NUR 452 - Exam 3 Questions And Correct Answers
Primary Prevention - Answer -PREVENT problem from EVER occurring by altering
susceptibility or reducing exposure
*Examples:*
-Education
-Immunization
-Fluoride water supplementation
-Environmental sanitation
-Removal of environmental hazards
-Adequate housing
Secondary Prevention - Answer -Early detection and intervention
-Implemented AFTER problem has begun but tries to identify problem EARLY to provide
treatment
*Screening and identifying risk factors*
Tertiary Prevention - Answer -Limit disability and rehab in those who have ALREADY
experienced disease/injury
-Prevent deterioration of disease
*Examples*
-Cardiac rehab
-Chronic medication regimen
-Teaching insulin administration to a diabetic
,-Exercise therapy after stroke
-Alcoholics Anonymous
-Mental health services for diagnosed individuals
Triage - Answer -Prioritize which patients to treat first
-MASS Method: Move, assess, sort, send
-Identifying and separating individuals quickly according to injury severity and
treatment needed
Disaster Triage: MASS Method - Answer *MASS*
-Patient's degree of mobility will help determine who can wait for care, get them to move
in some way
M: Move
A: Assess
S: Sort
S: Send
*Move*
-Instruct victims who can move from the scene to move to a recognized place
-Also instruct victims to move a limb
-Based on the patients who do not move a limb when asked, the provider moves to the
second stage
*Assess*
-Move to the patients who do not move limbs and assess them using the standard
assessment of Airway, Breathing, and Circulation
-Based on the assessment findings of these patients, the providers move into the next
stage.
,*Sort*
-Once assessed, patients are sorted into one of four categories (green, yellow, red,
black)
-Once placed in categories, providers move to the next step
*Send*
-Patients are sent to the hospitals based on the need for additional treatment.
-GREEN: movement they can walk toward you, do not need immediate treatment
MINIMAL
-YELLOW: can move an arm or leg, will not decompensate rapidly DELAYED
-RED: does not move, immediate, threat to life but can be saved, FIRST PRIORITY,
IMMEDIATE
-BLACK does not move, dead or little or no chance of survival, EXPECTANT
Assessment Findings for Patients Tagged Green - Answer *Minimal*
-Treatment for these patients could be delayed for days without serious effect
*Assessment*
-Ambulatory (walking wounded)
-Cap refill < 2 seconds
-Respiratory rate < 30
-Mental status intact
*Examples*
-Contusions
-Small abrasions
, Assessment Findings for Patients Tagged Yellow - Answer *Delayed*
-Patients need care but are not likely to decompensate rapidly if treatment is delayed
*Assessment*
-Non-ambulatory
-Cap refill < 2 seconds
-Respiratory rate < 30
-Mental status intact
*Examples*
-Amputated fingers
-Open fractures
-NO airway problems
Assessment Findings for Patients Tagged Red - Answer *Immediate*
-Patients have an obvious threat to life but can probably be saved, PRIORITY, ASSESS
FIRST
-Problems with respirations, perfusion, and mental status
*Assessment*
-Non-ambulatory
-Cap refill > 2 seconds
-Respiratory rate > 30
-Non responsive, or confused
*Examples*
Primary Prevention - Answer -PREVENT problem from EVER occurring by altering
susceptibility or reducing exposure
*Examples:*
-Education
-Immunization
-Fluoride water supplementation
-Environmental sanitation
-Removal of environmental hazards
-Adequate housing
Secondary Prevention - Answer -Early detection and intervention
-Implemented AFTER problem has begun but tries to identify problem EARLY to provide
treatment
*Screening and identifying risk factors*
Tertiary Prevention - Answer -Limit disability and rehab in those who have ALREADY
experienced disease/injury
-Prevent deterioration of disease
*Examples*
-Cardiac rehab
-Chronic medication regimen
-Teaching insulin administration to a diabetic
,-Exercise therapy after stroke
-Alcoholics Anonymous
-Mental health services for diagnosed individuals
Triage - Answer -Prioritize which patients to treat first
-MASS Method: Move, assess, sort, send
-Identifying and separating individuals quickly according to injury severity and
treatment needed
Disaster Triage: MASS Method - Answer *MASS*
-Patient's degree of mobility will help determine who can wait for care, get them to move
in some way
M: Move
A: Assess
S: Sort
S: Send
*Move*
-Instruct victims who can move from the scene to move to a recognized place
-Also instruct victims to move a limb
-Based on the patients who do not move a limb when asked, the provider moves to the
second stage
*Assess*
-Move to the patients who do not move limbs and assess them using the standard
assessment of Airway, Breathing, and Circulation
-Based on the assessment findings of these patients, the providers move into the next
stage.
,*Sort*
-Once assessed, patients are sorted into one of four categories (green, yellow, red,
black)
-Once placed in categories, providers move to the next step
*Send*
-Patients are sent to the hospitals based on the need for additional treatment.
-GREEN: movement they can walk toward you, do not need immediate treatment
MINIMAL
-YELLOW: can move an arm or leg, will not decompensate rapidly DELAYED
-RED: does not move, immediate, threat to life but can be saved, FIRST PRIORITY,
IMMEDIATE
-BLACK does not move, dead or little or no chance of survival, EXPECTANT
Assessment Findings for Patients Tagged Green - Answer *Minimal*
-Treatment for these patients could be delayed for days without serious effect
*Assessment*
-Ambulatory (walking wounded)
-Cap refill < 2 seconds
-Respiratory rate < 30
-Mental status intact
*Examples*
-Contusions
-Small abrasions
, Assessment Findings for Patients Tagged Yellow - Answer *Delayed*
-Patients need care but are not likely to decompensate rapidly if treatment is delayed
*Assessment*
-Non-ambulatory
-Cap refill < 2 seconds
-Respiratory rate < 30
-Mental status intact
*Examples*
-Amputated fingers
-Open fractures
-NO airway problems
Assessment Findings for Patients Tagged Red - Answer *Immediate*
-Patients have an obvious threat to life but can probably be saved, PRIORITY, ASSESS
FIRST
-Problems with respirations, perfusion, and mental status
*Assessment*
-Non-ambulatory
-Cap refill > 2 seconds
-Respiratory rate > 30
-Non responsive, or confused
*Examples*
