Which of the following older adults is most in need of psychological support?

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: A

Rationale: The fact that the nurse needs to continue to ventilate about the disaster, even after the family has quit listening, would suggest a delayed stress reaction that is not resolving and therefore warrants professional intervention. The nurse presenting at a college about the disaster demonstrates that the nurse is able to engage in conversations about the disaster after it has occurred. It is understandable that the nurse would return exhausted and moody. Indeed, concerns of major importance to family members may seem trivial when compared with problems the disaster victims were confronting.

Correct Answer: A

Rationale: A presidentially declared disaster is one that requires implementation of disaster medical assistance teams (DMATs) because the disaster exceeds the capabilities of the involved state(s) to provide a timely and effective response. Such a disaster has the potential to cause a substantial number of deaths or injuries; substantial health and medical problems; or significant damage to the economic and physical infrastructure. The disaster may not cover a broad geographic area. The criteria for use of DMATs is that the disaster exceeds the capabilities of the involved state to provide a timely and effective response. This could occur in a small geographic area.

Correct Answer: B

Rationale: Hepatitis B surface antigen screening is recommended for all pregnant women to prevent vertical transmission. HIV screening is also standard, but (B) is the best single answer here based on universal guidelines. Hemoglobin electrophoresis is for specific risk groups, and ultrasound, while common, isn’t a screening test for all.

Correct Answer: A

Rationale: Calcium channel blockers relieve angina but don’t consistently reduce mortality in coronary heart disease, unlike beta blockers and aspirin. CABG improves survival in severe cases, and nitrates help symptoms, making (A) the exception.