NSG 526 EXAM 3 UPDATED AND
REVIEWED 2026/2027 QUESTIONS
WITH CORRECT DETAILED
ANSWERS WITH RATIONALES
1. If children under age 7 are involved in family therapy, the nurse may choose
to alternate between having the child present and seeing the parents or other
family members only because - Answer✔️-child's presence provides
information for clinical assessment, allows for direct comment on and
discussion of the dynamics that occur among parents and children, and
provides opportunities for the pmh-aprn to model effective interaction with
the child, as well as teach the family about normal development and positive
parenting. However, there may be issues for discussion that are beyond the
child's capacity to understand and/or inappropriate for discussion in front of
the child. Meeting with the parents alone enables these issues to be more
openly addressed in a setting with fewer distractions.
2. Family play therapy - Answer✔️-usually, the first half of the family session
involves either directive or nondirective play. In the second half, the parents
talk with the therapist about family issues that arose during the play, while
the child continues to play or engages in discussion as desired or when
invited.
3. If children are protected from experiencing negative events and developing
coping skills - Answer✔️-they may be unable to cope and adapt to crisis
situations in later life.
4. Crisis occurs when - Answer✔️-there is a perceived challenge or threat that
overwhelms the capacity of the individual to cope effectively with the event.
disrupts the life of the individual experiencing the event.
5. In a crisis - Answer✔️-the person's habits and coping patterns are
suspended. Often, unexpected emotional (e.g., depression) and biologic
(e.g., nausea, vomiting, diarrhea, headaches) responses occur. Although a
person may become extremely anxious, depressed, or elated, feeling states
, do not determine whether a person is in a crisis. If functioning is severely
impaired, a crisis is occurring
6. A crisis is generally regarded as - Answer✔️-time limited, lasting no more
than 4 to 6 weeks. There is no such thing as a chronic crisis. People who live
in constant turmoil are not in crisis but in chaos.
7. A crisis can also represent - Answer✔️-a turning point in a person's life,
with either positive or negative outcomes. It can be an opportunity for
growth and change because new ways of coping are learned.
8. Can initiate a crisis - Answer✔️-either internal or external demands that are
perceived as threats to a person's physical or emotional functioning. Many
life events can evoke a crisis, such as pandemics, natural disasters (e.g.,
floods, tornadoes, earthquakes) and manmade disasters (e.g., wars,
bombings, airplane crashes) as well as traumatic experiences (e.g., rape,
sexual abuse, assault). In addition, interpersonal events (divorce, marriage,
birth of a child) may create a crisis event in the life of any person.
9. A crisis is not the same as - Answer✔️-a psychiatric emergency that requires
immediate intervention. A person in crisis may not need an immediate
intervention and should not be viewed as having a mental disorder.
However, if the person is significantly distressed or social functioning
impaired, an axis i diagnosis of acute stress disorder should be considered.
The person with an acute stress disorder has dissociative symptoms and
persistently re-experiences the event (apa).
10.The basis of our understanding of the biopsychosocial implications of a
crisis began - Answer✔️-in the 1940s when eric Lindemann (l944) studied
bereavement reactions among the friends and relatives of the victims of the
coconut grove nightclub fire in Boston in 1942. That fire, in which 493
people died,
From those results, he hypothesized that during the course of one's life, some
situations, such as the birth of a child, marriage, and death, evoke adaptive
mechanisms that lead either to mastery of a new situation (psychological
growth) or impaired functioning.
, 11.In 1961, psychiatrist Gerald Caplan defined a crisis - Answer✔️-as
occurring when a person faces a problem that cannot be solved by customary
problem-solving methods. During period of disequilibrium, there is a rise in
inner tension and anxiety, followed by emotional upset and an inability to
function. This conceptualization of phases of a crisis is used today. Four
phases
12.According to Caplan, during a crisis, a person - Answer✔️-is open to
learning new ways of coping to survive
13.Phase 1 - Answer✔️-a problem arises that contributes to increase in anxiety
levels. The anxiety stimulates the implementation of usual problem-solving
techniques of the person.
14.Phase 2 - Answer✔️-the usual problem-solving techniques are ineffective.
Anxiety levels continue to rise. Trial-and-error attempts are made to restore
balance.
15.Phase 3 - Answer✔️-the trial-and-error attempts fail. The anxiety escalates
to severe or panic levels. The person adopts automatic relief behaviors.
16.Phase 4 - Answer✔️-when these measures do not reduce anxiety, anxiety
can overwhelm the person and lead to serious personality disorganization,
which signals the person is in crisis.
17.Maturational crisis - Answer✔️-according to Erikson; are a normal part of
growth and development, and that successfully resolving a crisis at one stage
allows the child to move to the next. The child develops positive
characteristics after experiencing a crisis. If he or she develops less desirable
traits, the crisis is not resolved. This concept of maturational crisis assumes
that psychosocial development progresses by an easily identifiable, orderly
process.
