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.
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A nurse assesses an adult experiencing a crisis. What question asked by the nurse will best determine situational support?
- A. Has anything upsetting occurred in the past few days?
- B. Who can be helpful to you during this time?
- C. How does this problem affect your life?
- D. What led you to seek help at this time?
Correct Answer: B
Rationale: This question directly assesses available situational support, critical for crisis intervention planning.
After celebrating a 40th birthday, an individual becomes concerned with the loss of youthful appearance. What type of crisis has occurred?
- A. Reactive
- B. Situational
- C. Maturational
- D. Adventitious
Correct Answer: C
Rationale: Maturational crises occur at new developmental stages when old coping styles become ineffective. This scenario reflects such a crisis.
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 crisis center saying, 'I'm in a terrible situation. I don't know what to do.' The triage nurse can initially assume that the patient is experiencing what?
- A. Suicidal ideations
- B. Anxiety and fear
- C. Misperceived reality
- D. Homicidal ideations
Correct Answer: B
Rationale: Individuals in crisis are universally anxious. They are often frightened and may be mildly confused. Perceptions are often narrowed. None of the other options are supported with behaviors.
A woman says, 'I can't take anymore, and I have no children or husband to turn to! This last year has been one crisis after another.' If this person's immediate family is unable to provide sufficient situational support, what should the nurse do?
- A. Suggest hospitalization for a short period.
- B. Ask what other relatives or friends are available for support.
- C. Tell the patient, 'You must be strong. Don't let this crisis overwhelm you.'
- D. Foster insight by relating the present situation to earlier situations involving loss.
Correct Answer: B
Rationale: The assessment of situational supports should continue. Exploring other potential supports is appropriate before considering hospitalization. Advice and psychotherapy are not suitable for crisis intervention.
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