CBRN Patient Education & Psychosocial Support 3

Question 1

A pediatric burn patient (age 8) is refusing dressing changes despite adequate analgesia. Which psychosocial strategy is MOST effective?

Accepted Answer

Use distraction techniques such as virtual reality or tablet games during the procedure

Answer

Non-pharmacological distraction (e.g., VR, interactive games) is evidence-based for reducing procedural pain and anxiety in pediatric burn patients.

Question 2

Which behavior in a burn patient MOST warrants immediate psychiatric consultation?

Accepted Answer

Expressing hopelessness and a wish not to survive

Answer

Hopelessness and passive suicidal ideation require urgent psychiatric evaluation to ensure patient safety.

Question 3

Patient education about sun protection for healed burn scars should emphasize which key point?

Accepted Answer

Healed scars lack melanocytes and are highly susceptible to UV damage and hyperpigmentation

Answer

Burn scars are deficient in melanocytes, making them unable to tan and extremely vulnerable to UV-induced damage and discoloration.

Question 4

A burn survivor reports flashbacks and nightmares 6 weeks post-injury. The nurse should:

Accepted Answer

Screen formally for PTSD and refer to psychology if criteria are met

Answer

Persistent re-experiencing symptoms at 6 weeks warrant formal PTSD screening and referral to mental health services for evidence-based treatment.

Question 5

Which statement best explains why body image disturbance is common after burn injury?

Accepted Answer

Visible scarring and functional changes disrupt the patient's pre-injury sense of physical self

Answer

Burn scarring permanently alters appearance and function, disrupting the patient's pre-injury body schema and requiring psychological adaptation.

(CBRN) Certified Burn Registered Nurse Practice Test