Chapter 13: Crisis Intervention

Chapter 13: Crisis Intervention

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. A patient comes to the mental health clinic with insomnia, irritability, increased tension, and headaches. The symptoms began 1 week ago after the patient was laid off from work. The patient expresses concern that this will result in a relocation that will be hard on the entire family. The patient is most likely experiencing:

a.	an anxiety reaction.
b.	a situational crisis.
c.	a maturational crisis.
d.	an adjustment disorder.

 

 

ANS:  B

A situational crisis occurs when a life event upsets an individual’s psychological equilibrium. Loss of a job can give rise to a situational crisis.

 

DIF:    Cognitive Level: Application           REF:   Text Page: 183

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

2. A jet plane carrying 140 passengers crashes in a nearby community. One can reliably predict that the survivors, families, and community will initially experience:

a.	a situational crisis.
b.	problem resolution.
c.	adjustment disorders.
d.	psychological equilibrium.

 

 

ANS:  A

A situational crisis occurs when an accidental, uncommon, or unexpected event upsets psychological equilibrium.

 

DIF:    Cognitive Level: Application           REF:   Text Page: 183

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

3. A patient comes to the mental health center and relates feeling very anxious since graduating from high school 1 week ago. The patient is having difficulty concentrating and feels shaky. This typifies:

a.	a situational crisis.
b.	a maturational crisis.
c.	psychological equilibrium.
d.	a pseudopsychological crisis.

 

 

ANS:  B

Maturational crises are developmental events requiring role change.

 

DIF:    Cognitive Level: Application           REF:   Text Page: 183

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

4. A patient comes to the mental health center after being held hostage during a bank robbery 2 days ago. The patient relates a number of symptoms, including intrusive thoughts, nightmares, and feelings of helplessness. The nurse should consider the possibility that the patient is experiencing a _____ crisis.

a.	situational
b.	maturational
c.	developmental
d.	pseudopsychological

 

 

ANS:  A

A situational crisis occurs when an accidental, uncommon, or unexpected event upsets psychological equilibrium.

 

DIF:    Cognitive Level: Application           REF:   Text Page: 183

TOP:   Nursing Process: Assessment           MSC:  NCLEX: Psychosocial Integrity

 

5. A patient who undergoes a hostage experience begins crisis intervention therapy. The patient asks, “How long before I will feel like myself again?” The reply that shows the best understanding of the parameters of crisis intervention therapy would be:

a.	“No one can really say.”
b.	“It usually takes about 6 weeks.”
c.	“My best guess would be 6 months.”
d.	“The experience usually results in permanent changes.”

 

 

ANS:  B

Successful crisis intervention therapy is usually limited to 6 weeks’ duration.

 

DIF:    Cognitive Level: Application           REF:   Text Page: 184

TOP:   Nursing Process: Implementation

MSC:  NCLEX: Safe, Effective Care Environment: Management of Care