Clinical Modalities Exam 3 (latest update
2025/ 2026) Practice Questions with
Verified Answers [Grade A]- Wilkes
Pre-warning of the disaster - correct answer This disaster phase entails preparing
victims for possible evacuation of the environment, mobilization of resources, and
review of community disaster plans.
Disaster event occurs - correct answer The rescuers provide resources, assistance,
and support as needed to preserve the biopsychosocial functioning and survival of the
victims.
Recuperative effort - correct answer The focus is to implement strategies for healing
the sick and injured, preventing complications of health problems, repairing damages,
and reconstructing the community
Mass Casualty Incident Strategies - correct answer
Immediate - Code Red - Priority 1 - correct answer Injuries are life threatening but
survivable with minimal intervention. Individuals in the group can progress rapidly to
expectant if treatment is delayed.
Delayed - Code Yellow - Priority 2 - correct answer Injuries are significant and require
medical care but can wait hours w/o threat to life or limb. Individuals in this group
receive treatment only after immediate casualties are treated.
Minimal - Code Green - level 3 - correct answer Injuries are minor and treatment can
be delayed hours to days. This group should be moved away from main triage area.
Expectant - Code 4 - Black - correct answer Injuries are extensive and chances of
survival are unlikely even with definite care. persons in this group should be separated
from other casualties but not abandoned. Comfort measures provided when possible.
Delayed (yellow) injuries 2 - correct answer Stable abdominal wounds w/o evidence of
hemorrhage, soft tissue injuries, maxillofacial wounds without airway compromise,
vascular injuries with adequate collateral circulation, genitourinary tract disruption,
ORIF, debridement, external fixation, most eye and CNS injuries.
Minimal (green) injuries 3 - correct answer upper extremity fractures, minor burns,
sprains, small lacerations, behavioral/psychological disorders.
,Clinical Modalities Exam 3 (latest update
2025/ 2026) Practice Questions with
Verified Answers [Grade A]- Wilkes
Expectant (black) injuries 4 - correct answer unresponsive patients with penetrating
head wounds, high spinal cord injuries, multiple organ wounds, 2nd-3rd degree burns
> 60% of body surface, seizures or vomiting within 24 hours of radiation exposure,
profound shock, agonal respirations, no pulse, no b/p, pupils fixed and dilated.
psych resolution of individual's immediate crisis and restoration to pre-crisis level of
functioning - correct answer Minimal goal in disaster
Improve function to above pre-crisis level - correct answer Maximal goal in disaster
Maturational Crisis - correct answer an experience, such as puberty, adolescence,
young adulthood, marriage, or the aging process, in which one's lifestyle is continually
subject to change
Immediate (red) 1 injuries - correct answer 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
dissociative - correct answer The person with an acute stress disorder has
________________ symptoms and persistently re-experiences the event.
chronic - correct answer By definition, there is no such thing as a ________________
crisis
4 to 6 weeks - correct answer A crisis is generally regarded as time limited, lasting no
more than ________________________
1. Create a sense of safety
2. Comforting and consoling the individual
3. Providing information
4. Providing support for reality based tasks
5. Diffusing guilt
6. Facilitating a sense of mastery - correct answer Name 6 communication strategies
in
Psychological First Aid
, Clinical Modalities Exam 3 (latest update
2025/ 2026) Practice Questions with
Verified Answers [Grade A]- Wilkes
positive coping skills - correct answer The 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 _____________________________
suicide or homicide - correct answer The PMH-APRN must be acutely aware that a
person in crisis may be at high risk for _____________
suicide - correct answer The PMH-APRN should assess for unusual behaviors and
determine the level of involvement of the person with the crisis. In addition, assess for
evidence of self-mutilation activities that may indicate the use of self-preservation
measures to avoid ________
biological assessment - correct answer look up
psychological domain/assessment - correct answer ______________________ assessment
focuses on the victim's emotions and coping strengths. In the beginning of the crisis,
the victim may report the feeling of numbness and shock. Responses to psychological
distress should be differentiated from symptoms of psychiatric illnesses of the victim.
Social Domain/Assessment - correct answer Assessment of the impact of the crisis
on the victim's ________________ functioning is essential because a crisis usually
severely disrupts these proficiencies. The PMH-APRN should assess the severity of
the crisis to determine the capability of the individual or the community to respond in a
supportive way.
individual, the family, and the community - correct answer The nursing interventions
for the social domain include the ______________________________________
Caplan phase 1 - correct answer A problem arises that contributes to increase in
anxiety levels. The anxiety stimulates the implementation of usual problem-solving
techniques of the person.
serious personality disorganization, which signals the person is in crisis. - correct
answer -After Caplan phase 1, the usual problem-solving techniques are ineffective.
Anxiety levels continue to rise. Trial-and-error attempts are made to restore balance.
-The trial-and-error attempts fail. The anxiety escalates to severe or panic levels. The
person adopts automatic relief behaviors.
