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Question 1. According to Gerald Caplan's crisis intervention theory, what is the primary
goal of crisis intervention?
A. To resolve all underlying psychological issues
B. To restore the individual to a pre-crisis level of functioning
C. To provide long-term psychotherapy
D. To prescribe psychotropic medication
Correct Answer: B
Rationale: Gerald Caplan's crisis intervention theory posits that the primary goal of
crisis intervention is to restore the individual to at least the level of functioning they had
before the crisis. Crisis intervention is short-term, focused, and aims to stabilize the
individual, not resolve all underlying issues or provide long-term therapy. While
medication may be part of the treatment, it is not the primary goal of the intervention
itself.
Question 2. A patient recently lost their job and is experiencing intense anxiety,
difficulty sleeping, and an inability to concentrate at home. This patient's wife describes
him as "completely different" from his usual self. Which type of crisis is this patient most
likely experiencing?
A. Maturational crisis
B. Situational crisis
C. Adventitious crisis
D. Developmental crisis
Correct Answer: B
,Rationale: A situational crisis is triggered by an unexpected, external event that is not
part of normal life development. Job loss is a classic example of a situational crisis. A
maturational or developmental crisis occurs during normal life transitions (e.g.,
adolescence, marriage). An adventitious crisis is a disaster or catastrophic event .
Question 3. Which of the following is the initial priority intervention when providing
crisis intervention?
A. Exploring the patient's childhood history
B. Identifying the precipitating event and ensuring safety
C. Teaching long-term coping skills
D. Referring the patient to a support group
Correct Answer: B
Rationale: The first priority in crisis intervention is to ensure the patient's physical and
psychological safety while identifying the immediate precipitating event. This
assessment and stabilization phase is foundational before any therapeutic work on
coping skills or referrals can begin. Long-term issues are not addressed in the acute
crisis phase .
Question 4. According to the ABCs of Psychological First Aid, what does the "C" stand
for?
A. Communication
B. Control
C. Cognition
D. Coordination
Correct Answer: C
Rationale: The ABCs of Psychological First Aid are: A) Arousal (decrease emotional
intensity with comfort), B) Behavior (assist survivors to function more effectively), and C)
Cognition (provide clear information and reality testing to reorient survivors who are
confused or disoriented) .
,Question 5. A survivor of a natural disaster is crying uncontrollably, pacing, and
hyperventilating. According to the ABCs of Psychological First Aid, what is the priority
intervention?
A. Provide reality testing and clear information
B. Assist the survivor in functioning more effectively
C. Decrease excitement by providing safety, comfort, and consolation
D. Begin a debriefing session
Correct Answer: C
Rationale: This survivor is exhibiting high physiological and emotional arousal. The "A"
in the ABCs of Psychological First Aid addresses arousal. The correct intervention is to
provide safety, comfort, and consolation to decrease this overwhelming emotional
response. Reality testing is for cognitive disorientation (C), and teaching functional
behavior falls under the "B" (Behavior) component .
Question 6. During the disaster triage process, a patient with a stable abdominal wound
and a fracture requiring surgical débridement would be categorized as which priority?
A. Immediate (Red)
B. Delayed (Yellow)
C. Minimal (Green)
D. Expectant (Black)
Correct Answer: B
Rationale: In mass casualty triage, "Delayed" (Yellow) injuries are significant and require
medical care but can wait hours without threat to life or limb. Stable abdominal wounds
and fractures requiring open reduction or débridement fit this category .
Question 7. A patient with a sucking chest wound and signs of shock would be triaged
as which priority in a disaster?
, A. Immediate (Red)
B. Delayed (Yellow)
C. Minimal (Green)
D. Expectant (Black)
Correct Answer: A
Rationale: A sucking chest wound and shock are life-threatening conditions that require
immediate intervention. These patients are triaged as "Immediate" (Red) to prioritize
resources for survival .
Question 8. The process of "debriefing" in the aftermath of a crisis is:
A. A mandatory component of all crisis interventions
B. May be helpful but is no longer considered essential
C. A substitute for psychological first aid
D. Only effective when performed within 24 hours
Correct Answer: B
Rationale: While debriefing can facilitate reflection and learning, it is no longer
considered an essential or mandatory core component of all crisis interventions.
Psychological First Aid (PFA) has become a more widely recommended approach .
Question 9. A PMHNP working with a disaster survivor should prioritize which of the
following after the initial assessment?
A. Immediate psychotherapy to process the trauma
B. Supporting the development of resilience, coping, and recovery
C. Encouraging the survivor to recount the event in detail
D. Identifying and correcting all cognitive distortions
Correct Answer: B
Rationale: After the initial assessment, the focus should be on supporting resilience,
coping, and recovery. This aligns with the biopsychosocial model and emphasizes