Question: A troubled adolescent opened fire in a high school cafeteria, fatally shooting three people and injuring many others. Hundreds of parents come to the high school after hearing the news reports. Which intervention should the school nurse implement next?
Answer Choices: a. Have students escorted to an assigned gymnasium with yellow tape to prevent parents from entering. b. Announce over the loudspeakers, “The campus is now secure. Please return to your classrooms.” c. Require parents to pass through metal detectors and then allow them to look for their children in the school. d. Designate zones according to the alphabet, and direct students to the zones based on their surnames to facilitate reuniting them with their parents.
Answer: d. Designate zones according to the alphabet, and direct students to the zones based on their surnames to facilitate reuniting them with their parents.
Question: After completing the contracted number of visits to the crisis clinic, an adult says, “I’ve emerged from this as a stronger person. You supported me while I worked through my feelings of loss and helped me find community resources. I’m benefiting from a support group.” The nurse can evaluate the patient’s feelings about the care received as what?
Answer Choices: a. Marginally satisfied b. Somewhat satisfied c. Moderately satisfied d. Very satisfied
Answer: d. Very satisfied
Question: At the last contracted visit in the crisis intervention clinic, an adult says, “I’ve emerged from this as a stronger person. You helped me feel like my life is back in balance.” The nurse responds, “I think it would be worthwhile to have two more sessions to explore why your reactions were so intense.” Which analysis applies?
Answer Choices: a. The patient is experiencing transference. b. The patient demonstrates a need for continuing support. c. The nurse is having difficulty terminating the relationship. d. The nurse is empathizing with the patient’s feelings of dependency.
Answer: c. The nurse is having difficulty terminating the relationship.
Question: Which health care worker should be referred to critical incident stress debriefing?
Answer Choices: a. Nurse who works at an oncology clinic where patients receive chemotherapy. b. Case manager whose patients are seriously mentally ill and are being cared for at home. c. Health care employee who worked 8 hours at the information desk of an intensive care unit. d. Emergency medical technician (EMT) who treated victims of a car bombing at a department store.
Answer: d. Emergency medical technician (EMT) who treated victims of a car bombing at a department store.
Question: A nurse driving home after work comes upon a serious automobile accident. The driver gets out of the car with no apparent physical injuries. Which assessment findings would be expected from the driver immediately after this event? (Select all that apply.)
Answer Choices: a. Confusion b. Headache c. Bradycardia d. Diaphoresis e. Paresthesia Correct Answers: a. Confusion d. Diaphoresis
Answer: Not provided in source.
Question: A nurse who uses a directive approach to crisis intervention will initially:
Answer Choices: a. Sit close to the patient. b. Obtain relevant history. c. Help the patient problem solve. d. Permit the patient to set the pace of the conversation.
Answer: c. Help the patient problem solve.
Question: An emergency department nurse assesses a patient suspected of being violent. Which finding would be the most serious warning of impending violence?
Answer Choices: a. Loud talking b. Sarcastic remarks c. Clenched jaw d. Pacing
Answer: d. Pacing
Question: A patient demonstrating significant disorganization and self-destructive behavior at an intake interview for the crisis intervention unit. The nurse’s initial priority is to:
Answer Choices: a. Gather details of the patient’s background history. b. Assist the patient in identifying support systems. c. Determine the degree of risk for self-harm. d. Evaluate the patient’s level of anxiety.
Answer: c. Determine the degree of risk for self-harm.
Question: A patient in the crisis intervention unit says, “I don’t know what to do. I feel completely hopeless.” Which response by the nurse demonstrates empathy?
Answer Choices: a. “It sounds like you’re feeling really overwhelmed right now.” b. “I know just how you feel. Things will get better soon.” c. “Why do you feel hopeless? Let’s talk about it.” d. “What has helped you cope with difficult situations in the past?”
Answer: a. “It sounds like you’re feeling really overwhelmed right now.”
Question: A crisis intervention nurse encourages a patient to talk. The patient stops after one sentence and says, “It’s no use. You can’t help me. Nobody can help me.” How should the nurse respond?
Answer Choices: a. “You may feel that way, but I can help you find a way out of this.” b. “I understand that you feel helpless, but together we can find a solution.” c. “You are right. It’s hard to help someone who doesn’t want help.” d. “You seem really discouraged. Let’s talk more about what’s going on.”
Answer: d. “You seem really discouraged. Let’s talk more about what’s going on.”
Question: Which intervention is the best example of primary prevention?
Answer Choices: a. Providing emergency psychiatric services. b. Teaching stress reduction techniques. c. Conducting a home safety assessment. d. Facilitating a rape survivors’ support group.
Answer: b. Teaching stress reduction techniques.
Question: A patient in the crisis intervention unit begins to sob and says, “I can’t stand this anymore. Nothing will ever get better.” Which response by the nurse demonstrates active listening?
Answer Choices: a. “Don’t worry. Things will improve eventually.” b. “I can see that you’re feeling really desperate right now.” c. “Why do you feel that way? Tell me more.” d. “Let’s focus on what we can do to solve your problem.”
Answer: b. “I can see that you’re feeling really desperate right now.”
Question: When interviewing a patient in crisis, the nurse should first:
Answer Choices: a. Clarify the nurse’s role. b. Ask the patient to describe the event that precipitated the crisis. c. Establish rapport. d. Encourage the patient to discuss feelings.
Answer: b. Ask the patient to describe the event that precipitated the crisis.
Question: Doreen, a project manager, has been given a limited amount of money to run the new information system project that will introduce the team’s beta test package, ready to roll out in less than two weeks. Doreen is feeling very limited by these constraints and is not sure that it will produce her team’s best work. Her supervisor and career mentor, tells Doreen that she is _______.
Answer Choices: feeling the effects of the intuition model using rational decision making experiencing satisficing affected by bounded rationality
Answer: affected by bounded rationality
Question: At his review last year, Lucas was promised a 20 percent raise if he met his production goals. Raises were included in today’s paychecks, and although Lucas has met all of his goals, he received only a cost-of-living raise. In the future, Lucas’s _______ will probably be _______.
Answer Choices: expectancy; high valence; low expectancy; low instrumentality; high instrumentality; low
Answer: instrumentality; low
Question: “Is the proposed action legal? If yes, does the proposed action maximize shareholder value? If yes, is the proposed action ethical? If no, would it be ethical to take the proposed action?” These four questions, which managers of all organizations should ask when confronted with a decision on an action, form the basis of _______.
Answer Choices: Maslow’s hierarchy of needs. the stakeholder’s value statement. the Sarbanes-Oxley Act of 2002. Bagley’s ethical decision tree. Frank Gilbreth’s code of ethical conduct.
Answer: Bagley’s ethical decision tree.