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NSG-322 Exam 3 With 100% Correct
Answers Grade A Certified
crises - correct answers-Acute, time-limited occurrences experienced as overwhelming emotional
reactions to a stressful situational event, developmental event, or the person's perception of an
event
Factors that Limit Coping/Problem-Solving Ability:
-Mental illness
-Substance abuse
-History of poor coping
-Diminished cognitive abilities
-Preexisting cognitive disorders
-Preexisting physical health problems
-Limited social supports
-Developmental and/or physical challenges
Client Outcomes are Impacted by:
-Individual, family, and community perception of & response to the crisis
-Coping abilities, resiliency
-Availability of outside supports
Clients with the Best Outcomes:
-Feel safe, connected, calm & hopeful
-Have access to social, physical, & emotional supports
-Find ways to help themselves
maturational crises - correct answers-Have to do with the predictable transitions individuals
experience as they move from one stage of human development to another
-At various times every individual must make adjustments and adapt to new responsibilities and
life patterns
-Ex: the transition from adolescence to adulthood
situational crises - correct answers-Arise suddenly and unexpectedly from an external source and
are events or circumstances that threaten the physical, social, and psychological integrity of
individuals.
-Often revolve around grief and loss
-These events may originate in the physical body as a result of disease or injury or in social or
emotional situations.
adventitious or social crises - correct answersRare, unexpected happenings that are not part of
everyday life and may result from:
-Natural disasters, such as floods, fires, and earthquakes
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-National disasters, such as airplane crashes, riots, and wars
-Interpersonal disasters, such as assault and rape
-Acts of terrorism
phases of psychological crisis - correct answers-Phase 1: person is confronted by conflict and
responds with increased anxiety
-Phase 2: if usual defensive responses fail & threat persists, anxiety continues to increase; trial-
and-error begins
-Phase 3: if trial-and-error attempts also fail, anxiety can escalate to severe or panic levels
-Phase 4: if the problem is not solved & new coping skills are ineffective, anxiety can
overwhelm the person and result in serious illness; assess for suicidal thoughts, plans.
crisis intervention - correct answers-Interventions need to be bold, creative, and flexible
-3 levels of nursing care: primary, secondary, and tertiary
Primary Care:
-Strategies: promote mental health before crisis strikes; provide education, information &
resource listings
-Goals: improve clients' coping ability & decrease incidence of crises
Secondary Care:
-Strategies: prevent prolonged anxiety during acute crisis
-Goals: ensure client safety & shorten duration of client distress
Tertiary Care:
-Strategies: provide support during recovery from crisis
-Example: Critical Incident Stress Debriefing (CISD)
-Goals: facilitate optimal client functioning & prevent further emotional disruption
critical incident stress debriefing (CISD) - correct answers-Small group "psychological first aid"
-For best outcomes: integrate with existing community crisis support services
Primary Objectives:
1. Lessen the impact of the traumatic event
2. Facilitate recovery process & restore adaptive functioning in psychologically healthy people in
distress by the crisis event
3. Screen for & identify community members who might benefit from additional support services
& provide referrals for professional care
-The primary emphasis is to inform and empower a homogeneous group after a threatening or
overwhelming traumatic situation.
-It attempts to enhance resistance to stress reactions, build resiliency or the ability to "bounce
back" from a traumatic experience, and facilitate both a recovery from traumatic stress and a
return to normal, healthy functions.
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-Should be linked and blended with numerous crisis support services including, but not limited
to, pre-incident education, individual crisis intervention, family support services, follow-up
services, referrals for professional care, if necessary, and post incident education programs.
-The best effects, which are enhanced group cohesion and unit performance, are always achieved
when it is part of a broader crisis support system.
Who Might Benefit from It?
