Nokea
As part of a community program on crisis prevention, a nurse is describing the phases of crisis. Which of the following would the nurse identify as occurring first?
- A. Problem stimulating usual problem solving
- B. Trial and error attempts to alleviate problem
- C. Automatic relief behaviors take over
- D. Serious personality disorganization
Correct Answer: A
Rationale: The first phase of a crisis involves the individual attempting to use usual problem-solving methods to address the stressor. If ineffective, it progresses to trial-and-error (B), relief behaviors (C), and potentially disorganization (D).
You may also like to solve these questions
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.
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 25-year-old legal secretary is seeking counseling because she recently lost her job unexpectedly. Which question would be most appropriate for the nurse to use in assessing the patient?s response to losing her job?
- A. What happened to cause you to lose your job?
- B. How did you feel immediately after being told you no longer had a job?
- C. How do you expect yourself to be able to handle this situation?
- D. How have you responded to previous stressful situations?
Correct Answer: B
Rationale: Assessing the patient?s emotional response immediately after the job loss provides insight into the impact of the event and her coping mechanisms. Understanding her feelings helps evaluate the crisis?s severity. The other questions focus on causes, expectations, or past behavior, which are less directly tied to her current response.
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.