A client who is hospitalized with burns after losing the family ...

[neverstopbelieb]

A client who is hospitalized with burns after losing the family home in a fire becomes angry and screams at a nurse when dinner is served late. How should the nurse respond?
 
  a. Do you need something for pain right now?
  b. Please stop yelling. I brought dinner as soon as I could.
  c. I suggest that you get control of yourself.
  d. You seem upset. I have time to talk if you'd like.

Question 2

A hospital responds to a local mass casualty event. Which action should the nurse supervisor take to prevent staff post-traumatic stress disorder during a mass casualty event?
 
  a. Provide water and healthy snacks for energy throughout the event.
  b. Schedule 16-hour shifts to allow for greater rest between shifts.
  c. Encourage counseling upon deactivation of the emergency response plan.
  d. Assign staff to different roles and units within the medical facility.

[juliaf]

Answer to Question 1

ANS: D
Clients should be allowed to ventilate their feelings of anger and despair after a catastrophic event. The nurse establishes rapport through active listening and honest communication and by recognizing cues that the client wishes to talk. Asking whether the client is in pain as the first response closes the door to open communication and limits the client's options. Simply telling the client to stop yelling and to gain control does nothing to promote therapeutic communication.

Answer to Question 2

ANS: A
To prevent staff post-traumatic stress disorder during a mass casualty event, the nurses should use available counseling, encourage and support co-workers, monitor each other's stress level and performance, take breaks when needed, talk about feelings with staff and managers, and drink plenty of water and eat healthy snacks for energy. Nurses should also keep in touch with family, friends, and significant others, and not work for more than 12 hours per day. Encouraging counseling upon deactivation of the plan, or after the emergency response is over, does not prevent stress during the casualty event. Assigning staff to unfamiliar roles or units may increase situational stress and is not an approach to prevent post-traumatic stress disorder.