A nurse assigned to a mental health hotline receives a call from a nurse who has been working on a Covid-19 unit.
The caller states, “I just don’t think I can be a nurse anymore.”. Which of the following types of trauma should the nurse recognize this person is experiencing?
Secondary trauma
Acute trauma
Complex trauma
Chronic trauma
The Correct Answer is A
Choice A rationale
Secondary trauma, also known as vicarious trauma or compassion fatigue, is a type of trauma that can occur in individuals who help or want to help others (like healthcare workers) experiencing a traumatic event. This can include feelings of fear, hopelessness, and difficulties in functioning, similar to those experienced by the person who underwent the actual trauma.
Choice B rationale
Acute trauma is typically associated with a single, severe traumatic event, not the ongoing stress of working in a high-stress environment like a Covid-19 unit.
Choice C rationale
Complex trauma refers to a type of trauma that occurs repeatedly and cumulatively, usually over a period of time and within specific relationships and contexts. It is not typically used to describe the experiences of healthcare workers in a pandemic.
Choice D rationale
Chronic trauma refers to the experience of multiple traumatic events. It is often used to describe situations such as ongoing child abuse, domestic violence, or war. It is not the most accurate term to describe the experiences of healthcare workers in a pandemic.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
While it’s important to discuss the restraint and seclusion policy when a client becomes agitated, it’s not the ideal time. The client may not be in a state to fully understand the information due to their heightened emotional state.
Choice B rationale
Discussing the policy while administering chemical or physical restraints is not appropriate. The client may be distressed or resistant, making it difficult for them to comprehend the information.
Choice C rationale
Although debriefing after restraint removal is a crucial part of the process, it’s not the best time to first introduce the restraint and seclusion policy. The client may be physically and emotionally exhausted after the experience.
Choice D rationale
The restraint and seclusion policy should be discussed with the client upon admission. This ensures that the client is aware of the policy ahead of time, which can help reduce anxiety and fear if restraints or seclusion become necessary.
Correct Answer is B
Explanation
Choice A rationale
Community, Secondary prevention involves interventions that occur after the onset of disease or injury. This does not align with the ordinance, which is aimed at preventing the initiation of tobacco use.
Choice B rationale
Community, Primary prevention involves interventions that prevent the onset of disease or injury. This aligns with the ordinance, which is aimed at preventing the initiation of tobacco use among individuals under 18 years of age.
Choice C rationale
Individual, Secondary prevention would involve interventions targeted at individuals who have already started using tobacco, not at preventing the initiation of tobacco use.
Choice D rationale
Individual, Primary prevention would involve interventions targeted at individuals, not at the community level. The ordinance is a community-level intervention.
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