Nokea
Which patient statement best suggests they have returned to a pre-crisis level of functioning?
- A. My boss told me I am doing well and up for a promotion.
- B. I understand that bad things can happen to really good people.
- C. Going to my support group regularly has made a big difference.
- D. I'm much more comfortable asking for help than before my divorce.
Correct Answer: A
Rationale: Resolution of a crisis can result in a return to pre-crisis functioning, or a higher or lower level of functioning. The goal of crisis intervention is a return to at least pre-crisis functioning level. A good job performance evaluation is suggestive of pre-crisis functioning.
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Which premise is most useful to a nurse planning crisis intervention for any patient?
- A. The patient is experiencing a state of disequilibrium.
- B. The patient is experiencing a type of mental illness.
- C. The patient poses a threat of violence to others.
- D. The patient has a high potential for self-injury.
Correct Answer: A
Rationale: Disequilibrium is universal in crisis, representing a struggle for equilibrium. Other options are not always applicable.
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 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.
Which health care worker should be referred to critical incident stress debriefing?
- A. Nurse who works at an oncology clinic where patients receive chemotherapy.
- B. Case manager whose patients are seriously mentally ill and are being cared for at home.
- C. Health care employee who worked 8 hours at the information desk of intensive care unit.
- D. Emergency medical technician who treated victims of a car bombing at a department store.
Correct Answer: D
Rationale: The EMT experienced an adventitious crisis (bombing), warranting critical incident stress debriefing due to the traumatic nature of the event.
When responding to a natural disaster, after rescue and evacuation efforts are completed, what intervention will be the focus of the triage process?
- A. Planning the physical rebuilding of the community
- B. Coordinating food and shelter services
- C. Arranging for temporary schools
- D. Debriefing first responders
Correct Answer: B
Rationale: The first needs during a disaster include food, shelter, medical attention, and safety. Other options are addressed after immediate needs.