WILKES NSG 526 EXAM 3 QUESTIONS
AND ANSWERS
Primary6prevention6-6ans--Actually6preventing6the6thing
Secondary6Prevention6-6ans--early6identification6and6treatment
Tertiary6prevention6-6ans--Avoiding6complications
Norms6are6considered6-6ans--The6right6patterns6of6behavior6for6a6society
Crisis6is6-6ans--a6time6limited6response6lasting646to666weeks
What6initiates6a6crisis6-6ans--
A6crisis6is6initiated6by6internal6or6external6demands6that6are6perceived6as6a6threat6to6a6pe
rsons6physical6or6emotional6functioning.6
Precipitating6event6is6stressful6and6unusual6or6rare.
maturational6crisis6-6ans--Describes6unfavorable6person-
environmental6relationships6that6relate6to6maturational6events6such6as6leaving6home6for6t
he6first6time,6completing6school6or6accepting6the6responsibility6of6adulthood.
Situational6Crisis6-6ans--Occurs6whenever6a6specific6stressful6event6threatens6a6person's
biopsychosocial6integrity6and6results6in6some6degree6of6psychological6disequilibrium
Aventitious6Cirsis6-6ans--
Initiated6by6an6unexpected6unusual6events6that6can6affect6an6individual6or
a6multitude6of6people.6National6and6natural6disasters.
During6an6adventitious6crisis6(e.g.,6flood,6hurricane,6forest6fire)6that6affects6the
well-being6of6many6people,6the6interventions6of6the6PMH-APRN6will6be6a6part6of
the6community's6efforts6to6respond6to6the6event.
Goal6for6people6experiencing6crisis6-6ans--To6return6to6pre-crisis6level6of6functioning.
, Role6of6APRN6in6Crisis6-6ans--he6role6of6the6PMH-
APRN6is6to6provide6a6framework6of6support6systems6that6guide6the
client6through6the6crisis6and6facilitate6the6development6and6use6of6positive6coping6skills.
Assess6risk6of6homicide/suicide/self-injury
Assess6coping6skills
Assess6perception6of6problem6and6support6mechanisms
Assess6biologic6items6-6sleep,6eating,6hygiene,6etc
Assess6psychological6-6emotions6and6coping
Asses6social6-6individual,6family,6community.6Social6support
Disaster6-6ans--A6disaster6is6a6sudden6ecological6or6man-
made6phenomenon6that6is6of6sufficient
magnitude6to6require6external6help6to6address6the6psychosocial6needs6as6well6as
the6physical6needs6of6the6victims
MCI6triage6category:6Expectant6-6ans--
Injuries6are6extensive6and6chances6of6survival6are6unlikely
even6with6definitive6care.6Separate6and6provide6comfort
Unresponsive6patients6with6penetrating6head6wounds,6high
spinal6cord6injuries,6wounds6involving6multiple6anatomical6sites
and6organs,62nd/
3rd6degree6burns6in6excess6of660%6of6body6surface6area,6seizures6or6vomiting6within624
hr6after6radiation
exposure,6profound6shock6with6multiple6injuries,6agonal
respirations;6no6pulse,6no6BP,6pupils6fixed6and6dilated
MCI6Category:6Immediate6-6ans--Injuries6are6life-threatening6but6survivable6with6minimal
intervention.6Individuals6in6this6group6can6progress6rapidly6to6expectant
if6treatment6is6delayed.
