Quantum Units Education®

Introduction-Disaster Terms

1. The term that describes the capabilities necessary to reduce loss of life and property by lessening the impact of disasters is:

Chapter 1: Rationale and Process for Planning-Providers of Essential Services

2. During a disaster, clients in recovery may relapse to substance abuse or their psychiatric symptoms may recur, which makes it very difficult to cope with the uncertainties, traumas, and losses caused by the event.

Mandates for Disaster Planning

3. Mandates for disaster planning include each of the following EXCEPT:

4. When planners use a continuity approach to planning, they prepare for response to a full range of threats and dangers but focus on the specific incidents most likely to occur in their area.

Overview of the Written Disaster Plan-The Basic Plan

5. The introductory section of the basic plan includes a statement of purpose, objectives and other summary information, including the scope of the plan, the populations served by the program, and:

Drafting a Usable Plan

6. When developing a usable plan, drafters are encouraged to aim for a flexible plan that attempts to cover all possible contingencies.

Chapter 2: Beginning the Disaster Planning Process-Select a Disaster Planning Team Leader and Team

7. Since disaster planning is a cyclical process that changes as circumstances evolve, a program’s disaster planning team needs to be a permanent part of the organization and be ready to make plan revisions when necessary.

Team Leader

8. Which of the following is NOT necessarily one of the duties of the leader of the disaster planning team?

Representatives From Across Departments

9. Staff members who are involved and familiar with the disaster response plan may be less likely to experience panic, fear, and anxiety when an incident occurs.

Obtain Support From the Organization’s Leadership

10. An organization’s leader contributes to the success of disaster planning by providing the planning team with specific expectations regarding ___________________ and by encouraging everyone in the organization to cooperate with the team’s work.

Coordinate Planning With Others

11. As part of the planning process, coordinating with neighboring facilities and organizations is especially important because in any sizable disaster, the first assistance is likely to come from or go to neighbors.

Exhibit 2-4: Discriminatory Attitudes That Affected Care for People With Mental Disorders

12. During Hurricanes Katrina and Rita, individuals with psychiatric conditions faced multiple forms of discrimination, as demonstrated by:

State Disaster Behavioral Health Coordinator

13. Federal mandates dictate that states have one disaster coordinator that oversees mental health services and another that oversees substance abuse treatment, and that they must operate out of different agencies.

14. Crisis Counseling Assistance and Training Program (CCP) grants, which are funded by FEMA, provide assistance in crisis counseling, education, assessments, referrals, linkages to services, and:

Behavioral Health Treatment Programs

15. One of the roles of the state disaster behavioral health coordinator is to facilitate connections between various treatment programs so that they may be prepared to assist each other’s displaced populations.

Public Health Department

16. Private community healthcare organizations are critical in ensuring community preparedness following disasters and must engage in activities that represent the functional needs of at-risk individuals and the ______________________ of the community.

Emergency Response Organizations

17. Treatment programs are encouraged to work in advance with emergency responders to ensure that in an evacuation, patients are automatically routed to special needs shelters, institutions, or nursing homes, as they will be more likely able to meet their needs than general population emergency shelters.

Organizations of Pre-Credentialed Volunteers

18. Which of the following is NOT one of the functions of the Citizen Corps?

19. Volunteer Organizations Mutual health and recovery advocates are generally helpful in coordinating disaster support for particular client populations, such as people with cognitive or intellectual disabilities.

Educate the Community About Behavioral Health Services

20. When educating community members, it is critical to emphasize that those needing behavioral health support and treatment following disaster deserve the same priority as those who need care for other medical conditions.

Specify Planning Objectives and Assumptions

21. While planning objectives are the outcomes that the team seeks to attain by developing a disaster plan, ________________ are best guesses about the physical and operating environments that will be in place at the time a disaster occurs.

Chapter 3: Preparing for Disaster-Mitigate Risk

22. Each of the following is an example of a mitigation strategy recommended to prepare the program and its facilities in ways that will lessen the impact of a disaster EXCEPT:

Negotiate Memoranda of Agreement

23. In an ideal situation, a Memorandum of Agreement (MOA) that defines how parties will assist each other during disasters should be reviewed by all parties every three to six months, or when circumstances change.

24. Examples of issues that may be covered in an MOA include agreements to provide essential services and agreements to support computer system on a temporary basis to another program’s needs in a move to an alternate location.

