DIS MID Flashcards
(40 cards)
During the conduct of critical incident stress debriefing, one participant says she’s scared and anxious following the traumatic incident.
Which actions should the nurse plan to include in the plan of care for this client? (Select all that apply.)
- Consult social services
- Encourage verbalization of feelings
- Plan an interdisciplinary team meeting regarding this situation
- Encourage the client’s participation in relaxation exercises such as deep breathing, progressive muscle relaxation, guided imagery, meditation
- Provide reassurance and comfort measures
2, 4, 5
Psychological First Aid (PFA) is designed to reduce the initial distress caused by traumatic events and to foster short- and long-term adaptive functioning and coping.
A nurse is conducting a class for a local community group about how to deal with loss and anger in constructive ways.
When discussing the benefits of managing anger constructively, which of the following points should the nurse include? (Select all that apply.)
- Reduce stress
- Improved overall health
- An improvement in mood
- Improved blood pressure control
- New insights and better judgment
- Increased likelihood for weight gain
1, 2, 3, 4, 5
Which is NOT an example of mitigation measures?
A. Creation of spillway
B. Flood plain mapping
C. Raising of homes in flood-prone areas
D. Implementing and enforcing building codes
B. Flood plain mapping
Many clients have difficulty expressing anger. Which of the following interventions would assist the client with the appropriate expression of anger?
A. Encourage catharsis
B. Improve self-esteem
C. Encourage verbalization
D. Isolate the client from others
C. Encourage verbalization
What are the structural measures of water-related disaster mitigation? (Select all that apply.)
- Retarding Basins
- Dams and Reservoirs
- Hydrological Stations measure)
- Telemetering Network
1, 2
Nurse Gemma is developing a care plan for a client who has post-traumatic stress disorder. Which of the following interventions by the nurse is a priority?
a. Guide the client to let go of the events of the traumatic event
b. Promote discussion of the client’s thoughts and feelings about the stressful event
c. Encourage the client to delay discussing the stressful event until coping can occur
d. Encourage the client to utilize distraction when remembered experiences come to their mind
b. Promote discussion of the client’s thoughts and feelings about the stressful event
What are essential primary fear management strategies? (Select all that apply.)
- Empathize with the patient
- Allow patient to have rest periods
- Providing medications to alleviate fear
- Provide verbal and nonverbal reassurance
1, 2, 4
An emergency disaster nurse is reviewing her role as a psychological first aider. The nurse is reading about the different roles that a psychological first aider can assume. The nurse demonstrates understanding of the roles, identifying which role as important for maintaining psychological first aid. (Select all that apply.)
- Sympathizing with the client
- Assessing needs and concerns
- Protecting people from further harm
- Acquire the knowledge of emphatic listener
- Comforting someone who is in distress and helping them feel safe and calm
- Helping to provide immediate basic needs, such as food and water, a blanket, or a temporary place to stay
2, 3, 4, 5, 6
The nurse is performing an assessment of a client who has psychological first aid needs. The nurse is reading about the different roles that a psychological first aider can assume. The nurse demonstrates understanding of the roles, identifying which role is important for maintaining psychological first aid.
a. “Have you been able to go back to work?”
b. “Has your family been supportive of you?”
c. “How have you managed a stressful event before?”
d. “Have you taken anti-anxiety medication in the past?”
c. “How have you managed a stressful event before?”
During the Critical Incident Stress Debriefing Session, Nurse Angelo observes that one of the participants looks down at the floor and changes position in the chair each time the topic of anger comes up during the teaching phase. The nurse leader says to the member, “I’ve noticed that any time the discussion involves anger and violence you look away and change your position. Is something going on?” The nurse leader is using which technique?
a. Clarification
b. Summarizing
c. Reflecting feelings
d. Reflecting behavior
d. Reflecting behavior
An EDN nurse is educating a survivor of a disaster about heart disease. Which statement reflects the nurse’s teaching? (Select one.)
