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Varcarolis Ch 26: Crisis and Disaster - all Detailed Questions and Expert Answers
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Varcarolis Ch 26: Crisis and Disaster - all Detailed Questions and Expert Answers
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Varcarolis Ch 26: Crisis and Disaster - all DetailedQuestions and Expert Answers
1. Which statement about crisis theory will provide a basis for nursing
intervention?
a. A crisis is an acute, time-limited phenomenon experienced as an overwhelming
emotional reaction to a problem perceived as unsolvable.
b. A person in crisis has always had adjustment problems and has coped
inadequately in his or her usual life situations.
c. Crisis is precipitated by an event that enhances a person's self-concept and self-
esteem.
d. Nursing intervention in crisis situations rarely has the effect of ameliorating the
crisis. - ANS A
2 Lilly, a single mother of four, comes to the crisis center 24 hours after an
apartment fire in which all the family's household goods and clothing were lost.
Lilly has no other family in the area. Her efforts to mobilize assistance have been
disorganized, and she is still without shelter. She is distraught and confused. You
assess the situation as:
a. A maturational crisis.
,b. A situational crisis.
c. An adventitious crisis.
d. An existential crisis. - ANS B
3. When responding to the patient in question 2, the intervention that takes
priority is to:
a. Reduce anxiety.
b. Arrange shelter.
c. Contact out-of-area family.
D. Hospitalize and place the patient on suicide precautions - ANS A
4. Which belief would be least helpful for a nurse working in crisis intervention?
a. A person in crisis is incapable of making decisions.
b. The crisis counseling relationship is one between partners.
c. Crisis counseling helps the patient refocus to gain new perspectives on the
situation.
d. Anxiety-reduction techniques are used so the patient's inner resources can be
accessed. - ANS A
5. The highest-priority goal of crisis intervention is:
,a. Patient safety.
b. Anxiety reduction.
c. Identification of situational supports.
d. Teaching specific coping skills that are lacking. - ANS A
Crises that occur as an individual moves from one developmental level to another
are called
A. reactive crises.
B. recurring crises.
C. situational crises.
D. maturational crises. - ANS D
Maturational crises are normal states in growth and development in which specific
new maturational tasks must be learned when old coping mechanisms are no
longer effective.
When a person becomes unemployed, he is likely to experience a(n)
A. reactive crisis.
B. situational crisis.
C. adventitious crisis.
D. substance abuse crisis. - ANS B
, Situational crises arise from external sources. Examples are death of a loved one,
divorce, marriage, or a change in health status.
When a tornado results in the loss of homes, businesses, and life, the town
residents are likely to experience a(n)
A. maturational crisis.
B. situational crisis.
C. adventitious crisis.
D. endogenous crisis. - ANS C
An adventitious crisis is unplanned, accidental, and not part of everyday life.
Examples are disasters and crimes of violence.
A crisis is so acutely uncomfortable to the individual that it is likely to self-resolve
in
A. 1 to 10 days.
B. 1 to 3 weeks.
C. 4 to 6 weeks.
D. 3 to 4 months - ANS C
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