Question: A patient comes to the clinic with superficial cuts on the left wrist. The patient paces around the room sobbing but cringes when approached and responds to questions with only shrugs or monosyllables. What is the nurse’s best initial statement to this patient?
Answer Options:
Answer: b. “I see you are feeling upset. I am going to stay and talk with you to help you feel better.”
Question: A nurse assesses a patient who reports feeling depressed and hopeless after trying to determine the patient’s perception of the precipitating event. What should the nurse ask that would be most therapeutic?
Answer Options:
Answer: d. “What was happening just before you started feeling this way?”
Question: A patient comes to the crisis center saying, “I’m in a terrible situation. I don’t know what to do.” The triage nurse can initially assume that the patient is experiencing what?
Answer Options:
Answer: b. Anxiety and fear
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:
Answer: b. Adventitious
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:
Answer: a. “My boss told me I am doing well and up for a promotion.”
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:
Answer: d. “Are you having thoughts of hurting yourself or others?”
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:
Answer: c. Situational
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:
Answer: d. “What was happening just before you started feeling this way?”
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:
Answer: b. Ask what other relatives or friends are available for support.
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:
Answer: d. Coping with the reaction to the daughter’s events
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:
Answer: c. 4 to 6
Question: An adult tells the nurse, “I can’t take anymore! My mother passed away, my husband lost his job and yesterday my daughter told me she’s quitting college and moving in with her boyfriend.” What is the priority nursing diagnosis?
Answer Options:
Answer: c. Ineffective coping, related to perceived loss of daughter
Question: When responding to a natural disease, after rescue and evacuation efforts are completed, what intervention will be the focus of the triage process?
Answer Options:
Answer: b. Coordinating food and shelter services
Question: Which situation demonstrates the use of primary care related to crisis intervention?
Answer Options:
Answer: a. Implementing suicide precautions for a patient with depression
Question: A victim of intimate partner violence comes to the crisis center seeking help. The nurse uses crisis intervention strategies that focus on what?
Answer Options:
Answer: a. Supporting emotional security and re-establishing equilibrium
Question: After celebrating a 40th birthday, an individual becomes concerned with the loss of youthful appearance. What type of crisis has occurred?
Answer Options:
Answer: c. Maturational
Question: Which scenario is an example of an adventitious crisis?
Answer Options:
Answer: d. A riot at a rock concert