NCM 121 LEC Flashcards
(41 cards)
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
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. From this knowledge, 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
Reduce Stress
Improved overall health
An improvement in mood
Improved blood pressure control
New Insights and Better Judgment
An EDN nurse is educating the survivor of a disaster about heart disease and stress. The nurse knows that the client understood the teaching when he/she states.
A. ‘‘Stress can affect your body’s immune system, which can increase the symptoms of your disease. “
B. “Stress can be felt as painful, which can harm the person with
chronic disease
C. “Stress does not cause any changes to your body”
D. Stress can not cause heart disease
A. ‘‘Stress can affect your body’s immune system, which can increase the symptoms of your disease. “
The nurse is performing an assessment of a client who has experienced a traumatic event. In understanding the client’s ability to cope with the event,what question would the nurse ask first?
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 Ilncident Stress Debriefing Session, Nurse Angelo observes that one of the participants looks down at the floor and change position in the chair, each time the topic of anger comesup during the teaching phase. The nurse leader says to the member, “`ve noticed that any time thediscussion involves anger and violence you look away and change your position. Is something going on?”The nurse leader is using which technique?
Clarification
summarizing
Reflecting feelings
Reflecting behavior
Reflecting behavior
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
Empathize with the patient
Allow patient to have rest periods
Provide verbal and nonverbal reassurance
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. asks if the survivor has thoughts of suicide
D. asks for clarification of what those words mean
C. asks if the survivor has thoughts of suicide
Nurse Gemma is developing a care plan for a client who has post- traumatic stress disorder. Which of the following 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
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
- Encourage verbalization of feelings
- Encourage the client’s participation in relaxation exercises such as deep breathing, progressive muscle relaxation, guided imagery, meditation
- Provide reassurance and comfort measures
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?
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 p perceived as most threatening to the client
D. resolving immediate problems p perceived as most threatening to the client
What are the structural measures of water related disaster
mitigation? Select all that apply.
Retarding Basins
DAMS and Reservoirs
Hydrological Stations
Telemetering network
Retarding Basins
DAMS and Reservoirs
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
A. Creation of spillway
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. Posttraumatic stress disorder
C. Amount of involvement in the disaster
D. Lack of physical injury from the disaster
B. Posttraumatic stress disorder
Which are principles of PFA? Select all that apply
Lead
Link
Look
Listen
Link
Look
Listen
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 reviewing heri 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 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 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
- Assessing needs and concerns
- Protecting people from further harm
- Acquire the knowledge of emphatic listener
- Comforting someone who 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
Many clients have difficulty expressing anger. Which of the
following interventions would assist the client with the appropriate expression of anger?
Encourage catharsis
lmprove self-esteem
Encourage verbalization
Isolate the client from others
Encourage verbalization
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
C. Blood clotting ability decreases,
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
- Training your brain
- Practice Mindfulness
- Use Deep Breathing Exercises
- Using imagination in a positive way
What is the BEST help that you can do in the country’s fight against COVID19?
A. I can volunteer as a front liner
B. l can practice health protocols
C. I can donate cash and/or goods to the needy
D. I can wave cash assistance or goods from the government
B. l can practice health protocols
Which is NOT an example of vulnerable group?
Children
Elderly
Nursing women
Widows
Widows
In November 2013, the Philippines was hit by Super typhoon Yolanda. Why is this considered a disaster?
A. It caused more than 6000 casualties and loss of more than US$1.5B
B. The storm surge it brought was slow and expected
C. The F Philippines iS frequently visited by typhoons
D. lts winds reached peaks of around 315 kph
A. It caused more than 6000 casualties and loss of more than US$1.5B
Which Philippine National Institution iS created and dedicated t to provide flood and typhoon warnings, public weather forecasts and advisories, meteorological, astronomical, climatological, and other specialized information a and services primarily for the protection of life and property and in support of economic, productivity?
DOLE
DoST
PAGASA
NDRRMC
PAGASA
