Nokea
A group of disaster survivors is working with the critical incident stress management (CISM) team. Members of this team should be guided by what goal?
- A. Determining whether the incident was managed effectively
- B. Educating survivors on potential coping strategies for future disasters
- C. Providing individuals with education about recognizing stress reactions
- D. Determining if individuals responded appropriately during the incident
Correct Answer: C
Rationale: CISM focuses on helping survivors recognize and manage stress reactions, promoting emotional recovery. Incident management or future preparedness are secondary.
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When assessing patients who are victims of a chemical agent attack, the nurse is aware that assessment findings vary based on the type of chemical agent. The chemical sulfur mustard is an example of what type of chemical warfare agent?
- A. Nerve agent
- B. Blood agent
- C. Pulmonary agent
- D. Vesicant
Correct Answer: D
Rationale: Sulfur mustard, a vesicant, causes blistering and burns. Nerve agents affect neurotransmitters, blood agents disrupt cellular metabolism, and pulmonary agents damage lung tissue.
A patient has been exposed to a nerve agent in a biochemical terrorist attack. This type of agent bonds with acetylcholinesterase, so that acetylcholine is not inactivated. What is the pathologic effect of this type of agent?
- A. Hyperstimulation of the nerve endings
- B. Temporary deactivation of the nerve endings
- C. Binding of the nerve endings
- D. Destruction of the nerve endings
Correct Answer: A
Rationale: Nerve agents cause continuous nerve hyperstimulation by preventing acetylcholine breakdown. Deactivation, binding, or destruction do not occur.
After a radiation exposure, a patient has been assessed and determined to be a possible survivor. Following the resolution of the patients initial symptoms, the care team should anticipate what event?
- A. A return to full health
- B. Internal bleeding
- C. A latent phase
- D. Massive tissue necrosis
Correct Answer: C
Rationale: A latent phase follows initial radiation symptoms in possible survivors, preceding potential recovery or worsening. Full health or severe outcomes are less likely.
The ED staff has been notified of the imminent arrival of a patient who has been exposed to chlorine. The nurse should anticipate the need to address what nursing diagnosis?
- A. Impaired gas exchange
- B. Decreased cardiac output
- C. Chronic pain
- D. Excess fluid volume
Correct Answer: A
Rationale: Chlorine, a pulmonary agent, disrupts alveolar-capillary oxygen transport, causing impaired gas exchange. Other diagnoses are secondary or unlikely.
A major earthquake has occurred within the vicinity of the local hospital. The nursing supervisor working the night shift at the hospital receives information that the hospital disaster plan will be activated. The supervisor will need to work with what organization responsible for coordinating interagency relief assistance?
- A. Office of Emergency Management
- B. Incident Command System
- C. Centers for Disease Control and Prevention (CDC)
- D. American Red Cross
Correct Answer: A
Rationale: The Office of Emergency Management coordinates state and local disaster relief efforts, ensuring effective interagency collaboration.