Sucking6chest6wound,6airway6obstruction6secondary6to
mechanical6cause,6shock,6hemothorax,6tension6pneumothorax,
asphyxia,6unstable6chest6and6abdominal6wounds,6incomplete
amputations,6open6fractures6of6long6bones,6and62nd/3rd6degree
burns6of615%-40%6total6body6surface6area
MCI6Category:6Delayed6-6ans--
Injuries6are6significant6and6require6medical6care6but6can6wait
hours6without6threat6to6life6or6limb.6Individuals6in6this6group6receive
AND ANSWERS
Primary6prevention6-6ans--Actually6preventing6the6thing
Secondary6Prevention6-6ans--early6identification6and6treatment
Tertiary6prevention6-6ans--Avoiding6complications
Norms6are6considered6-6ans--The6right6patterns6of6behavior6for6a6society
Crisis6is6-6ans--a6time6limited6response6lasting646to666weeks
What6initiates6a6crisis6-6ans--
A6crisis6is6initiated6by6internal6or6external6demands6that6are6perceived6as6a6threat6to6a6pe
rsons6physical6or6emotional6functioning.6
Precipitating6event6is6stressful6and6unusual6or6rare.
maturational6crisis6-6ans--Describes6unfavorable6person-
environmental6relationships6that6relate6to6maturational6events6such6as6leaving6home6for6t
he6first6time,6completing6school6or6accepting6the6responsibility6of6adulthood.
Situational6Crisis6-6ans--Occurs6whenever6a6specific6stressful6event6threatens6a6person's
biopsychosocial6integrity6and6results6in6some6degree6of6psychological6disequilibrium
Aventitious6Cirsis6-6ans--
Initiated6by6an6unexpected6unusual6events6that6can6affect6an6individual6or
a6multitude6of6people.6National6and6natural6disasters.
During6an6adventitious6crisis6(e.g.,6flood,6hurricane,6forest6fire)6that6affects6the
well-being6of6many6people,6the6interventions6of6the6PMH-APRN6will6be6a6part6of
the6community's6efforts6to6respond6to6the6event.
Goal6for6people6experiencing6crisis6-6ans--To6return6to6pre-crisis6level6of6functioning.
, Role6of6APRN6in6Crisis6-6ans--he6role6of6the6PMH-
APRN6is6to6provide6a6framework6of6support6systems6that6guide6the
client6through6the6crisis6and6facilitate6the6development6and6use6of6positive6coping6skills.
Assess6risk6of6homicide/suicide/self-injury
Assess6coping6skills
Assess6perception6of6problem6and6support6mechanisms
Assess6biologic6items6-6sleep,6eating,6hygiene,6etc
Assess6psychological6-6emotions6and6coping
Asses6social6-6individual,6family,6community.6Social6support
Disaster6-6ans--A6disaster6is6a6sudden6ecological6or6man-
made6phenomenon6that6is6of6sufficient
magnitude6to6require6external6help6to6address6the6psychosocial6needs6as6well6as
the6physical6needs6of6the6victims
MCI6triage6category:6Expectant6-6ans--
Injuries6are6extensive6and6chances6of6survival6are6unlikely
even6with6definitive6care.6Separate6and6provide6comfort
Unresponsive6patients6with6penetrating6head6wounds,6high
spinal6cord6injuries,6wounds6involving6multiple6anatomical6sites
and6organs,62nd/
3rd6degree6burns6in6excess6of660%6of6body6surface6area,6seizures6or6vomiting6within624
hr6after6radiation
exposure,6profound6shock6with6multiple6injuries,6agonal
respirations;6no6pulse,6no6BP,6pupils6fixed6and6dilated
MCI6Category:6Immediate6-6ans--Injuries6are6life-threatening6but6survivable6with6minimal
intervention.6Individuals6in6this6group6can6progress6rapidly6to6expectant
if6treatment6is6delayed.
Sucking6chest6wound,6airway6obstruction6secondary6to
mechanical6cause,6shock,6hemothorax,6tension6pneumothorax,
asphyxia,6unstable6chest6and6abdominal6wounds,6incomplete
amputations,6open6fractures6of6long6bones,6and62nd/3rd6degree
burns6of615%-40%6total6body6surface6area
MCI6Category:6Delayed6-6ans--
Injuries6are6significant6and6require6medical6care6but6can6wait
hours6without6threat6to6life6or6limb.6Individuals6in6this6group6receive