Exam (elaborations)
Chapter21 a questions and answers verified 2024
- Course
- Institution
Chapter21 a questions and answers verified 2024
[Show more]
Content preview
Chapter 9 - Crisis InterventionA new mother is concerned about her ability to perform her parental role. She
is quite anxious and ambivalent about leaving the postpartum unit. To offer
effective client care, a nurse should be familiar with what information about
this type of crisis?
1. This type of crisis is precipitated by unexpected external stressors.
2. This type of crisis is precipitated by preexisting psychopathology.
3. This type of crisis is precipitated by an acute response to an external
situational stressor.
4. This type of crisis is precipitated by normal life-cycle transitions that
overwhelm the client. - correct answer ✔ANS: 4
Rationale: The nurse should understand that this type of crisis is precipitated
by normal life-cycle transitions that overwhelm the client. Reassurance and
guidance should be provided as needed, and the client should be referred to
services that can provide assistance.
A wife brings her husband to an emergency department after an attempt to
hang himself. He is a full-time student and works 8 hours at night to support
his family. He states, "I can't function any longer under all this stress." Which
type of crisis is the client experiencing?
1. Maturational/developmental crisis
2. Psychiatric emergency crisis
3. Anticipated life transition crisis
4. Traumatic stress crisis - correct answer ✔ANS: 2
Rationale: The nurse should determine that the client is experiencing a
psychiatric emergency crisis. Psychiatric emergencies occur when crisis
situations result in severe impairment, incompetence, or an inability to assume
personal responsibility.
, A client comes to a psychiatric clinic experiencing sudden extreme fatigue and
decreased sleep and appetite. The client works 12 hours a day and rates
anxiety as 8/10 on a numeric scale. What long-term outcome is realistic in
addressing this client's crisis?
1. The client will change his type A personality traits to more adaptive ones by
one week.
2. The client will list five positive self-attributes.
3. The client will examine how childhood events led to his overachieving
orientation.
4. The client will return to previous adaptive levels of functioning by week six. -
correct answer ✔ANS: 4
Rationale: The nurse should identify that a realistic long-term outcome for this
client is to return to previous adaptive levels of functioning. The nurse should
work with the client to develop attainable outcomes that reflect immediacy of
the situation.
A high school student has learned that she cannot graduate. Her boyfriend will
be attending a college out of state that she planned to attend. She is admitted
to a psychiatric unit after overdosing on Tylenol. Which is the priority nursing
diagnosis for this client?
1. Ineffective coping R/T situational crisis AEB powerlessness
2. Anxiety R/T fear of failure
3. Risk for self-directed violence R/T hopelessness
4. Risk for low self-esteem R/T loss events AEB suicidal ideations - correct
answer ✔ANS: 3
Rationale: The priority nursing diagnosis for this client is risk for self-directed
violence R/T hopelessness. Nurses should prioritize diagnoses and outcomes
based on potential safety risk to the client or others.
After threatening to jump off of a bridge, a client is brought to an emergency
department by police. To assess for suicide potential, which question should a
nurse ask first?
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller LEWISSHAWN55. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.49. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
79373 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now