Deck 26: Crisis Intervention

Question 1

The nurse is planning a presentation on crisis intervention to faculty and staff at a local high school. What information will the nurse want to include? Select all that apply.

A) How to identify colleagues who are approaching exhaustion
B) How to conduct a psychological debriefing
C) How to reinforce basic coping skills with students
D) How to recognize common cultural responses to crisis
E) How to encourage social connectivity among other faculty and staff

Answer 1

How to reinforce basic coping skills with students

Question 2

The advanced practice nurse (APRN) is caring for a patient who recently relocated from another city. The patient is reporting depressive symptoms and no previous history of depression. Which therapy will the APRN be most likely to discuss with the patient?

A) Pharmacotherapy
B) Psychological first aid
C) Cognitive-behavioral therapy
D) Critical incident stress debriefing

Answer 2

Cognitive-behavioral therapy

Question 3

The nurse is caring for a school-age child who is experiencing crisis. The child's mother tells the nurse that the child has started wetting the bed at night. Which statements by the nurse are the most appropriate regarding the best therapies for the child? Select all that apply.

A) "School-based interventions may help your child."
B) "Cognitive-behavioral therapy is most beneficial for your child."
C) "Interventions that support parental involvement may help your child."
D) "Cognitive therapy that addresses thought processes involved in crisis may help your child."
E) "Behavioral therapy to address the relationship between mood and behavior may help your child."

Answer 3

"School-based interventions may help your child."
"Cognitive-behavioral therapy is most beneficial for your child."
"Interventions that support parental involvement may help your child."

Question 4

A patient who is a senior in high school fails two classes and is unable to graduate. Which type of crisis is the patient likely experiencing?

A) Biological crisis
B) Situational crisis
C) Adventitious crisis
D) Maturational crisis

Question 5

The nurse is caring for a patient who is experiencing a situational crisis. Which statement by the nurse best reflects the therapeutic communication necessary when caring for this patient?

A) "It's best to stay busy."
B) "It could have been worse."
C) "I know just how you feel."
D) "I am sorry this happened to you."

Question 6

The nurse is caring for patients in the aftermath of a tornado that has damaged several homes and the local elementary school. What will the nurse address during patient education sessions?

A) Basic coping skills
B) Long-term interventions
C) Patient-nurse collaboration
D) Therapeutic communication

Question 7

The nurse is performing a crisis assessment on a patient who is experiencing crisis due to a recent divorce. Which statement made by the patient will alert the nurse that the patient is experiencing the exhaustion phase of crisis?

A) "I can't believe this is happening to me."
B) "I have called my mom to help me with the kids."
C) "I am tired from moving all of my belongings into a new house. "
D) "I just can't seem to cope anymore. I am not sure what I am going to do."

Question 8

A nurse educator is providing a review course for staff nurses regarding the impact and risk factors for situational crisis among the psychiatric patient population. The educator asks one of the staff nurses to provide a clinical example of a patient at increased risk for situational crisis. Which statements made by the staff nurse indicates that teaching has been effective? Select all that apply.

A) "The teenager who is graduating high school in 3 weeks."
B) "The older adult who recently immigrated from Mexico."
C) "The middle-aged adult who just received a diagnosis of depression."
D) "The young adult who is arrested and incarcerated for driving under the influence."
E) "The young adult who is experiencing psychosis after giving birth to a healthy baby."

Question 9

The nurse preceptor is giving a seminar about recognition and assessment of coping mechanisms found in older adult patients in crisis to a group of novice nurse. Which statement by the novice nurse indicates that the teaching has been effective?

A) "Older adult patients generally do not have well-established coping mechanisms."
B) "Older adult patients generally use physiological coping due to their advanced age."
C) "Older adult patients in crisis are more likely to suffer from a lack of social support."
D) "Older adult patients in crisis are more likely to suffer from a lack of belief-based coping."

Question 10

A nurse is planning care for a patient who is experiencing a situational crisis. What is the most effective way for the nurse to plan for the patient's crisis intervention?

A) Organized with follow-up
B) Based on complete assessment
C) Focused on long-term problems
D) Developed prior to meeting with the patient

Question 11

The nurse is caring for a patient who is experiencing a crisis. What is the priority during the patient's initial crisis assessment?

