Nokea
At the last contracted visit in the crisis intervention clinic, an adult says, 'I've emerged from this a stronger person. You helped me feel like my life is back in balance.' The nurse responds, 'I think it would be worthwhile to have two more sessions to explore why your reactions were so intense.' Which analysis applies?
- A. The patient is experiencing transference.
- B. The patient demonstrates a need for continuing support.
- C. The nurse is having difficulty terminating the relationship.
- D. The nurse is empathizing with the patient's feelings of dependency.
Correct Answer: C
Rationale: The nurse's suggestion to continue sessions beyond the crisis focus indicates difficulty terminating the relationship.
You may also like to solve these questions
Which situation demonstrates the use of primary care related to crisis intervention?
- A. Implementing suicide precautions for a patient with depression
- B. Teaching stress-reduction techniques to a beginning student nurse
- C. Assessing coping strategies used by a patient who has attempted suicide
- D. Referring a patient with schizophrenia to a partial hospitalization program
Correct Answer: B
Rationale: Primary crisis intervention promotes mental health and reduces mental illness, such as teaching stress-reduction techniques. Other options are secondary or tertiary interventions.
A nurse driving home after work comes upon a serious automobile accident. The driver gets out of the car with no apparent physical injuries. Which assessment findings would be expected from the driver immediately after this event? (Select all that apply.)
- A. Difficulty using a cell phone
- B. Long-term memory losses
- C. Fecal incontinence
- D. Rapid speech
- E. Trembling
Correct Answer: A,D,E
Rationale: Immediate responses to a crisis include shock, confusion, difficulty with decision-making, and physical symptoms like trembling and rapid speech. Incontinence and long-term memory loss are not typical immediate responses.
During the initial interview at the crisis center, a patient says, 'I've been served with divorce papers. I'm so upset and anxious that I can't think clearly.' What could the nurse say to assess personal coping skills?
- A. What would you like us to do to help you feel more relaxed?
- B. In the past, how did you handle difficult or stressful situations?
- C. Do you think you deserve to have things like this happen to you?
- D. I can see you are upset. You can rely on us to help you feel better.
Correct Answer: B
Rationale: This question directly assesses the patient's past coping strategies, which is key to understanding their ability to manage the current crisis.
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.
A patient comes to the clinic with superficial cuts on the left wrist. The patient is pacing and sobbing. After a few minutes with the nurse, the patient is calmer. What should the nurse ask to determine the patient's perception of the precipitating event?
- A. Tell me why you were crying.
- B. How did your wrist get injured?
- C. How can I help you feel more comfortable?
- D. What was happening just before you started feeling this way?
Correct Answer: D
Rationale: A clear definition of the immediate problem provides the best opportunity to find a solution. Asking about recent upsetting events permits the assessment of the precipitating event. Asking 'why' questions are a nontherapeutic communication technique.