Crisis Intervention

Which would be the primary nursing intervention for a client with anxiety or panic? A. Determining the degree of anxiety or panic B. Developing a trusting relationship with the client C. Encouraging the use of stress management techniques D. Discussing with the client the perception of what is causing anxiety

A. Determining the degree of anxiety or panic

The primary health-care provider is assessing a client with anxiety. Which medication would the nurse expect the client to be prescribed? A. Diazepam B. Bupropion C. Fluoxetine D. Chlorpromazine

A. Diazepam

The nurse is caring for an adult client who had a traumatic experience. Which psychological responses would the nurse most likely observe in this client? Select all that apply. A. Arousal B. Anxiety C. Numbing D. Somatic complaints E. Hyperactive behavior

A. Arousal B. Anxiety C. Numbing

According to Aguilera, which factor affects the way a client perceives and responds to a precipitating stressor? A. Availability of coping strategies B. Loss of a valuable possession C. Exposure to harmful situations D. Challenges faced during the crisis

A. Availability of coping strategies

Which features are expected in a client who has experienced a traumatic event? Select all that apply. A. Feeling of impending doom B. Exaggerated sense of responsibility C. Reduced participation in community functions D. Concerned expressions about belief systems E. Expressing having no control over anything in life verbally

A. Feeling of impending doom B. Exaggerated sense of responsibility E. Expressing having no control over anything in life verbally

The nurse is caring for a client who witnessed the tragic death of a spouse. Which nursing intervention would provide ongoing support to deal with recurrent feelings related to trauma? A. Identifying community resource groups B. Providing emotional and physical support C. Identifying and discussing the client's strengths D. Providing information about signs and symptoms of post-trauma response

A. Identifying community resource groups

Which nursing intervention provides information that can be used to build on in order to help a client cope with a traumatic experience? A. Identifying the client's strengths B. Listening for comments that indicate the client feels responsible for the traumatic event C. Recommending participation in debriefing sessions D. Evaluating current factors associated with trauma

A. Identifying the client's strengths

The nurse is caring for a client dealing with fear and anxiety. Which nursing intervention is beneficial to reduce the sense of confusion in the client? A. Maintaining a silent environment around the client B. Noting the degree of disorganization C. Determining the presence of physical symptoms D. Identifying if the incident has reactivated preexisting situations

A. Maintaining a silent environment around the client

Which psychotic disorders or conditions precipitate class V crises, according to Baldwin? Select all that apply. A. Panic anxiety B. Value conflicts C. Schizophrenia D. External stressor E. Borderline personality disorder

A. Panic anxiety C. Schizophrenia E. Borderline personality disorder

Which characteristics and skills does the nurse convey and use to rapidly establish rapport with the client? Select all that apply. A. Respect B. Genuineness C. Thorough assessment D. Unconditional acceptance E. Therapeutic communication

A. Respect B. Genuineness D. Unconditional acceptance

After losing a friend in a motorcycle accident, the client tells the nurse, "I should have died in the accident instead of my friend. I was driving the bike too fast." What does the client's statement indicate? A. Survivor's guilt B. Spiritual distress C. Suicidal ideation D. Withdrawn behavior

A. Survivor's guilt

Who would be the best person to select the type of coping mechanisms for dealing with a crisis? A. The client B. The nurse C. The caretaker of the client D. The primary health-care provider

A. The client

The nurse is caring for a client who is experiencing a crisis situation. Which outcomes in the client indicate that the minimum therapeutic goal of crisis intervention has been achieved? Select all that apply. A. The client has reduced levels of anxiety. B. The client has restored complete emotional stability. C. The client has gained psychological resolution of the immediate crisis. D. The client's level of functioning has been restored to its precrisis state. E. The client has improved functioning above the precrisis level.

A. The client has reduced levels of anxiety. C. The client has gained psychological resolution of the immediate crisis. D. The client's level of functioning has been restored to its precrisis state.

