NUR 388 FINAL EXAM PART 1(MODULES 7 - 9) NEWEST 2026/2027
ACTUAL EXAM COMPLETE 160 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) WITH DETAILED RATIONALES
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On the second day after a disaster, a male colleague tells the nurse he has a
splitting headache. The nurse notes the colleague is feeling irritable and having
difficulty focusing. Which of the following actions should the nurse take in
response to the complaint of headache?
a. Explain that the headache and problems focusing are probably the result of
worry, so he should concentrate on the work at hand and deal with emotions
later.
b. Explain that he is experiencing signs and symptoms of psychological stress and
recommend that he take some time off for a break.
c. Explain to the worker that this is a common problem when multitasking under
pressure and suggest that he focus on one task at a time.
d. Suspect dehydration and encourage the worker to drink more fluids. - Correct
Answer-b. Explain that he is experiencing signs and symptoms of psychological
stress and recommend that he take some time off for a break.
Symptoms of early stress and burnout include minor tremors, nausea, inability to
concentrate, difficulty thinking, and problems with memory. Suppressing feelings
of guilt, powerlessness, anger, and other signs of stress eventually will lead to
symptoms such as irritability, fatigue, headaches, and distortions of bodily
functions.
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, NUR 388 Final Exam Part 1(Modules 7 - 9)
A nurse, after working 2 weeks at the site of the largest natural disaster to hit the
United States, returns home. Which of the following behaviors would suggest the
nurse needs professional assistance?
a. The nurse becomes angry when family members quit listening to her ongoing
stories about the disaster and the problems there.
b. The nurse gives a presentation at the local college about the disaster and
describes how health professionals were able to assist the victims who were
injured.
c. The nurse is moody and feels family demands are not really as important as the
other members of her family think they are.
d. The nurse is very exhausted and asks to have 3 personal days off from
employment responsibilities. - Correct Answer-a. The nurse becomes angry when
family members quit listening to her ongoing stories about the disaster and the
problems there.
The fact that the nurse needs to continue to ventilate about the disaster, even
after the family has quit listening, would suggest a delayed stress reaction that is
not resolving and therefore warrants professional intervention. The nurse
presenting at a college about the disaster demonstrates that the nurse is able to
engage in conversations about the disaster after it has occurred. It is
understandable that the nurse would return exhausted and moody.
After experiencing a house fire, a 4-year-old child begins sucking his thumb and
wetting his bed. Which of the following would be the most appropriate action for
the nurse to take?
a. Explain to the child that it is important to be strong and not act like a baby.
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, NUR 388 Final Exam Part 1(Modules 7 - 9)
b. Explain to the family that this behavior is a normal reaction to disaster.
c. Recommend admission for inpatient psychological counseling.
d. Recommend behavior therapy as a means to overcome regression. - Correct
Answer-b. Explain to the family that this behavior is a normal reaction to disaster.
The effects on young children can be especially disruptive. They can resort to
regressive behaviors such as sucking their thumbs, wetting their beds, crying, and
clinging to parents. This regression is normal in response to the event. Regression
is a normal response; thus, it is not necessary to recommend psychological
counseling or behavior therapy. It would not be appropriate to explain to a 4-year
old child that he or she should be "strong."
Which of the following levels of prevention is being used by a nurse who is helping
to develop a community-wide disaster management plan?
a. Primary prevention
b. Secondary prevention
c. Tertiary prevention
d. All prevention levels - Correct Answer-a. Primary prevention
Primary prevention takes place before a condition occurs. Primary prevention
occurs when one participates in developing a disaster management plan for the
community. Secondary prevention occurs with at risk populations and is aimed at
early diagnosis and treatment. Tertiary prevention occurs after a problem has
already been detected or diagnosed. The development of a plan only addresses
primary prevention, not the other levels described.
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, NUR 388 Final Exam Part 1(Modules 7 - 9)
Which of the following disasters would implement disaster medical assistance
teams (DMATs)? (Select all that apply.)
a. Disaster that covers a broad geographic area
b. Disaster that is beyond the coping capabilities of the affected state
c. Disaster that may result in substantial health and medical problems
d. Disaster that may cause a large number of deaths
e. Disaster that may cause a large number of injuries both physical and
psychosocial - Correct Answer-b. Disaster that is beyond the coping capabilities of
the affected state
c. Disaster that may result in substantial health and medical problems
d. Disaster that may cause a large number of deaths
A presidentially declared disaster is one that requires implementation of disaster
medical assistance teams (DMATs) because the disaster exceeds the capabilities of
the involved state(s) to provide a timely and effective response. Such a disaster has
the potential to cause a substantial number of deaths or injuries; substantial
health and medical problems; or significant damage to the economic and physical
infrastructure. The disaster may not cover a broad geographic area. The criteria
for the use of DMATs is that the disaster exceeds the capabilities of the involved
state to provide a timely and effective response. This could occur in a small
geographic area.
Which of the following best describes the primary difference between parish
nursing and all other nursing positions?
a. Affiliation with a church or congregation
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