WILKES NSG 526 Exam 3 questions with
correct answers
Primary prevention - ANSWER: ➡ Actually preventing the thing
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Secondary Prevention - ANSWER: ➡ early identification and treatment
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Tertiary prevention - ANSWER: ➡ Avoiding complications
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Norms are considered - ANSWER: ➡ The right patterns of behavior for a society
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Crisis is - ANSWER: ➡ a time limited response lasting 4 to 6 weeks
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What initiates a crisis - ANSWER: ➡ A crisis is initiated by internal or external demands that
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are perceived as a threat to a persons physical or emotional functioning.
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Precipitating event is stressful and unusual or rare.
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maturational crisis - ANSWER: ➡ Describes unfavorable person-environmental relationships
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that relate to maturational events such as leaving home for the first time, completing school or
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accepting the responsibility of adulthood.
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Situational Crisis - ANSWER: ➡ Occurs whenever a specific stressful event threatens a
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person's
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biopsychosocial integrity and results in some degree of psychological disequilibrium
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,Aventitious Cirsis - ANSWER: ➡ Initiated by an unexpected unusual events that can affect an
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individual or
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a multitude of people. National and natural disasters.
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During an adventitious crisis (e.g., flood, hurricane, forest fire) that affects the
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well-being of many people, the interventions of the PMH-APRN will be a part of
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the community's efforts to respond to the event.
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Goal for people experiencing crisis - ANSWER: ➡ To return to pre-crisis level of functioning.
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Role of APRN in Crisis - ANSWER: ➡ he role of the PMH-APRN is to provide a framework of
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support systems that guide the
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client through the crisis and facilitate the development and use of positive coping skills.
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Assess risk of homicide/suicide/self-injury
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Assess coping skillso o
Assess perception of problem and support mechanisms
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Assess biologic items - sleep, eating, hygiene, etc
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Assess psychological - emotions and coping
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Asses social - individual, family, community. Social support
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Disaster - ANSWER: ➡ A disaster is a sudden ecological or man-made phenomenon that is of
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sufficient
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magnitude to require external help to address the psychosocial needs as well as
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, the physical needs of the victims
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MCI triage category: Expectant - ANSWER: ➡ Injuries are extensive and chances of survival
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are unlikely
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even with definitive care. Separate and provide comfort
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Unresponsive patients with penetrating head wounds, high o o o o o o
spinal cord injuries, wounds involving multiple anatomical sites
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and organs, 2nd/3rd degree burns in excess of 60% of body surface area, seizures or vomiting
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within 24hr after radiation
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exposure, profound shock with multiple injuries, agonal
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respirations; no pulse, no BP, pupils fixed and dilated o o o o o o o o
MCI Category: Immediate - ANSWER: ➡ Injuries are life-threatening but survivable with
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minimal
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intervention. Individuals in this group can progress rapidly to expectant
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if treatment is delayed.
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Sucking chest wound, airway obstruction secondary to
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mechanical cause, shock, hemothorax, tension pneumothorax, o o o o o
asphyxia, unstable chest and abdominal wounds, incomplete
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amputations, open fractures of long bones, and 2nd/3rd degree o o o o o o o o
burns of 15%-40% total body surface area
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MCI Category: Delayed - ANSWER: ➡ Injuries are significant and require medical care but can
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wait
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hours without threat to life or limb. Individuals in this group receive
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treatment only after immediate casualties are treated.
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