Question 1

Which situation demonstrates use of primary care related to crisis intervention?

Accepted Answer

A)  Implementation of suicide precautions for a depressed patient 
B)  Teaching stress reduction techniques to a first-year college student 
C)  Assessing coping strategies used by a patient who attempted suicide 
D)  Referring a patient with schizophrenia to a partial hospitalization program 
A)  Implementation of suicide precautions for a depressed patient 
B)  Teaching stress reduction techniques to a first-year college student 
C)  Assessing coping strategies used by a patient who attempted suicide 
D)  Referring a patient with schizophrenia to a partial hospitalization program

Question 2

A patient comes to the crisis clinic after an unexpected job termination. The patient paces around the room sobbing, cringes when approached, and responds to questions with only shrugs or monosyllables. Choose the nurse's best initial comment to this patient.

Accepted Answer

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'm going to stay and talk with you to help you feel better." 
C)  "You need to try to stop crying and pacing so we can talk about your problems." 
D)  "Let's set some guidelines and goals for your visit here." 
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'm going to stay and talk with you to help you feel better." 
C)  "You need to try to stop crying and pacing so we can talk about your problems." 
D)  "Let's set some guidelines and goals for your visit here."

Question 3

A patient who is 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?

Accepted Answer

A)  1 to 2 weeks 
B)  3 to 4 weeks 
C)  4 to 6 weeks 
D)  6 to 8 weeks 
A)  1 to 2 weeks 
B)  3 to 4 weeks 
C)  4 to 6 weeks 
D)  6 to 8 weeks

Question 4

While conducting the initial interview with a patient in crisis, the nurse should do which of the following?

Accepted Answer

A)  Listen carefully and summarize often 
B)  Convey a sense of urgency to the patient 
C)  Be forthright about time limits of the interview 
D)  Let the patient know the nurse controls the interview 
A)  Listen carefully and summarize often 
B)  Convey a sense of urgency to the patient 
C)  Be forthright about time limits of the interview 
D)  Let the patient know the nurse controls the interview

Question 5

A woman said, "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?

Accepted Answer

A)  Identify measures useful to help improve the couple's communication. 
B)  The patient's feelings about the possibility of having a mastectomy 
C)  Whether the husband is still engaged in an extramarital affair 
D)  Clarify what the patient means by "I can't take anymore." 
A)  Identify measures useful to help improve the couple's communication. 
B)  The patient's feelings about the possibility of having a mastectomy 
C)  Whether the husband is still engaged in an extramarital affair 
D)  Clarify what the patient means by "I can't take anymore."

Question 6

A woman says, "I can't take anymore. Last year my husband had an affair, and now we do not communicate. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college and moving in with her boyfriend." Which issue should the nurse focus on during crisis intervention?

Accepted Answer

A)  The possible mastectomy 
B)  The disordered family communication 
C)  The effects of the husband's extramarital affair 
D)  Coping with the reaction to the daughter's events 
A)  The possible mastectomy 
B)  The disordered family communication 
C)  The effects of the husband's extramarital affair 
D)  Coping with the reaction to the daughter's events

Question 7

A patient being seen in the clinic for superficial cuts on both wrists is pacing and sobbing. After a few minutes, the patient is calmer. The nurse attempts to determine the patient's perception of the precipitating event by saying which of the following?

Accepted Answer

A)  "Tell me why you were crying." 
B)  "How did your wrists get injured?" 
C)  "How can I help you feel more comfortable?" 
D)  "What was happening just before you started to feel this way?" 
A)  "Tell me why you were crying." 
B)  "How did your wrists get injured?" 
C)  "How can I help you feel more comfortable?" 
D)  "What was happening just before you started to feel this way?"

Question 8

The principle most useful to a nurse planning crisis intervention for any patient is which of the following?

Accepted Answer

A)  That the patient is experiencing a state of disequilibrium 
B)  That the patient is experiencing a type of mental illness 
C)  That the patient poses a threat of violence to others 
D)  That the patient has high potential for self-injury 
A)  That the patient is experiencing a state of disequilibrium 
B)  That the patient is experiencing a type of mental illness 
C)  That the patient poses a threat of violence to others 
D)  That the patient has high potential for self-injury

Exam 24: Crisis and Disaster

Which situation demonstrates use of primary care related to crisis intervention?

A patient comes to the crisis clinic after an unexpected job termination. The patient paces around the room sobbing, cringes when approached, and responds to questions with only shrugs or monosyllables. Choose the nurse's best initial comment to this patient.

A patient who is 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?

While conducting the initial interview with a patient in crisis, the nurse should do which of the following?

A woman said, "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?

A patient being seen in the clinic for superficial cuts on both wrists is pacing and sobbing. After a few minutes, the patient is calmer. The nurse attempts to determine the patient's perception of the precipitating event by saying which of the following?

The principle most useful to a nurse planning crisis intervention for any patient is which of the following?

Mental Health and Mental Illness

Historical Overview of Psychiatric Mental Health Nursing

Relevant Theories and Therapies for Nursing Practice

Psychotropic Drugs

Psychiatric Mental Health Nursing in Acute Care Settings

Psychiatric Mental Health Nursing in Community Settings

Cultural Implications for Psychiatric Mental Health Nursing

Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice

The Nursing Process and Standards of Care for Psychiatric Mental Health Nursing

Therapeutic Relationships

Communication and the Clinical Interview

Understanding Responses to Stress

Anxiety, Obsessive-Compulsive, and Related Disorders

Depressive Disorders

Bipolar Disorders

Schizophrenia Spectrum and Other Psychotic Disorders

Eating Disorders

Cognitive Disorders

Substance Use and Addictive Disorders

Personality Disorders

Sleep–Wake Disorders

Sexual Dysfunction, Gender Dysphoria, and Paraphilias

Somatic Symptom Disorders and Dissociative Disorders

Suicide

Anger, Aggression, and Violence

Interpersonal Violence: Child, Older Adult, and Intimate Partner Abuse

Sexual Assault

Disorders of Children and Adolescents

Psychosocial Needs of the Older Adult

Living With Recurrent and Persistent Mental Illness

Psychological Needs of Patients With Medical Conditions

Care for the Dying and for Those Who Grieve

Forensic Psychiatric Nursing

Therapeutic Groups

Family Interventions

Integrative Care

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