While caring for a client diagnosed with ineffective community coping, the nurse develops a plan jointly with members of the community. Which would be the reason for such an intervention? A. To deal with deficits B. To meet collective needs C. To promote understanding D. To promote a sense of working together

A. To deal with deficits

The nurse creates a plan to manage interactions within the community. Which of these is the rationale behind this nursing intervention? A. To help the community identify and meet their collective needs B. To give an idea of how the community sees its deficits C. To provide a measure of determining the community's needs D. To provide accurate information to help the clients deal with a situation

A. To help the community identify and meet their collective needs

A client's wife tells the nurse, "My husband has been verbally abusive to me and my children for 7 months, ever since some problem at his office began." Which type of crisis does the nurse suspect in this client? A. Maturational crisis B. Dispositional crisis C. Crisis reflecting psychopathology D. Crisis of anticipated life transitions

B. Dispositional crisis

The nurse is caring for a client who is experiencing a great deal of anxiety because previously used problem-solving techniques have failed. In which phase of crisis development is the client most likely to be? A. Phase I B. Phase II C. Phase III D. Phase IV

B. Phase II

Which is the type of crisis in which cognitive function impairs the functioning of other vital organs? A. Dispositional crisis B. Psychiatric emergency C. Maturational/developmental crisis D. Crisis resulting from traumatic stress

B. Psychiatric emergency

While caring for a client with spiritual distress, the nurse begins to challenge maladaptive behaviors of the client. Which stage of Roberts' seven-stage crisis intervention model is reflected in this action taken by the nurse? A. Stage III B. Stage IV C. Stage V D. Stage VI

B. Stage IV

A client says, "My parents want me to go to college, but I refuse to go. I'll have to leave home and all my friends." The nurse notices the client displays a flushed face and clenched fists. Which nursing intervention would be most appropriate for this client? A. Suggest the client stay at home with his or her parents B. Suggest the client discuss unresolved issues C. Suggest the client take an antianxiety medication D. Suggest the client go to a college where his or her friends are going

B. Suggest the client discuss unresolved issues

A client who reports feelings of anxiety says, "I have too much to learn. I will never pass my board exams." According to Aguilera's paradigm of response to a stressful situation, which factor is most responsible for the client's condition? A. The client's intellectual ability B. The client's perception of the event C. The availability of situational supports D. The availability of adequate coping mechanisms

B. The client's perception of the event

Which factors determine the duration of stressors? Select all that apply. A. Age of the client B. Type of stressor C. Religious beliefs of the client D. Client's perception of stressor E. Response to stressor by the client

B. Type of stressor D. Client's perception of stressor E. Response to stressor by the client

Which role is most appropriate for the nurse regarding a client's coping mechanisms? A. Selecting the type of coping mechanism B. Educating the client about different types of coping mechanisms C. Assisting the client in choosing alternative coping mechanisms D. Helping the client implement a coping mechanism through unconditional acceptance

C. Assisting the client in choosing alternative coping mechanisms

According to Baldwin, which of these is a class III type of crisis A. Dispositional crisis B. Maturational/developmental crisis C. Crisis of anticipated life transitions D. Crisis resulting from traumatic stress

D. Crisis resulting from traumatic stress

The nurse is caring for a client diagnosed with ineffective community coping. Which nursing intervention would be performed to identify what else is required to meet the client's crisis situation? A. Evaluating the community activities related to meeting collective needs B. Determining the community's strengths C. Determining the availability and use of resources D. Identifying the effects on community by related factors

C. Determining the availability and use of resources

Which conditions indicate psychiatric emergencies in a client? Select all that apply. A. Value conflicts B. Sexual identity C. Drug overdoses D. Acute psychoses E. Alcohol intoxication

C. Drug overdoses D. Acute psychoses E. Alcohol intoxication

While caring for a client diagnosed with ineffective community coping, the nurse notes community reports of weakness and conflict. Which purpose does this nursing intervention serve? A. It deals with deficits in support of identified goals. B. It identifies what else is required to meet the client's crisis. C. It provides an idea of how the community itself sees its deficits. D. It provides a baseline for determining the needs of the community.

