NSG 526 EXAM 3
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
Norms are considered.
CORRECT ANSWER: The right patterns of behavior for a society
Question 2.
Crisis is.
CORRECT ANSWER: a time limited response lasting 4 to 6 weeks
Question 3.
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.
Question 4.
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.
Question 5.
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.
,Question 6.
Goal for people experiencing crisis.
CORRECT ANSWER: To return to pre-crisis level of functioning.
Question 7.
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
Question 8.
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
Question 9.
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
Question 10.
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
Question 11.
MCI Category: Delayed.
CORRECT ANSWER: Injuries are significant and require medical care but can
wait
hours without threat to life or limb. Individuals in this group receive
treatment only after immediate casualties are treated.
Stable abdominal wounds without evidence of significant
hemorrhage; soft tissue injuries; maxillofacial wounds without
airway compromise; vascular injuries with adequate collateral
circulation; genitourinary tract disruption; fractures requiring
open reduction, débridement, and external fixation; most eye
and CNS injuries
Question 12.
MCI Category: Minimal.
CORRECT ANSWER: Injuries are minor and treatment can be delayed hours to
days.
Individuals in this group should be moved away from the main triage
area. o
Upper extremity fractures, minor burns, sprains, small
lacerations without significant bleeding, behavioral disorders or
psychological disturbances
Question 13.
Psychological Assessment.
CORRECT ANSWER: Assess the victim for behaviors that indicate a
depressed state, presence of confusion, uncontrolled weeping or screaming,
disorientation, or aggressive behavior. Ideally, the PMH-APRN should assess
the
coping strategies the victim uses to normally manage stressful situations.
Question 14.
ABC's of Psychological First Aid.
CORRECT ANSWER: The
ABCs of psychological first aid
UPDATED ACTUAL Exam Questions and CORRECT Answers
Question 1.
Norms are considered.
CORRECT ANSWER: The right patterns of behavior for a society
Question 2.
Crisis is.
CORRECT ANSWER: a time limited response lasting 4 to 6 weeks
Question 3.
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.
Question 4.
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.
Question 5.
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.
,Question 6.
Goal for people experiencing crisis.
CORRECT ANSWER: To return to pre-crisis level of functioning.
Question 7.
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
Question 8.
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
Question 9.
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
Question 10.
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
Question 11.
MCI Category: Delayed.
CORRECT ANSWER: Injuries are significant and require medical care but can
wait
hours without threat to life or limb. Individuals in this group receive
treatment only after immediate casualties are treated.
Stable abdominal wounds without evidence of significant
hemorrhage; soft tissue injuries; maxillofacial wounds without
airway compromise; vascular injuries with adequate collateral
circulation; genitourinary tract disruption; fractures requiring
open reduction, débridement, and external fixation; most eye
and CNS injuries
Question 12.
MCI Category: Minimal.
CORRECT ANSWER: Injuries are minor and treatment can be delayed hours to
days.
Individuals in this group should be moved away from the main triage
area. o
Upper extremity fractures, minor burns, sprains, small
lacerations without significant bleeding, behavioral disorders or
psychological disturbances
Question 13.
Psychological Assessment.
CORRECT ANSWER: Assess the victim for behaviors that indicate a
depressed state, presence of confusion, uncontrolled weeping or screaming,
disorientation, or aggressive behavior. Ideally, the PMH-APRN should assess
the
coping strategies the victim uses to normally manage stressful situations.
Question 14.
ABC's of Psychological First Aid.
CORRECT ANSWER: The
ABCs of psychological first aid
