Answer Options:
a. Planning the physical rebuilding of the community
b. Coordinating food and shelter services
c. Arranging for temporary schools
d. Debriefing first responders
Answer: b. Coordinating food and shelter services
Question: An adult has cared for a debilitated parent for 10 years. The parent’s condition recently declined, and the health care provider recommended placement in a skilled care facility. The adult says, “I’ve always been able to care for my parents. Nursing home placement goes against everything I believe.” Successful resolution of this person’s crisis will most closely relate to what?
Answer Options:
a. Resolving the feelings associated with the threat to the person’s self-concept
b. Maintaining the ability to identify situational supports in the community
c. Relying on the assistance from role models within the person’s culture
d. Mobilizing automatic relief behaviors by the person
Answer: a. Resolving the feelings associated with the threat to the person’s self-concept
Question: A woman says, “I can’t take anymore, and I have no children or husband to turn to! This last year has been on crisis after another.” If this person’s immediate family is unable to provide sufficient situational support, what should the nurse do?
Answer Options:
a. Suggest hospitalization for a short period.
b. Ask what other relatives or friends are available for support.
c. Tell the patient, “You must be strong. Don’t let this crisis overwhelm you.”
d. Foster insight by relating the present situation to earlier situations involving loss.
Answer: b. Ask what other relatives or friends are available for support.
Question: Which agency provides coordination in the event of a terrorist attack?
Answer Options:
a. U.S. Food and Drug Administration (FDA)
b. Environmental Protection Agency (EPA)
c. National Incident Management System (NIMS)
d. Federal Emergency Management Agency (FEMA)
Answer: c. National Incident Management System (NIMS)
Question: An adolescent comes to the crisis clinic and reports sexual abuse by an uncle. The patient told the parents about the uncle’s behavior, but the parents did not believe the adolescent. What type of crisis exists?
Answer Options:
a. Maturational
b. Adventitious
c. Situational
d. Organic
Answer: b. Adventitious
Question: A woman says, “I can’t take anymore! Last year my husband was diagnosed with cancer. Three months ago, I lost my job. Yesterday my daughter said she’s quitting college and moving in with her boyfriend.” Which issue should be the focus for crisis intervention?
Answer Options:
a. Possible mastectomy
b. Disordered family communication
c. Effects of the divorce
d. Coping with the reaction to the daughter’s events
Answer: d. Coping with the reaction to the daughter’s events
Question: A woman says, “I can’t take anymore! Last year my husband had an affair. Three months ago, I found a lump in my breast. Yesterday my daughter said she’s quitting college.” What type of crisis is this person experiencing?
Answer Options:
a. Maturational
b. Adventitious
c. Situational
d. Recurring
Answer: c. Situational
Question: A nurse assesses the health status of soldiers returning from a war zone. Screening for which health problems will be a priority? (Select all that apply.)
Answer Options:
a. Schizophrenia
b. Eating disorder
c. Traumatic brain injury
d. Oppositional defiant disorder
e. Posttraumatic stress disorder
Answer: c. Traumatic brain injury
e. Posttraumatic stress disorder
Question: Which psychological assessment is the most appropriate for a patient who has functioned at a high intellectual level but is now responding to a pre-crisis level of functioning?
Answer Options:
a. “My boss told me I am doing well and up for a promotion.”
b. “I understand that bad things can happen to really good people.”
c. “Going to my support group regularly has made a big difference.”
d. “I’m much more comfortable asking for help than before my divorce.”
Answer: a. “My boss told me I am doing well and up for a promotion.”
Question: The child most likely to receive propranolol to manage tremors is one diagnosed with which disorder?
Answer Options:
a. Attention-deficit/hyperactivity disorder (ADHD)
b. Posttraumatic stress disorder (PTSD)
c. A motor disorder
d. Separation anxiety
Answer: C
Question: A patient visiting the crisis clinic for the first time asks, “How long will I be coming here?” The nurse’s reply should consider that the usual duration of crisis intervention is how long in weeks?
