WILKES NSG 526 EXAM 3 QUESTIONS
& ACCURATE COMPLETE SOLUTIONS
Primary prevention - correct answer ✔✔Actually preventing the thing
Secondary Prevention - correct answer ✔✔early identification and treatment
Tertiary prevention - correct answer ✔✔Avoiding complications
Norms are considered - correct answer ✔✔The right patterns of behavior for a society
Crisis is - correct answer ✔✔a time limited response lasting 4 to 6 weeks
What initiates a crisis - correct answer ✔✔A crisis is initiated by internal or external demands
that are perceived as a threat to a persons physical or emotional functioning.
Precipitating event is stressful and unusual or rare.
maturational crisis - correct answer ✔✔Describes unfavorable person-environmental
relationships that relate to maturational events such as leaving home for the first time,
completing school or accepting the responsibility of adulthood.
Situational Crisis - correct answer ✔✔Occurs whenever a specific stressful event threatens a
person's
biopsychosocial integrity and results in some degree of psychological disequilibrium
,Aventitious Cirsis - correct answer ✔✔Initiated by an unexpected unusual events that can affect
an individual or
a multitude of people. National and natural disasters.
During an adventitious crisis (e.g., flood, hurricane, forest fire) that affects the
well-being of many people, the interventions of the PMH-APRN will be a part of
the community's efforts to respond to the event.
Goal for people experiencing crisis - correct answer ✔✔To return to pre-crisis level of
functioning.
Role of APRN in Crisis - correct answer ✔✔he role of the PMH-APRN is to provide a framework
of support systems that guide the
client through the crisis and facilitate the development and use of positive coping skills.
Assess risk of homicide/suicide/self-injury
Assess coping skills
Assess perception of problem and support mechanisms
Assess biologic items - sleep, eating, hygiene, etc
Assess psychological - emotions and coping
Asses social - individual, family, community. Social support
, Disaster - correct answer ✔✔A disaster is a sudden ecological or man-made phenomenon that
is of sufficient
magnitude to require external help to address the psychosocial needs as well as
the physical needs of the victims
MCI triage category: Expectant - correct answer ✔✔Injuries are extensive and chances of
survival are unlikely
even with definitive care. Separate and provide comfort
Unresponsive patients with penetrating head wounds, high
spinal cord injuries, wounds involving multiple anatomical sites
and organs, 2nd/3rd degree burns in excess of 60% of body surface area, seizures or vomiting
within 24hr after radiation
exposure, profound shock with multiple injuries, agonal
respirations; no pulse, no BP, pupils fixed and dilated
MCI Category: Immediate - correct answer ✔✔Injuries are life-threatening but survivable with
minimal
intervention. Individuals in this group can progress rapidly to expectant
if treatment is delayed.
Sucking chest wound, airway obstruction secondary to
mechanical cause, shock, hemothorax, tension pneumothorax,
asphyxia, unstable chest and abdominal wounds, incomplete
amputations, open fractures of long bones, and 2nd/3rd degree
burns of 15%-40% total body surface area
& ACCURATE COMPLETE SOLUTIONS
Primary prevention - correct answer ✔✔Actually preventing the thing
Secondary Prevention - correct answer ✔✔early identification and treatment
Tertiary prevention - correct answer ✔✔Avoiding complications
Norms are considered - correct answer ✔✔The right patterns of behavior for a society
Crisis is - correct answer ✔✔a time limited response lasting 4 to 6 weeks
What initiates a crisis - correct answer ✔✔A crisis is initiated by internal or external demands
that are perceived as a threat to a persons physical or emotional functioning.
Precipitating event is stressful and unusual or rare.
maturational crisis - correct answer ✔✔Describes unfavorable person-environmental
relationships that relate to maturational events such as leaving home for the first time,
completing school or accepting the responsibility of adulthood.
Situational Crisis - correct answer ✔✔Occurs whenever a specific stressful event threatens a
person's
biopsychosocial integrity and results in some degree of psychological disequilibrium
,Aventitious Cirsis - correct answer ✔✔Initiated by an unexpected unusual events that can affect
an individual or
a multitude of people. National and natural disasters.
During an adventitious crisis (e.g., flood, hurricane, forest fire) that affects the
well-being of many people, the interventions of the PMH-APRN will be a part of
the community's efforts to respond to the event.
Goal for people experiencing crisis - correct answer ✔✔To return to pre-crisis level of
functioning.
Role of APRN in Crisis - correct answer ✔✔he role of the PMH-APRN is to provide a framework
of support systems that guide the
client through the crisis and facilitate the development and use of positive coping skills.
Assess risk of homicide/suicide/self-injury
Assess coping skills
Assess perception of problem and support mechanisms
Assess biologic items - sleep, eating, hygiene, etc
Assess psychological - emotions and coping
Asses social - individual, family, community. Social support
, Disaster - correct answer ✔✔A disaster is a sudden ecological or man-made phenomenon that
is of sufficient
magnitude to require external help to address the psychosocial needs as well as
the physical needs of the victims
MCI triage category: Expectant - correct answer ✔✔Injuries are extensive and chances of
survival are unlikely
even with definitive care. Separate and provide comfort
Unresponsive patients with penetrating head wounds, high
spinal cord injuries, wounds involving multiple anatomical sites
and organs, 2nd/3rd degree burns in excess of 60% of body surface area, seizures or vomiting
within 24hr after radiation
exposure, profound shock with multiple injuries, agonal
respirations; no pulse, no BP, pupils fixed and dilated
MCI Category: Immediate - correct answer ✔✔Injuries are life-threatening but survivable with
minimal
intervention. Individuals in this group can progress rapidly to expectant
if treatment is delayed.
Sucking chest wound, airway obstruction secondary to
mechanical cause, shock, hemothorax, tension pneumothorax,
asphyxia, unstable chest and abdominal wounds, incomplete
amputations, open fractures of long bones, and 2nd/3rd degree
burns of 15%-40% total body surface area
