NSG 526 EXAM 3 REVIEW | 2026
UPDDATE | WITH COMPLETE
SOLUTIONS - WILKES UNIVERSITY
SECTION 1: CRISIS INTERVENTION & PREVENTION (Questions 1-45)
---
1. According to Caplan, what are the four phases of a crisis?
A) Denial, anger, bargaining, acceptance
B) Alarm, resistance, exhaustion, recovery
C) Problem arises with increased anxiety; usual coping fails; trial-and-error
fails; anxiety overwhelms leading to crisis
D) Shock, realization, adaptation, resolution
Correct Answer: C – Problem arises with increased anxiety; usual coping fails;
trial-and-error fails; anxiety overwhelms leading to crisis
Rationale: Phase 1 involves a problem that increases anxiety and triggers
usual problem-solving methods. Phase 2 occurs when these methods fail and
anxiety continues to rise. Phase 3 involves failed trial-and-error attempts with
,escalating anxiety to severe or panic levels. Phase 4 occurs when anxiety
overwhelms the person, leading to serious personality disorganization and
crisis.
---
2. How long does a crisis typically last?
A) 24-48 hours
B) 1-2 weeks
C) 4-6 weeks
D) 3-6 months
Correct Answer: C – 4-6 weeks
Rationale: A crisis is generally regarded as 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.
---
3. Which type of crisis is initiated by unexpected, unusual events that can
affect an individual or multitude of people?
A) Maturational crisis
B) Situational crisis
C) Adventitious crisis
,D) Developmental crisis
Correct Answer: C – Adventitious crisis
Rationale: An adventitious crisis is initiated by unexpected, unusual events
that can affect an individual or a multitude of people. These include national
and natural disasters such as floods, hurricanes, or forest fires.
---
4. In a mass casualty incident, which triage category indicates that injuries are
extensive and chances of survival are unlikely even with definitive care?
A) Immediate (Red)
B) Delayed (Yellow)
C) Minimal (Green)
D) Expectant (Black)
Correct Answer: D – Expectant (Black)
Rationale: The expectant category is for individuals whose injuries are
extensive and chances of survival are unlikely even with definitive care. These
patients are separated and provided comfort measures.
---
5. What is the primary goal for individuals experiencing a crisis?
, A) To achieve a higher level of functioning than before
B) To return to the pre-crisis level of functioning
C) To eliminate all anxiety permanently
D) To develop a completely new personality structure
Correct Answer: B – To return to the pre-crisis level of functioning
Rationale: The goal for people experiencing a crisis is to return to the pre-
crisis level of functioning. The role of the PMH-APRN is to provide a
framework of support systems that guide the client through the crisis and
facilitate the development and use of positive coping skills.
---
6. Primary prevention in crisis intervention refers to:
A) Early identification and treatment
B) Actually preventing the crisis from occurring
C) Avoiding complications after a crisis
D) Rehabilitation after a crisis
Correct Answer: B – Actually preventing the crisis from occurring
Rationale: Primary prevention involves actually preventing the thing from
happening. Secondary prevention is early identification and treatment.
Tertiary prevention involves avoidance of complications.
UPDDATE | WITH COMPLETE
SOLUTIONS - WILKES UNIVERSITY
SECTION 1: CRISIS INTERVENTION & PREVENTION (Questions 1-45)
---
1. According to Caplan, what are the four phases of a crisis?
A) Denial, anger, bargaining, acceptance
B) Alarm, resistance, exhaustion, recovery
C) Problem arises with increased anxiety; usual coping fails; trial-and-error
fails; anxiety overwhelms leading to crisis
D) Shock, realization, adaptation, resolution
Correct Answer: C – Problem arises with increased anxiety; usual coping fails;
trial-and-error fails; anxiety overwhelms leading to crisis
Rationale: Phase 1 involves a problem that increases anxiety and triggers
usual problem-solving methods. Phase 2 occurs when these methods fail and
anxiety continues to rise. Phase 3 involves failed trial-and-error attempts with
,escalating anxiety to severe or panic levels. Phase 4 occurs when anxiety
overwhelms the person, leading to serious personality disorganization and
crisis.
---
2. How long does a crisis typically last?
A) 24-48 hours
B) 1-2 weeks
C) 4-6 weeks
D) 3-6 months
Correct Answer: C – 4-6 weeks
Rationale: A crisis is generally regarded as 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.
---
3. Which type of crisis is initiated by unexpected, unusual events that can
affect an individual or multitude of people?
A) Maturational crisis
B) Situational crisis
C) Adventitious crisis
,D) Developmental crisis
Correct Answer: C – Adventitious crisis
Rationale: An adventitious crisis is initiated by unexpected, unusual events
that can affect an individual or a multitude of people. These include national
and natural disasters such as floods, hurricanes, or forest fires.
---
4. In a mass casualty incident, which triage category indicates that injuries are
extensive and chances of survival are unlikely even with definitive care?
A) Immediate (Red)
B) Delayed (Yellow)
C) Minimal (Green)
D) Expectant (Black)
Correct Answer: D – Expectant (Black)
Rationale: The expectant category is for individuals whose injuries are
extensive and chances of survival are unlikely even with definitive care. These
patients are separated and provided comfort measures.
---
5. What is the primary goal for individuals experiencing a crisis?
, A) To achieve a higher level of functioning than before
B) To return to the pre-crisis level of functioning
C) To eliminate all anxiety permanently
D) To develop a completely new personality structure
Correct Answer: B – To return to the pre-crisis level of functioning
Rationale: The goal for people experiencing a crisis is to return to the pre-
crisis level of functioning. The role of the PMH-APRN is to provide a
framework of support systems that guide the client through the crisis and
facilitate the development and use of positive coping skills.
---
6. Primary prevention in crisis intervention refers to:
A) Early identification and treatment
B) Actually preventing the crisis from occurring
C) Avoiding complications after a crisis
D) Rehabilitation after a crisis
Correct Answer: B – Actually preventing the crisis from occurring
Rationale: Primary prevention involves actually preventing the thing from
happening. Secondary prevention is early identification and treatment.
Tertiary prevention involves avoidance of complications.
