Chapter 22: Crisis

Chapter 22: Crisis

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1)   A client, aged 16 years, comes to the crisis clinic with several superficial cuts on her left wrist. She paces around the room and cries with convulsive sobs. She cowers when approached and responds to the nurse’s questions with shrugs or monosyllables. The nurse assigned to assess the client should first say

ANS:   A

The two primary thrusts of crisis intervention are to provide for the safety of the individual and use anxiety-reduction techniques so that inner resources can be used. The nurse offers her presence, which provides caring, ongoing observation relative to the client’s safety, and gives interpersonal reassurance.

DIF:    Cognitive Level: Application             REF:    Text Page: 463, Text Page: 464

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

2)   A client, aged 16 years, comes to the crisis clinic with several superficial cuts on her left wrist. She paces around the room and cries with convulsive sobs. She cowers when approached and responds to the nurse’s questions with shrugs or monosyllables. After a few minutes spent with the nurse, the client is slightly calmer. To assess the client’s perception of the precipitating event, the nurse should ask

ANS:   D

A clear definition of the immediate problem provides the best opportunity to find a solution. Asking about recent upsetting events permits assessment of the precipitating event. Options A and B use a poor communication technique, asking a “why” question. Option C asks the client to make a decision that should be made by the nurse after assessment is completed.

DIF:    Cognitive Level: Application             REF:    Text Page: 460

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

3)   A client, aged 16 years, comes to the crisis clinic with several superficial cuts on her left wrist. She paces around the room and cries with convulsive sobs. She cowers when approached and responds to the nurse’s questions with shrugs or monosyllables. The nurse states “You are behaving like a very sick person. I wonder why.” The client begins to cry and replies “I am at the end of my rope. I need help. My uncle keeps trying to molest me. My mother says I am lying about it. I read about mental illness in a book, and thought I could get help if I behaved that way.” The best rationale for identifying this situation as a crisis for the client is that the client

ANS:   C

A crisis occurs when a stressful event overtaxes the individual’s usual ability to cope and the individual enters a state of disequilibrium. Option A is too simplistic. Not all stressful events result in crises. Option B assumes that the outcome will be pathological. Option D assumes that the outcome will result in a lower level of adaptation. In fact, an individual in crisis may emerge at a higher level of functioning, the same level of functioning, or a lower level of functioning.

DIF:    Cognitive Level: Application             REF:    Text Page: 459

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

4)   A client, aged 16 years, comes to the crisis clinic. The nurse learns she is being molested by her uncle. The client told her mother of the uncle’s behavior, but the mother accused the daughter of lying. The client’s crisis would be classified as

ANS:   C

An adventitious crisis is a crisis of disaster, that is, not a part of everyday life. It is unplanned or accidental. Adventitious crises include natural disasters, national disasters, and crimes of violence. Sexual molestation falls within this classification. Option A: Maturational crisis occurs as an individual arrives at a new stage of development, when old coping styles may be ineffective. Option B: Situational crisis arises from an external source such as a job loss, divorce, or other loss affecting self-concept or self-esteem. Option D is not a type of crisis.

DIF:    Cognitive Level: Analysis                  REF:    Text Page: 459

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