CHAPTER 10: CRISIS INTERVENTION & NCLEX
QUESTIONS AND ANSWERS 2022
Crisis intervention - ANS-an emergency type of assistance in which the intervener
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becomes a part of the individual's life situation. The focus is to provide guidance and
support to help mobilize the resources needed to resolve the crisis and restore or
generate an improvement in previous level of functioning. Usually lasts no longer
than 6 to 8 weeks.
Disaster - ANS-a natural or man-made occurrence that overwhelms the resources of
an individual or community and increases the need for emergency evacuation and
medical services.
Prodromal syndrome - ANS-a syndrome of symptoms that often precede the onset of
aggressive or violent behavior. these symptoms include anxiety and tension, verbal
abuse and profanity, and increasing hyperactivity.
c. a crisis situation contains the potential for psychological growth or deterioration. -
ANS-1. Which of the following is a correct assumption regarding the concept of
crisis?
a. crises occur only in individuals with psychopathology.
b. the stressful event that precipitates crisis is seldom identifiable.
c. a crisis situation contains the potential for psychological growth or deterioration.
d. crises are chronic situations that recur many times during an individuals's life.
d. experiences a stressor and perceives coping strategies to be ineffective - ANS-2.
crises occur when an individual
a. is exposed to a precipitating stressor.
b. perceives a stressor to be threatening.
c. has no support systems.
d. experiences a stressor and perceives coping strategies to be ineffective
a. crisis resulting from traumatic stress - ANS-3. Amanda's mobile home was
destroyed by a tornado. Amanda received only minor injuries but is experiencing
disabling anxiety in the aftermath of the event. What is this type of crisis called?
a. crisis resulting from traumatic stress
b. maturational or developmental crisis.
c. dispositional crisis.
d. crisis of anticipated life transitions.
b. discuss stages of grief and feelings associated with each. - ANS-4. Amanda's
mobile home was destroyed by a tornado. Amanda received only minor injuries but
is experiencing disabling anxiety in the aftermath of the event. The most appropriate
crisis intervention with Amanda would be to
a. encourage her to recognize how lucky she is to be alive.
b. discuss stages of grief and feelings associated with each.
c. identify community resources that can help Amanda.
d. suggest that she find a place to live that provides a storm shelter.
c. dispositional crisis. - ANS-5. Jenny reported to the high school nurse that her
mother drinks too much. She is drunk every afternoon when Jenny gets home from
school. Jenny is afraid to invite friends over because of her mother's behavior. What
is this type of crisis called?
a. crisis resulting from traumatic stress
b. maturational or developmental crisis.
c. dispositional crisis.
d. crisis reflecting psychopathology
a. make arrangements for her to start attending Alateen meetings. - ANS-6. Jenny
reported to the high school nurse that her mother drinks too much. She is drunk
every afternoon when Jenny gets home from school. Jenny is afraid to invite friends
over because of her mother's behavior. The most appropriate nursing intervention
with Jenny would be to
a. make arrangements for her to start attending Alateen meetings.
b. help her identify the positive things in her life and recognize that her situation
could be a lot worse than it is.
c. teach her about the effects of alcohol on the body and that it can be hereditary.
d. refer her to a psychiatrist for private therapy to learn to deal with her home
situation.
d. maturational or developmental crisis. - ANS-7. Ginger, age 19 and an only child,
left 3 months ago to attend a college of her choice 500 miles away from her parents.
It is Ginger's first time away from home. She has difficulty making decisions and will
not undertake anything new without first consulting her mother. They talk on the
phone almost every day. Ginger has recently started having anxiety attacks. She
consults the nurse practitioner in the student health center. What is this type of crisis
called?
a. crisis resulting from traumatic stress
b. dispositional crisis.
c. psychiatric emergency.
d. maturational or developmental crisis.
b. work with Ginger on unresolved dependency issues. - ANS-8. Ginger, age 19 and
an only child, left 3 months ago to attend a college of her choice 500 miles away
from her parents. It is Ginger's first time away from home. She has difficulty making
decisions and will not undertake anything new without first consulting her mother.
They talk on the phone almost every day. Ginger has recently started having anxiety
attacks. She consults the nurse practitioner in the student health center. The most
appropriate nursing intervention with Ginger would be to
a. suggest she move to a college closer to home.
b. work with Ginger on unresolved dependency issues.
c. help her find someone in the college town from whom she could seek assistance
rather than calling her mother regularly.
d. recommend that the college physician prescribe an antianxiety medication for
Ginger.
b. crisis of anticipated life transitions - ANS-9. Marie, age 56, is the mother of five
children. Her youngest child, who had been living at home and attending the local
college, recently graduated and accepted a job in another state. Marie has never
worked outside the home and has devoted her life to satisfying the needs of her
husband and children. Since the departure of her last child from home, Marie has
become increasingly dependent. Her husband is very concerned and takes her to
the local mental health center. What is this type of crisis called?
a. dispositional crisis
b. crisis of anticipated life transitions
c. psychiatric emergency
d. crisis resulting from traumatic stress
d. begin grief work and assist her to recognize areas of self-worth separate and apart
from her children. - ANS-10. Marie, age 56, is the mother of five children. Her
youngest child, who had been living at home and attending the local college, recently
graduated and accepted a job in another state. Marie has never worked outside the
home and has devoted her life to satisfying the needs of her husband and children.
Since the departure of her last child from home, Marie has become increasingly
dependent. Her husband is very concerned and takes her to the local mental health
center. The most appropriate nursing intervention with Marie would be to
a. refer her to her family physician for a complete physical examination
b. suggest she seek outside employment now that her children have left home.
c. identify convenient support systems for times when she is feeling particularly
despondent.
d. begin grief work and assist her to recognize areas of self-worth separate and apart
from her children.
c. the individual will identify that anxiety is at a manageable level. - ANS-11. Which of
the following is the desired outcome of working with an individual who has witnessed
a traumatic event and is now experiencing panic anxiety?... [Show Less]