A nursing instructor is lecturing to students about how to respond to individuals who are in the midst of a disaster. Which statement would be most appropriate to include about initial nursing interventions for such individuals?
A) "You should ask them to give you a brief medical history so their physical needs can be met."
B) "Focus on safety needs and provide simple, clear instructions to help them function effectively."
C) "Help them determine what their long-term goals will be so they can maintain a sense of hope."
D) "Try to redirect their attention away from the problems at hand so you can decrease their anxiety."
Ans: B
When responding to a disaster, the nurse would follow the ABCs of psychological first aid: arousal, behavior, and cognition. Thus, the first area to address is arousal. When arousal is present, the intervention goal is to decrease excitement by providing safety, comfort, and consolation. When abnormal or irrational behavior is present, survivors should be assisted to function more effectively in the disaster. If cognitive disorientation occurs, reality testing and clear information should be provided. In the initial phases, the nurse should assist the victim in focusing on the reality of problems that are immediate, with specific goals that are consistent with available resources and with the culture/lifestyle of the victim.
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