A community health nurse conducting a class for high school parents and teachers on mass violence would include which adolescent behavior as a warning sign for potential school violence?

Correct Answer: B

Rationale: The correct answer is B: Withdrawing from social interaction. This behavior is a warning sign for potential school violence because it may indicate feelings of isolation, alienation, or being marginalized, which can contribute to feelings of anger or aggression. Withdrawal from social interactions can be a sign of underlying emotional distress or mental health issues that may escalate to violent behavior if not addressed. A: Participation in class activities is not typically a warning sign for potential school violence. In fact, involvement in extracurricular activities can often be a positive indicator of social integration and engagement. C: Crying after failing an exam, while indicating distress, is not necessarily a direct warning sign for potential school violence. It may suggest academic pressure or emotional sensitivity, but does not directly correlate with violent behavior. D: Visiting the school counselor during lunch may actually be a positive behavior, indicating seeking help or support for personal issues. It does not necessarily indicate a risk for school violence.

Correct Answer: D

Rationale: The nurse and the nurse's family are best protected by having the skills and knowledge to cope with a disaster, including details such as where families will reunite in the event of an emergency. The nurse should have his/her own copy of the professional license. It is recommended that a 3-day supply of water (1 gallon per person per day) be part of an emergency planning kit. Gloves, mask, and other personal protective equipment are recommended for the professional nurse to have available as an emergency supply.

Correct Answer: B

Rationale: The nursing students should be prepared to offer a critique of the drill performance and suggest improvements for the next drill-or for an actual disaster. It would be unlikely that the students would be volunteers at the next drill as typically the agencies involved with disaster management are the ones who are coordinating and leading these activities. It is unknown if the student will ever be in the same type of disaster as what they completed the drill for, so their involvement may not change their response in the future. Writing a report and talking about feelings would not be helpful for the agencies to learn what they can do differently if an actual disaster was to occur.

Correct Answer: C

Rationale: Older adults react deeply to the loss of personal possessions because of the high sentimental value attached to the items. Family photos are a part of family history and are not replaceable. This type of a loss warrants psychological support. Homes and electronic equipment can be replaced, so the older adult may be able to eventually access loans to rebuild his home and replace his equipment. Because these things are replaceable, it is likely that that the older adult will be able to better cope with these losses than with something that is irreplaceable. Depending on the loss of the older adult, he/she may have a need for relocation rather than returning home.

Correct Answer: C

Rationale: Any person who comes to a special needs shelter must be assessed by a nurse to determine whether this type of facility is appropriate. After it has been determined if the facility is appropriate for these people, the nurse can work with them as needed to limit equipment if there is limited space. Assessment of the physical concerns of the people, not the psychological conditions, should be the primary concern of the nurse. The nurse would not be providing medical care at the shelter, rather, the nurse would provide assessments, referrals, assist the client to meet health care needs, keep client records, ensure emergency communications, and provide a safe environment.