EAQ - Ch26: Crisis and Disaster
The nurse interacts with a patient at a crisis center. The patient speaks of
distressing events and makes dismissive comments. What diagnosis should
the nurse make from the patient's symptoms?
a. Acute confusion
b. Ineffective denial
c. Impaired social interaction
d. Disturbed personal identity - correct answer ✔b.
Patients with ineffective denial talk about distressing events and make
dismissive comments. They also display inappropriate affect and delay
seeking care. Patients with acute confusion have confusion and incoherence,
and may have problems with substance abuse. Impaired social interaction is
characterized by difficult interpersonal relationships, isolation, and few or no
social supports. Disturbed personal identity is identified by self-hatred and
feelings of being overwhelmed and ineffectual.
p. 496, Table 26.1
A patient comes to the crisis intervention clinic and tearfully tells the nurse, "It
is so painful! I have thought about it, and I cannot see how I can go on without
my partner." The nurse states, "You have resilience and will look back on this
as a crisis you were able to manage." Analysis of this interaction reveals what
about the nurse?
a. The nurse has stepped into the territory of traditional psychotherapy.
b. The nurse has not followed up on the patient's verbal clues to suicidal
thoughts.
, c. The nurse has a good understanding of the effect of time on perception of a
crisis.
d. The nurse is offering a statement of positive outcome based on patient
coping ability. - correct answer ✔b.
Nurses who are uncomfortable with the idea of suicide may fail to pick up on a
patient's clues. This patient clearly was open to discussing suicidal thoughts,
or the patient would not have said, "I cannot see how I can go on."
p. 497, Table 26.2
Which of the following is an example of a maturational crisis?
a. Experiencing an unplanned pregnancy
b. Losing one's job within months of retiring
c. Working at a bank that recently was robbed
d. Having one's only child leave home to attend college - correct answer ✔d.
Maturational crises are related to traditional periods of life where roles are
changing, such as experiencing midlife empty nesting. An unplanned
pregnancy can result in a situational crisis if the individual's equilibrium is
upset enough. The loss of a job at any time can result in a situational crisis.
Being victimized, such as in a robbery, can result in a situational crisis if the
individual's equilibrium is upset enough.
pp. 492-493
Which event leads to the development of a situational crisis in patients?
The nurse interacts with a patient at a crisis center. The patient speaks of
distressing events and makes dismissive comments. What diagnosis should
the nurse make from the patient's symptoms?
a. Acute confusion
b. Ineffective denial
c. Impaired social interaction
d. Disturbed personal identity - correct answer ✔b.
Patients with ineffective denial talk about distressing events and make
dismissive comments. They also display inappropriate affect and delay
seeking care. Patients with acute confusion have confusion and incoherence,
and may have problems with substance abuse. Impaired social interaction is
characterized by difficult interpersonal relationships, isolation, and few or no
social supports. Disturbed personal identity is identified by self-hatred and
feelings of being overwhelmed and ineffectual.
p. 496, Table 26.1
A patient comes to the crisis intervention clinic and tearfully tells the nurse, "It
is so painful! I have thought about it, and I cannot see how I can go on without
my partner." The nurse states, "You have resilience and will look back on this
as a crisis you were able to manage." Analysis of this interaction reveals what
about the nurse?
a. The nurse has stepped into the territory of traditional psychotherapy.
b. The nurse has not followed up on the patient's verbal clues to suicidal
thoughts.
, c. The nurse has a good understanding of the effect of time on perception of a
crisis.
d. The nurse is offering a statement of positive outcome based on patient
coping ability. - correct answer ✔b.
Nurses who are uncomfortable with the idea of suicide may fail to pick up on a
patient's clues. This patient clearly was open to discussing suicidal thoughts,
or the patient would not have said, "I cannot see how I can go on."
p. 497, Table 26.2
Which of the following is an example of a maturational crisis?
a. Experiencing an unplanned pregnancy
b. Losing one's job within months of retiring
c. Working at a bank that recently was robbed
d. Having one's only child leave home to attend college - correct answer ✔d.
Maturational crises are related to traditional periods of life where roles are
changing, such as experiencing midlife empty nesting. An unplanned
pregnancy can result in a situational crisis if the individual's equilibrium is
upset enough. The loss of a job at any time can result in a situational crisis.
Being victimized, such as in a robbery, can result in a situational crisis if the
individual's equilibrium is upset enough.
pp. 492-493
Which event leads to the development of a situational crisis in patients?
