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
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
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 Choices:
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
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
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 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
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 in crisis intervention?
Answer Choices:
a. Identifying measures useful to help improve the husband’s communication
b. Discussing the patient’s feelings about the possibility of having a mastectomy
c. Determining whether the husband is still engaged in an affair
d. Clarifying what the patient means by “I can’t take it anymore!”
Answer:
D
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 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
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
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
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 Choices:
A. Suicidal ideations
B. Anxiety and fear
C. Misperceived reality
D. Homicidal ideations
Answer:
B
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 Choices:
A. “Everything is going to be all right. You are here at the clinic, and the staff will keep you safe.”
B. “I see you are feeling upset. I am going to stay and talk with you to help you feel better.”
C. “You need to try to stop crying so we can talk about your problems.”
D. “Let’s set some guidelines and goals for your visit here.”
Answer:
B
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
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
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
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 occur next?
Answer Choices:
a. Ask the police to encircle the school campus with yellow tape.
b. Announce over the loudspeakers, “The campus is closed. 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
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. Assessing coping strategies used by a patient who has attempted suicide
d. Referring a patient with schizophrenia to a partial hospitalization program
Answer:
A
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