Which health care worker should be referred to critical incident stress debriefing?
A health care provider who worked a 12-hour shift in a busy level 1 trauma center.
Nurse who works at an oncology clinic where patients receive chemotherapy.
A home health nurse making visits to seriously mentally ill patients being cared for at home.
Emergency medical technician who treated victims of a car bombing in a downtown area.
The Correct Answer is D
Choice A reason: A 12-hour shift in a trauma center is stressful but not a critical incident requiring debriefing. Chronic stress may elevate cortisol, but critical incident stress debriefing targets acute trauma exposure, not routine workplace demands.
Choice B reason: Oncology nursing involves chronic emotional stress, not an acute critical incident. Chemotherapy care may cause burnout via sustained cortisol elevation, but debriefing is for sudden, traumatic events, not ongoing patient care challenges.
Choice C reason: Home health nursing for mental illness involves ongoing stress, not a single traumatic event. Chronic exposure may dysregulate serotonin and cortisol, but critical incident stress debriefing is reserved for acute, overwhelming trauma, not routine care.
Choice D reason: Treating car bombing victims is a critical incident, causing acute stress via amygdala-driven fear and cortisol surges. Debriefing mitigates PTSD risk by processing trauma, restoring prefrontal cortex regulation, and reducing long-term neurochemical imbalances, making this the appropriate choice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.3"]
Explanation
Step 1: Identify the required dose and concentration.
Required dose = 10 mg
Concentration = 40 mg/mL
Result at step 1 = 10 mg ÷ 40 mg/mL
Step 2: Calculate the volume in milliliters.
10 mg ÷ 40 mg/mL = 0.25 mL
Result at step 2 = 0.25 mL
Step 3: Round to the nearest tenth.
0.25 rounded to the nearest tenth = 0.3 mL
Result at step 3 = 0.3 mL
Correct Answer is D
Explanation
Choice A reason: Marriage counseling addresses situational crises like divorce, not maturational crises, which involve developmental transitions. It targets interpersonal conflict, not the normative stress of life stages, missing the neuroadaptive challenges of maturational growth like childbirth.
Choice B reason: Recognizing relapse symptoms is relevant for chronic mental illness, not maturational crises. Relapse involves dopamine or serotonin dysregulation, not the normative developmental stress of life transitions, making this intervention unrelated to maturational coping needs.
Choice C reason: Selecting a group home addresses a situational crisis for a troubled teen, not a maturational one. Maturational crises involve normative developmental stages, like childbirth, requiring anticipatory guidance, not reactive interventions for behavioral issues.
Choice D reason: Childbirth classes prepare couples for the maturational crisis of parenthood, a normative life transition. They reduce stress by enhancing prefrontal cortex-mediated coping skills and serotonin-driven emotional regulation, supporting adaptation to developmental changes, making this the best intervention.
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