WILKES NSG 526 Exam 3 Questions With Complete Solutions Primary prevention Correct Answers Actually preventing the thing Secondary Prevention Correct Answers early identification and treatment Tertiary prevention Correct Answers Avoiding complications Norms are co nsidered Correct Answers The right patterns of behavior for a society Crisis is Correct Answers a time limited response lasting 4 to 6 weeks What initiates a crisis Correct Answers A crisis is initiated by internal or external demands that are perc eived as a threat to a persons physical or emotional functioning. Precipitating event is stressful and unusual or rare. maturational crisis Correct Answers Describes unfavorable person -environmental relationships that relate to maturational events suc h as leaving home for the first time, completing school or accepting the responsibility of adulthood. Situational Crisis Correct Answers Occurs whenever a specific stressful event threatens a person's biopsychosocial integrity and results in some degree of psychological disequilibrium Aventitious Cirsis Correct Answers 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 Corre ct Answers To return to pre -crisis level of functioning. Role of APRN in Crisis Correct Answers 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 posi tive 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 Answers 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 Answers 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 Answers 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 a rea
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