Exam 13: Crisis Intervention

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After threatening to jump off a bridge,a client is brought to an emergency department by police.Which question should the nurse ask first to assess for suicide potential?

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A

A despondent client who recently lost her husband of 30 years,tearfully states,"I'll feel a lot better if I sell my house and move away." Which nursing reply is most appropriate?

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B

A high-school student has learned that she cannot graduate.Her boyfriend will be attending a college out of state that she also planned to attend.She is admitted to a psychiatric unit after overdosing on Tylenol.Which is the correctly written priority nursing diagnosis for this client?

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C

A wife brings her husband to an emergency department after an attempt to hang himself.He is a full-time student and works 8 hours at night to support his family.He states,"I can't function any longer under all this stress." Which type of crisis is the client experiencing?

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A college student who was nearly raped while jogging completes a series of appointments with a rape crisis nurse.Which client statement,made at the final session,most clearly suggests the goals of crisis intervention have been met?

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An involuntarily committed client,when offered a dinner tray,pushes it off the bedside table onto the floor.Which is the nurse's priority intervention?

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An inpatient client with a known history of violence suddenly begins to pace.Which client behavior alerts the nurse to the client's escalating anger and aggression?

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Which of the following interventions should the nurse utilize when caring for an inpatient client who is expressing anger inappropriately? Select all that apply.

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Which is the best nursing rationale for holding a debriefing session with clients and staff after clients have witnessed a peer being "taken down" after a violent outburst?

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Which of the following are most appropriate when performing a nursing assessment with an individual in crisis? Select all that apply.

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A client comes to a psychiatric clinic,experiencing sudden extreme fatigue and decreased sleep and appetite.The client works 12 hours a day and rates anxiety as 8/10 on a numeric scale.Which long-term outcome is realistic to address the client's crisis?

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A mother is concerned about her ability to perform in her new role.She is quite anxious and refuses to leave the postpartum unit.To offer effective client care,a nurse should recognize which information about this type of crisis?

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