Answer Options:
a. 1 to 2
b. 3 to 4
c. 4 to 6
d. 6 to 12
Answer: c. 4 to 6
Question: A woman says, “I can’t take anymore! Last year my husband had an affair and now we don’t communicate. Three months ago, I found a lump in my breast. When the patient does not speak she’s quitting college.” What is the nurse’s best response?
Answer Options:
a. “How can I help you feel more comfortable?”
b. “Tell me why you were crying.”
c. “How did your wrist get injured?”
d. “What was happening just before you started feeling this way?”
Answer: d. “What was happening just before you started feeling this way?”
Question: Which health care worker should be referred to critical incident stress debriefing?
Answer Options:
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 assesses an adult experiencing a crisis. What question asked by the nurse will best determine situational support?
Answer Options:
a. “Has anything upsetting occurred in the past few days?”
b. “Who can be helpful to you during this time?”
c. “How does this problem affect your life?”
d. “What led you to seek help at this time?”
Answer: b. “Who can be helpful to you during this time?”
Question: A parent diagnosed with schizophrenia and her 13-year-old child live in a homeless shelter. The child has formed a trusting relationship with a shelter volunteer. The child says, “My three friends and I got an A on our school science project.” The nurse can assess that the child is demonstrating what characteristic?
Answer Options:
a. Resiliency
b. Shy temperament
c. Early posttraumatic stress disorder
d. Uses intellectualization to deal with problems
Answer: A
Question: An adult seeks counseling after the spouse is murdered. The adult angrily says, “I hate the monster that did this. It has ruined my life. During the trial, I don’t know what I’ll do if the jury doesn’t return a guilty verdict.” What is the nurse’s highest priority question?
Answer Options:
a. “What do you mean when you say ‘monster’?”
b. “What resources do you need to help you cope with this situation?”
c. “Would you consider hurting yourself or the person on trial?”
d. “Are you having thoughts of hurting yourself or others?”
Answer: d. “Are you having thoughts of hurting yourself or others?”
Question: An adult comes to the crisis clinic after being terminated from a job of 15 years. The patient says, “I don’t know what to do. How can I get another job? Who will pay the bills? How will I feed my family?” Which nursing diagnosis applies?
Answer Options:
a. Hopelessness
b. Powerlessness
c. Chronic low self-esteem
d. Disturbed thought processes
Answer: b. Powerlessness
Question: An adult patient tells the case manager, “I don’t have bipolar disorder anymore, so I don’t need medicine. After I was in the hospital last year, you helped me get an apartment and disability checks. Now I’m bored and don’t have any friends.” Which resources should the nurse suggest for the patient? (Select all that apply.)
a. Psychoeducation classes
b. Vocational rehabilitation
c. Social skills training
d. Homeless shelter
e. Crisis intervention
Answer: s:
A, B, C
Question: At the last contracted visit in the crisis intervention clinic, an adult says, “I’ve emerged from this 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 Options:
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 premise is most useful to a nurse planning crisis intervention for any patient?
Answer Options:
a. The patient is experiencing a state of disequilibrium.
b. The patient is experiencing a type of mental illness.
c. The patient poses a threat of violence to others.
d. The patient has a high potential for self-injury.
Answer: a. The patient is experiencing a state of disequilibrium.
Question: During the initial interview at the crisis center, a patient says, “I’ve been served with divorce papers. I’m so upset and anxious that I can’t think clearly.” What could the nurse say to assess personal coping skills?
Answer Options:
a. “What would you like us to do to help you feel more relaxed?”
b. “In the past, how did you handle difficult or stressful situations?”
c. “Do you think you deserve to have things like this happen to you?”
d. “I can see you are upset. You can rely on us to help you feel better.”
Answer: b. “In the past, how did you handle difficult or stressful situations?”
Question: (Multiple Response):
An adult patient tells the case manager, “I don’t have bipolar disorder anymore, so I don’t need medicine. After I was in the hospital last year, you helped me get an apartment and disability checks. Now I’m bored and don’t have any friends.” Which resources should the nurse suggest for the patient? (Select all that apply.)
Answer Options:
a. Psychoeducation classes
b. Vocational rehabilitation
c. Social skills training
d. Homeless shelter
e. Crisis intervention
Answer: s:
A, B, C