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A 25-year-old legal secretary is seeking counseling because she recently lost her job unexpectedly. Which question would be most appropriate for the nurse to use in assessing the patient?s response to losing her job?
- A. What happened to cause you to lose your job?
- B. How did you feel immediately after being told you no longer had a job?
- C. How do you expect yourself to be able to handle this situation?
- D. How have you responded to previous stressful situations?
Correct Answer: B
Rationale: Assessing the patient?s emotional response immediately after the job loss provides insight into the impact of the event and her coping mechanisms. Understanding her feelings helps evaluate the crisis?s severity. The other questions focus on causes, expectations, or past behavior, which are less directly tied to her current response.
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An individual is seeking employment as a nurse in a crisis center. The interviewer asks the person what he would ask someone who called the crisis hotline to determine whether the caller was experiencing a crisis. Which response would be most appropriate?
- A. To what extent are you involved in a crisis situation?
- B. Tell me about what you are experiencing and what it means to you.
- C. How would you rate your level of functioning on a scale from 1 to 10?
- D. Why do you think you are in a crisis situation?
Correct Answer: B
Rationale: Asking the caller to describe their experience and its meaning allows the nurse to assess the emotional and functional impact, key indicators of a crisis. This open-ended question encourages detailed responses. The other options are too vague (A), quantitative (C), or assume a crisis (D), which may limit the assessment.
A nurse is working as part of a community disaster response team. When responding to a community disaster, the nurse integrates understanding of individuals? responses, anticipating which of the following?
- A. People can become aggressive and violent when their basic needs are threatened.
- B. People involved in the disaster will always put the welfare of others before their own.
- C. Losses incurred during the disaster have little, if any, long-term effect on victims.
- D. The psychological distress associated with disasters is felt immediately.
Correct Answer: A
Rationale: Disasters can threaten basic needs, leading to stress responses like aggression or violence. Altruism (B) is not universal, long-term effects are common (C), and psychological distress may be delayed (D), making A the most accurate anticipation.
A patient is experiencing traumatic grief resulting from the suicide of a family member. In addition to the usual emotions experienced with bereavement and grief, which of the following would the person most likely exhibit? Select all that apply.
- A. Acceptance of the loss
- B. Sense of rejection
- C. Disgust
- D. Stigmatization
- E. Self-blame
Correct Answer: B,D,E
Rationale: Traumatic grief from suicide often includes feelings of rejection (B), stigmatization (D) due to societal views, and self-blame (E) for not preventing the death. Acceptance (A) is less likely in traumatic grief, and disgust (C) is not typical.
A nurse is working with a patient who is in crisis. Which of the following would be least appropriate for the nurse to do?
- A. Support the patient?s cultural beliefs about expressing feelings.
- B. Encourage the patient to focus on one aspect at a time.
- C. Provide the patient with an understanding that everything will be okay.
- D. Explain information clearly to clarify any misconceptions or myths.
Correct Answer: C
Rationale: Promising that 'everything will be okay' is inappropriate as it may dismiss the patient?s reality and undermine trust. Supporting cultural beliefs (A), focusing on one aspect (B), and clarifying information (D) are therapeutic interventions.
As part of a community program on crisis prevention, a nurse is describing the phases of crisis. Which of the following would the nurse identify as occurring first?
- A. Problem stimulating usual problem solving
- B. Trial and error attempts to alleviate problem
- C. Automatic relief behaviors take over
- D. Serious personality disorganization
Correct Answer: A
Rationale: The first phase of a crisis involves the individual attempting to use usual problem-solving methods to address the stressor. If ineffective, it progresses to trial-and-error (B), relief behaviors (C), and potentially disorganization (D).