Crisis Theory and Intervention
An older client is a victim of elder abuse, and the client's family has been attending weekly counseling sessions. Which statement by the abusive family member indicates that he or she has learned positive coping skills?
"I feel better able to care my father now that I know where to obtain assistance."
The nurse observes that a client with a potential for violence is agitated, pacing up and down in the hallway, and making aggressive and belligerent gestures at other clients. Which statement is appropriate to make to this client?
"What is causing you to become agitated?"
The nurse is assisting with creating a plan of care for the client in a crisis state. When developing a plan, the nurse should consider which about a crisis response?
A client's response to a crisis is individualized, and what constitutes a crisis for one person may not constitute a crisis for another person
A client is admitted to the psychiatric unit after a serious suicidal attempt by hanging. What is the nurse's most important intervention to maintain client safety?
Assign a staff member to the client who will remain with him or her at all times
The nurse is planning care for a client who is being hospitalized because the client has been displaying violent behavior and is at risk for potential harm to others. The nurse should avoid which intervention in the plan of care?
Assigning the client to a room at the end of the hall to prevent disturbing the other clients
The nurse is caring for a client with severe depression. Which activity is appropriate for this client?
Drawing
Which therapeutic techniques should the nurse use when communicating with the family?
Encourage expression of feelings, concerns, and fears Extend touch, and hold the client or family member's hand if appropriate Be honest and truthful, and let the client and family know that you will not abandon them
A client experiencing a major depressive episode is unable to address ADLs. Which is the appropriate nursing intervention?
Feed, bathe, and dress the client as needed until the client can perform these activities independently
The nurse is assisting with planning the care of a client being admitted to the nursing unit who has attempted suicide. Which priority nursing intervention should the nurse include in the plan of care?
One-to-one suicide precautions
Which behaviors observed by the nurse might leas to the suspicion that a depressed adolescent client could be suicidal?
The client gives away a DVD and a cherished autograph picture of the performer
The nurse is reviewing the health care record of a client admitted to the psychiatric unit. The nurse notes that the admission nurse has documented that the client is experiencing anxiety as a result of a situational crisis. The nurse should determine that this type of crisis could be caused by which event?
The death of a loved one
The nurse is gathering data from a client in crisis. When determining the client's perception of the precipitating event that led to the crisis, which is the most appropriate question to ask?
"What leads you to seek help now?"
The nurse is caring for an older adult client who has recently lost her husband. The client says, "No one cares about me anymore. All the people I loved are dead." Which response by the nurse is therapeutic?
"You must be feeling all alone at this point."
During conversation with a depressed client on a psych unit, the client says to the nurse, "My family would be better off without me." The nurse should make which therapeutic response to the client?
"You sound very upset. Are you thinking of hurting yourself?"
