A man survived a workplace accident that claimed the lives of many of his colleagues several months ago. The man has recently sought care for the treatment of depression. How should the nurse best understand the mans current mental health problem?
- A. The man is experiencing a common response following a disaster.
- B. The man fails to appreciate the fact that he survived the disaster.
- C. The man most likely feels guilty about his actions during the disaster.
- D. The mans depression most likely predated the disaster.
Correct Answer: A
Rationale: Depression is a frequent post-disaster response due to trauma. Assumptions about guilt, lack of appreciation, or pre-existing depression are not supported.
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An industrial site has experienced a radiation leak and workers who have been potentially affected are en route to the hospital. To minimize the risks of contaminating the hospital, managers should perform what action?
- A. Place all potential victims on reverse isolation.
- B. Establish a triage outside the hospital.
- C. Have hospital staff put on personal protective equipment.
- D. Place hospital staff on abbreviated shifts of no more than 4 hours.
Correct Answer: B
Rationale: External triage prevents hospital contamination by assessing and decontaminating victims outside. Other measures are less effective for this purpose.
A patient is being treated in the ED following a terrorist attack. The patient is experiencing visual disturbances, nausea, vomiting, and behavioral changes. The nurse suspects this patient has been exposed to what chemical agent?
- A. Nerve agent
- B. Pulmonary agent
- C. Vesicant
- D. Blood agent
Correct Answer: A
Rationale: Nerve agents cause neurological symptoms like visual disturbances, nausea, and behavioral changes due to acetylcholinesterase inhibition.
Level C personal protective equipment has been deemed necessary in the response to an unknown substance. The nurse is aware that the equipment will include what?
- A. A self-contained breathing apparatus
- B. A vapor-tight, chemical-resistant suit
- C. A uniform only
- D. An air-purified respirator
Correct Answer: D
Rationale: Level C PPE includes an air-purified respirator, chemical-resistant coverall, gloves, and boots, balancing respiratory and skin protection for less hazardous substances.
A patient has been admitted to the medical unit with signs and symptoms that are suggestive of an anthrax infection. The nurse should anticipate what intervention?
- A. Administration of acyclovir
- B. Hematopoietic stem cell transplantation (HSCT)
- C. Administration of penicillin
- D. Hemodialysis
Correct Answer: C
Rationale: Penicillin is the primary treatment for anthrax, a bacterial infection. Acyclovir, HSCT, and dialysis are not indicated.
The nurse is preparing to admit patients who have been the victim of a blast injury. The nurse should expect to treat a large number of patients who have experienced what type of symptom?
- A. Chemical burns
- B. Spinal cord injury
- C. Meningeal tears
- D. Tympanic membrane rupture
Correct Answer: D
Rationale: Blast injuries commonly cause tympanic membrane rupture due to pressure wave sensitivity. Other injuries are less frequent.
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