A nurse is leading a critical incident stress debriefing with a group of staff members following a mass trauma incident. Which of the following Interventions should the nurse take first?
Reassure staff members that the debriefing is confidential.
Have staff members discuss their involvement in the event.
Ask staff members to describe their most traumatic memories of the event.
Provide stress-management exercises to the staff members.
The Correct Answer is A
A. Reassure staff members that the debriefing is confidential:
Explanation: Ensuring confidentiality is crucial in creating a safe space for individuals to express their emotions and thoughts freely. It builds trust among the participants, making them more likely to open up about their experiences during the debriefing session. Confidentiality encourages honest communication and helps individuals feel secure in sharing their feelings without fear of repercussions.
B. Have staff members discuss their involvement in the event:
Explanation: After establishing confidentiality, the next step is to encourage participants to discuss their involvement in the traumatic event. This can help individuals process their experiences, share their perspectives, and express their emotions related to the incident. Sharing their involvement can provide context to their reactions and emotions, facilitating a more comprehensive understanding of their experiences.
C. Ask staff members to describe their most traumatic memories of the event:
Explanation: Encouraging individuals to describe their most traumatic memories of the event is a way to help them confront and process specific experiences that might be causing distress. This step allows participants to verbalize and share their emotions and memories related to the incident. Talking about these specific memories can be therapeutic and can contribute to the overall healing process.
D. Provide stress-management exercises to the staff members:
Explanation: Providing stress-management exercises, such as relaxation techniques or breathing exercises, comes after individuals have had the opportunity to share their experiences. These exercises can help participants manage immediate stress and anxiety during the debriefing session. They provide practical tools for coping with overwhelming emotions and can be beneficial for individuals who are feeling distressed or overwhelmed during the process.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. "My partner and I recently had our fourth child."
Having a strong support system, such as a partner and family, especially during significant life events like the birth of a child, can be a protective factor against suicide. Supportive relationships are important for mental well-being.
B. "My family has a history of suicide."
A family history of suicide is a risk factor, not a protective factor. It indicates a higher risk for suicidal thoughts or behaviors.
C. “I have Crohn's disease, but it's well-controlled."
Having a chronic illness, even if well-controlled, can be a stressor, potentially increasing the risk of suicidal thoughts. It's not a protective factor.
D. “I just received my license to practice medicine."
Achieving a significant milestone, such as getting a medical license, can enhance self-esteem, provide a sense of purpose, and increase social support, making it a protective factor against suicide.
Correct Answer is A
Explanation
A. Hgb 10 g/dL
Anemia (low hemoglobin levels) is a common finding in individuals with anorexia nervosa due to inadequate nutrition, leading to a decreased production of red blood cells. Hemoglobin levels below the normal range are often seen in people with severe malnutrition, such as those with anorexia nervosa.
B. Blood glucose 100 mg/dL:
A blood glucose level of 100 mg/dL is within the normal range. Anorexia nervosa typically does not cause specific changes in blood glucose levels.
C. TIBC 11 mcg/dL:
Total Iron-Binding Capacity (TIBC) is a test that measures the blood's capacity to bind to iron. The given value of 11 mcg/dL is unusually low and might not be within the typical reference range. However, the significance of this value is not clear without the specific reference range for the laboratory performing the test.
D. Potassium 3.7 mEq/L:
A potassium level of 3.7 mEq/L is within the normal range. Electrolyte imbalances, including low potassium levels (hypokalemia), can occur in individuals with anorexia nervosa due to inadequate intake and purging behaviors. While this level is within the normal range, individuals with anorexia nervosa may still exhibit electrolyte imbalances that require monitoring and management.
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