A) Ensuring safety
B) Classifying the type of trauma
C) Identifying treatment and referral needs
D) Assessing the risks associated with the crisis

Question 12

The nurse is caring for a patient in crisis who has recently returned from military service in an active war zone. When initially assessing this patient, which concepts will the nurse apply regarding the type of crisis the patient is experiencing? Select all that apply.

A) Determining the client's adaptation to the crisis guides the priority nursing actions.
B) Determining the trauma category the client is experiencing guides the priority nursing action.
C) Providing the client with education regarding type I trauma related to his or her military service.
D) Providing the client with education regarding type II trauma related to his or her military service.
E) Determining the client's degree of trust in trusted authorities during his or her military service.

Question 13

A nurse is researching the trends of maturational crisis for a graduate-level research course. When considering risk factors for this type of crisis, which patients will the nurse determine are at greatest risk for developing a maturational crisis? Select all that apply.

A) Young child whose parent is murdered
B) Older adult whose spouse recently passed away
C) Young adult single parent of two young children
D) College student who is attending an out-of-state university
E) Exchange student whose family has been killed in a terrorist attack overseas

Question 14

The nurse is planning care for a patient who is experiencing a crisis. The patient tells the nurse, "I feel out of control, and I can't seem to make any decisions." Which nursing action will best promote effective interventions for this patient?

A) Identifying the patient's level of grief
B) Identifying the origin of the patient's crisis
C) Increasing communication with the patient's significant others
D) Motivating the patient and family to take significant action in relationships

Question 15

A nurse has traveled overseas to provide relief for a community experiencing crisis after a natural disaster. Which concept will guide the nurse in planning care for these individuals?

A) Crisis is a universal human experience with manifestations similar in all cultures.
B) Interventions should be centered on the involvement of local community leadership.
C) Assessment of abnormal expressions of emotional pain should be the nurse's priority.
D) Interventions should be centered on the treatment of posttraumatic stress disorder (PTSD).

Question 16

When providing staff education regarding basic safety monitoring and status reporting of a patient in crisis, what will the charge nurse include?

A) Basic coping skills
B) Common emotional responses
C) Surveillance for common illness
D) Behavioral stress reduction techniques

Question 17

The nurse is caring for a male patient who is experiencing a crisis. In considering the plan of care, which factor will the nurse take into account?

A) Men are less likely to resist help during times of crisis.
B) Men are more likely to resist help during times of crisis.
C) Men usually access intervention only when the acute crisis has ended.
D) The most successful intervention for men during times of crisis is individual psychotherapy.

Question 18

The nurse is providing education to a family who is experiencing crisis due to divorce. The nurse emphasizes the importance of self-care and treatment of crisis. Which statements will the nurse include in the family teaching? Select all that apply.

A) "While every crisis is different, there are options that will help during this time."
B) "It is important to monitor for behavioral changes while coping with crisis."
C) "It may be beneficial to write in a journal to document stress exposures while coping with crisis."
D) "While every crisis is different, there are common emotions which occur while coping with crisis."
E) "It may be best to stay home from school or work during this time in order to avoid social interaction."

Question 19

The community health nurse is teaching a group of adults about crisis experienced by various populations. Which statement by one of the group members indicates that the nurse's teaching has been effective?

A) "A good example of an adventitious crisis is a complicated divorce."
B) "I will be aware that maturational crisis may occur more frequently among my older adult patients."
C) "Patients with chronic illness are at greater risk for situational crisis than individuals without chronic illness."
D) "Adventitious crisis may occur in patients who have miscarried during pregnancy or have delivered a preterm infant."

Question 20

The nurse is participating in psychological debriefing of a patient who is experiencing a crisis. Which statements will the nurse include when providing education to the patient or family of the patient who is experiencing crisis? Select all that apply.

A) "Transportation is available if you cannot drive."
B) "You may want to use a calendar to help you track your response to the crisis."
C) "Do you have a spiritual leader that you would like me to contact for you?"
D) "The sedative that the health care provider prescribed is a common treatment."
E) "The relaxation techniques that the health care provider suggested are a common treatment."