Crisis And Mass Disaster

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Practicing the Science and Art of Psychiatric Nursing
Mental Health and Mental Illness
Theories and Therapies
Biological Basis for Understanding Psychopharmacology
Settings for Psychiatric Care
Legal and Ethical Basis for Practice
Nursing Process and QSEN: The Foundation for Safe and Effective Care
Communication Skills: Medium for All Nursing Practice
Therapeutic Relationships and the Clinical Interview
Trauma and Stress-Related Disorders
Anxiety, Anxiety Disorders, and Obsessive-Compulsive and Related Disorders
Somatic Symptom Disorders and Dissociative Disorders
Personality Disorders
Eating Disorders
Mood Disorders: Depression
Bipolar Spectrum Disorders
Schizophrenia Spectrum Disorders and Other Psychotic Disorders
Neurocognitive Disorders
Substance-Related and Addictive Disorders
Crisis and Mass Disaster
Child, Partner, and Elder Violence
Sexual Violence
Suicidal Thoughts and Behavior
Anger, Aggression, and Violence
Care for the Dying and Those Who Grieve
Children and Adolescents
Adults
Older Adults

All Questions

Question 1

Free

Multiple Choice

A patient comes to the clinic with superficial cuts on the left wrist. The patient paces around the room sobbing but cringes when approached and responds to questions with only shrugs or monosyllables. Select the nurse's best initial statement to this patient.

Choose correct answer/s

"Everything is going to be all right. You are here at the clinic, and the staff will keep you safe."

"I see you are feeling upset. I am going to stay and talk with you to help you feel better."

"You need to try to stop crying so we can talk about your problems."

"Let's set some guidelines and goals for your visit here."

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Question 2

Free

Multiple Choice

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?

Choose correct answer/s

"Tell me why you were crying."

"How did your wrist get injured?"

"How can I help you feel more comfortable?"

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

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Question 3

Free

Multiple Choice

A patient comes to the crisis center saying, "I'm in a terrible situation. I don't know what to do." The triage nurse can initially assume that the patient is:

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suicidal.

anxious and fearful.

misperceiving reality.

potentially homicidal.

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Question 4

Free

Multiple Choice

An adolescent comes to the crisis clinic and reports sexual abuse by an uncle. The patient told the parents about the uncle's behavior, but the parents did not believe the adolescent. What type of crisis exists?

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Maturational

Adventitious

Situational

Organic

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Question 5

Free

Multiple Choice

While conducting the initial interview with a patient in crisis, the nurse should:

Choose correct answer/s

speak in short, concise sentences.

convey a sense of urgency to the patient.

be forthright about time limits of the interview.

let the patient know that the nurse is in control.

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Question 6

Multiple Choice

An adult seeks counseling after the spouse is murdered. The adult angrily says, "I hate the monster that did this. It has ruined my life. During the trial, I don't know what I'll do if the jury doesn't return a guilty verdict." What is the nurse's highest priority question?

Choose correct answer/s

"What do you mean when you say 'monster'?"

"What resources do you need to help you cope with this situation?"

"Do you have enough support from your family and friends?"

"Are you having thoughts of hurting yourself or others?"

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Question 7

Multiple Choice

A woman says, "I can't take anymore! Last year my husband had an affair. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college." What type of crisis is this person experiencing?

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Maturational

Adventitious

Situational

Recurring

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Question 8

Multiple Choice

A woman says, "I can't take anymore! Last year my husband had an affair and now we don't communicate. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college." What is the nurse's priority assessment?

Choose correct answer/s

Identifying measures useful to help improve the couple's communication

Discussing the patient's feelings about the possibility of having a mastectomy

Determining whether the husband is still engaged in an extramarital affair

Clarifying what the patient means by "I can't take it anymore!"

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Question 9

Multiple Choice

A woman says, "I can't take anymore! Last year my husband and I got a divorce. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college." If this person's immediate family is unable to provide sufficient situational support, the nurse should:

Choose correct answer/s

suggest hospitalization for a short period.

ask what other relatives or friends are available for support.

tell the patient, "You must be strong. Don't let this crisis overwhelm you."

foster insight by relating the present situation to earlier situations involving loss.

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Question 10

Multiple Choice

A woman says, "I can't take anymore! Last year my husband divorced me. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college and moving in with her boyfriend." Which issue should be the focus for crisis intervention?

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Possible mastectomy

Disordered family communication

Effects of the divorce

Coping with the reaction to the daughter's events

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Question 11

Multiple Choice

A patient visiting the crisis clinic for the first time asks, "How long will I be coming here?" The nurse's reply should consider that the usual duration of crisis intervention is ____________ weeks.

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1 to 2

3 to 4

4 to 6

6 to 12

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Question 12

Multiple Choice

An adult tells the nurse, "I can't take anymore! Last year my husband left me. Three months ago, I found a lump in my breast. Yesterday my daughter told me she's quitting college and moving in with her boyfriend." What is the priority nursing diagnosis?

Choose correct answer/s

Fear, related to impending breast surgery

Deficient knowledge, related to breast lesion

Ineffective coping, related to perceived loss of daughter

Impaired verbal communication, related to spousal estrangement

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Question 13

Multiple Choice

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

Choose correct answer/s

Role modeling

Giving direction

Information giving

Empathic listening

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Question 14

Multiple Choice

Which situation demonstrates the use of primary care related to crisis intervention?

Choose correct answer/s

Implementing suicide precautions for a patient with depression.

Teaching stress reduction techniques to a beginning student nurse.

Assessing coping strategies used by a patient who has attempted suicide.

Referring a patient with schizophrenia to a partial hospitalization program.

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Question 15

Multiple Choice

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

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supporting emotional security and re-establishing equilibrium.

offering long-term resolution of issues precipitating the crisis.

promoting growth of the individual.

providing legal assistance.

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Question 16

Multiple Choice

After celebrating a 40th birthday, an individual becomes concerned with the loss of youthful appearance. What type of crisis has occurred?

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Reactive

Situational

Maturational

Adventitious

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Question 17

Multiple Choice

Which scenario is an example of an adventitious crisis?

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Death of a child from sudden infant death syndrome

Being fired from a job because of company downsizing

Retirement of a 55-year-old

A riot at a rock concert

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Question 18

Multiple Choice

Which agency provides coordination in the event of a terrorist attack?

Choose correct answer/s

U.S. Food and Drug Administration (FDA)

Environmental Protection Agency (EPA)

National Incident Management System (NIMS)

Federal Emergency Management Agency (FEMA)

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Question 19

Multiple Choice

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?

Choose correct answer/s

"What would you like us to do to help you feel more relaxed?"

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

"Do you think you deserve to have things like this happen to you?"

"I can see you are upset. You can rely on us to help you feel better."

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Question 20

Multiple Choice

An adult has cared for a debilitated parent for 10 years. The parent's condition recently declined, and the health care provider recommended placement in a skilled care facility. The adult says, "I've always been able to care for my parents. Nursing home placement goes against everything I believe." Successful resolution of this person's crisis will most closely relate to:

Choose correct answer/s

resolving the feelings associated with the threat to the person's self-concept.

maintaining the ability to identify situational supports in the community.

relying on the assistance from role models within the person's culture.

mobilizing automatic relief behaviors by the person.

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