Question 1

Several school-age children injured in a school bus accident were brought to the ED.Family members and friends paced back and forth in the waiting room.Members of the crisis team were called in for the primary purpose of:

Accepted Answer

A)  Waiting with the families and friends 
B)  Facilitating understanding and providing support 
C)  Determining the level of individual family coping 
D)  Assisting the medical team with the physical injuries

Question 2

Which characteristic makes a stressful event a crisis situation? Select all that apply.

Accepted Answer

A)  The event was not expected. 
B)  The patient felt emotional or physically threatened. 
C)  The event resulted in physical trauma to the patient. 
D)  The patient showed immediate signs of anxiety or panic. 
E)  The patient has little or no social support system to rely upon.

Question 3

Which clinical picture can the nurse expect to see most frequently among patients who have been in a bus-train collision and derailment?

Accepted Answer

A)  Elation and hyperactivity 
B)  Denial of the incident and suspicion 
C)  Shock, numbness, confusion, and disorganization 
D)  Highly emotional displays, such as begging for help

Question 4

Which patient has the greatest risk for the development of a psychiatric emergency?

Accepted Answer

A)  The schizophrenic older adult living on the streets 
B)  The anorexic young adult hospitalized for treatment 
C)  The orphaned teenager who lives with grandparents 
D)  The teenager who has a problem with authority figures

Question 5

A new nurse mentions,"I can understand a situational crisis upsetting a person's equilibrium,but I don't understand how something positive,like getting married or having a baby,can precipitate a crisis." To explain,the mentor should answer,"You need to think of a crisis as a(n):

Accepted Answer

A)  Threat to survival." 
B)  Threat to the familiar." 
C)  Opportunity to learn." 
D)  Psychiatric disorder."

Question 6

At the crisis center a staff nurse tells the nurse clinician,"The patient is dealing with an internal crisis situation." Which situation would qualify as a trigger for that designation?

Accepted Answer

A)  Job loss 
B)  Marital breakup 
C)  Death of a friend 
D)  Loss of religious faith

Question 7

Which behavior is observed in the disillusionment stage of a community's adjustment to a devastating hurricane?

Accepted Answer

A)  Individuals opening their homes to those without shelter. 
B)  Nearby communities provide clothing and food for victims. 
C)  The community remembers the event with a rally in its newly rebuilt park. 
D)  State leaders attend a community meeting to discuss why funding is slow to arrive.

Exam 21: Crisis: Theory and Intervention