Designate Personnel To Assume Command For Incident Response

25. In an Incident Command System, the leader of an organization, who is known as the __________________, activates its disaster plan.

Prepare Clients For A Disaster

26. While individuals vary in their response and resilience following disaster, experts report that young people are at particular risk for negative mental health effects.

Exhibit 3-9 Psychological First Aid

27. Following a disaster it is generally recommended that first responders give survivors simple reassurances such as "everything will be okay", as this will likely have a very calming effect.

Clients With Cognitive Or Intellectual Disabilities

28. Disaster preparedness education may need to be simplified, provided through multiple means, and repeated frequently for clients with cognitive or intellectual disabilities.

Older Clients

29. Factors that can cause some older clients to be particularly vulnerable in disaster include physical frailty, chronic illness, cognitive impairment and:  

Ensure Counselor Access To Shelters

30. Federal guidelines for emergency shelters now call for the inclusion in planning of people with mental health expertise such as professional counselors and professional advocates.

Chapter 4: Continuity Planning-Identify Essential Functions

31. The disaster planning team should prioritize functions based on their immediate benefits rather than on potential consequences if the function is not performed or is delayed.

Exhibit 4-1 Examples of Essential and Nonessential Functions

32. Essential functions of outpatient treatment programs include:

Provide For Continuity Of Leadership

33. A delegation of authority officially passes responsibility from one person to another during disaster response.

34. When disaster teams are evaluating alternative facilities, they should consider each of the following EXCEPT:

Protect Vital Records And Databases

35. Any electronic forms that are essential for continuity of operations and emergency response should be available in paper copies as backup when the power is down or systems are inoperable.

Develop Resources To Manage Human Capital

36. During a disaster situation, staff members should be assigned shifts of 12 hours or less so that they can perform essential functions but also manage personal responsibilities.

Chapter 5: Management of Prescription Medications

37. The majority of adverse drug reactions that occur for patients on medication are related to drug interactions, occurring when the amount or action of a drug in the body is changed by presence of another drug or multiple drugs.

Provide For Continued Methadone Dosing

38. Since many patients on methadone maintenance treatment (MMT) for opioid dependence receive their daily dose at their opioid treatment program, a disaster may cut them off from their daily does of methadone and can precipitate withdrawal symptoms and increase risk of relapse.

39. In some emergency situations the optimal choice may be to provide patients on MMT with extra take-home doses, which are usually for:

Handle an Influx of Patients With Opioid Dependence

40. A disaster may disrupt distribution of street drugs, causing individuals dependent on illicit opioids and not in treatment to turn to an OTP for help, so OTPs should anticipate a potential rush of new patients.

Exhibit 5.5 Guidance On Working With Displaced Patients Treated By Pain Clinics

41. According to the Narcotic Addition Treatment Act, patients who are diagnosed with physical dependence and a pain disorder are prohibited from receiving methadone or buprenorphine therapy in an OTP for either maintenance or withdrawal.

Chapter 6: Planning Issues for Pandemic Influenza – Potential Effects of Pandemic Influenza

42. Which of the following is NOT one of the populations that may be at special risk of illness or complications from influenza?

Exhibit 6-3 Potential Effects of Influenza Pandemic on Behavioral Health Treatment Programs

43. One difficultly that medically managed detoxification programs may face during an influenza pandemic is that symptoms such as nausea and diarrhea may be difficult to differentiate from withdrawal symptoms.

Antiviral Medications

44. During a pandemic, priority distribution of antiviral medication should be to pregnant women, followed by workers providing goods or services essential to community health, safety, or well-being at critical infrastructure organizations.

Staff Attitudes

45. Survey results indicate that the most important factor influencing workers’ willingness to respond for duty during a pandemic is:

Exhibit 6-5 Examples of Pandemic Influenza Planning Assumptions

46. When planning for pandemic influenza, one assumption is that waves of severe disease may last:

Chapter 7: Completing, Testing, Activating, and Deactivating the Plan-Train and Test

47. Disater exercises can help staff members build the skills and teamwork necessary to execute a disaster plan and help to identify problems or gaps in the plan that should be addressed.

Activate the Plan in Disaster

48. Which of the following is NOT one of the four key steps to take in disaster response?

49. The process by which an organization ends its state of emergency and resumes normal operation is known as demobilization.

Continuously Revise and Update the Disaster Plan

50. After every test activation of a disaster plan and in tandem with any significant change to a program’s services or facilities, the plan must be reviewed, evaluated, and updated in order to remain effective.