Crisis Intervention, Anger, & Aggression Practice Q's

Which factor is most important in predicting a person's reaction to imminent loss and grief?

earlier experiences with grief

To prevent or minimize client outbursts during group therapy, the nurse would understand that which emotion precedes anger and aggression?

vulnerability

Which question is the most therapeutic to ask the parents of a 3 year old child who has just died?

"Can I be of any help with traditional practices that are important to you?"

Which parent is expressing anticipatory grief?

"My son was diagnosed with terminal cancer 2 months ago and they can't stop my son from dying"

Which statement indicates that the client is experiencing a crisis?

"Nothing I try works. Everything just keeps getting worse"

Which outcome is a mother *most* likely to experience if she perceives that her child's accidental death was preventable?

*a. Grief grows in intensity and duration*

Which behavior best demonstrates aggression?

*a. Stomping away from the nurses' station, darting to another room, and grabbing a snack from another patient*

A victim of intimate partner violence comes to the crisis center seeking help. The nurse uses crisis intervention straggles that focus on:

*a. Supporting emotional security and re-establishing equilibrium*

When an extremely anxious client asks the nurse for help, what initial response reflects the nurse's role in crisis intervention?

*b. "I'm here to help you figure things out."*

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?

*b. "In the past, how did you handle difficult or stressful situations?"*

12. An adult patient assaulted another patient and was restrained. One hour later, which statement by this restrained patient necessitates the nurse's immediate attention?

*b. "My fingers are tingly."*

Which communication technique is used more in crisis intervention than traditional counseling?

*b. Giving direction*

An IM dose of antipsychotic medication needs to be administered to a patient who is becoming increasingly more aggressive. The patient is in the day room where there are other patients. The nurse should enter the day room:

*b. accompanied by 3 staff members and say, "Please come to your room so I can give you some medication that will help you feel more comfortable."*

A patient is pacing the hall near the nurses' station, swearing loudly. An appropriate initial intervention for the nurse would be to address the patient by name and say:

*c. "I'd like to talk with you about how you're feeling right now."*

Which behavior is most likely to indicate that a client is experiencing grief associated with the loss of a husband?

*c. Lack of sleep and loss of appetite*

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?

*d. "What was happening just before you started feeling this way?"*

Which intervention would the nurse use during the initial interaction with a 76-year-old client who is terminally ill, very quiet and unwilling to have visitors?

*d. Explore what he understands about his situation and what the implications mean to him*

A patient is hospitalized after an arrest for breaking windows in the home of a former intimate partner. The history reveals childhood abuse by a punitive parent, torturing family pets, and an arrest for disorderly conduct. Which nursing diagnosis has priority?

*d. Risk for other-directed violence*

Which approaches would the nurse use during a crisis intervention interview?

-Active -Goal directed

Based on the client's report about losing a life partner, which factors are most likely to contribute to a client's dysfunctional grieving?

-Dependence on the deceased; made most of the big decisions -An unexpected death or violent death -Interference with function -Existence of unresolved conflict

Which action would the nurse take to assist a client in deescalating agitated behavior? Select all that apply.

-Encourage the client to express perceived needs -Avoid verbal struggles in an attempt to demonstrate authority -Provide the client with clear options to the unacceptable behavior -Explain the expected outcomes if the client is unable to control the unacceptable behavior

Which actions would the nurse take to assist an aggressive client in deescalating the agitated behavior?

-Encourage the client to express perceived needs -Avoid verbal struggles in an attempt to demonstrate authority -Provide the client with clear options to the unacceptable behavior -Explain the expected outcomes if the client is unable to control the unacceptable behavior

The nurse is assessing a client with a history of aggression and inappropriate anger issues. Which findings indicate the client is escalating and requires immediate intervention to prevent harm to others?

-Mumbling to oneself -Pacing back and forth -Maintaining strong eye contact

For a client who recently left her husband because of physical abuse, which behaviors indicate that the crisis intervention therapy has been successful?

-Utilizes healthier coping skills -Describes the current situation realistically

Which crisis intervention is the most effective for a female client who cannot function because of an impending divorce?

Assisting her in exploring new coping abilities

Which approach would the nurse take for a client who was involved in a near-fatal automobile collision and arrives at the crisis center with reports of anxiety and flashbacks?

Focusing on the present

A PHCP writes a prescription of "Restraints PRN" for a client who has a history of violent behavior. Which action would the nurse take?

Notify the provider that PRN prescriptions are unacceptable

The nurse places client in restraints due to violent combative behavior. Which intervention would the nurse next?

Obtain a written or verbal prescription

Which information is best for a client who has not resolved her issues by the final session of crisis intervention?

Providing the client with info and referral to other community resources

Which outcome is the priority for a client in crisis?

Regains psychological equilibrium

Which intervention is most important when helping clients resolve a crisis situation?

Supporting coping behaviors

According to research, which factor increases the probability that the surviving spouse will have a pathological or morbid grief response?

The cause of the spouse's death was suicide

Immediately after a man dies, which behavior is most likely to be a cultural manifestation of the survivors grief response?

Wife weeps, moans, and calls out his name