2nd degree (deep layer)
3rd degree
Triage Criteria: Major Burns
1: Usually complicated by fracture & Respiratory damage
2: All burns in high-risk patients (elderly, pregnant)
Only statement 1 is correct
Only statement 2 is correct
Both are right
Both are wrong
Destruction of the skin layers from burn injury may lead to: (SATA)
impaired skin integrity
acute pain
ineffective thermoregulation
risk for infection
fluid volume deficit
the nursing diagnoses for fluid shifts in burns (SATA)
risk for ineffective peripheral tissue perfusion
risk for decreased cardiac output
ineffective thermoregulation
fluid volume deficit
impaired physical mobility
Nurse Sara learned during the burns lesson that in the occasion of the patient's fluid shift even if the patient is thirsty they should be NPO till NABS has returned. What is the other criteria for removing the NPO order of a burns patient?
If they are starting to get desperately thirsty
They are no longer intubated
They are autonomous
They can swallow on their own
the care given to individual, families, groups, and communities affected by disaster to preserve health and prevent illness and other health complications brought about by the crisis. (ANSWER IN ALL CAPITAL LETTERS)
(a)
the adaptation of professional nursing knowledge, skills, and attitude in recognizing and meeting the nursing, health and emotional needs of disaster victims. (ANSWER IN ALL CAPITAL LETTERS)
(a)
the initial phase of disaster. Prior to the occurrence a warding is given at the sign of the first possible danger. (ANSWER IN ALL CAPS)
(a)
the time of enduring hardships or injury and trying to survive. “Holding on” until help arrives. This phase may last for several minutes to several days or weeks. (ANSWER IN ALL CAPS)
(a)
recovery begins and ends with both the return of normal community order and functioning. This phase can last a lifetime onto some survivors due to the gravity of results of the disaster. (ANSWER IN ALL CAPS)
(a)
Enumerate: 3 Phases of a Disaster
(ANSWER IN ALL CAPITAL LETTERS | NO PUNCTUATION | ANSWER IN THE CORRECT ORDER WITH THE DASH AND 'PHASE' | PUT A SPACE ONLY AFTER 1 ANSWER
ANSWER EX. SHOULD BE: ALPACA BIRD CAT DOG)
(a)
the organization and management of resources and responsibilities
for dealing with all the humanitarian aspects of emergencies, in particular preparedness, response and recovery in order to lessen the impact of disaster. (ANSWER IN ALL CAPS)
(a)
An applied science which seeks, by systemic observation and analysis of disasters, to improve measures relating to prevention, emergency response, recovery and mitigation. (ANSWER IN ALL CAPS)
(a)
Encompasses all aspects of planning for, and responding to disasters, including both pre and post disaster activities (ANSWER IN ALL CAPS)
(a)
Principles of Disaster Management (Select all that apply).
Prevent the occurrence of a disaster
Provide first aid to the injured
Rescue the victims and minimize the number of casualties if the disaster cannot be prevented
Promote reconstruction of lives
Disaster management is not the responsibility of all spheres of government
What are the roles of nurses in disaster management? (Select all that apply)
Assess the Disaster Threats in the Community
Diagnose the Community
Community Disaster Planning
Implementation of Disaster Plan
Evaluate Effectiveness of Disaster Plan
Enumeration: 4 Phases of Disaster Management?
(ANSWER IN ALL CAPITAL LETTERS | NO PUNCTUATION | ANSWER IN THE CORRECT ORDER | PUT A SPACE ONLY AFTER 1 ANSWER
ANSWER EX. SHOULD BE: ALPACA BIRD CAT DOG)
(a)
Aling Mina, a 40-year old female, a Yolanda survivor, is still experiencing nightmares, and occasionally cries at night due to the lost of her husband, 2 kids and 3 grandchildren. This situation describes which phase of a disaster?
Impact Phase
Recovery Phase
Pre-Impact Phase
Post-Impact Phase
All of the following are principles of disaster management, except:
Rescue victims and minimize the number of casualties
Do community disaster planning
Promote reconstruction of lives
Disaster management is the responsibility of all sphere of government
The following are activities of the Recovery Phase of Disaster Management? (Select all that apply).
Shelter and evacuation
Damage Assessment
Clean up and basic reconstruction
Restoration of critical facilities and systems
the provision of basic medical care to someone experiencing a sudden injury or illness, it consists of initial support provided until appropriate medical management can be given by health care professionals. (ANSWER IN ALL CAPITAL LETTERS)
(a)
a systematic approach that provides the emergency nurse with a methodical approach to help identify and prioritize patient’s needs. (ANSWER IN ALL CAPITAL LETTERS)
(a)
normal value of heart rate (Put the number only with no space ex: 1-35)
(a)
the normal value of respiratory rate (Put the number only with no space ex: 1-35)
(a)
degrees centigrade is the normal value of temperature (Put the number only with no space ex: 1-35)
(a)
% is the normal value of oxygen saturation (Put the number only with no space ex: 1-35)
(a)
What is the normal value of capillary refill time?
≥ 2 seconds
≤ 2 seconds
2 seconds
> 2 seconds
It refers to the initials, rapid assessment of the patient meant to identify life-threatening problems. This is done before proceeding to secondary assessment. (ANSWER IN ALL CAPITAL LETTERS)
(a)
Enumarate: ABCDE in emergency assessment
(ANSWER IN ALL CAPITAL LETTERS | NO PUNCTUATION | ANSWER IN CORRECT ORDER | PUT A SPACE ONLY AFTER 1 ANSWER
ANSWER EX. SHOULD BE: ALPACA BIRD CAT DOG)
(a)
Which question/s can you use to assess the Airway of the patient? (Select all that apply).
