Halter Chapter 26: Crisis and Disaster Quiz

Questions and Answers

A crisis is self-limiting and usually resolves within 4-6 weeks.

True

The earlier interventions are implemented, the better the expected prognosis.

True

The nurse should maintain a directive role during a crisis.

False

The patient in crisis is assumed to be mentally unhealthy.

False Signup and view all the answers

What is the goal of crisis management?

To return the patient at least to the pre-crisis level of functioning. Signup and view all the answers

Which statement about crisis theory will provide a basis for nursing intervention?

A crisis is an acute time-limited phenomenon experienced as an overwhelming emotional reaction to a problem perceived as unsolvable. Signup and view all the answers

You assess Lilly's situation after her house fire as:

Adventitious Signup and view all the answers

What intervention takes priority when responding to a patient like Lilly?

Reduce anxiety Signup and view all the answers

Which belief would be LEAST helpful for a nurse working in crisis intervention?

A person in crisis is incapable of making decisions. Signup and view all the answers

The highest-priority goal of crisis intervention is:

Patient safety. Signup and view all the answers

Which event is an example of a maturational crisis?

Marriage Signup and view all the answers

Which medications might the provider prescribe for a patient experiencing a crisis?

Lithium carbonate Signup and view all the answers

Crises that occur as an individual moves from one developmental level to another are called?

Maturational crises Signup and view all the answers

When a person becomes unemployed, he is likely to experience a(n)?

Situational crisis Signup and view all the answers

When a tornado results in the loss of homes, businesses, and life, the town residents are likely to experience a(n)?

Adventitious crisis Signup and view all the answers

A crisis is so acutely uncomfortable to the individual that it is likely to self-resolve in?

4 to 6 weeks Signup and view all the answers

The expected outcome at the conclusion of crisis intervention therapy is that the client will function?

At the precrisis level Signup and view all the answers

In the event of an adventitious crisis, which age group would be least in need of crisis intervention?

A distinction cannot be made Signup and view all the answers

The nurse caring for a client in crisis shows signs of a problematic nurse-client relationship by?

Giving the client permission to call him or her at home when the client 'needs to talk' Signup and view all the answers

When a stressful event occurs and the individual is unable to resolve the situation by using his or her usual coping strategies, the individual?

Becomes disorganized and uses trial-and-error problem solving Signup and view all the answers

A client is treated in the emergency department for injuries sustained while vacationing hundreds of miles away from home. To best meet the client's emotional needs, the nurse should?

Provide temporary support by arranging shelter and contacting the client's friends Signup and view all the answers

Which statement would suggest to the crisis intervention nurse the need to arrange for hospitalization of a client?

'I see no solution for this situation if nothing changes by tomorrow.' Signup and view all the answers

To assess the client's perception of the event precipitating a crisis, the nurse would initially ask?

'What was happening just before you began feeling this way?' Signup and view all the answers

Which assumption serves as a foundation for the use of crisis intervention?

The individual is mentally healthy but in a state of disequilibrium Signup and view all the answers

The priority concern of the crisis intervention nurse is?

Client safety Signup and view all the answers

Which situation has the potential for early crisis intervention to occur?

Mrs. R tells the nurse in the well-baby clinic that she's feeling uptight and has arranged to see a primary care therapist Signup and view all the answers

A 12-year-old finds herself feeling anxious and overwhelmed and seeks out the school nurse to report that 'Everything is changing...my body, the way the boys who were my friends are treating me, everything is so different.' It is likely the child is?

Experiencing a maturational crisis Signup and view all the answers

The nurse working with a client in crisis must initially assess for the client's?

Unrealistic report of a crisis-precipitating event Signup and view all the answers

A woman comes to the crisis intervention clinic and reports that her 16-year-old son uses drugs in the home and often assaults her. The nurse tells the client?

'Together we will be able to work on this problem.' Signup and view all the answers

A woman comes to the crisis intervention clinic expressing concern that her 16-year-old is using illegal drugs in their home. The nurse will?

Work with the client to set goals that are mutually acceptable Signup and view all the answers

A client comes to the crisis intervention clinic and tearfully tells the nurse, 'It is so painful! I have thought about it, and I cannot see how I can go on without my partner.' The nurse states, 'You have resilience and will look back on this as a crisis you were able to manage.' Analysis of this interaction reveals that the nurse?

Has not followed up on the client's verbal clues to suicidal thoughts Signup and view all the answers

When the client begins to sob uncontrollably and her speech becomes so incoherent that she is unable to give the nurse any information, the immediate interventions will focus on?

Lowering her anxiety level from severe to moderate Signup and view all the answers

Mason and Charlie, both 16 years old, were involved in a bad car accident in which they were both passengers. The difference in the way the accident affected both boys may be explained by?

