Nokea
A patient comes to the clinic with superficial cuts on the left wrist. The patient is pacing and sobbing. After a few minutes with the nurse, the patient is calmer. What should the nurse ask to determine the patient's perception of the precipitating event?
- A. Tell me why you were crying.
- B. How did your wrist get injured?
- C. How can I help you feel more comfortable?
- D. What was happening just before you started feeling this way?
Correct Answer: D
Rationale: A clear definition of the immediate problem provides the best opportunity to find a solution. Asking about recent upsetting events permits the assessment of the precipitating event. Asking 'why' questions are a nontherapeutic communication technique.
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When responding to a natural disaster, after rescue and evacuation efforts are completed, what intervention will be the focus of the triage process?
- A. Planning the physical rebuilding of the community
- B. Coordinating food and shelter services
- C. Arranging for temporary schools
- D. Debriefing first responders
Correct Answer: B
Rationale: The first needs during a disaster include food, shelter, medical attention, and safety. Other options are addressed after immediate needs.
A woman says, 'I can't take anymore! Last year my husband was diagnosed with cancer. Three months ago, I lost my job. Yesterday my daughter said she's quitting college and moving in with her boyfriend.' Which issue should be the focus for crisis intervention?
- A. Possible mastectomy
- B. Disordered family communication
- C. Effects of the divorce
- D. Coping with the reaction to the daughter's events
Correct Answer: D
Rationale: The focus of crisis intervention is on the most recent problem?'the straw that broke the camel's back.' The daughter's decision is the immediate precipitating event causing disequilibrium.
A nurse assesses an adult experiencing a crisis. What question asked by the nurse will best determine situational support?
- A. Has anything upsetting occurred in the past few days?
- B. Who can be helpful to you during this time?
- C. How does this problem affect your life?
- D. What led you to seek help at this time?
Correct Answer: B
Rationale: This question directly assesses available situational support, critical for crisis intervention planning.
An adult tells the nurse, 'I can't take anymore! My mother passed away, my husband lost his job and yesterday my daughter told me she's quitting college and moving in with her boyfriend.' What is the priority nursing diagnosis?
- A. Fear, related to impending breast surgery
- B. Deficient knowledge, related to breast lesion
- C. Ine efectiva coping, related to perceived loss of daughter
- D. Impaired verbal communication, related to spousal estrangement
Correct Answer: C
Rationale: This nursing diagnosis reflects the precipitating event (daughter's actions) causing the crisis. Other options are not supported by the data provided.
A victim of intimate partner violence comes to the crisis center seeking help. The nurse uses crisis intervention strategies that focus on what?
- A. Supporting emotional security and re-establishing equilibrium
- B. Offering long-term resolution of issues precipitating the crisis
- C. Promoting growth of the individual
- D. Providing legal assistance
Correct Answer: A
Rationale: Crisis intervention focuses on immediate emotional security and equilibrium, not long-term resolution or growth. Legal assistance may be relevant but is not the primary focus.