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.

Question 2

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." Which comment should the nurse use to assess personal coping skills?

Accepted Answer

A)  "In the past, how have you handled difficult or stressful situations?" 
B)  "What would you like us to do to help you feel more relaxed?" 
C)  "Tell me more about how it feels to be anxious and upset." 
D)  "Can you describe your role in the marital relationship?"

Question 3

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

Accepted Answer

A)  Maturational 
B)  Adventitious 
C)  Situational 
D)  Organic

Question 4

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?

Accepted Answer

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

Question 5

A team of nurses report to the community after a category 5 hurricane devastates many homes and businesses.The nurses provide emergency supplies of insulin to persons with diabetes and help transfer patients in skilled nursing facilities to sites that have electrical power.Which aspects of disaster management have these nurses fulfilled? Select all that apply.

Accepted Answer

A)  Preparedness 
B)  Mitigation 
C)  Response 
D)  Recovery 
E)  Evaluation

Question 6

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 skilled nursing 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:

Accepted Answer

A)  resolving the feelings associated with the threat to the person's self-concept. 
B)  ability of the person to identify situational supports in the community. 
C)  reliance on assistance from role models within the person's culture. 
D)  mobilization of automatic relief behaviors by the person.

Question 7

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

Accepted Answer

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

Question 8

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."

Exam 26: Crisis and Disaster