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. Yesterday my daughter said she’s quitting college.” What is the nurse’s priority assessment?
Answer Choices: a. Clarifying the impact of these situations on the couple’s communication b. Asking the patient what the spouse thinks about the lump in her breast c. Determining whether the husband is still engaged in an extramarital affair d. Clarifying what the patient means by “I can’t take it anymore!”
Answer: d. Clarifying what the patient means by “I can’t take it anymore!”
Question: A woman says, “I can’t take anymore, and I have no children or husband to turn too! 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 Choices: 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: 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 Choices: 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 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 Choices: a. 1 to 2 b. 3 to 4 c. 4 to 6 d. 6 to 12
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 Choices: a. Fear, related to impending breast surgery b. Deficient knowledge, related to breast lesion c. Ineffective coping, related to perceived loss of daughter d. Impaired verbal communication, related to spousal estrangement
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 Choices: 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: Which situation demonstrates the use of primary care related to crisis intervention?
Answer Choices: a. Implementing suicide precautions for a patient with depression b. Teaching stress-reduction techniques to a beginning student nurse c. Arranging for temporary shelter for a patient who has attempted suicide d. Referring a patient with schizophrenia to a partial hospitalization program
Answer: b. Teaching stress-reduction techniques to a beginning student nurse
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 Choices: a. Supporting emotional security and re-establishing equilibrium b. Offering long-term resolution of issues precipitating the crisis c. Promoting growth of the individual d. Providing legal assistance
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 Choices: a. Reactive b. Situational c. Maturational d. Adventitious
Answer: c. Maturational
Question: Which scenario is an example of an adventitious crisis?
Answer Choices: a. Death of a child from sudden infant death syndrome b. Being fired from a job because of company downsizing c. Retirement of a 55-year-old d. A riot at a rock concert
Answer: d. A riot at a rock concert
Question: Which agency provides coordination in the event of a terrorist attack?
Answer Choices: 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 Choices: 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 Choices: 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 Choices: 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 Choices: 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 Choices: a. Hopelessness b. Powerlessness c. Chronic low self-esteem d. Disturbed thought processes
Answer: b. Powerlessness