C. It provides an idea of how the community itself sees its deficits.

The nurse, who is caring for a client undergoing a crisis, says, "Try to consider your problem from a different perspective." This advice would be most effective for a client undergoing which phase of crisis development? A. Phase I B. Phase II C. Phase III D. Phase IV

C. Phase III

According to Roberts' seven-stage crisis intervention model, during which stage will the nurse identify the situations that led to a crisis in a client? A. Stage I B. Stage II C. Stage III D. Stage IV

C. Stage III

The nurse tells the client diagnosed with spiritual distress, "Thank you for telling me about your feelings. I can understand how you would feel that way. Please continue." Which stage of Roberts' seven-stage crisis intervention model is best reflected in this nursing intervention? A. Stage II B. Stage III C. Stage IV D. Stage VI

C. Stage IV

The nurse is caring for a client facing a dispositional crisis. Which outcome indicates that the client has overcome this crisis? A. The client finds support systems to help him or her return to normal activities. B. The client identifies problematic areas and approaches to change. C. The client feels empowered to clarify his or her needs. D. The client is supported through therapy and hospitalization, if necessary, to maintain client safety.

C. The client feels empowered to clarify his or her needs.

While communicating with a client with spiritual distress, the nurse asks, "Do you think that your spiritual life has been affected by this situation?" Which outcome in the client is most likely the goal of this interaction? A. The client will be able to resolve feelings about the disaster. B. The client will find his or her own solutions to concerns. C. The client will begin to look at the basis for spiritual confusion. D. The client will show a reduction in impediments to the grief process.

C. The client will begin to look at the basis for spiritual confusion.

The nurse is caring for a client with panic anxiety who is receiving psychotherapeutic treatment. The nurse gives the client positive feedback when the client demonstrates improved ways of managing anxiety. Which outcome does the nurse expect in the client through this intervention? A. The client's mood will be lifted. B. The client will be able to find his or her own solutions to concerns. C. The client's ability to deal with fearful situations will be enhanced. D. The likelihood of eruptions that lead to abusive behavior will be reduced.

C. The client's ability to deal with fearful situations will be enhanced.

The nurse is caring for a client who is experiencing a crisis situation. Which outcome indicates that the client does not have a distorted perception of the crisis event? A. The client does not feel lonely. B. The client feels overwhelmed by the crisis. C. The client's attempts toward problem-solving are effective. D. The client's behavioral strategies are successful in diverting the problem.

C. The client's attempts toward problem-solving are effective.

The nurse recommends that a client with post-trauma syndrome participate in debriefing sessions. What is the purpose of this intervention? A. To promote self-control in the client B. To strengthen the client's ability to cope C. To facilitate recovery of the client from the traumatic event D. To specify the need for more intensive therapy

C. To facilitate recovery of the client from the traumatic event

Which statement made by the wife of a client indicates a class I crisis, according to Baldwin? A. "My husband is haunted by nightmares of the accident." B. "My husband frequently wanders down the road when he has intense anxiety." C. "My husband had a medication overdose due to stress at the office." D. "My husband has become physically ill due to his anxiety about growing older."

D. "My husband has become physically ill due to his anxiety about growing older."

Which statement made by the student nurse indicates effective learning regarding actions to be performed in the first phase of crisis intervention? A. "Targets are set for the treatment." B. "The client's feelings are explored." C. "A review of what the client has learned is performed." D. "The level of precrisis functioning should be determined."

D. "The level of precrisis functioning should be determined."

The nurse is caring for a client with spiritual distress. Which nursing intervention will most likely lead to optimized outcomes in the client? A. Determining religious orientation B. Using the communication technique of reflecting C. Questioning the spiritual impact of the current situation D. Assisting the client in developing goals for dealing with life situations

D. Assisting the client in developing goals for dealing with life situations

The nurse is caring for a client who is at risk for post-trauma syndrome. On assessment, the nurse finds that the client demonstrates impulsive and violent behaviors. Which medication does the nurse expect the health-care provider to prescribe in this situation? A. Bupropion B. Fluoxetine C. Alprazolam D. Carbamazepine

D. Carbamazepine

The nurse is caring for a client diagnosed with a disturbed sense of reality. Which medication would most likely be prescribed to the client? A. Diazepam B. Fluoxetine C. Bupropion D. Chlorpromazine

D. Chlorpromazine

According to Baldwin, which class do maturational/developmental crises belong to? A. Class I B. Class II C. Class III D. Class IV

D. Class IV

Which statement does the nurse include in the teaching plan about assumptions made regarding crises? A. Crises are chronic situations that will be resolved in a brief period. B. Crises only happen to clients with psychopathologies. C. Crises are time-limited, usually lasting for about a year. D. Crises lead to either the deterioration or growth of psychological well-being.

