Exam 23: Crisis and Disaster

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

A factory abruptly closes;workers receive no warning and no explanation.An office worker tells the factory nurse,who is standing by to assist overwhelmed employees: "I do not know what to do.How will I get another job? Who will pay the bills? How will I get money to feed my kids? What will we do?" Which nursing diagnosis best fits this presentation?

A woman expecting to pick her husband up at the airport has instead just been told that he has been killed in an airplane crash.Crisis counselors are present to help loved ones cope with the sad and sudden news.Which response by the counselor would be most appropriate to make next?

A patient,aged 42 years,seeks crisis intervention.She tells the nurse,"I cannot take it anymore! It has to stop.Last year my husband had an affair,and we do not communicate anymore.Three months ago I found a lump in my breast that the doctor is watching closely,and yesterday my 20-year-old daughter told me she is quitting college and moving to another state with her boyfriend." Which comment or concern should be the priority for further assessment?

The crisis that occurs as an individual moves from young adulthood to middle age and becomes concerned with loss of his youthful appearance would be assessed by the nurse as a(n)____ crisis.

A factory abruptly closes during hard economic times.An office worker initially tries to take it in stride,begins the job search,and networks with peers.Six weeks later,he has not received a single call-back from a prospective employer.He cannot sleep,is irritable,does not want to interact with his family or peers,paces frequently,and spends several hours most days alone in a local bar.Bills are piling up.He has given up applying for jobs.Which short-term indicator would be most important at this time?

A woman goes to the airport to pick up her husband,returning from one of many business trips.Persons awaiting his flight are directed to a conference room where airline counselors explain that the flight crashed into the ocean,and it is believed that there are no survivors.The woman tells a counselor that it is too soon to be sure,he might still be alive,clinging to wreckage and waiting to be found.The patient is demonstrating: