A 35-year-old patient has been admitted following a mass disaster event. Which nursing actions should be prioritized in this situation? (Select all that apply)

Choice A reason: Mental health resources and support groups address trauma’s psychological impact post-disaster. Scientifically, social support reduces cortisol and stabilizes amygdala-driven stress responses, fostering resilience. This mitigates acute stress or PTSD risk, supporting recovery by providing emotional and psychological resources for trauma processing. Choice B reason: Risk assessment for self-harm identifies suicidal ideation, critical post-disaster. Trauma elevates cortisol and amygdala activity, increasing self-harm risk. Scientifically, thorough evaluation ensures safety, addressing neurobiological stress responses and guiding interventions to prevent harm, supporting psychological stability in crisis recovery. Choice C reason: A therapeutic relationship fosters trust, encouraging disclosure post-disaster. Scientifically, trust reduces cortisol and stabilizes amygdala-driven fear, supporting emotional regulation. This facilitates engagement with interventions, addressing trauma’s psychological impact and promoting recovery by creating a safe environment for processing stress-related symptoms. Choice D reason: Monitoring vital signs and consciousness tracks physiological stability post-disaster. Trauma can cause autonomic arousal, like elevated heart rate. Scientifically, regular monitoring detects stress-related changes, guiding interventions to stabilize neurobiological responses, ensuring safety and supporting recovery from trauma’s physical and psychological effects.