Does the patient have an open airway?
Is the patient able to speak?
Is there a rise and fall of the chest?
Is the patient breathing?
Is the patient awake?
a brief, but thorough systematic assessment designed to identify all injuries and provide initial management. (ANSWER IN ALL CAPITAL LETTERS)
(a)
T/F: There is no need to apply a new tag when re-triaging
True
False
(a) Triage aims to rapidly find immediate patients (ANSWER IN ALL CAPS)
(a) Triage is the most common protocol used for triage. (ANSWER IN ALL CAPS)
T/F: Triage does not occur at every stage of patient assessment, decontamination, treatment, transport and each level of care
True
False
the screening or classification of sick, wounded or injured persons during war or disaster, to determine the priority needs for efficient use of manpower and facilities. (ANSWER IN ALL CAPS)
(a)
a.k.a. the gatekeeper (can be a nurse or a doctor, or anyone who had training) is the one who will perform a brief evaluation of the patient to determine a level of acuity or priority of care, thus the role is to make acuity determinations and set priorities. (ANSWER IN ALL CAPS)
(a)
In assessing the RPM, R stands for?
Respiratory Rate of 12-20 bpm
Recognizable injury
Respiration of 30 bpm
Random Blood Sugar of 60-100 mmol
The M in MIVT in History Taking stands for (a) . (ANSWER IN ALL CAPS)
The I in MIVT in History Taking stands for (a) . (ANSWER IN ALL CAPS)
The V in MIVT in History Taking stands for (a) . (ANSWER IN ALL CAPS)
The T in MIVT in History Taking stands for (a) . (ANSWER IN ALL CAPS)
You are the ER nurse, it is part of your assessment to do history taking of disaster patients brought by the EMTs to your hospital. The following are components of the prehospital information you need to gather. (Select all that apply).
Mechanism of the drugs given
Sustained or suspected injuries
Treatment given prior arrival to the hospital
Vital signs
In the area you were able to assess two patients; a woman with a bleeding head wound but has normal vital signs and a man with a sucking chest wound but has abnormal vital signs. Which patient would you prioritize?
The woman with a bleeding head wound
The man with a sucking chest wound
He is the person responsible in running the entire emergency rescue, treatment and transfer. He is the one declaring if the scene is safe during disaster response. All lines of communication should be communicated with this person
Safety officer
Triage officer
Incident commander
Emergency rescuer team leader
Select the following that belongs to the Principles of Disaster Triage (Select all that apply).
Move the casualty backwards (against the flow)
Never hold critical patient for further care
Salvage limb over life
Triage providers stop to treat patients
Never move the casualty backwards (against the flow)
All of the following are considered central pulses that are priority to assess during triaging a victim to determine circulatory status, except:
Radial
Apical
Femoral
Carotid
Temporal
In disaster triage, which of the following is Category III?
red: immediate
black: expectant
yellow: delayed
green: minor
In disaster triage, which of the following is Category IV?
red: immediate
black: expectant
yellow: delayed
green: minor
The following are actions that are done in a triage procedure (Select all that apply).
· First clear the walking wounded using verbal instructions
· Begin from the farthest area
· Move from starting point in a systematic manner
· Stop at each victim and quickly assess RPM, maximum 30 seconds
· Correct life-threatening airway problems
The following belongs in the secondary assessment (Select all that apply).
Environmental control
Full set of VS
Five interventions
Facilitate Family Presence
Give comfort measures
Select the following that are part of the five interventions during secondary assessment (Select all that apply).
Administration of IV fluids
Insertion of indwelling foley catheter
Administration of oxygen via face mask
NGT tube insertion
Capillary Blood Glucose Test
Mina is an emergency responder; she knows that you should never move patients before triage except in cases of: (Select all that apply)
Risks due to bad weather
Impending darkness or darkness has fallen
A continued risk for injury
Medical facilities are not immediately available
A tactical situation that dictates movement
The following are the benefits of going triage (Select all that apply)
Separates those who need rapid medical care to save life or limb.
Separating out the minor injuries reduces urgent burden on medical facilities and organizations
By providing for the equitable and rational distribution of casualties among the available hospitals reduces the burden on each to a manageable level
The NDRRMC is the lead agency to develop and formulate national agenda for capacity building and disaster plans for the Philippines. Who is the head of this agency?
Secretary of health
Head of the office of civil defense
Secretary of national defense
Secretary of Social Welfare and Development
A recent oil spill happened in Oriental Mindoro, initially affected 5 coastal municipalities and now reaches the provinces of Palawan and Antique. Preparations are mandated to other nearby provinces as well. Help from other countries are also being summoned to help clean up this incident. In this kind of disaster, which DRRM council will be activated?
National DRRMC
Regional DRRMC
Provincial DRRMC
Municipal DRRMC
What is the current DOH vision during disasters?
Kaligtasang pangkomunidad para sa Kalusugan sa kamay ng kalamidad
Nasa kamay ng komunidad ang kaligtasang pangkalusugan kapag may kalamidad
Kalusugan at kaligtasan sa kalamidad sa kamay ng komunidad
Kaligtasang pangkalusugan sa kalamidad sa kamay ng komunidad