a. “Stress does not cause any changes to your body”
b. “Stress can not cause heart disease”
c. “Stress can affect your body’s immune system, which can increase the symptoms of your disease”
d. “Stress can be felt as painful, which can harm the person with a chronic disease.”
c. “Stress can affect your body’s immune system, which can increase the symptoms of your disease”
A survivor of trauma can protect himself from the negative effects of stress with which of the following?
a. Medication
b. Practicing wellness
c. Previous experiences
d. Social and emotional resources
d. Social and emotional resources
An emergency disaster nurse is assessing a client who has been under a large amount of interpersonal stress. In order to best assess the client’s psychological domain, the nurse should:
a. Inquire about any family history of psychiatric or mental health disorders
b. Use a broad introduction, such as “Let’s talk about what you’re feeling today”
c. Present a simple, hypothetical scenario, such as “If you saw a building on fire, what would you do?”
d. Remain silent until the client begins to speak and allow him or her to choose the topic of conversation
b. Use a broad introduction, such as “Let’s talk about what you’re feeling today”
A nurse is gathering information about a health history of a person who has experienced fear following a traumatic incident. Which are important techniques and strategies a psychological first aider should teach to the client during the session?(Select all that apply.)
- Training your brain
- Practice Mindfulness
- Use Deep Breathing Exercises
- Reducing environmental triggers
- Using imagination in a positive way
ALL
An EDN nurse is working with a client who has been under extreme stress following a horrific disaster. To enhance the client’s social functioning, the nurse should provide what intervention? (Select one.)
a. Teach the client skills for enhancing communication
b. Introduce the client to other clients who have similar circumstances
c. Encourage the client to maintain daily activities involving other people
d. Educate the client about the need to make new friends and acquaintances
c. Encourage the client to maintain daily activities involving other people
Effective interventions while providing care during a crisis include
a. Confronting and exploring unresolved past issues
b. Educating the client about his or her mental illness
c. Exploring the unhealthy aspects of the person’s functioning
d. Resolving immediate problems perceived as most threatening to the client
d. Resolving immediate problems perceived as most threatening to the client
Which are principles of Psychological First Aid (PFA)? (Select all that apply.)
- Lead
- Link
- Look
- Listen
2, 3, 4
Which of the following would not be expected to occur during the sympathetic response (or the fight-or-flight reaction) to a stressor?
a. Energy levels increase
b. Breathing rate increases
c. Blood clotting ability decreases
d. Heart rate and blood pressure increase
d. Heart rate and blood pressure increase
When the “survivor” uses terms such as anxiety or depression, it is important for the nurse to
a. Call for assistance
b. None of these options
c. Ask if the survivor has thoughts of suicide
d. Ask for clarification of what those words mean
c. Ask if the survivor has thoughts of suicide
A client continues to complain of chest pain and headaches after a disaster, even though all diagnostic tests are negative. In looking at risk factors for these symptoms, what would the nurse assess for?
a. Lack of family support
b. Post-traumatic stress disorder
c. Amount of involvement in the disaster
d. Lack of physical injury from the disaster
b. Post-traumatic stress disorder
What is the rainfall warning system used when PAGASA raises a warning in which communities should be prepared to respond immediately?
a. Red
b. Blue
c. Black
d. Orange
a. Red
Which Philippine National Institution is created and dedicated to provide flood and typhoon warnings, public weather forecasts and advisories, meteorological, astronomical, climatological, and other specialized information and services primarily for the protection of life and property and in support of economic productivity? (Select one.)
a. D0LE
b. D0ST
c. PAGASA
d. NDRRMC
c. PAGASA
Which of the following refers to an act regulating the toxic substances and nuclear wastes?
a. RA 6969
b. RA 8749
c. RA 10344
d. RA 9211
a. RA 6969
This act shall be known as the “Wildlife Resources Conservation and Protection Act,” which aims to conserve and protect wildlife species and their habitats to promote ecological balance and enhance biological diversity.
a. RA 6969
b. RA 8749
c. RA 9147
d. RA 10344
c. RA 9147
