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 person’s physical or emotional functioning.
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
Bio psychosocial integrity and results in some degree of psychological disequilibrium
Adventitious Crisis - 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.
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
Ass’s 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
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, atonal
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, hem thorax, 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
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, debridement, and external fixation; most eye
And CNS injuries
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