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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.
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After completing the contracted number of visits to the crisis clinic, an adult says, 'I've emerged from this as a stronger person. You supported me while I worked through my feelings of loss and helped me find community resources. I'm benefiting from a support group.' The nurse can evaluate the patient's feelings about the care received as what?
- A. Marginally satisfied
- B. Somewhat satisfied
- C. Moderately satisfied
- D. Very satisfied
Correct Answer: D
Rationale: The patient's positive statements about strength, support, and resources indicate a high level of satisfaction.
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.' What is the nurse's priority assessment?
- A. Identifying measures useful to help improve the couple's communication
- B. Discussing the patient's feelings about the possibility of having a mastectomy
- C. Determining whether the husband is still engaged in an extramarital affair
- D. Clarifying what the patient means by 'I can't take it anymore!'
Correct Answer: D
Rationale: During crisis intervention, the priority concern is patient safety. This question helps assess personal coping skills, focusing on the most immediate stressor 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.
A patient visiting the crisis clinic for the first time asks, 'How long will I be coming here?' The nurse's reply should consider that the usual duration of crisis intervention is how long in weeks?
- A. 1 to 2
- B. 3 to 4
- C. 4 to 6
- D. 6 to 12
Correct Answer: C
Rationale: The disorganization associated with crisis is so distressing that it usually cannot be tolerated for more than 4 to 6 weeks.
A patient comes to the crisis center saying, 'I'm in a terrible situation. I don't know what to do.' The triage nurse can initially assume that the patient is experiencing what?
- A. Suicidal ideations
- B. Anxiety and fear
- C. Misperceived reality
- D. Homicidal ideations
Correct Answer: B
Rationale: Individuals in crisis are universally anxious. They are often frightened and may be mildly confused. Perceptions are often narrowed. None of the other options are supported with behaviors.