WILKES NSG 526 Exam 3 with Verified Answers Graded A+
1. Primary preven- Actually preventing the thing
tion
2. Secondary Pre- early identification and treatment
vention
3. Tertiary preven- Avoiding complications
tion
4. Norms are con- The right patterns of behavior for a society
sidered
5. Crisis is a time limited response lasting 4 to 6 weeks
6. What initiates a A crisis is initiated by internal or external demands that are
crisis perceived as a threat to a persons physical or emotional
functioning.
Precipitating event is stressful and unusual or rare.
7. maturational cri- Describes unfavorable person-environmental relation-
sis ships that relate to maturational events such as leaving
home for the first time, completing school or accepting the
responsibility of adulthood.
8. Situational Crisis Occurs whenever a specific stressful event threatens a
person's
biopsychosocial integrity and results in some degree of
psychological disequilibrium
9. Aventitious Cir- Initiated by an unexpected unusual events that can affect
sis 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.
,WILKES NSG 526 Exam 3 with Verified Answers Graded A+
10. Goal for people To return to pre-crisis level of functioning.
experiencing cri-
sis
11. Role of APRN in he role of the PMH-APRN is to provide a framework of
Crisis 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
Asses social - individual, family, community. Social support
12. Disaster A disaster is a sudden ecological or man-made phenom-
enon that is of sufficient
magnitude to require external help to address the psy-
chosocial needs as well as
the physical needs of the victims
13. MCI triage cate- Injuries are extensive and chances of survival are unlikely
gory: Expectant 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
, 14. MCI Category: Injuries are life-threatening but survivable with minimal
Immediate 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 pneu-
mothorax,
asphyxia, unstable chest and abdominal wounds, incom-
plete
amputations, open fractures of long bones, and 2nd/3rd
degree
burns of 15%-40% total body surface area
15. MCI Category: Injuries are significant and require medical care but can
Delayed 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 collat-
eral
circulation; genitourinary tract disruption; fractures requir-
ing
open reduction, débridement, and external fixation; most
eye
and CNS injuries
16. MCI Category: Injuries are minor and treatment can be delayed hours to
Minimal 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 disor-
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