WILKES NSG 500 EXAM PREP VERIFIED
QUESTIONS AND ANSWERS
COMPREHENSIVE REVIEW SHEET
●● Secondary Prevention
Answer: early identification and treatment
●● Tertiary prevention
Answer: Avoiding complications
●● Norms are considered
Answer: The right patterns of behavior for a society
●● Crisis is
Answer: a time limited response lasting 4 to 6 weeks
●● What initiates a crisis
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
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
Answer: Occurs whenever a specific stressful event threatens a person's
biopsychosocial integrity and results in some degree of psychological
disequilibrium
●● Aventitious Cirsis
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
Answer: To return to pre-crisis level of functioning.
,●● Role of APRN in Crisis
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
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
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
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
QUESTIONS AND ANSWERS
COMPREHENSIVE REVIEW SHEET
●● Secondary Prevention
Answer: early identification and treatment
●● Tertiary prevention
Answer: Avoiding complications
●● Norms are considered
Answer: The right patterns of behavior for a society
●● Crisis is
Answer: a time limited response lasting 4 to 6 weeks
●● What initiates a crisis
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
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
Answer: Occurs whenever a specific stressful event threatens a person's
biopsychosocial integrity and results in some degree of psychological
disequilibrium
●● Aventitious Cirsis
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
Answer: To return to pre-crisis level of functioning.
,●● Role of APRN in Crisis
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
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
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
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