18.The concept of developmental crisis continues to be used today to describe -
Answer✔️-unfavorable person-environment relationships that relate to
maturational events, such as leaving home for the first time, completing
school, or accepting the responsibility of adulthood. The accomplishment of
developmental tasks throughout the life cycle will impact the interpretation
REVIEWED 2026/2027 QUESTIONS
WITH CORRECT DETAILED
ANSWERS WITH RATIONALES
1. If children under age 7 are involved in family therapy, the nurse may choose
to alternate between having the child present and seeing the parents or other
family members only because - Answer✔️-child's presence provides
information for clinical assessment, allows for direct comment on and
discussion of the dynamics that occur among parents and children, and
provides opportunities for the pmh-aprn to model effective interaction with
the child, as well as teach the family about normal development and positive
parenting. However, there may be issues for discussion that are beyond the
child's capacity to understand and/or inappropriate for discussion in front of
the child. Meeting with the parents alone enables these issues to be more
openly addressed in a setting with fewer distractions.
2. Family play therapy - Answer✔️-usually, the first half of the family session
involves either directive or nondirective play. In the second half, the parents
talk with the therapist about family issues that arose during the play, while
the child continues to play or engages in discussion as desired or when
invited.
3. If children are protected from experiencing negative events and developing
coping skills - Answer✔️-they may be unable to cope and adapt to crisis
situations in later life.
4. Crisis occurs when - Answer✔️-there is a perceived challenge or threat that
overwhelms the capacity of the individual to cope effectively with the event.
disrupts the life of the individual experiencing the event.
5. In a crisis - Answer✔️-the person's habits and coping patterns are
suspended. Often, unexpected emotional (e.g., depression) and biologic
(e.g., nausea, vomiting, diarrhea, headaches) responses occur. Although a
person may become extremely anxious, depressed, or elated, feeling states
, do not determine whether a person is in a crisis. If functioning is severely
impaired, a crisis is occurring
6. A crisis is generally regarded as - Answer✔️-time limited, lasting no more
than 4 to 6 weeks. There is no such thing as a chronic crisis. People who live
in constant turmoil are not in crisis but in chaos.
7. A crisis can also represent - Answer✔️-a turning point in a person's life,
with either positive or negative outcomes. It can be an opportunity for
growth and change because new ways of coping are learned.
8. Can initiate a crisis - Answer✔️-either internal or external demands that are
perceived as threats to a person's physical or emotional functioning. Many
life events can evoke a crisis, such as pandemics, natural disasters (e.g.,
floods, tornadoes, earthquakes) and manmade disasters (e.g., wars,
bombings, airplane crashes) as well as traumatic experiences (e.g., rape,
sexual abuse, assault). In addition, interpersonal events (divorce, marriage,
birth of a child) may create a crisis event in the life of any person.
9. A crisis is not the same as - Answer✔️-a psychiatric emergency that requires
immediate intervention. A person in crisis may not need an immediate
intervention and should not be viewed as having a mental disorder.
However, if the person is significantly distressed or social functioning
impaired, an axis i diagnosis of acute stress disorder should be considered.
The person with an acute stress disorder has dissociative symptoms and
persistently re-experiences the event (apa).
10.The basis of our understanding of the biopsychosocial implications of a
crisis began - Answer✔️-in the 1940s when eric Lindemann (l944) studied
bereavement reactions among the friends and relatives of the victims of the
coconut grove nightclub fire in Boston in 1942. That fire, in which 493
people died,
From those results, he hypothesized that during the course of one's life, some
situations, such as the birth of a child, marriage, and death, evoke adaptive
mechanisms that lead either to mastery of a new situation (psychological
growth) or impaired functioning.
, 11.In 1961, psychiatrist Gerald Caplan defined a crisis - Answer✔️-as
occurring when a person faces a problem that cannot be solved by customary
problem-solving methods. During period of disequilibrium, there is a rise in
inner tension and anxiety, followed by emotional upset and an inability to
function. This conceptualization of phases of a crisis is used today. Four
phases
12.According to Caplan, during a crisis, a person - Answer✔️-is open to
learning new ways of coping to survive
13.Phase 1 - Answer✔️-a problem arises that contributes to increase in anxiety
levels. The anxiety stimulates the implementation of usual problem-solving
techniques of the person.
14.Phase 2 - Answer✔️-the usual problem-solving techniques are ineffective.
Anxiety levels continue to rise. Trial-and-error attempts are made to restore
balance.
15.Phase 3 - Answer✔️-the trial-and-error attempts fail. The anxiety escalates
to severe or panic levels. The person adopts automatic relief behaviors.
16.Phase 4 - Answer✔️-when these measures do not reduce anxiety, anxiety
can overwhelm the person and lead to serious personality disorganization,
which signals the person is in crisis.
17.Maturational crisis - Answer✔️-according to Erikson; are a normal part of
growth and development, and that successfully resolving a crisis at one stage
allows the child to move to the next. The child develops positive
characteristics after experiencing a crisis. If he or she develops less desirable
traits, the crisis is not resolved. This concept of maturational crisis assumes
that psychosocial development progresses by an easily identifiable, orderly
process.
18.The concept of developmental crisis continues to be used today to describe -
Answer✔️-unfavorable person-environment relationships that relate to
maturational events, such as leaving home for the first time, completing
school, or accepting the responsibility of adulthood. The accomplishment of
developmental tasks throughout the life cycle will impact the interpretation
