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 B

Explanation

Choice A rationale:

Having several siblings is not a direct contributing factor to the development of conduct disorder. Conduct disorder is more associated with behavioral and social factors, not family size.

Choice B rationale:

The presence of the client's father in the home is an important factor in family dynamics that can contribute to the development of conduct disorder. This is because the involvement and presence of parents, especially fathers, play a significant role in a child's emotional and behavioral development. The absence of a father figure or an unstable family environment can increase the risk of conduct disorder.

Choice C rationale:

The fact that the client's mother has asthma is not directly related to the development of conduct disorder. Asthma is a physical health condition and is not typically associated with conduct disorder unless it affects the family's dynamics in a significant way.

Choice D rationale:

Being the oldest sibling is not necessarily a contributing factor for the development of conduct disorder. Conduct disorder is primarily associated with behavior and environmental factors, not birth order.

A. Blood pH 7.60. B. BUN 21 mg/dL. C. +2 edema of the lower extremities. D. Lanugo covering the body.

Correct Answer is A

Explanation

Choice A rationale:

(Statement then rationale) Choice A is the correct option. A blood pH of 7.60 indicates severe metabolic alkalosis, which is a life-threatening condition. Metabolic alkalosis can lead to various complications, including cardiac arrhythmias, muscle weakness, and even seizures. Immediate intervention is required to address the underlying cause and correct the pH imbalance. The nurse should initiate treatments to restore the acid-base balance promptly.

Choice B rationale:

(Statement then rationale) Choice B is not the correct option. While a BUN level of 21 mg/dL is above the normal range, it alone does not require immediate intervention. Elevated BUN can be caused by various factors and may not be immediately life-threatening. It is important to assess the client's overall clinical condition and consider other lab values to make a comprehensive assessment.

Choice C rationale:

(Statement then rationale) Choice C is not the correct option. +2 edema of the lower extremities, while indicating fluid retention, is not an immediate life-threatening condition. Edema should be assessed and addressed, but it does not require emergency intervention as much as a severely altered blood pH does.

Choice D rationale:

(Statement then rationale) Choice D is also not the correct answer. Lanugo covering the body is a physical manifestation often seen in clients with anorexia nervosa and indicates malnutrition. While it is concerning and requires attention, it is not an acute, life-threatening issue. Nutritional rehabilitation and support are needed, but immediate intervention is necessary for the severe metabolic alkalosis indicated by a blood pH of 7.60. Now, let's proceed to the next question.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is A

Explanation

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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?