A nurse is assisting with mass casualty triage: explosion at a local factory. Which of the following client should the nurse identify as the priority?

Correct Answer: C

Rationale: The correct answer is C: a client with indications of hypovolemic shock. This is the priority because hypovolemic shock is a life-threatening condition resulting from severe blood loss. In a mass casualty situation, identifying and treating clients with hypovolemic shock promptly is crucial to prevent further deterioration. Clients with massive head trauma (A) and full thickness burns (B) also require urgent care, but hypovolemic shock leads to rapid decline and requires immediate intervention. A client with an open fracture (D) can be stabilized and managed after addressing the more critical condition of hypovolemic shock.

Correct Answer: B

Rationale: The correct answer is B: Identifying risk factors that contribute to the development of a disorder. Epidemiological studies help identify factors such as genetics, environment, and lifestyle that increase the likelihood of developing mental disorders. Understanding these risk factors allows for early intervention and prevention strategies. A: Providing information about effective nursing techniques is not the primary focus of epidemiological studies, which are more concerned with identifying patterns and causes of diseases. C: Identifying individuals in the general population who will develop a specific disorder is not the main purpose of epidemiological studies, as they focus on identifying risk factors rather than predicting individual outcomes. D: Identifying which individuals will respond favorably to a specific treatment is important but not the primary goal of epidemiological studies, which are more focused on population-level data and trends.

Correct Answer: C

Rationale: The correct answer is C because stating that cognitive decline is normal in patients who are 65 and older is incorrect. Cognitive decline is not a normal part of aging and can indicate underlying health issues. It is important for the supervisor to correct this misconception to ensure proper care for older patients. Choices A, B, and D are all accurate statements commonly observed in older patients and do not require immediate correction.

Correct Answer: C

Rationale: The correct answer is C because it suggests that the client may be seeking attention and validation through illness, which is characteristic of factitious disorder. The client's statement implies a pattern of feeling loved only when they were sick, indicating a potential motivation for feigning illness. Explanation: - A: This choice indicates a lack of nurturing throughout childhood, but it does not specifically point to seeking attention through illness. - B: Feeling loved only when achieving academic success does not directly relate to seeking attention through illness. - D: Feeling loved after a negative event (spanking) does not align with seeking attention through illness.

Correct Answer: D

Rationale: The correct answer is D: Consult with the chaplain and describe the client's concerns. This option recognizes the client's spiritual distress and seeks collaboration with a member of the mental health-care team who is trained to address spiritual and religious concerns. The chaplain can provide emotional and spiritual support, guidance, and counseling to help the client cope with feelings of abandonment. Option A is incorrect because solely relying on medication for spiritual distress may not address the root cause. Option B is incorrect as community resources are not directly addressing the client's spiritual concerns. Option C is incorrect as testing may not be necessary for addressing this specific issue of feeling abandoned by God.