-When these measures do not reduce anxiety, anxiety can overwhelm the person and
lead to_______________________________
2025/ 2026) Practice Questions with
Verified Answers [Grade A]- Wilkes
Pre-warning of the disaster - correct answer This disaster phase entails preparing
victims for possible evacuation of the environment, mobilization of resources, and
review of community disaster plans.
Disaster event occurs - correct answer The rescuers provide resources, assistance,
and support as needed to preserve the biopsychosocial functioning and survival of the
victims.
Recuperative effort - correct answer The focus is to implement strategies for healing
the sick and injured, preventing complications of health problems, repairing damages,
and reconstructing the community
Mass Casualty Incident Strategies - correct answer
Immediate - Code Red - Priority 1 - correct answer Injuries are life threatening but
survivable with minimal intervention. Individuals in the group can progress rapidly to
expectant if treatment is delayed.
Delayed - Code Yellow - Priority 2 - correct answer Injuries are significant and require
medical care but can wait hours w/o threat to life or limb. Individuals in this group
receive treatment only after immediate casualties are treated.
Minimal - Code Green - level 3 - correct answer Injuries are minor and treatment can
be delayed hours to days. This group should be moved away from main triage area.
Expectant - Code 4 - Black - correct answer Injuries are extensive and chances of
survival are unlikely even with definite care. persons in this group should be separated
from other casualties but not abandoned. Comfort measures provided when possible.
Delayed (yellow) injuries 2 - correct answer Stable abdominal wounds w/o evidence of
hemorrhage, soft tissue injuries, maxillofacial wounds without airway compromise,
vascular injuries with adequate collateral circulation, genitourinary tract disruption,
ORIF, debridement, external fixation, most eye and CNS injuries.
Minimal (green) injuries 3 - correct answer upper extremity fractures, minor burns,
sprains, small lacerations, behavioral/psychological disorders.
,Clinical Modalities Exam 3 (latest update
2025/ 2026) Practice Questions with
Verified Answers [Grade A]- Wilkes
Expectant (black) injuries 4 - correct answer unresponsive patients with penetrating
head wounds, high spinal cord injuries, multiple organ wounds, 2nd-3rd degree burns
> 60% of body surface, seizures or vomiting within 24 hours of radiation exposure,
profound shock, agonal respirations, no pulse, no b/p, pupils fixed and dilated.
psych resolution of individual's immediate crisis and restoration to pre-crisis level of
functioning - correct answer Minimal goal in disaster
Improve function to above pre-crisis level - correct answer Maximal goal in disaster
Maturational Crisis - correct answer an experience, such as puberty, adolescence,
young adulthood, marriage, or the aging process, in which one's lifestyle is continually
subject to change
Immediate (red) 1 injuries - correct answer 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
dissociative - correct answer The person with an acute stress disorder has
________________ symptoms and persistently re-experiences the event.
chronic - correct answer By definition, there is no such thing as a ________________
crisis
4 to 6 weeks - correct answer A crisis is generally regarded as time limited, lasting no
more than ________________________
1. Create a sense of safety
2. Comforting and consoling the individual
3. Providing information
4. Providing support for reality based tasks
5. Diffusing guilt
6. Facilitating a sense of mastery - correct answer Name 6 communication strategies
in
Psychological First Aid
, Clinical Modalities Exam 3 (latest update
2025/ 2026) Practice Questions with
Verified Answers [Grade A]- Wilkes
positive coping skills - correct answer The 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 _____________________________
suicide or homicide - correct answer The PMH-APRN must be acutely aware that a
person in crisis may be at high risk for _____________
suicide - correct answer The PMH-APRN should assess for unusual behaviors and
determine the level of involvement of the person with the crisis. In addition, assess for
evidence of self-mutilation activities that may indicate the use of self-preservation
measures to avoid ________
biological assessment - correct answer look up
psychological domain/assessment - correct answer ______________________ assessment
focuses on the victim's emotions and coping strengths. In the beginning of the crisis,
the victim may report the feeling of numbness and shock. Responses to psychological
distress should be differentiated from symptoms of psychiatric illnesses of the victim.
Social Domain/Assessment - correct answer Assessment of the impact of the crisis
on the victim's ________________ functioning is essential because a crisis usually
severely disrupts these proficiencies. The PMH-APRN should assess the severity of
the crisis to determine the capability of the individual or the community to respond in a
supportive way.
individual, the family, and the community - correct answer The nursing interventions
for the social domain include the ______________________________________
Caplan phase 1 - correct answer A problem arises that contributes to increase in
anxiety levels. The anxiety stimulates the implementation of usual problem-solving
techniques of the person.
serious personality disorganization, which signals the person is in crisis. - correct
answer -After Caplan phase 1, the usual problem-solving techniques are ineffective.
Anxiety levels continue to rise. Trial-and-error attempts are made to restore balance.
-The trial-and-error attempts fail. The anxiety escalates to severe or panic levels. The
person adopts automatic relief behaviors.
-When these measures do not reduce anxiety, anxiety can overwhelm the person and
lead to_______________________________