ALL EXAMS-mental health lp 1/2/3 Flashcards
What is a disaster?
what is natural disaster
A catastrophic and/or destructive event that disrupts normal functioning, may include anticipated or unexplained event, the effect leads to significant destruction and or adverse consequences
natural disaster is act of nature
being
are on
diaster control:
Being prepared as a nurse in a disaster can help prevent worsening times during an environmental disaster
Are on committees that can help prevent caualties
red triage
examples
u/a
experiencing
pain where
chest
full
uncontrollable
amputaion where
pulse
open
(emergent) – critically injured
unconscious/altered mental status
experiencing hypoxia
chest pain
chest wounds
full thickness burns
uncontrollable bleeding
amputation above elbow or knee
rapid ot weak pulse
open abdominal wound
disaster examples
- Biological attack
- Terrorist attack
- Mass shooting
- Natural/environmental disasters
- Man made disasters
- Technological disasters
yellow triage
examples
deep
open
amputations
abdominal
closed
(urgent) – needs medical attention but will not die if
not treated immediately
deep laceation
open fractures with controlled bleeding
multiple fractires
finger amputations
abdominal injures with stable vs
closed head injuries w/ not altered level of conciseness
green triage
examples
a
c
s
minor
no
other
ambulatory) – Can walk and care for themselves
abrasion
contsuions
sprains
minor lacerations
no apparent injuries
other injuries of similar severity
black triage
victims
already
(expectant) – deceased or expected to not survive
still alive with minimal chance of survival
victims who have passed
do what in advance for disasters
hospital diasters
families
Be prepared in advance- want to make sure you are meeting needs-
try to free up as many beds as possible
Keep families together– Have designated areas to help connect families
Casualty Management
d
cc
keep
what is key
Decontamination (Isolation
and PPE)- tents are set up to prevent exposure
- Crowd control- evacuate area
- Keep yourself safe!- nurse cannot get sick and become a patient
pre-education is key
379 supplies kit
how does environment effect nursing care in community
poor water quality
emitting smoke into air
fracking
gases produce by agriculture
landfill creating unsanitary environment
EPA:
Environmental
Protection
Agency
Air Quality
Asthma
Climate Change
Lead
Mercury
Mold
Pesticides
Water quality
what can the nurse do
preparedness
mitigation
response.
recovery
evaluation
preparedness- planning and preparation while threat of a disaster is still in future- develops a plan of response
mitigation- measures to reduce harmful effects of the disaster that hasn’t occurred yet
response-immediate repose to effects of disaster. nurses use knowledge of physical and physiological needs, and will follow up on any mental health or physical needs
recovery- rebuilding and returning to normal
evaluation- evaulating how it went that what worked/didnt work
what is a community
group of people all by each other that share same values
Five Functions of a Community
pdc
s
s
s
ms
Production, distribution, and consumption of goods and services
Socialization
Social control
Social interparticipation
Mutual Support
Nursing in the Community
combines
provides
combines primary healthcare and nursing practice in a community setting.
provide health services, preventive care, intervention and health education to communities or populations.
Examples of community nursing
Public Health Nurse
School Nurse
Parish Nursing
Corrections Nursing
Armed Forces
Mission work
County Nurses
Infection Control Nurses
Emergency Preparedness
Advocating Your Community
Focuses on promoting and preserving the health of population groups
clarifying therapeutic definition
You are trying to make clear either the intent or hidden meaning of the message or to determine if the message sent was the message received
clarifying technique examples
ask
admit
ask
Ask the patient to give an example
Admit lack of understanding
Ask the patient to restate the meaning
paraphrasing definition
Repeating the main idea expressed in the communication by rewording what was heard
silence definiton
too long of silence
it can encourage pt to talk
too long of silence is uncomfortable
summarizing definition
bring
allows
bring together the most important points of discussion
allows pt and you to leave w/ closure
reflecting
directing
it communicates what
Directing back to the patient the questions, feelings and ideas that they have expressed
It communicates to the pt. that you heard what was said and are trying to understand the feelings being communicated
questioning
2 types
closed-yes/no
open- allows to talk
focusing
concentrating
used
helps
concentrating on a single point
used when communication is vague
helps to focus on one aspect
stating observations
you
when
you verbalize what you perceive
when you state observations of pt behavior it can help honesty
accepting
help waht
examples
they help encourage pt to continue
go on//I see// tell me more
change the subject inappropriately
untheraptuc why
shows unwillingness of nurse to listen or talk to pt
expressing unnecessary approval or disapproval
untherpatic why
do not give them approval or disapproval
do not take sides
giving opinion or advice
untheraptic why\
helping relationship promotes what
promotes pt independence and decision making
dont want to make decisions for them
offering false reassurance
untheraptic examples
I’m sure everything will be fine
sometimes things happen for the best
defensiveness
when pt becomes critical…
what doesn’t help
when pt becomes critical, nurse needs to listen and understand their pov
telling pt that their critsim isn’t justified doesn’t help
why is stereotyping untherpatic
nurses needs to look at patients individually
