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enfermeria75
| Question | Answer |
|---|---|
| A pt 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. | “I see you are feeling upset. I’m going to stay and talk with you to help you feel better.” |
| pt 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? | “What was happening just before you started to feel this way?” |
| 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: | anxious and fearful. |
| 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? | Adventitious |
| While conducting the initial interview with a patient in crisis, the nurse should: | speak in short, concise sentences. |
| 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 trial,I dont know what Ill do if the jury doesnt return a guilty verdict.What the nurse’s highest priority response | “Are you having thoughts of hurting yourself or others?” |
| 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? | Situational |
| 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? | Clarifying what the patient means by, “I can’t take it anymore!” |
| woman says,Last year my husband had an affair and now dontcommunicate.3months ago,I found a lump in my breast.Yeterday my daughter said she quitting college.Ifthis persons immediate family is unable provide sufficient situational supportnurse should | ask what other relatives or friends are available for support. |
| womansaysI canttake it anymore!Last yearhusband hadaffair now dont communicate3months agoI found a lump in my breast.Yesterday my daughter said shes quitting college and moving in with her boyfriend.Which issue should be the focus for crisis intervention | d. Coping with the reaction to the daughter’s events |
| 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. | 4 to 6 |
| adult tells the nurse,I cant take it anymore Last year my husband had affairnow we dot communicate.3months ago,I found a lump in my breast.Yesterday my daughter told me shes quitting colle and moving in her bf.What is the priority nursing diagnosis? | Ineffective coping, related to perceived loss of daughter |
| Which communication technique is used more in crisis intervention than traditional counseling? | Giving direction |
| Which situation demonstrates the use of primary care related to crisis intervention? | Teaching stress reduction techniques to a beginning student nurse. |
| A victim of spousal violence comes to the crisis center seeking help. The nurse uses crisis intervention strategies that focus on: | supporting emotional security and reestablishing equilibrium |
| After celebrating a 40th birthday, an individual becomes concerned with the loss of youthful appearance. What type of crisis has occurred? | Maturational |
| Which scenario is an example of an adventitious crisis? | Riot at a rock concert |
| Which agency provides coordination in the event of a terrorist attack? | National Incident Management System (NIMS) |
| 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? | “In the past, how did you handle difficult or stressful situations?” |
| pt has cared for a debilitated parent for 10yr.Thept condition has recently declinedthe dr has recommended placement in a skilled care. The pt saysI’ve alwaysable care forparents.home placement goes against everything.resolution pt crisis will b relate to | resolving the feelings associated with the threat to the person’s self-concept |
| The assumption most useful to a nurse planning crisis intervention for any patient is that the patient: | is experiencing a state of disequilibrium. |
| An appropriate question for the nurse to ask to assess situational support is: | “Who can be helpful to you during this time?” |
| 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? | Powerlessness |
| troubled teen 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? | Designate zones according to the alphabet, and direct students to the zones based on their surnames to facilitate reuniting them with their parents. |
| pc completing the contracted #of visits to the crisis clinic,anptsays I’ve emergedthis as stronger pt.You supported me while I worked through my feelingshelped find communityIm benefiting from a support group.nurseevaluate the pt feelingsthe care received | very satisfied |
| last contracted visit in the crisis inter clinicanptsays,Ive emerged from this a stronger person.You helped me feel my life back in balance.The nurse responds,I thinkwould worthwhil have 2more sessions explore y your reactions intense.Which analysis appl | The nurse is having difficulty terminating the relationship. |
| Which health care worker should be referred to critical incident stress debriefing? | Emergency medical technician (EMT) who treated victims of a car bombing at a department store |
| 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. | Difficulty using a cell phone Rapid speech Trembling |
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