Question 1

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:

Accepted Answer

A) suicidal. 
B) anxious and fearful. 
C) misperceiving reality. 
D) potentially homicidal. 
A) suicidal. 
B) anxious and fearful. 
C) misperceiving reality. 
D) potentially homicidal.

Question 2

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 is the nurse's priority assessment?

Accepted Answer

A) Identifying measures useful to help improve the couple'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 extramarital affair 
D) Clarifying what the patient means by,"I can't take it anymore!" 
A) Identifying measures useful to help improve the couple'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 extramarital affair 
D) Clarifying what the patient means by,"I can't take it anymore!"

Question 3

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 should occur next?

Accepted Answer

A) Ask the police to encircle the school campus with yellow tape to prevent parents from entering. 
B) Announce over the loudspeakers,"The campus is now secure.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. 
A) Ask the police to encircle the school campus with yellow tape to prevent parents from entering. 
B) Announce over the loudspeakers,"The campus is now secure.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.

Question 4

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

Accepted Answer

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. 
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.

Question 5

A victim of spousal violence comes to the crisis center seeking help.The nurse uses crisis intervention strategies that focus on:

Accepted Answer

A) supporting emotional security and reestablishing equilibrium 
B) offering a long-term resolution of issues precipitating the crisis 
C) promoting growth of the individual 
D) providing legal assistance 
A) supporting emotional security and reestablishing equilibrium 
B) offering a long-term resolution of issues precipitating the crisis 
C) promoting growth of the individual 
D) providing legal assistance

Question 6

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?

Accepted Answer

A) Hopelessness 
B) Powerlessness 
C) Chronic low self-esteem 
D) Disturbed thought processes 
A) Hopelessness 
B) Powerlessness 
C) Chronic low self-esteem 
D) Disturbed thought processes

Question 7

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

Accepted Answer

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 
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

Question 8

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." If this person's immediate family is unable to provide sufficient situational support,the nurse should:

Accepted Answer

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. 
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.

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:

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 is the nurse's priority assessment?

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 should occur next?

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

A victim of spousal violence comes to the crisis center seeking help.The nurse uses crisis intervention strategies that focus on:

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?

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

Practicing the Science and Art of Psychiatric Nursing

Mental Health and Mental Illness

Theories and Therapies

Biological Basis for Understanding Psychopharmacology

Settings for Psychiatric Care

Legal and Ethical Basis for Practice

Nursing Process and Qsen: The Foundation for Safe and Effective Care

Communication Skills: Medium for All Nursing Practice

Therapeutic Relationships and the Clinical Interview

Stress and Stress-Related Disorders

Anxiety, anxiety Disorders, and Obsessive-Compulsive Disorders

Somatoform Disorders and Dissociative Disorders

Personality Disorders

Eating Disorders

Mood Disorders: Depression

Bipolar Spectrum Disorders

Schizophrenia Spectrum Disorders

Neurocognitive Disorders

Addictions and Compulsions

Child, Partner, and Elder Violence

Sexual Violence

Suicidal Thoughts and Behavior

Anger, Aggression, and Violence

Care for the Dying and Those Who Grieve

Children and Adolescents

Adults

Older Adults

Filters

Exam 20: Crisis and Mass Disaster

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:

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 is the nurse's priority assessment?

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 should occur next?

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

A victim of spousal violence comes to the crisis center seeking help.The nurse uses crisis intervention strategies that focus on:

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?

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

Practicing the Science and Art of Psychiatric Nursing

Mental Health and Mental Illness

Theories and Therapies

Biological Basis for Understanding Psychopharmacology

Settings for Psychiatric Care

Legal and Ethical Basis for Practice

Nursing Process and Qsen: The Foundation for Safe and Effective Care

Communication Skills: Medium for All Nursing Practice

Therapeutic Relationships and the Clinical Interview

Stress and Stress-Related Disorders

Anxiety, anxiety Disorders, and Obsessive-Compulsive Disorders

Somatoform Disorders and Dissociative Disorders

Personality Disorders

Eating Disorders

Mood Disorders: Depression

Bipolar Spectrum Disorders

Schizophrenia Spectrum Disorders

Neurocognitive Disorders

Addictions and Compulsions

Child, Partner, and Elder Violence

Sexual Violence

Suicidal Thoughts and Behavior

Anger, Aggression, and Violence

Care for the Dying and Those Who Grieve

Children and Adolescents

Adults

Older Adults

Filters