Perception of the event Signup and view all the answers

Carter, aged 36 years, comes to the crisis clinic for his first visit with complaints of not sleeping, anxiety, and excessive crying. He recently was fired suddenly from his job and 3 days later lost his home to a tornado that devastated the town he lives in. Which of the following statements regarding crisis accurately describes Carter's situation?

He is experiencing both a situational and an adventitious crisis Signup and view all the answers

Tori is the nurse working with Carter and other members of the community after the tornado. As the weeks go by, she begins to feel anxious and distressed. She speaks to her nurse mentor about her feelings. Which of the following may Tori be experiencing?

Vicarious traumatization Signup and view all the answers

Tori knows that Carter needs assistance with many aspects of getting through the crisis. Tori's highest priority in Carter's care is?

Keeping Carter safe Signup and view all the answers

Carter experiences each of the following during his crisis. Which of the following describes phase IV of Caplan's phases of crisis?

Carter comes to the crisis clinic complaining of depression and expresses that he does not want to go on living Signup and view all the answers

Which patient statement indicates the helpfulness of the nurse-patient relationship?

I appreciate the time you spent with me. I have a better understanding of what I can do to manage the problem Signup and view all the answers

A female nurse had been sexually assaulted as a teenager. She finds it difficult to work with patients who have undergone the same trauma. What is the most helpful response?

Discussing her feelings with a mental health professional Signup and view all the answers

A patient whose history includes experiences with abusive partners is being treated for major depressive disorder. The patient's care plan includes rape-trauma syndrome among its nursing diagnoses. What goal is directly associated with this diagnosis?

Reports feeling stronger & having hopefulness Signup and view all the answers

The nurse is engaged in crisis intervention with a patient reporting, 'I have no reason to keep on living.' What is the nurse's initial intervention?

Ask patient if she has plans to hurt herself &/or others Signup and view all the answers

Which statement concerning a crisis experience is true and should be used as a guideline for crisis management care?

Crisis experiences can lead to personal growth and positive change Signup and view all the answers

Study Notes

Types of Crises

Maturational Crises: Occur during significant developmental changes, requiring adaptation to new life tasks when old coping mechanisms fail.
Situational Crises: Result from external events (e.g., unemployment, death), leading to an inability to manage normal coping strategies.
Adventitious Crises: Unexpected events like natural disasters or violent crimes that disrupt normal life.

Crisis Intervention

Crisis Duration: Most crises self-resolve within 4 to 6 weeks as individuals adjust their coping mechanisms.
Goal of Intervention: Aim to return the individual to their precrisis level of functioning to ensure psychological stability.
Age and Intervention: All age groups require psychological support following a crisis, highlighting the universal nature of distress.

Nurse-Client Relationship

Signs of Unhealthy Dynamics: A nurse undermining the client’s self-reliance by offering personal reassurance or changing session times repeatedly.
Client Support: The nurse must provide temporary support to clients lacking a support system, such as arranging shelter during crises.

Assessing Client Needs

Perception of Crisis: The client’s understanding of what led to their distress is crucial for assessment and intervention planning.
Safety Prioritization: In crisis situations, the nurse’s primary concern must be client safety and assessing potential suicidal thoughts.

Dealing with Emotional Distress

Signs of Severe Distress: Including incoherence and uncontrollable crying signals the need for immediate intervention to lower anxiety levels.
Vicarious Traumatization: Mental health care providers can experience distress from their clients' traumatic experiences, necessitating self-care and support.

Collaborative Goal Setting

Effective intervention requires collaborative goal-setting, ensuring client involvement in the care plan for better compliance and safety.

Phases of Crisis Response

Phase IV: Characterized by severe symptoms such as depression and suicidal ideation if coping mechanisms fail.
Phase I Response: Is marked by increased anxiety and the emergence of problem-solving attempts.

Crisis Management Principles

Crisis as a Time-Limited Event: Generally, crises are acute, self-limiting, and resolve within a set timeframe, facilitating prompt intervention.
Early Intervention Benefits: The success of crisis management increases with the promptness of interventions.

Understanding Client Statements

Positive Client Feedback: Indicates effective nurse-client relationships when clients express gratitude and improved understanding of their situation.

Special Circumstances

Individuals with histories of trauma may struggle with patient interactions; professional support is critical to mitigate biases and maintain care standards.
Clients experiencing multiple crises simultaneously require tailored responses recognizing the heightened difficulty in coping.

Key Takeaways for Nurses

Mental health interventions must prioritize immediate client safety, assess realistic perceptions of crises, and maintain supportive relationships.
Understanding the nature of different crises helps in selecting appropriate interventions and facilitating recovery for clients facing distress.### Crisis Intervention Beliefs
Belief that a person in crisis is incapable of making decisions is least helpful for effective crisis intervention.
Effective crisis counseling is viewed as a partnership between the nurse and the patient.
Crisis counseling aims to help patients refocus and gain new perspectives on their situations.
Anxiety-reduction techniques are vital for accessing a patient's inner resources during a crisis.

