Nokea
A Red Cross nurse is interviewing a woman whose house was totally destroyed during the night by a tornado; the woman?s pet poodle died as a result of the tornado. Which of following would the nurse most likely expect to hear from the woman?
- A. I don?t know. I can?t feel anything right now. Nothing seems real.
- B. Devastated. . . . I just feel totally devastated. I don?t know how I can go on living.
- C. I just want my insurance man to get here so I can file a claim. Everything I had is gone.
- D. I always thought my dog would die peacefully in my arms. Now I?ll never be able to hold her again.
Correct Answer: A
Rationale: After a traumatic event like a tornado, shock and dissociation are common, as reflected in the statement 'I can?t feel anything right now. Nothing seems real.' This indicates a crisis response. The other statements reflect grief (B, D) or practical concerns (C), which may occur later but are less immediate.
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A group of nursing students is reviewing information about the types of crisis. The students demonstrate understanding of the information when they identify which of the following as a developmental crisis?
- A. Going away to college
- B. Obtaining a job promotion
- C. Loss of a pet
- D. Earthquake
Correct Answer: A
Rationale: A developmental crisis occurs during life transitions, such as going away to college, which involves significant role changes. Job promotion (B) is positive, loss of a pet (C) is situational, and an earthquake (D) is traumatic, not developmental.
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.
A family has just lost their home in a fire. An on-call nurse from a community counseling center has been called in to the emergency department to help them with this traumatic event. Which of the following would the nurse identify as the priority for this family?
- A. Arranging for follow-up therapy to deal with the crisis
- B. Completing a family genogram to determine family patterns
- C. Assessing the impact of the loss on their lifestyle
- D. Arranging for emergency shelter and food supplies
Correct Answer: D
Rationale: The priority in a crisis is addressing immediate safety needs, such as shelter and food, per Maslow?s hierarchy. These basic needs must be met before addressing therapy (A), family patterns (B), or lifestyle impact (C), which are secondary concerns.
A nursing instructor is describing uncomplicated grief to a class. Which of the following would the instructor most likely include in the discussion?
- A. Uncomplicated grief differs from normal grief because it lasts longer.
- B. Most bereaved persons experience uncomplicated grief.
- C. Uncomplicated grief is primarily loss associated with death.
- D. This type of grief is less painful and disruptive than normal grief.
Correct Answer: B
Rationale: Uncomplicated grief is the typical, adaptive response to loss experienced by most bereaved individuals, resolving naturally over time. It is not longer (A), not limited to death (C), and not less painful (D) than normal grief, as they are synonymous.
The nurse is providing follow-up care to victims of a disaster that occurred several months ago. Assessment of which of the following would lead the nurse to suspect that the victims are experiencing possible aftereffects of the disaster?
- A. Tachycardia
- B. Profuse perspiration
- C. Unexplained gastrointestinal disturbance
- D. Tremors
Correct Answer: C
Rationale: Unexplained gastrointestinal disturbances can be a psychosomatic aftereffect of disaster-related stress, indicating lingering psychological impact. Tachycardia, perspiration, and tremors are more acute stress responses, less likely months later.