Psychiatric Mental Health Nursing 5th Edition By Fortinash
Psychiatric Mental Health Nursing 5th Edition By Fortinash
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Chapter 21: Crisis: Theory and Intervention
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
MULTIPLE CHOICE
| a. | “I can’t get evicted and live on the street; I’d kill myself first.” |
| b. | “I need to get drunk and forget about money problems for a little while” |
| c. | “I need to figure out a way to get enough money to meet my rent this month.” |
| d. | “I’ve always been able to rely on my mother but she won’t give it to me this time.” |
ANS: B
Phase 2: Previous coping and problem-solving strategies fail to relieve the stressor. Phase 1: The individual is exposed to a stressor. Phase 3: Resources from within and outside of the individual are mobilized to resolve the problem and to alleviate the discomfort caused by the stressor. Note that people may drop out of situations in numerous ways, including self-medication with alcohol. Phase 4: The absence of crisis resolution leads to major disorganization such as self-injurious behavior.
DIF: Cognitive Level: Application REF: Pages 483-484
TOP: Nursing Process: Assessing MSC: NCLEX: Psychosocial Integrity
| a. | Losing one’s faith in God |
| b. | Losing a job after 10 years |
| c. | Leaving home to attend college |
| d. | Retirement from teaching school |
ANS: B
A situational crisis occurs when a specific, external event, such as job loss, disturbs one’s psychologic equilibrium. The other options would be considered internal (subjective) crises.
DIF: Cognitive Level: Application REF: Page 484
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | “I don’t know what I’ll do to fill my days now.” |
| b. | “Life isn’t worth living if I have to live alone.” |
| c. | “Prayer doesn’t seem to give me the peace it has in the past.” |
| d. | “Maybe going and spending time with my daughter will help.” |
ANS: D
Phase 3: Resources from within and outside of the individual are mobilized to resolve the problem and to alleviate the discomfort caused by the stressor. Phase 1: The individual is exposed to a stressor. Phase 2: Previous coping and problem-solving strategies fail to relieve the stressor. Phase 4: The absence of crisis resolution leads to major disorganization such as self-injurious behavior.
DIF: Cognitive Level: Application REF: Page 484
TOP: Nursing Process: Assessment MSC: NCLEX: Psychosocial Integrity
| a. | Agreeing to see a grief counselor |
| b. | Stating, “At least no one was hurt in the fire.” |
| c. | Addressing the details regarding the rebuilding of the house |
| d. | Stating, “I knew things were going along too well to be true.” |
ANS: C
Coping does not imply mastery over the crisis; rather, it is the process that is used to respond to the crisis and find resolution. Working on rebuilding the home is an example of this process. The remaining option show varying degrees of attempting to justify or minimize the crisis.
DIF: Cognitive Level: Application REF: Page 498 TOP: Nursing Process: Evaluation
MSC: NCLEX: Psychosocial Integrity
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