NURS 311 Quiz 5

which approaches should a nurse use during crisis intervention? SATA 1. active 2. passive 3. reflective 4. interpretive 5. goal - directed

1. active 5. goal - directed

a client is diagnosed with a borderline personality disorder. what is the realistic initial interventions for this client? 1. establish clear boundaries 2. explore job possibilities with the nurse 3. initiate discussion of feelings of being victimized 4. spend one hour twice a day discussing problems with the nurse

1. establish clear boundaries

an adult who has been in a gay relationship for 3 years arrives at the ED in a near panic state. that client states, "my partner just left me. I am a wreck." what should the nurse do to help the client cope with this loss? SATA 1. identify the clients support systems 2. explore the clients psychotic thoughts 3. reinforce the clients current self-image 4. encourage the client to talk about the situation 5. suggest that the client explore personal sexual attitudes

1. identify the clients support systems 4. encourage the client to talk about the situation

a nurse educator is leading a class on supporting middle-aged adults who are experiencing midlife crisis. what should the nurse include as the most significant factor in the development of this type of crisis? 1. the perception of their life situation 2. many role changes that alter their experiences at this time 3. the anticipation of negative changes associated with old age 4. lack of support from family members who are busy with their own lives

1. the perception of their life situation

An extremely anxious client enters a crisis center and asks a nurse for help. Which initial response best reflects the nurse's role in crisis intervention? 1. "Tell me what you've done to help yourself." 2. "I'll be here for you to help you figure things out." 3. "I understand that in the past you've had problems." 4. "Tell me about the things that are bothering you the most."

2. "I'll be here for you to help you figure things out."

a client with the diagnosis of paranoid schizophrenia throws a chair across the room and starts screaming at the other clients. several of these clients have frightened expressions, on starts to cry, and another begins to pace. a nurse removes the agitated client from the room. what should the nurse remaining in the room do next? 1. continue the units activities as if nothing happened 2. arrange a unit meeting to discuss what just happened 3. refocus clients negative comments to more positive topics 4. have a private talk with the clients who cried or started to pace

2. arrange a unit meeting to discuss what just happened

at a group therapy session a client tearfully tells the other members "I just lost my job this week" what is the nurse leaders most appropriate response? 1. ask the client to consider the reasons this may have occurred 2. quietly observe how the group responds to the clients statement 3. gently suggest that the client check the help-wanted advertisements in the local paper 4. request that the group help the client reflect on how the dismissal may have been prevented

2. quietly observe how the group responds to the clients statement

what is the priority goal when planning care for a client in crisis? 1. referring the client for occupational therapy 2. restoring the clients psychologic equilibrium 3. scheduling the client for follow-up counseling 4. having the client gain insight into the problem

2. restoring the clients psychologic equilibrium

a 44-year-old client is unable to function since her husband asked for a divorce 2 weeks ago. she is brought to the crisis intervention center by a friend. what type of crisis reflects this situation? 1. social 2. situational 3. maturational 4. developmental

2. situational

during a group meeting a client tells everyone, "I am afraid of my impending discharge from the hospital" what is the most appropriate response by the nurse facilitator? 1. you ought to be happy that you're leaving 2. maybe you're not ready to be discharged yet 3. maybe others in the group have similar feelings that they would share 4. how many int he group feel that this member is ready to be discharged?

3. maybe others in the group have similar feelings that they would share

a nurse is aware that a co-workers mother died 16 months ago. the co-worker cried every time someone says the word "mother" or if the mothers name is mentioned. what does the nurse conclude about this behavior? 1. it is an expected response 2. most people cry when their mother dies 3. the co-worker may need help with grieving 4. the co-worker was extremely attached to the mother

33. the co-worker may need help with grieving

a client with a history of violence is becoming increasingly agitated. which nursing intervention will most likely increase the risk of acting out behavior? 1. being assertive 2. responding early 3. providing choices 4. teaching relaxation

4. teaching relaxation

which is the most important assessment data for a nurse to gather from the client in crisis? 1. the clients work habits 2. any significant physical health data 3. a history of emotional problems in the family 4. the clients perception of the circumstances surrounding the crisis

4. the clients perception of the circumstances surrounding the crisis

As depression begins to lift, a client is asked to join a small discussion group that meets every evening on the unit. The client is reluctant to join because, she says, "I have nothing to talk about." What is the best response by the nurse? 1. maybe tomorrow you will feel more like talking 2. could you start off by talking about your family 3. a person like you has a great deal to offer the group 4. you feel you will not be accepted unless you have something to say?

4. you feel you will not be accepted unless you have something to say?