Nokea
An adult has cared for a debilitated parent for 10 years. The parent's condition recently declined, and the health care provider recommended placement in a skilled care facility. The adult says, 'I've always been able to care for my parents. Nursing home placement goes against everything I believe.' Successful resolution of this person's crisis will most closely relate to what?
- A. Resolving the feelings associated with the threat to the person's self-concept
- B. Maintaining the ability to identify situational supports in the community
- C. Relying on the assistance from role models within the person's culture
- D. Mobilizing automatic relief behaviors by the person
Correct Answer: A
Rationale: The crisis involves a threat to self-concept, and resolution requires addressing these feelings. Other options are less directly related.
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When responding to a natural disaster, after rescue and evacuation efforts are completed, what intervention will be the focus of the triage process?
- A. Planning the physical rebuilding of the community
- B. Coordinating food and shelter services
- C. Arranging for temporary schools
- D. Debriefing first responders
Correct Answer: B
Rationale: The first needs during a disaster include food, shelter, medical attention, and safety. Other options are addressed after immediate needs.
A patient comes to the clinic with superficial cuts on the left wrist. The patient paces around the room sobbing but cringes when approached and responds to questions with only shrugs or monosyllables. What is the nurse's best initial statement to this patient?
- A. Everything is going to be all right. You are here at the clinic, and the staff will keep you safe.
- B. I see you are feeling upset. I am going to stay and talk with you to help you feel better.
- C. You need to try to stop crying so we can talk about your problems.
- D. Let's set some guidelines and goals for your visit here.
Correct Answer: B
Rationale: A crisis exists for this patient. The two primary thrusts of crisis intervention are to provide for the safety of the individual and use anxiety-reduction techniques to facilitate the use of inner resources. The nurse offers therapeutic presence, which provides caring, ongoing observation relative to the patient's safety. The incorrect responses use nontherapeutic techniques, including false reassurance and giving advice.
Which agency provides coordination in the event of a terrorist attack?
- A. U.S. Food and Drug Administration (FDA)
- B. Environmental Protection Agency (EPA)
- C. National Incident Management System (NIMS)
- D. Federal Emergency Management Agency (FEMA)
Correct Answer: C
Rationale: NIMS provides a systematic approach to coordinate disaster response across various agencies and organizations.
During the initial interview at the crisis center, a patient says, 'I've been served with divorce papers. I'm so upset and anxious that I can't think clearly.' What could the nurse say to assess personal coping skills?
- A. What would you like us to do to help you feel more relaxed?
- B. In the past, how did you handle difficult or stressful situations?
- C. Do you think you deserve to have things like this happen to you?
- D. I can see you are upset. You can rely on us to help you feel better.
Correct Answer: B
Rationale: This question directly assesses the patient's past coping strategies, which is key to understanding their ability to manage the current crisis.
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.