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A troubled adolescent opened fire in a high school cafeteria, fatally shooting three people and injuring many others. Hundreds of parents come to the high school after hearing the news reports. After the police arrest the shooter, which action should occur next?
- A. Ask the police to encircle the school campus with yellow tape to prevent parents from entering.
- B. Announce over the loudspeakers, 'The campus is now secure. Please return to your classrooms.'
- C. Require parents to pass through metal detectors and then allow them to look for their children in the school.
- D. Designate zones according to the alphabet, and direct students to the zones based on their surnames to facilitate reuniting them with their parents.
Correct Answer: D
Rationale: Organizing reunification by alphabetized zones is a practical solution to manage chaos and reunite families efficiently.
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A nurse driving home after work comes upon a serious automobile accident. The driver gets out of the car with no apparent physical injuries. Which assessment findings would be expected from the driver immediately after this event? (Select all that apply.)
- A. Difficulty using a cell phone
- B. Long-term memory losses
- C. Fecal incontinence
- D. Rapid speech
- E. Trembling
Correct Answer: A,D,E
Rationale: Immediate responses to a crisis include shock, confusion, difficulty with decision-making, and physical symptoms like trembling and rapid speech. Incontinence and long-term memory loss are not typical immediate responses.
A patient visiting the crisis clinic for the first time asks, 'How long will I be coming here?' The nurse's reply should consider that the usual duration of crisis intervention is how long in weeks?
- A. 1 to 2
- B. 3 to 4
- C. 4 to 6
- D. 6 to 12
Correct Answer: C
Rationale: The disorganization associated with crisis is so distressing that it usually cannot be tolerated for more than 4 to 6 weeks.
An adolescent comes to the crisis clinic and reports sexual abuse by an uncle. The patient told the parents about the uncle's behavior, but the parents did not believe the adolescent. What type of crisis exists?
- A. Maturational
- B. Adventitious
- C. Situational
- D. Organic
Correct Answer: B
Rationale: An adventitious crisis is a crisis of disaster that is not a part of everyday life; it is unplanned or accidental. Adventitious crises include natural disasters, national disasters, and crimes of violence. Sexual molestation falls within this classification.
An adult comes to the crisis clinic after being terminated from a job of 15 years. The patient says, 'I don't know what to do. How can I get another job? Who will pay the bills? How will I feed my family?' Which nursing diagnosis applies?
- A. Hopelessness
- B. Powerlessness
- C. Chronic low self-esteem
- D. Disturbed thought processes
Correct Answer: B
Rationale: The patient's statements reflect a lack of control over life events, indicating powerlessness. Other diagnoses are not supported by the data.
After completing the contracted number of visits to the crisis clinic, an adult says, 'I've emerged from this as a stronger person. You supported me while I worked through my feelings of loss and helped me find community resources. I'm benefiting from a support group.' The nurse can evaluate the patient's feelings about the care received as what?
- A. Marginally satisfied
- B. Somewhat satisfied
- C. Moderately satisfied
- D. Very satisfied
Correct Answer: D
Rationale: The patient's positive statements about strength, support, and resources indicate a high level of satisfaction.