Exam 20: Crisis and Mass Disaster

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

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.Select the nurse's best initial statement to this patient.

An adult has cared for a debilitated parent for 10 years.The parent's condition has recently declined,and the health care provider has 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:

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?

An adult tells the nurse,"I can't take it 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 told me she's quitting college and moving in with her boyfriend." What is the priority nursing diagnosis?

After completing the contracted number of visits to the crisis clinic,an adult says,"I've emerged from this as a stronger person.You supported me while I worked through my feelings of loss and helped me find community resources.I'm benefiting from a support group." The nurse can evaluate the patient's feelings about the care received as:

Which scenario is an example of an adventitious crisis?

After celebrating a 40th birthday,an individual becomes concerned with the loss of youthful appearance.What type of crisis has occurred?

An appropriate question for the nurse to ask to assess situational support is:

A woman says,"I can't take it 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 type of crisis is this person experiencing?

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?

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 be expected from the driver immediately after this event? Select all that apply.

The assumption most useful to a nurse planning crisis intervention for any patient is that the patient:

Which agency provides coordination in the event of a terrorist attack?

Which communication technique is used more in crisis intervention than traditional counseling?

A woman says,"I can't take it 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 and moving in with her boyfriend." Which issue should be the focus for crisis intervention?

A patient comes to the clinic with superficial cuts on the left wrist.The patient is pacing and sobbing.After a few minutes with the nurse,the patient is calmer.What should the nurse ask to determine the patient's perception of the precipitating event?

While conducting the initial interview with a patient in crisis,the nurse should:

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 _____________ weeks.

An adult seeks counseling after the spouse is 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?