NU 211 Chapter 13 Crisis Intervention Testbank

PSYCHIATRIC MENTAL HEALTH NURSING 9TH EDITION TOWNSEND TEST BANK
TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,2017) 104



Chapter13.CrisisIntervention
MultipleChoice

1.Amotherisconcernedaboutherabilitytoperforminhernewrole.Sheisquiteanxiousandrefusestoleave
thepostpartumunit.Tooffereffectiveclientcare,anurseshouldrecognizewhichinformationaboutthistype
ofcrisis?

A.Thistypeofcrisisisprecipitatedbyunexpectedexternalstressors.

B.Thistypeofcrisisisprecipitatedbypreexistingpsychopathology.

C.Thistypeofcrisisisprecipitatedbyanacuteresponsetoanexternalsituationalstressor.

D.Thistypeofcrisisisprecipitatedbynormallife-cycletransitionsthatoverwhelmtheclient.

ANS:D

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.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Planning|ClientNeed:
PsychosocialIntegrity

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cantfunctionanylongerunderallthis
stress.Whichtypeofcrisisistheclientexperiencing?

A.Maturational/developmentalcrisis
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B.Psychiatricemergencycrisis

C.Anticipatedlifetransitioncrisis

D.Traumaticstresscrisis

ANS:B

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inabilitytoassume
personalresponsibility.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity

3.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correctlywritten
long-termoutcomeisrealisticinaddressingthisclientscrisis?

A.TheclientwillchangehisorhertypeApersonalitytraitstomoreadaptiveonesbyweek1.

B.Theclientwilllistfivepositiveself-attributes.

C.Theclientwillexaminehowchildhoodeventsledtoanoverachievingorientation.

D.Theclientwillreturntopreviousadaptivelevelsoffunctioningbyweek6.

ANS:D

Thenurseshouldidentifythatarealisticlong-termoutcomeforthisclientwouldbetoreturntoprevious




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, PSYCHIATRIC MENTAL HEALTH NURSING 9TH EDITION TOWNSEND TEST BANK
TestBank-PsychiatricMentalHealthNursingbyMaryTownsend(9thEdition,2017) 105


adaptivelevelsoffunctioning.Thenurseshouldworkwiththeclienttodevelopattainableoutcomesthat
reflecttheimmediacyofthesituation.Tobecorrectlywritten,anoutcomemustbeclient-centered,specific,
measurable,realistic,andcontainatimeframe.

KEY:CognitiveLevel:Application|IntegratedProcesses:NursingProcess:Planning|ClientNeed:
PsychosocialIntegrity

4.Ahighschoolstudenthaslearnedthatshecannotgraduate.Herboyfriendwillbeattendingacollegeoutof
statethatsheplannedtoalsoattend.SheisadmittedtoapsychiatricunitafteroverdosingonTylenol.Whichis
thecorrectlywrittenprioritynursingdiagnosisforthisclient?

A.IneffectivecopingR/TsituationalcrisisAEBpowerlessness

B.AnxietyR/Tfearoffailure

C.Riskforself-directedviolenceR/Thopelessness

D.Riskforlowself-esteemR/TlosseventsAEBsuicidalideations

ANS:C

TheprioritynursingdiagnosisforthisclientisRiskforself-directedviolenceR/Thopelessness.Nursesshould
prioritizediagnosesandoutcomesonthebasisofpotentialsafetyrisktotheclientand/orothers.Nursing
diagnosesshouldbecorrectlywrittentoincludeevidenceifactualandnoevidenceifthediagnosisis
determinedtobepotential.

KEY:CognitiveLevel:Analysis|IntegratedProcesses:NursingProcess:Analysis|ClientNeed:
PsychosocialIntegrity

5.Afterthreateningtojumpoffabridge,aclientisbroughttoanemergencydepartmentbypolice.Toassess
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forsuicidepotential,whichquestionshouldanurseaskfirst?

A.Areyoucurrentlythinkingaboutharmingyourself?

B.Whydoyouwanttoharmyourself?

C.Haveyouthoughtabouttheconsequencesofyouractions?

D.Whoisyouremergencycontactperson?

ANS:A

Thenurseshouldfirstassesstheclientforcurrentsuicidalthoughtstominimizeriskofharmandprovide
appropriateinterventions.Asuicidalclientisexperiencingapsychiatricemergency.Thecrisisteamshould
prioritizesafetybyassessingtheclientforthoughtsofself-harm.

KEY:CognitiveLevel:Analysis|IntegratedProcesses:NursingProcess:Assessment|ClientNeed:
PsychosocialIntegrity

6.Aninvoluntarilycommittedclient,whenofferedadinnertray,pushesitoffthebedsidetableontothefloor.
Whichinterventionshouldanurseprioritizetoaddressthisbehavior?

A.Initiateforcedmedicationprotocol.

B.Helptheclienttoexplorethesourceofanger.

C.Ignoretheacttoavoidreinforcingthebehavior.

D.Withstaffsupportandashowofsolidarity,setfirmlimitsonthebehavior.

ANS:D




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