D. Crises lead to either the deterioration or growth of psychological well-being.

A client's house was destroyed in a tornado. The client received minor injuries but experiences anxiety every time a storm approaches. Which type of crisis does the client have? A. Dispositional crisis B. Maturational/developmental crisis C. Crisis of anticipated life transitions D. Crisis resulting from traumatic stress

D. Crisis resulting from traumatic stress

The nurse is caring for a client who is undergoing phase IV of crisis intervention. How would the nurse evaluate the effectiveness of the crisis intervention for this client? A. Using the reality-oriented approach B. Establishing the goals of the interventions C. Building a working relationship with the client D. Determining the presence of positive behavioral changes in the client

D. Determining the presence of positive behavioral changes in the client

The nurse is caring for a client whose father was an alcoholic and was abusive toward the client. Which would be the primary nursing intervention for this client? A. Monitoring the vitals of the client B. Conducting family therapy sessions C. Helping the client become aware of the reality of the surroundings D. Helping the client identify unresolved issues

D. Helping the client identify unresolved issues

A client tells the nurse, "If God was really present, He would have never taken my child from me." Which action would be most appropriate for the nurse to take to provide specific assistance in the recovery process of the client? A. Accept the client's spiritual concern B. Listen to the client's expressions of inability to find meaning in life C. Discuss the difference between grief and guilt D. Identify and refer to resources such as crisis counseling

D. Identify and refer to resources such as crisis counseling

The client tells the nurse that he feels unable to commit to a long-term relationship with his girlfriend because of the abandonment he felt after his parents divorced when he was a child. Which type of crisis is the client undergoing? A. Psychiatric emergency B. Crisis reflecting psychopathology C. Crisis for anticipated life transitions D. Maturational/developmental crisis

D. Maturational/developmental crisis

The nurse is caring for a client whose cognitive functions are disordered. Which phase of crisis development would the nurse anticipate the client to be in? A. Phase I B. Phase II C. Phase III D. Phase IV

D. Phase IV

What is the aim of crisis intervention? A. Personality change B. Reconstruction of the situation C. Detailed problem-solving methods D. Quick relief of crises using all the possible resources

D. Quick relief of crises using all the possible resources

Which action indicates that the nurse is following phase III of Aguilera's technique of crisis intervention? A. Selecting appropriate nursing actions B. Reviewing what the client has learned C. Establishing goals for crisis intervention D. Setting firm limits on aggressive behavior

D. Setting firm limits on aggressive behavior

Which actions would the nurse see in a severely anxious client after diazepam is administered? Select all that apply. A. Subdued anger B. Elevated mood C. Suppressed intrusive thoughts D. Temporary relief of anxious symptoms E. Enhanced ability to cope with stressful situations

D. Temporary relief of anxious symptoms E. Enhanced ability to cope with stressful situations

Which outcome indicates an effective treatment in clients diagnosed with risk of post-trauma syndrome? A. The client's anxiety level will be reduced. B. The client will express beliefs and values about spiritual issues. C. The client participates in and improves community functioning. D. The client deals with emotional reactions in an individually appropriate manner.

D. The client deals with emotional reactions in an individually appropriate manner.

While reviewing the case sheet of a client with risk for post-trauma syndrome, the nurse notices an intervention to evaluate factors associated with the trauma. Which would be the rationale behind this intervention? A. To identify signs of survivor's guilt B. To identify the client's need for further assistance C. To note the client's positive and negative coping skills D. To assess the client's reaction to the event and plan care based on it

D. To assess the client's reaction to the event and plan care based on it

The nurse is helping the client correct distortions the client is experiencing. Which would be the rationale behind this nursing intervention? A. To help the client regain a sense of self-control B. To enhance the client's ability to manage and deal with stress C. To increase the client's ability to connect symptoms with anxiety D. To decrease fearfulness in the client through reality-based perceptions

D. To decrease fearfulness in the client through reality-based perceptions