1. A parent is concerned about her ability to perform in her new role. She is quite
anxious and refuses to leave the postpartum unit. To offer
effectiavbeirbc.cloiemn/ttesctare, a nurse should recognize which 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 exatbeirrbn.caolms/ttersetssor.
4. This type of crisis is precipitated by normal life-cycle transitions that overwhelm the
client.
ANS: 4
Chapter: Chapter 12, Crisis Intervention
Objective: Identify types of crises that occur in people’s lives.
Page: 210
Heading: Types of Crises > Class 2: Crises of Anticipated Life Transitions
Integrated Processes: Nursing Process: Planning
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Easy
Feedback
1. This is incorrect. The type of crisis precipitated by an unexpected external stressor
over which the individual has little or no control is known aabsirba.ccormi/steist
resulting from traumatic stress.
2. This is incorrect. Preexisting pathology can also precipitate a crisis.
3. This is incorrect. Dispositional crises reflect an acute respoanbisrbe.ctooma/tessit
tuational stressor.
4. This is correct. 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 asasbiisrbta.cnomce/t.est
CON: Stress
, Townsend
PMHN, 10e
Chapter 12 - ETB
abirb.com/test
2. 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
ANS: 2
Chapter: Chapter 12, Crisis Intervention
Objective: Identify types of crises that occur in people’s lives.
Page: 211
Heading: Types of Crises > Class 6: Psychiatric Emergencies
Integrated Processes: Nursing Process: Assessment
Client Need: Psychosocial Integrity
Cognitive Level: Application [Applying]
Concept: Stress
Difficulty: Moderate
Feedback
1. This is incorrect. A maturational/developmental crisis occurs in response to failed
attempts to master developmental tasks associated with transitions in the life cycle.
2. This is correct. The husband is experiencing a psychiatric eambirbe.rcgomen/tecsyt
crisis. Psychiatric emergencies occur when crisis situations result in severe
impairment, incompetence, or inability to assume personal responsibility.
3. This is incorrect. Anticipated life-transition crises are expected, even events over
which the individual may feel a lack of control.
4. This is incorrect. Crises resulting from traumatic stress are precipitated by an
unexpected external stressor over which the individual has little or no control, and
because of which he or she feels emotionally overwhelmedabairnb.dcodme/tfeesat
ted.
CON: Stress
3. A client comes to a psychiatric clinic, experiencing sudden extreme fatigue and
decreased sleep and appetite. The client works 12 hours a day anadbirba.tceosm/atensxt
iety as 8/10 on a numeric scale. Which long-term outcome is realistic to address the
client’s crisis?
1. The client will develop adaptive behaviors by week 1.
2. The client will list five positive self-attributes by week 2.
3. The client will examine how childhood events led to this behaavbiiorbr.cbomy /tweset ek 3.
4. The client will return to previous adaptive levels of functioning by week 6.
ANS: 4
Chapter: Chapter 12, Crisis Intervention
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