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: 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: 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: 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: 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: 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: 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. After the police arrest the shooter, which action would reduce chaos?

Answer Options:

a. Ask the police to encircle the school campus with their vehicles.
b. Announce over the loudspeakers, “The campus is now safe. 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 Options:

a. Marginally satisfied
b. Somewhat satisfied
c. Very satisfied
d. Not at all satisfied

Answer: c. Very satisfied

 

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 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 visits the home of an 11-year-old child and finds the child caring for three younger siblings. Both parents are at work. The child says, “I want to go to school but we can’t afford a babysitter. It doesn’t matter; I’m too dumb to learn.” What preliminary assessment is evident?

Answer Options:

a. Insufficient data are present to make an assessment.
b. Child and siblings are experiencing neglect.
c. Children are at high risk for sexual abuse.
d. Children are experiencing physical abuse.

Answer: b. Child and siblings are experiencing neglect.

 

Question: An 11-year-old child is absent from school to care for siblings while the parents work. The family cannot afford a babysitter. When asked about their feelings, the child reluctantly says, “My parents don’t like me. They call me stupid and say I never do anything right.” Which type of abuse is likely?

Answer Options:

a. Sexual
b. Physical
c. Emotional
d. Economic

Answer: c. Emotional

 

Question: What feelings are most commonly experienced by nurses working with abusive families?

Answer Options:

a. Outrage toward the victim and sympathy for the abuser
b. Sympathy for the victim and anger toward the abuser
c. Unconcern for the victim and dislike for the abuser
d. Vulnerability for self and empathy with the abuser

Answer: b. Sympathy for the victim and anger toward the abuser

 

Question: Which rationale best explains why a nurse should be aware of personal feelings while working with a family experiencing family violence?

Answer Options:

a. Self-awareness protects one’s own mental health.
b. Strong negative feelings interfere with assessment and judgment.
c. Strong positive feelings lead to under involvement with the victim.
d. Positive feelings promote the development of sympathy for patients.

Answer: b. Strong negative feelings interfere with assessment and judgment.

 

Question: A clinic nurse interviews an adult patient accompanied by a partner who reports fatigue, back pain, headaches, tension, and sleep disturbances. The patient then becomes reticent to provide more information and wants to leave. How can the nurse best serve the patient?

Answer Options:

a. Explore the possibility of patient social isolation.
b. Have the partner leave the patient alone to continue the assessment.
c. Ask whether the patient has ever had psychiatric counseling in the past.
d. Ask the patient to disrobe so that assessment for signs of physical abuse can occur.

Answer: b. Have the partner leave the patient alone to continue the assessment.

 

Question: A patient at the emergency department is diagnosed with a concussion. The patient is accompanied by a spouse who insists on staying in the room and answering all questions. The patient avoids eye contact and has a sad affect and slumped shoulders. Assessment of which additional problem has priority?

Answer Options:

a. Risk of intimate partner violence
b. Phobia of crowded places
c. Migraine headaches
d. Depressive symptoms

Answer: a. Risk of intimate partner violence

 

Question: What is a nurse’s legal responsibility if child abuse or neglect is suspected?

Answer Options:

a. Discuss the findings with the child’s teacher, principal, and school psychologist.
b. Report the suspected abuse or neglect according to state regulations.
c. Document the observations and speculations in the medical record.
d. Continue the assessment.

Answer: b. Report the suspected abuse or neglect according to state regulations.