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PNRS 352 > Unit 4: Disasters and Emergency > Flashcards

Unit 4: Disasters and Emergency Flashcards

1
Q

What are two trauma related disorders?

A

Acute stress disorder and PTSD

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2
Q

For acute stress disorder to be diagnosed, the person must have symptoms of?

A

Dissociation

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3
Q

What is the difference between ASD and PTSD?

A

ASD will resolve on its own in 2-3 days, whereas PTSD lasts much longer

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4
Q

What to assess for in the biological domain?

A

Coping, physiological responses, medications, and substance use

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5
Q

Interventions used in the biologic domain?

A

Establishing routine, health teaching and physical activity

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6
Q

What to assess in the psychological domain?

A

MSE and the patients perception of the event

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7
Q

Interventions used in the psychological domain?

A

Therapy and lifestyle changes

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8
Q

What to assess for in the social domain?

A

Social support systems

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9
Q

Interventions for the social domain?

A

Family education and supporting an increase in social functioning where appropriate

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10
Q

Assessment of the spiritual domain

A
  • ask how their beliefs have been affected

- ask if they seek out prayer or rituals

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11
Q

Interventions used within the spiritual domain

A

be cautious about providing answers in a spiritual context and allow the individual to express their feelings

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12
Q

Nurses’ role in disasters?

A

planning, mitigation, response and recovery

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13
Q

If a group has difficulty securing resources before a disaster then…

A

this will be amplified when a disaster occurs

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14
Q

Is a crisis acute or chronic?

A

acute

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15
Q

is a crisis time-limited or unlimited?

A

time-limited

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16
Q

what are the 2 necessary conditions for a crisis?

A
  1. the individuals perception of the event as the cause of considerable upset
  2. the individuals inability to resolve the disruption by previously used coping mechanisms
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17
Q

Maturational/Developmental crisis

A

a critical period of increased vulnerability and heightened potential

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18
Q

When would a developmental crisis occur?

A

when someone moves into a new developmental stage but is unable to meet the requirements of the new stage

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19
Q

Situational Crisis

A

arises from events that are extraordinary, external rather than internal, and unanticipated

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20
Q

Divorce, death in a family and financial crises are all examples of?

A

Situational Crises

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21
Q

Adventitious disasters

A

a natural or national disaster

22
Q

War, fires, floods, riots and earthquakes are all examples of?

A

Adventitious crises

23
Q

what are the 3 balancing factors of a crisis?

A

perception of the event, available situational support and coping mechanisms.

24
Q

What are the 5 steps of nursing care during a crisis?

A
  1. Early intervention
  2. Stabilization
  3. Facilitating understanding
  4. Focusing on problem solving
  5. Encouraging self-reliance
25
Q

In Robertsons 7 stage model of crisis intervention, when does crisis resolution happen?

A

after developing and formulating an action plan and before follow-up plan and agreement

26
Q

what is the 1st stage in Robertsons model of crisis intervention?

A

Plan and conduct crisis assessment (including lethality measures)

27
Q

what is the 2nd stage in Robertsons model of crisis intervention?

A

establish rapport and rapidly establish relationship

28
Q

what is the 3rd stage in Robertsons model of crisis intervention?

A

identify major problems (including the “last straw” or crisis precipitants)

29
Q

what is the 4th stage in Robertsons model of crisis intervention?

A

dealing with feelings and emotions (including active listening and validation)

30
Q

what is the 5th stage in Robertsons model of crisis intervention?

A

Generate and explore alternatives

31
Q

what is the 6th stage in Robertsons model of crisis intervention?

A

developing and formulating an action plan

32
Q

what is the 7th stage in Robertsons model of crisis intervention?

A

follow-up plan and agreement

33
Q

Level 1 classification

A

resuscitation

34
Q

Cardiac arrest, unconsciousness, imminent suicide risk (active thoughts with plan and intent), and uncontrolled, aggressive/agitated behaviour are all examples of?

A

Level 1

35
Q

Level II classification

A

emergency

36
Q

Potential threat to life or limb, strokes, altered mental state, unsure about safety risk, SI with intent, acute psychosis, and severe anxiety with clear physical signs are ll examples of?

A

Level II

37
Q

Level III classification

A

Urgency

38
Q

potential to progress to a serious problem, asthma, GI bleed, vaginal bleeding controlled bizarre behaviour, moderate anxiety, and SI with no plan are all examples of?

A

Level III

39
Q

Level IV classification

A

Less urgency

40
Q

Related to age, distress or potential for deterioration, headaches, harmless bizarre behaviour, depression with no SI, and Hallucinations/delusions with mild agitation are all examples of?

A

Level IV

41
Q

Vomiting alone, diarrhea, chronic hallucinations, and mild anxiety and medication requests are all examples of?

A

Level V

42
Q

Level V classification

A

Non-urgent

43
Q

what is a form 23

A

an apprehension warrant

44
Q

Agranulocytosis

A

reduction in circulating granulocytes, can be caused by clozapine

45
Q

Anticholinergic crisis

A

OD of antimuscarinic drugs such as atropine, and scopolamine

46
Q

Anticholinergic crisis can occur when taking which type of antidepressants?

A

TCAs

47
Q

what are the signs of Anticholinergic crisis

A

confusion, ataxia, recent memory loss, paranoia, dilated pupils and hallucinations

48
Q

What causes NMS?

A

antipsychotics (Conventional)

49
Q

What are the symptoms of NMS?

A

fever, decrease in consciousness, increased muscle tone, labile hypertension, tachycardia, tachypnea, diaphoresis and drooling

50
Q

what are the symptoms of serotonin syndrome?

A

Mental status changes, sweating, diarrhea, fever, abdominal pain, tachycardia, increased BP, altered mental state, irritability, hostility, and mood changes.

51
Q

what is the goal of crisis intervention?

A

to return the person to their pre-crisis level of functioning

PNRS 352 (9 decks)

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