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CE Test

Chemical and Biological Terrorism Preparedness for Staff Development Professionals

Journal for Nurses in Staff Development (JNSD): September-October 2003 - Volume 19 - Issue 5 - p 223-224

Instructions:

  • Read the article on page 218.
  • Take the test, recording your answers in the test answers section (Section B) of the CE enrollment form. Each question has only one correct answer.
  • Complete registration information (Section A) and course evaluation (Section C).
  • Mail completed test with registration fee to: Lippincott Williams & Wilkins, CE Depart., 345 Hudson Street, 16th Floor, New York, NY 10014.
  • Within 3-4 weeks after your CE enrollment form is received, you will be notified of your test results.
  • If you pass, you will receive a certificate of earned contract hours and answer key. If you fail, you have the option of taking the test again at no additional cost.
  • A passing score for this test is 12 correct answers.
  • Need CE STAT? Visit www.nursingcenter.com for immediate results, other CE activities, and your personalized CE planner tool.
  • No Internet access? Call 800-933-6525 x331 or x332 for other rush service options.
  • Questions? Contact Lippincott Williams & Wilkins: (212)886-1331 or (212)886-1332.

Registration Deadline:

June 30, 2005

Provider Accreditation:

This Continuing Nursing Education (CNE) activity for 2.5 contact hours is provided by Lippincott Williams & Wilkins, which is accredited as a provider of continuing education in nursing by the American Nurses Credentialing Center's Commission on Accreditation and by the American Association of Critical-Care Nurses (AACN 9722, CERP Category O). This activity is also provider approved by the California Board of Registered Nursing, Provider Number CEP 11749 for 2.5 contact hours. LWW is also an approved provider of CNE in Alabama, Florida, and Iowa and holds the following provider numbers: AL #ABNP0114, FL #FBN2454, IA #75. All of its home study activities are classified for Texas nursing continuing education requirements as Type I.

Your certificate is valid in all states. this means that your certificate of earned contact hours is valid no matter where you live.

Payment and Discounts

  • The registration fee for this test is $17.95.
  • If you take two or more tests in any nursing journal published by LWW and send in your CE enrollment forms together, you may deduct $0.75 from the price of each test.
  • We Offer special discounts for as few as six tests and institutional bulk discounts for multiple tests. Call 800-933-6525 x331 or x332 for more information.

CE TEST QUESTIONS

GENERAL PURPOSE: To present strategies for structuring staff development programs to help prepare nurses to respond to a biological or chemical emergency within the framework of 21st century healthcare systems.

LEARNING OBJECTIVES: After reading this article and taking this test, you will be able to

  1. Plan an educational program, including learning objectives and evaluation techniques, to help prepare nurses for terrorism events.
  2. Discuss the appropriate content for terrorism preparedness, including types of attacks and the appropriate emergency response.
  3. Outline the appropriate management of various types of public health events.

1. As nurses are taught to recognize the public health threat of biological and chemical terrorism, they must be prepared to

a. accurately quantify the reality of the risk of a terrorist attack.

b. focus on the short-term and not the long-term effects of an attack.

c. prepare to eliminate the "worried well" from triage areas quickly.

d. differentiate the features of chemical versus biological terrorist events.

2. Of the following, the best source for finding essential information for updating nurses on surveillance and infectious disease epidemiology is the

a. Joint Commission on Accreditation of Healthcare Organizations.

b. Centers for Disease Control and Prevention.

c. state and local health departments.

d. National Foundation for Infectious Disease.

3. A facility's emergency response to a terrorism event must include communication and information systems whose highest priority is to

a. disseminate data.

b. store data.

c. keep data confidential.

d. locate data.

4. An appropriate learning objective for content related to interagency and intraagency identification, communication, and response is to

a. describe the dynamics of infectious disease transmission and surveillance.

b. identify approved methods of collecting a biological sample.

c. anticipate the challenges the facility would face as casualties arrive.

d. describe the administrative aspects of delivering healthcare services to casualties.

5. According to the CDC, the biological agents posing the most serious public threat are classified as

a. category A.

b. category B.

c. category C.

d. category D.

6. An appropriate learning objective for content related to biological agents of concern is to

a. understand the situations in which disaster triage is used.

b. describe the process for communication about a biological exposure within the organization.

c. discuss the appropriate public health agencies involved in managing an outbreak.

d. discuss the four levels of personal protective equipment.

7. Advanced planning for a coordinated public health response to a biological weapon event includes setting up a clinic for mass immunization and prophylaxis, able to accommodate a given population within

a. 24 hours.

b. 48 hours.

c. 72 hours.

d. 5 days.

8. An example of a blistering agent is

a. phosgene.

b. sarin.

c. hydrogen cyanide.

d. nitrogen mustard.

9. An example of a choking agent is

a. phosgene.

b. sarin.

c. hydrogen cyanide.

d. nitrogen mustard.

10. During chemical emergencies, the first step in preventing serious injury or death is to

a. protect others in the area from being secondarily exposed.

b. notify national authorities of the number and condition of casualties.

c. remove solid or liquid chemical agents from exposed individuals.

d. avoid further contamination of the environment.

11. An appropriate learning objective for content related to current therapeutic modalities and the National Pharmaceutical Stockpile is to

a. anticipate the challenges the facility would face as casualties arrive.

b. describe the legal issues that might arise in responding to a biological or chemical event.

c. describe helpful interventions for use with survivors of a terrorist attack.

d. describe the available therapies for exposure to biological agents.

12. Probably the greatest challenge for nurses in managing the psychosocial effects of terrorism would be

a. distinguishing the normal range of responses to a terrorism event from the pathologic responses.

b. providing mental health services for all who were exposed.

c. planning helpful interventions to use with survivors of a terrorist attack.

d. providing mental health services for all who believe they were exposed.

13. Although all of the following are qualities that enhance leadership, which is especially crucial during a disaster response?

a. diplomacy.

b. credibility.

c. decisiveness.

d. empathy.

14. According to the Institute of Medicine, the weapons of choice for terrorist attacks are

a. nuclear attacks.

b. biological agents.

c. bombings and other physical means of destruction.

d. chemical agents.

15. When designing programs to prepare advanced practice nurses for terrorism attacks, content should include

a. preparation for evaluating systems that support the nursing response.

b. assessment of the health status of affected patients.

c. extensive content on epidemiology and syndromic surveillance.

d. care delivery to affected individuals.

16. When designing programs to prepare nursing administrators for terrorism attacks, content should include

a. preparation to evaluate systems that support the nursing response.

b. assessment of the health status of affected patients.

c. extensive content on epidemiology and syndromic surveillance.

d. care delivery to affected patients.

17. Evaluating preparedness in the event of a major public health emergency is best achieved by

a. posttests taken after educational presentations.

b. participation in field exercises or in-house simulations.

c. learners going back to their units and teaching other staff.

d. appraisal of written policies and procedures for managing such emergencies.

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© 2003 Lippincott Williams & Wilkins, Inc.