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?

Ask staff members to describe their most traumatic memories of the event.

Reassure staff members that the debriefing is confidential.

Have staff members discuss their involvement in the event.

Provide stress-management exercises to the staff members.

Answer and Explanation

The Correct Answer is B

Choice B rationale:

Confidentiality is a fundamental principle in debriefing sessions, and reassuring staff members that the debriefing is confidential helps create a safe environment where they can openly discuss their experiences. This choice sets the foundation for open communication and trust among the participants.

Choice A rationale:

Asking staff members to describe their most traumatic memories of the event as the first intervention may not be the best approach. This could be overwhelming and trigger emotional distress in participants. It's essential to start the debriefing with a more general and supportive approach.

Choice C rationale:

Having staff members discuss their involvement in the event is important, but it's better suited for a later stage of the debriefing process. The initial focus should be on creating a safe and confidential environment for participants to express their feelings.

Choice D rationale:

Providing stress-management exercises to the staff members is a valuable intervention but should be introduced after the initial stage of creating a safe and supportive atmosphere. It's essential to address the emotional needs and concerns of the participants before moving on to stress-management techniques. .

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Correct Answer is D

Explanation

Choice A rationale:

Asking the client to describe what makes them feel stressed is important for understanding their situation, but it is not the immediate priority when there is concern about self-harm.

Choice B rationale:

Inquiring about the client's past coping mechanisms is relevant, but it should not be the first question when there is a potential risk of self-harm.

Choice C rationale:

Discussing what the client is experiencing is important, but it is not the primary concern when there is a risk of self-harm.

Choice D rationale:

Asking the client if they are thinking of harming themselves is the immediate priority in this situation. It helps assess the client's safety and the need for further intervention. Please let me know if you have more questions or need further explanations. .

A. Provide consistent boundaries for the client. B. Encourage the use of countertransference for the client. C. Maintain consistency in assigning healthcare staff for the client. D. Demonstrate a sympathetic attitude toward the client when providing care.

Correct Answer is A

Explanation

Choice A rationale:

Individuals with borderline personality disorder often have difficulty establishing and maintaining boundaries. Providing consistent and clear boundaries helps in promoting a structured and safe environment for the client.

Choice B rationale:

Encouraging the use of countertransference is not appropriate. Countertransference refers to the therapist or nurse's emotional reactions to the client, and it is generally not encouraged as a therapeutic approach.

Choice C rationale:

Maintaining consistency in assigning healthcare staff for the client is essential in promoting stability and reducing anxiety. This is a crucial aspect of care for clients with borderline personality disorder.

Choice D rationale:

Demonstrating a sympathetic attitude is important in providing compassionate care, but it should be balanced with maintaining professional boundaries and not allowing manipulation by the client. Sympathy alone may not be sufficient in effectively managing the client's condition.

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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?

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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?