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A woman says, 'I can't take anymore! Last year my husband had an affair. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college.' What type of crisis is this person experiencing?
- A. Maturational
- B. Adventitious
- C. Situational
- D. Recurring
Correct Answer: C
Rationale: A situational crisis arises from an external source and involves a loss of self-concept or self-esteem. The series of events described, particularly the daughter's decision, points to external stressors.
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After celebrating a 40th birthday, an individual becomes concerned with the loss of youthful appearance. What type of crisis has occurred?
- A. Reactive
- B. Situational
- C. Maturational
- D. Adventitious
Correct Answer: C
Rationale: Maturational crises occur at new developmental stages when old coping styles become ineffective. This scenario reflects such a crisis.
An adult has cared for a debilitated parent for 10 years. The parent's condition recently declined, and the health care provider recommended placement in a skilled care facility. The adult says, 'I've always been able to care for my parents. Nursing home placement goes against everything I believe.' Successful resolution of this person's crisis will most closely relate to what?
- A. Resolving the feelings associated with the threat to the person's self-concept
- B. Maintaining the ability to identify situational supports in the community
- C. Relying on the assistance from role models within the person's culture
- D. Mobilizing automatic relief behaviors by the person
Correct Answer: A
Rationale: The crisis involves a threat to self-concept, and resolution requires addressing these feelings. Other options are less directly related.
A troubled adolescent opened fire in a high school cafeteria, fatally shooting three people and injuring many others. Hundreds of parents come to the high school after hearing the news reports. After the police arrest the shooter, which action should occur next?
- A. Ask the police to encircle the school campus with yellow tape to prevent parents from entering.
- B. Announce over the loudspeakers, 'The campus is now secure. Please return to your classrooms.'
- C. Require parents to pass through metal detectors and then allow them to look for their children in the school.
- D. Designate zones according to the alphabet, and direct students to the zones based on their surnames to facilitate reuniting them with their parents.
Correct Answer: D
Rationale: Organizing reunification by alphabetized zones is a practical solution to manage chaos and reunite families efficiently.
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 woman says, 'I can't take anymore, and I have no children or husband to turn to! This last year has been one crisis after another.' If this person's immediate family is unable to provide sufficient situational support, what should the nurse do?
- A. Suggest hospitalization for a short period.
- B. Ask what other relatives or friends are available for support.
- C. Tell the patient, 'You must be strong. Don't let this crisis overwhelm you.'
- D. Foster insight by relating the present situation to earlier situations involving loss.
Correct Answer: B
Rationale: The assessment of situational supports should continue. Exploring other potential supports is appropriate before considering hospitalization. Advice and psychotherapy are not suitable for crisis intervention.