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Mental Health Nursing

Nursing

Quiz 21 :

Crisis and Disaster

Quiz 21 :

Crisis and Disaster

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While conducting the initial interview with a patient in crisis, the nurse should do which of the following?
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A

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

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A patient being seen in the clinic for superficial cuts on both wrists is pacing and sobbing. After a few minutes, the patient is calmer. The nurse attempts to determine the patient's perception of the precipitating event by saying which of the following?
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D

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A patient comes to the crisis clinic after an unexpected job termination. The patient paces around the room sobbing, cringes when approached, and responds to questions with only shrugs or monosyllables. Choose the nurse's best initial comment to this patient.
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A victim of spousal violence comes to the crisis centre seeking help. Which of the following crisis intervention strategy will be the nurse's focus?
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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 nursing home. 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 which of the following?
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Which communication technique will the nurse use more in crisis intervention than in traditional counselling?
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During the initial interview at the crisis centre, a patient says, "I've been served with divorce papers. I'm so upset and anxious that I can't think clearly." Which comment should the nurse use to assess personal coping skills?
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A woman says, "I can't take anymore. Last year my husband had an affair, and now we do not communicate. 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 the nurse focus on during crisis intervention?
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Six months ago, a woman had a prophylactic double mastectomy because of a family history of breast cancer. One week ago, this woman learned her husband was involved in an extramarital affair. The woman tearfully says, "What else can happen?" If the woman's immediate family is unable to provide sufficient support, which of the following should the nurse do?
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A student falsely accused a college professor of sexual intimidation. The professor tells the nurse, "I cannot teach nor do any research. My mind is totally preoccupied with these false accusations." What is the priority nursing diagnosis?
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Six months ago, a woman had a prophylactic double mastectomy because of a family history of breast cancer. One week ago, this woman learned her husband was involved in an extramarital affair. The woman tearfully says to the nurse, "What else can happen?" What type of crisis is this person experiencing?
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After celebrating their fortieth birthday, an individual becomes concerned with the loss of their youthful appearance. What type of crisis has occurred?
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Which agency plays a major role in mass disaster planning and prevention?
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A woman said, "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?
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Which scenario is an example of an adventitious crisis?
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A patient comes to the crisis centre saying, "I'm in a terrible situation. I don't know what to do." The triage nurse can initially assume that the patient is which of the following?
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A patient who is 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 how long?
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Which situation demonstrates use of primary care related to crisis intervention?
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An adult seeks counselling after the spouse was murdered. The adult angrily says, "I hate the beast 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 response?
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