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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.
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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.
The nurse is assessing a 35-year-old woman who is seeking assistance at a local community counseling center. Which of the following statements made by the woman would indicate that she is experiencing a crisis?
- A. I?m so upset; my husband has never left me like this before.
- B. I?m confused and hurt; I have lost my best friend and my lover.
- C. I don?t understand; I can?t seem to function like I usually do.
- D. No matter what I do, I am still overcome by these sad feelings.
Correct Answer: C
Rationale: A crisis is characterized by an inability to function as usual due to overwhelming stress. The statement 'I can?t seem to function like I usually do' directly indicates impaired functioning, a hallmark of a crisis. The other statements reflect emotional distress but do not explicitly highlight functional impairment.
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 who is lecturing to students about how to respond to individuals who are in the midst of a disaster. Which statement would be most appropriate to include about initial nursing interventions for such individuals?
- A. You should ask them to give you a brief medical history so their physical needs can be met.
- B. Focus on safety needs and provide simple, clear instructions to help them function effectively.
- C. Help them determine what their long-term goals will be so they can maintain a sense of hope.
- D. Try to redirect their attention away from the problems at hand so you can decrease their anxiety.
Correct Answer: B
Rationale: In a disaster, initial interventions prioritize safety and clear communication to help individuals function despite stress. Medical history (A), long-term goals (C), or redirection (D) are less immediate and may not address acute needs effectively.
A nurse is assessing the parents of a 6-year-old child who has died from leukemia. The nurse is integrating the dual process model for the assessment. Which of the following would the nurse identify as reflecting the parents? loss-oriented coping?
- A. Engaging in new activities
- B. Denying the grief
- C. Developing new relationships
- D. Thinking about the lost child
Correct Answer: D
Rationale: The dual process model distinguishes loss-oriented coping (focusing on the loss, e.g., thinking about the child) from restoration-oriented coping (e.g., new activities or relationships). Denying grief (B) is not a healthy coping mechanism.