Following a shooting at a high school, critical incident stress ...

[Lisaclaire]

Following a shooting at a high school, critical incident stress debriefing (CISD) is instituted. Which of the following statements regarding CISD is accurate?
 
  A) CISD can only be performed by a licensed psychologist.
  B) CISD takes place within 24 to 72 hours of an incident.
  C) CISD is completed over a series of at least 10 sessions.
  D) CISD consists of three phases: fact, thought, and reaction.

Question 2

An advanced practice nurse (in a state where the nurse can sign the first certification for an emergency commitment) evaluates a client for emergency commitment because of the likelihood the client will do serious harm to others.
 
  The client threatened to kill her mother, who she thinks is against her. In assessing the need for commitment, what opening would be most facilitative?
  1. Tell me about your delusions.
  2. I understand you have had some difficulty today.
  3. You have threatened your mother. Tell me why.
  4. Because you threatened your mother, you are going to have to go to the hospi-tal.

[mcinincha279]

Answer to Question 1

Ans: B
Feedback:
CISD focuses on the present, is completed in one session, and requires an active nursing role (Ragaisis, 1994). Nurses can apply CISD to individuals, groups, and families. It usually takes place within 24 to 72 hours of the incident. Integrating the nursing process with CISD consists of seven phases: introductory, fact, thought, reaction, symptom, teaching, and reentry. The first five phases are part of assessment, the teaching and reentry phases are intervention, and evaluation takes place at the end (Ragaisis, 1994).

Answer to Question 2

ANS: 2
Assessment for commitment requires data collection from the client. This opening is the most neutral of the options given and the most open-ended; therefore it will be most likely to elicit a response. 1. The client may not understand the term. 3. Why questions usually elicit rationaliza-tion. 4. This does not seek information.

[Lisaclaire]

Excellent

[peter]

TYSM