A charge nurse is discussing the phases of community response to disaster with nursing staff. Which of the following statements indicates an understanding of the heroic phase of disaster response?
Normalcy begins to return to the community.
Personnel are willing to work in dangerous conditions to provide assistance.
Responders experience exhaustion due to extended relief efforts.
Survivors come together and share stories of survival.
The Correct Answer is B
Choice A reason: The statement “Normalcy begins to return to the community” describes the reconstruction phase of disaster response, not the heroic phase. During the reconstruction phase, efforts are focused on rebuilding and restoring the community to its pre-disaster state. This phase involves long-term recovery and the re-establishment of normalcy.
Choice B reason: The statement “Personnel are willing to work in dangerous conditions to provide assistance” accurately describes the heroic phase of disaster response. During this phase, there is an immediate and intense effort to save lives and prevent further harm. First responders, healthcare workers, and volunteers often work tirelessly and risk their own safety to provide urgent assistance and support to those affected by the disaster.
Choice C reason: The statement “Responders experience exhaustion due to extended relief efforts” pertains to the disillusionment phase of disaster response. In this phase, the initial adrenaline and motivation begin to wane, and responders may feel overwhelmed and fatigued by the prolonged demands of relief efforts. This phase can lead to burnout and a sense of frustration among responders.
Choice D reason: The statement “Survivors come together and share stories of survival” is characteristic of the honeymoon phase of disaster response. During this phase, there is a strong sense of community and solidarity among survivors. People come together to support each other, share their experiences, and find comfort in their shared resilience.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason:
Oxygen saturation of 95% is within the normal range (typically 95-100%) and does not indicate a need to withhold atenolol. Atenolol is a beta-blocker used to manage hypertension and other cardiovascular conditions, and normal oxygen saturation levels do not contraindicate its use.
Choice B reason:
A respiratory rate of 18 breaths per minute is also within the normal range for adults (12-20 breaths per minute) and does not provide a reason to withhold atenolol. Respiratory rate is not directly affected by atenolol, and normal respiratory function supports the safe administration of the medication.
Choice C reason:
A blood pressure reading of 160/94 mm Hg indicates hypertension, which is one of the conditions atenolol is prescribed to treat. Therefore, this finding would not prompt the nurse to withhold the medication. Atenolol helps to lower blood pressure by reducing the heart rate and the force of contraction.
Choice D reason:
A heart rate of 46 beats per minute is below the normal resting heart rate range for adults (60-100 beats per minute) and indicates bradycardia. Atenolol can further lower the heart rate, potentially leading to severe bradycardia, which can be dangerous. Therefore, a low heart rate is a contraindication for administering atenolol, and the nurse should withhold the medication and consult with the healthcare provider.
Correct Answer is B
Explanation
Choice A reason:
The statement “You will be fitted for your permanent prosthesis at the time of surgery” is incorrect. Typically, a temporary prosthesis is used initially after surgery. The permanent prosthesis is fitted later, once the residual limb has healed and any swelling has subsided. This process ensures a better fit and comfort for the client.
Choice B reason:
The statement “You will do muscle strengthening exercises in advance of getting your prosthesis” is correct. Muscle strengthening exercises are crucial for preparing the residual limb and the rest of the body for the use of a prosthesis. These exercises help improve balance, strength, and mobility, which are essential for successful prosthesis use.
Choice C reason:
The statement “The structure of the prosthesis will be adjustable depending on what shoe you are wearing” is incorrect. While some prostheses can accommodate different types of footwear, the structure of the prosthesis itself is not typically adjustable. Clients may need to have different prosthetic feet or adjustments made by a prosthetist to accommodate various shoes.
Choice D reason:
The statement “A special pressure dressing will remain in place even when your limb is healed to cushion your prosthesis” is incorrect. A special pressure dressing, also known as a compression dressing, is used initially after surgery to reduce swelling and shape the residual limb. Once the limb has healed, the dressing is no longer needed. The prosthesis itself will have a socket designed to fit the residual limb comfortably.
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