WILKES NSG 526 Exam 3 (2025) ACTUAL EXAM
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Terms in this set (75)
Primary prevention Actually preventing the thing
Secondary Prevention early identification and treatment
Tertiary prevention Avoiding complications
Norms are considered The right patterns of behavior for a society
Crisis is a time limited response lasting 4 to 6 weeks
A crisis is initiated by internal or external demands
that are perceived as a threat to a persons physical
What initiates a crisis or emotional functioning.
Precipitating event is stressful and unusual or rare.
Describes unfavorable person-environmental
relationships that relate to maturational events such
maturational crisis
as leaving home for the first time, completing school
or accepting the responsibility of adulthood.
Occurs whenever a specific stressful event threatens
a person's
Situational Crisis
biopsychosocial integrity and results in some
degree of psychological disequilibrium
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Initiated by an unexpected unusual events that can
affect an individual or
a multitude of people. National and natural
disasters.
Aventitious Cirsis
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 To return to pre-crisis level of functioning.
experiencing crisis
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
Role of APRN in Crisis
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
A disaster is a sudden ecological or man-made
phenomenon that is of sufficient
Disaster magnitude to require external help to address the
psychosocial needs as well as
the physical needs of the victims
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Injuries are extensive and chances of survival are
unlikely
even with definitive care. Separate and provide
comfort
Unresponsive patients with penetrating head
wounds, high
MCI triage category: spinal cord injuries, wounds involving multiple
Expectant 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
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
MCI Category:
to
Immediate
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
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