Stress and Coping (CRISIS)
The nurse is caring for a client admitted to the unit with severe depression.
The client states, "My husband left me, and I feel lost." Based on the clients
statement, which type of crisis is the client experiencing?
A. Situational
B. Social
C. Developmental
D. Maturational - correct answer ✔Answer is A
rationale: The type of crisis the client is experiencing is situational. A
situational crisis involves an unexpected stressor or circumstance that occurs
in the course of daily living.
The nurse is admitting a client who was found wandering the streets. The
nurse observes that the client is startled when approached and has been
sobbing continuously. The nurse understands that which assessment finding
correlates with suspected trauma? (SATA)
A. Hypervigilance
B. Disorientation
C. Perseveration
D. Intense emotional reactions
E. Echolalia - correct answer ✔Answer A, B, D
rationale: The assessment findings that correlate with suspected trauma
include disorientation, hypervigilance, and intense emotional reactions.
Echolalia and perseveration are not findings associated with trauma.
The nurse is caring for a client who has demonstrated a great deal of
resilience during adversity. Which factor is most strongly associated with an
individuals resilience?
, A. Psychologic factor
B. Biological determinants
C. Optimistic sense of self-efficacy
D. Emotional state - correct answer ✔Answer is C
rationale: An individuals resilience is most strongly influenced by the persons
optimistic sense of perceived self-efficacy.
The nurse is caring for a client in the clinic who has experienced exposure to
trauma. Which describes the expected duration of the clinical manifestations
of a crisis resulting from trauma?
A. Should be resolved by 6 months
B. Usually time limited
C. No time limit
D. Consistent among different clients - correct answer ✔Answer B
rationale: The clinical manifestations of a crisis are usually time limited and
resolve within 6 weeks. The client should not be in the same state of crisis 6
months after the event. The duration of clinical manifestations of a crisis will
vary between clients.
The home care nurse is following up on a client who experienced a significant
crisis a few weeks prior. Which finding is most concerning to the nurse?
A. Newspapers stacked up
B. Disheveled clothes
C. Unwashed hair
D. Dishes in the sink - correct answer ✔Answer C
rationale: The most concerning finding by the nurse is unwashed hair.
Unwashed hair is a sign of self-neglect. A crisis creates a strong potential for
clients to fall into habits of self-neglect.
The nurse is caring for a client admitted to the unit with severe depression.
The client states, "My husband left me, and I feel lost." Based on the clients
statement, which type of crisis is the client experiencing?
A. Situational
B. Social
C. Developmental
D. Maturational - correct answer ✔Answer is A
rationale: The type of crisis the client is experiencing is situational. A
situational crisis involves an unexpected stressor or circumstance that occurs
in the course of daily living.
The nurse is admitting a client who was found wandering the streets. The
nurse observes that the client is startled when approached and has been
sobbing continuously. The nurse understands that which assessment finding
correlates with suspected trauma? (SATA)
A. Hypervigilance
B. Disorientation
C. Perseveration
D. Intense emotional reactions
E. Echolalia - correct answer ✔Answer A, B, D
rationale: The assessment findings that correlate with suspected trauma
include disorientation, hypervigilance, and intense emotional reactions.
Echolalia and perseveration are not findings associated with trauma.
The nurse is caring for a client who has demonstrated a great deal of
resilience during adversity. Which factor is most strongly associated with an
individuals resilience?
, A. Psychologic factor
B. Biological determinants
C. Optimistic sense of self-efficacy
D. Emotional state - correct answer ✔Answer is C
rationale: An individuals resilience is most strongly influenced by the persons
optimistic sense of perceived self-efficacy.
The nurse is caring for a client in the clinic who has experienced exposure to
trauma. Which describes the expected duration of the clinical manifestations
of a crisis resulting from trauma?
A. Should be resolved by 6 months
B. Usually time limited
C. No time limit
D. Consistent among different clients - correct answer ✔Answer B
rationale: The clinical manifestations of a crisis are usually time limited and
resolve within 6 weeks. The client should not be in the same state of crisis 6
months after the event. The duration of clinical manifestations of a crisis will
vary between clients.
The home care nurse is following up on a client who experienced a significant
crisis a few weeks prior. Which finding is most concerning to the nurse?
A. Newspapers stacked up
B. Disheveled clothes
C. Unwashed hair
D. Dishes in the sink - correct answer ✔Answer C
rationale: The most concerning finding by the nurse is unwashed hair.
Unwashed hair is a sign of self-neglect. A crisis creates a strong potential for
clients to fall into habits of self-neglect.
