WILKES NSG 526 EXAM 3

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WILKES NSG 526 EXAM 3

ACTUAL EXAM WITH CORRECT SOLUTIONS.

Primary prevention - correct answer- Actually preventing the thing

Secondary Prevention - correct answer- early identification and treatment

Tertiary prevention - correct answer- Avoiding complications

Norms are considered - correct answer- The right patterns of behavior for a society

Crisis is - correct answer- a time limited response lasting 4 to 6 weeks

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. 1 / 4

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Precipitating event is stressful and unusual or rare.

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.

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.

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Goal for people experiencing crisis - correct answer- To return to pre-crisis level of functioning.

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

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 3 / 4

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the physical needs of the victims

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

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

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