Exam 24: Crisis and Disaster

A patient that has recently survived a plane crash has returned to work and reports being able to sleep well at night. The nurse meets with the patient once a month to provide ongoing support and encouragement. Which type of crisis intervention is the nurse performing?

Which agency plays a major role in mass disaster planning and prevention?

At the last contracted visit in the crisis intervention clinic, an adult says, "I've emerged from this a stronger person. You helped me get my life back in balance." The nurse responds, "I think we should have two more sessions to explore why your reactions were so intense." Which analysis applies?

A patient comes to the crisis centre saying, "I'm in a terrible situation. I don't know what to do." The triage nurse can initially assume that the patient is which of the following?

Which communication technique will the nurse use more in crisis intervention than in traditional counselling?

A victim of spousal violence comes to the crisis centre seeking help. Which of the following crisis intervention strategy will be the nurse's focus?

A student falsely accused a college professor of sexual intimidation. The professor tells the nurse, "I cannot teach nor do any research. My mind is totally preoccupied with these false accusations." What is the priority nursing diagnosis?

Which scenario is an example of an adventitious crisis?

Six months ago, a woman had a prophylactic double mastectomy because of a family history of breast cancer. One week ago, this woman learned her husband was involved in an extramarital affair. The woman tearfully says, "What else can happen?" If the woman's immediate family is unable to provide sufficient support, which of the following should the nurse do?

Which health care worker should be referred for critical incident stress debriefing?

During the initial interview at the crisis centre, a patient says, "I've been served with divorce papers. I'm so upset and anxious that I can't think clearly." Which comment should the nurse use to assess personal coping skills?

Six months ago, a woman had a prophylactic double mastectomy because of a family history of breast cancer. One week ago, this woman learned her husband was involved in an extramarital affair. The woman tearfully says to the nurse, "What else can happen?" What type of crisis is this person experiencing?

An adult seeks counselling after the spouse was murdered. The adult angrily says, "I hate the beast 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 response?

An adolescent comes to the crisis clinic and reports sexual abuse by an uncle. The adolescent told both parents about the uncle's behaviour, but the parents did not believe the adolescent. What type of crisis exists?

A nurse assesses a patient in crisis. Select the most appropriate question for the nurse to ask to assess this patient's situational support.

A nurse driving home after work comes upon a serious automobile accident. The driver gets out of the car with no apparent physical injuries. Which assessment findings would the nurse expect from the driver immediately after this event? Select all that apply.

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 nursing home. 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 which of the following?

Which are characteristics of a mental health emergency? Select all that apply.

An adult comes to the crisis clinic after termination 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?

After celebrating the fortieth birthday, an individual becomes concerned with the loss of youthful appearance. What type of crisis has occurred?