WILKES NSG 526 EXAM 3 150 TEST PAPER
2026 STUDY GUIDE REVIEW
◉ Secondary Prevention. Answer: early identification and treatment
◉ Tertiary prevention. Answer: Avoiding complications
◉ Norms are considered. Answer: The right patterns of behavior for
a society
◉ Crisis is. Answer: a time limited response lasting 4 to 6 weeks
◉ What initiates a crisis. Answer: A crisis is initiated by internal or
external demands that are perceived as a threat to a persons
physical or emotional functioning.
Precipitating event is stressful and unusual or rare.
◉ maturational crisis. Answer: Describes unfavorable person-
environmental relationships that relate to maturational events such
as leaving home for the first time, completing school or accepting
the responsibility of adulthood.
,◉ Situational Crisis. Answer: Occurs whenever a specific stressful
event threatens a person's
biopsychosocial integrity and results in some degree of
psychological disequilibrium
◉ Aventitious Cirsis. Answer: Initiated by an unexpected unusual
events that can affect an individual or
a multitude of people. National and natural disasters.
During an adventitious crisis (e.g., flood, hurricane, forest fire) that
affects the
well-being of many people, the interventions of the PMH-APRN will
be a part of
the community's efforts to respond to the event.
◉ Goal for people experiencing crisis. Answer: To return to pre-
crisis level of functioning.
◉ Role of APRN in Crisis. Answer: he role of the PMH-APRN is to
provide a framework of support systems that guide the
client through the crisis and facilitate the development and use of
positive coping skills.
Assess risk of homicide/suicide/self-injury
,Assess coping skills
Assess perception of problem and support mechanisms
Assess biologic items - sleep, eating, hygiene, etc
Assess psychological - emotions and coping
Asses social - individual, family, community. Social support
◉ Disaster. Answer: A disaster is a sudden ecological or man-made
phenomenon that is of sufficient
magnitude to require external help to address the psychosocial
needs as well as
the physical needs of the victims
◉ MCI triage category: Expectant. Answer: Injuries are extensive
and chances of survival are unlikely
even with definitive care. Separate and provide comfort
Unresponsive patients with penetrating head wounds, high
, spinal cord injuries, wounds involving multiple anatomical sites
and organs, 2nd/3rd degree burns in excess of 60% of body surface
area, seizures or vomiting within 24hr after radiation
exposure, profound shock with multiple injuries, agonal
respirations; no pulse, no BP, pupils fixed and dilated
◉ MCI Category: Immediate. Answer: Injuries are life-threatening
but survivable with minimal
intervention. Individuals in this group can progress rapidly to
expectant
if treatment is delayed.
Sucking chest wound, airway obstruction secondary to
mechanical cause, shock, hemothorax, tension pneumothorax,
asphyxia, unstable chest and abdominal wounds, incomplete
amputations, open fractures of long bones, and 2nd/3rd degree
burns of 15%-40% total body surface area
◉ MCI Category: Delayed. Answer: Injuries are significant and
require medical care but can wait
hours without threat to life or limb. Individuals in this group receive
treatment only after immediate casualties are treated.
2026 STUDY GUIDE REVIEW
◉ Secondary Prevention. Answer: early identification and treatment
◉ Tertiary prevention. Answer: Avoiding complications
◉ Norms are considered. Answer: The right patterns of behavior for
a society
◉ Crisis is. Answer: a time limited response lasting 4 to 6 weeks
◉ What initiates a crisis. Answer: A crisis is initiated by internal or
external demands that are perceived as a threat to a persons
physical or emotional functioning.
Precipitating event is stressful and unusual or rare.
◉ maturational crisis. Answer: Describes unfavorable person-
environmental relationships that relate to maturational events such
as leaving home for the first time, completing school or accepting
the responsibility of adulthood.
,◉ Situational Crisis. Answer: Occurs whenever a specific stressful
event threatens a person's
biopsychosocial integrity and results in some degree of
psychological disequilibrium
◉ Aventitious Cirsis. Answer: Initiated by an unexpected unusual
events that can affect an individual or
a multitude of people. National and natural disasters.
During an adventitious crisis (e.g., flood, hurricane, forest fire) that
affects the
well-being of many people, the interventions of the PMH-APRN will
be a part of
the community's efforts to respond to the event.
◉ Goal for people experiencing crisis. Answer: To return to pre-
crisis level of functioning.
◉ Role of APRN in Crisis. Answer: he role of the PMH-APRN is to
provide a framework of support systems that guide the
client through the crisis and facilitate the development and use of
positive coping skills.
Assess risk of homicide/suicide/self-injury
,Assess coping skills
Assess perception of problem and support mechanisms
Assess biologic items - sleep, eating, hygiene, etc
Assess psychological - emotions and coping
Asses social - individual, family, community. Social support
◉ Disaster. Answer: A disaster is a sudden ecological or man-made
phenomenon that is of sufficient
magnitude to require external help to address the psychosocial
needs as well as
the physical needs of the victims
◉ MCI triage category: Expectant. Answer: Injuries are extensive
and chances of survival are unlikely
even with definitive care. Separate and provide comfort
Unresponsive patients with penetrating head wounds, high
, spinal cord injuries, wounds involving multiple anatomical sites
and organs, 2nd/3rd degree burns in excess of 60% of body surface
area, seizures or vomiting within 24hr after radiation
exposure, profound shock with multiple injuries, agonal
respirations; no pulse, no BP, pupils fixed and dilated
◉ MCI Category: Immediate. Answer: Injuries are life-threatening
but survivable with minimal
intervention. Individuals in this group can progress rapidly to
expectant
if treatment is delayed.
Sucking chest wound, airway obstruction secondary to
mechanical cause, shock, hemothorax, tension pneumothorax,
asphyxia, unstable chest and abdominal wounds, incomplete
amputations, open fractures of long bones, and 2nd/3rd degree
burns of 15%-40% total body surface area
◉ MCI Category: Delayed. Answer: Injuries are significant and
require medical care but can wait
hours without threat to life or limb. Individuals in this group receive
treatment only after immediate casualties are treated.
