A troubled adolescent pulled out a gun in a school cafeteria, fatally shot three people, and injured many others. Hundreds of parents come to the school after hearing news reports. After police arrest the shooter, which action should occur next?
Announce over the loudspeakers, "The campus is now secure. Please return to your classrooms."
Designate zones according to the alphabet and direct students to the zones based on their last names to reunite them with their parents.
Require parents to pass through metal detectors and then allow them to look for their children in the school.
Ask police to encircle the school campus with yellow tape to prevent parents from entering.
The correct answer is: b) Designate zones according to the alphabet and direct students to the zones based on their last names to reunite them with their parents.
The Correct Answer is B
Choice A reason: Announcing campus security may reduce anxiety but does not address reunification. Acute stress elevates cortisol and amygdala activity, and without structured reunification, parents’ distress persists, as prefrontal cortex-mediated organization is needed for effective crisis management.
Choice B reason: Designating zones for reunification organizes chaos, reducing amygdala-driven panic and cortisol surges in parents and students. This structured approach engages prefrontal cortex planning, ensuring safe, efficient reunification, addressing the immediate emotional and logistical needs post-crisis.
Choice C reason: Metal detectors ensure safety but delay reunification, prolonging amygdala-driven anxiety and cortisol release. Parents searching independently may increase chaos, as lack of structured reunification hinders prefrontal cortex-mediated organization, making this less effective than zoning.
Choice D reason: Blocking parents with tape escalates distress by preventing reunification, heightening amygdala activity and cortisol levels. This approach disregards emotional needs, impairing prefrontal cortex-mediated coping, and is counterproductive to resolving the crisis efficiently and compassionately.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A reason: Hospice requires a prognosis of 6 months or less. COPD with a 2-year life expectancy does not meet this, as the chronic disease allows longer-term management, not immediate palliative care for end-stage illness.
Choice B reason: Type 1 diabetes and substance abuse are not terminal conditions meeting hospice criteria (6 months or less prognosis). These require chronic management, not end-of-life care, as they lack imminent mortality despite complications.
Choice C reason: Multiple sclerosis with depression and pain is chronic, not terminal within 6 months, excluding hospice eligibility. Symptom management, not end-of-life care, is appropriate, as the prognosis does not indicate imminent death.
Choice D reason: Glioblastoma with an 8-10 week prognosis meets hospice criteria (6 months or less). Rapid tumor progression causes neurological decline, requiring palliative care to manage symptoms and support end-of-life needs, aligning with hospice goals.
Correct Answer is B
Explanation
Choice A reason: Dissociative amnesia involves memory loss for specific events, linked to hippocampal dysfunction and stress-induced cortisol elevation. The patient’s persistent detachment and unreality feelings do not indicate memory loss but rather altered temporoparietal neural activity, making amnesia an incorrect diagnosis for the described symptoms.
Choice B reason: Depersonalization disorder involves persistent feelings of detachment and unreality, driven by disrupted temporoparietal cortex activity and altered serotonin signaling. The patient’s description of feeling detached and life seeming unreal aligns with this condition, reflecting neurochemical imbalances affecting perception and emotional integration.
Choice C reason: Acute stress disorder involves trauma-related symptoms like hyperarousal or dissociation within a month of trauma, driven by amygdala hyperactivity. The patient’s chronic detachment suggests a persistent condition, not time-limited, making depersonalization disorder more likely than acute stress disorder’s transient neural dysregulation.
Choice D reason: Disinhibited social engagement disorder, seen in children post-trauma, involves inappropriate social familiarity, linked to amygdala-prefrontal dysregulation. The patient’s symptoms of detachment and unreality are unrelated to social behavior, making this diagnosis inappropriate, as it does not involve temporoparietal perceptual distortions.
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