Nokea
A nurse is part of team working with hurricane victims. One of the hurricane victims is staying in a temporary shelter provided by the Red Cross. To determine the extent to which this victim can cognitively cope with his situation and how much support he needs, which question would be most appropriate for the nurse to ask?
- A. What kind of help do you need from us?
- B. What are your thoughts about what you will do during the next few days?
- C. How are you feeling about all that you have gone through?
- D. Are you feeling guilty because you survived and some of your neighbors did not?
Correct Answer: B
Rationale: Asking about the victim?s thoughts on next steps assesses their cognitive coping and planning ability, indicating their level of functioning and support needs. The other questions focus on practical needs (A), emotions (C), or specific guilt (D), which are less directly tied to cognitive coping.
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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 group of nursing students is reviewing information about grief and bereavement. The students demonstrate understanding of the information when they identify which of the following?
- A. Grief and bereavement are used interchangeably as responses to loss.
- B. Bereavement is the process of mourning and grief is the emotional reaction.
- C. Grief involves confronting the stress, but bereavement helps avoid the stresses.
- D. Bereavement is influenced by culture, but grief is not.
Correct Answer: B
Rationale: Bereavement is the process of mourning a loss, while grief is the emotional response to that loss. The terms are not interchangeable (A), grief confronts stress (C) but bereavement doesn?t avoid it, and both are culturally influenced (D).
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.
After teaching a group of nursing students about crisis, the instructor determines that the teaching was successful when the students state which of the following?
- A. Crisis triggers maladaptive responses.
- B. Crisis is a time-limited event.
- C. Chronic crisis is a real situation.
- D. Events causing a crisis are similar for everyone.
Correct Answer: B
Rationale: A crisis is a time-limited event, typically resolving within weeks as individuals adapt or receive support. Crises do not always trigger maladaptive responses (A), chronic crisis is not a standard term (C), and events vary by individual (D).
A patient?s 5-year-old poodle ran in front of a car and was killed. The patient continues to be upset by her pet?s death, and she explains to a community counseling center nurse that she can?t stop crying because, 'My Precious meant the world to me, and now my world will never be the same!' If the nurse were to determine that the patient was experiencing a crisis, which of the following types of crisis would it most likely be?
- A. Maturational
- B. Situational
- C. Traumatic
- D. Developmental
Correct Answer: B
Rationale: A situational crisis arises from an external event, such as the sudden loss of a pet. The patient?s intense grief and sense of a changed world suggest a situational crisis triggered by the pet?s death. Maturational and developmental crises relate to life transitions, and traumatic crises involve life-threatening events, which do not apply here.