Priorities in Crisis Intervention

The highest-priority goal of crisis intervention is ensuring patient safety.
Secondary goals may include reducing anxiety, identifying situational supports, and teaching specific coping skills.

Types of Crises

Maturational crises arise from significant life changes; example: marriage.
Adventitious crises occur due to unexpected events; example: rape.
Situational crises result from external factors, such as severe physical illness or job loss.

Medications for Crisis Management

Lithium carbonate and lorazepam are medications that may be prescribed for patients experiencing a crisis.
Lorazepam is particularly useful for managing anxiety symptoms.

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Description

Test your knowledge about crises as discussed in Halter Chapter 26. This quiz focuses on understanding different types of crises, including maturational, situational, and others. Perfect for students studying developmental psychology or nursing.

Halter Chapter 26: Crisis and Disaster Quiz

Questions and Answers

A crisis is self-limiting and usually resolves within 4-6 weeks.

The earlier interventions are implemented, the better the expected prognosis.

The nurse should maintain a directive role during a crisis.

The patient in crisis is assumed to be mentally unhealthy.

What is the goal of crisis management?

Which statement about crisis theory will provide a basis for nursing intervention?

You assess Lilly's situation after her house fire as:

What intervention takes priority when responding to a patient like Lilly?

Which belief would be LEAST helpful for a nurse working in crisis intervention?

The highest-priority goal of crisis intervention is:

Which event is an example of a maturational crisis?

Which medications might the provider prescribe for a patient experiencing a crisis?

Crises that occur as an individual moves from one developmental level to another are called?

When a person becomes unemployed, he is likely to experience a(n)?

When a tornado results in the loss of homes, businesses, and life, the town residents are likely to experience a(n)?

A crisis is so acutely uncomfortable to the individual that it is likely to self-resolve in?

The expected outcome at the conclusion of crisis intervention therapy is that the client will function?

In the event of an adventitious crisis, which age group would be least in need of crisis intervention?

The nurse caring for a client in crisis shows signs of a problematic nurse-client relationship by?

When a stressful event occurs and the individual is unable to resolve the situation by using his or her usual coping strategies, the individual?

A client is treated in the emergency department for injuries sustained while vacationing hundreds of miles away from home. To best meet the client's emotional needs, the nurse should?

Which statement would suggest to the crisis intervention nurse the need to arrange for hospitalization of a client?

To assess the client's perception of the event precipitating a crisis, the nurse would initially ask?

Which assumption serves as a foundation for the use of crisis intervention?

The priority concern of the crisis intervention nurse is?

Which situation has the potential for early crisis intervention to occur?

A 12-year-old finds herself feeling anxious and overwhelmed and seeks out the school nurse to report that 'Everything is changing...my body, the way the boys who were my friends are treating me, everything is so different.' It is likely the child is?

The nurse working with a client in crisis must initially assess for the client's?

A woman comes to the crisis intervention clinic and reports that her 16-year-old son uses drugs in the home and often assaults her. The nurse tells the client?

A woman comes to the crisis intervention clinic expressing concern that her 16-year-old is using illegal drugs in their home. The nurse will?

When the client begins to sob uncontrollably and her speech becomes so incoherent that she is unable to give the nurse any information, the immediate interventions will focus on?

Mason and Charlie, both 16 years old, were involved in a bad car accident in which they were both passengers. The difference in the way the accident affected both boys may be explained by?

Tori is the nurse working with Carter and other members of the community after the tornado. As the weeks go by, she begins to feel anxious and distressed. She speaks to her nurse mentor about her feelings. Which of the following may Tori be experiencing?

Tori knows that Carter needs assistance with many aspects of getting through the crisis. Tori's highest priority in Carter's care is?

Carter experiences each of the following during his crisis. Which of the following describes phase IV of Caplan's phases of crisis?

Which patient statement indicates the helpfulness of the nurse-patient relationship?

A female nurse had been sexually assaulted as a teenager. She finds it difficult to work with patients who have undergone the same trauma. What is the most helpful response?

A patient whose history includes experiences with abusive partners is being treated for major depressive disorder. The patient's care plan includes rape-trauma syndrome among its nursing diagnoses. What goal is directly associated with this diagnosis?

The nurse is engaged in crisis intervention with a patient reporting, 'I have no reason to keep on living.' What is the nurse's initial intervention?

Which statement concerning a crisis experience is true and should be used as a guideline for crisis management care?

Study Notes

Types of Crises

Crisis Intervention

Nurse-Client Relationship

Assessing Client Needs

Dealing with Emotional Distress

Collaborative Goal Setting

Phases of Crisis Response

Crisis Management Principles

Understanding Client Statements

Special Circumstances

Key Takeaways for Nurses

Priorities in Crisis Intervention

Types of Crises

Medications for Crisis Management

Studying That Suits You

Description

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