-Staff members on an inpatient unit after a client's suicide
-Clients on an inpatient unit after a client's suicide
-Staff members & clients after an incident of violence
-Crisis hotline volunteers
-Schoolchildren and school personnel after school-based shootings have occurred
-Rescue and health care workers who responded to a natural disaster or terrorist attack
-A structured process that includes the cognitive and affective domains of human experience
-The phases are arranged in a specific order to facilitate the transition of the group from the
cognitive domain to the affectiv
abuse and neglect - correct answers-Prevalent among all social divisions: ethnic, religious, age,
social & socioeconomic groups
-Trusted authority figures are also part of the picture of violence in our society
-Four primary categories: emotional, physical, sexual, neglect
Signs that May Indicate Abuse or Neglect:
-Recurrent emergency department (ED) visits, attributed to the client being "accident prone"
-Presenting problems that reflect signs of high anxiety or chronic stress, such as:
-Hyperventilation, panic attacks
-Anxiety, depression
-GI disturbances
-Hypertension
-Physical injuries
-Insomnia, violent nightmares
-Extreme fatigue
-Cachexia
-Loss of hair
family violence - correct answers-Because the concept is so complex, there are a number of
theories suggesting an explanation for its occurrence.
-Ultimately, domestic violence is likely the result of a combination of societal, cultural and
psychological factors.
-Intergenerational Theory is based upon Bandura's Social Learning Theory. It is most likely the
interaction of societal, cultural, psychologic, and neurobiological factors. Child learns violence
as a behavioral norm through role modeling, identification and human interaction within the
family unit. Not all abused children become abusers.
-Societal and Cultural Factors: poverty or unemployment, communities with inadequate
resources, overcrowding, social isolation of families
NSG-322 Exam 3 With 100% Correct
Answers Grade A Certified
crises - correct answers-Acute, time-limited occurrences experienced as overwhelming emotional
reactions to a stressful situational event, developmental event, or the person's perception of an
event
Factors that Limit Coping/Problem-Solving Ability:
-Mental illness
-Substance abuse
-History of poor coping
-Diminished cognitive abilities
-Preexisting cognitive disorders
-Preexisting physical health problems
-Limited social supports
-Developmental and/or physical challenges
Client Outcomes are Impacted by:
-Individual, family, and community perception of & response to the crisis
-Coping abilities, resiliency
-Availability of outside supports
Clients with the Best Outcomes:
-Feel safe, connected, calm & hopeful
-Have access to social, physical, & emotional supports
-Find ways to help themselves
maturational crises - correct answers-Have to do with the predictable transitions individuals
experience as they move from one stage of human development to another
-At various times every individual must make adjustments and adapt to new responsibilities and
life patterns
-Ex: the transition from adolescence to adulthood
situational crises - correct answers-Arise suddenly and unexpectedly from an external source and
are events or circumstances that threaten the physical, social, and psychological integrity of
individuals.
-Often revolve around grief and loss
-These events may originate in the physical body as a result of disease or injury or in social or
emotional situations.
adventitious or social crises - correct answersRare, unexpected happenings that are not part of
everyday life and may result from:
-Natural disasters, such as floods, fires, and earthquakes
-National disasters, such as airplane crashes, riots, and wars
-Interpersonal disasters, such as assault and rape
-Acts of terrorism
phases of psychological crisis - correct answers-Phase 1: person is confronted by conflict and
responds with increased anxiety
-Phase 2: if usual defensive responses fail & threat persists, anxiety continues to increase; trial-
and-error begins
-Phase 3: if trial-and-error attempts also fail, anxiety can escalate to severe or panic levels
-Phase 4: if the problem is not solved & new coping skills are ineffective, anxiety can
overwhelm the person and result in serious illness; assess for suicidal thoughts, plans.
crisis intervention - correct answers-Interventions need to be bold, creative, and flexible
-3 levels of nursing care: primary, secondary, and tertiary
Primary Care:
-Strategies: promote mental health before crisis strikes; provide education, information &
resource listings
-Goals: improve clients' coping ability & decrease incidence of crises
Secondary Care:
-Strategies: prevent prolonged anxiety during acute crisis
-Goals: ensure client safety & shorten duration of client distress
Tertiary Care:
-Strategies: provide support during recovery from crisis
-Example: Critical Incident Stress Debriefing (CISD)
-Goals: facilitate optimal client functioning & prevent further emotional disruption
critical incident stress debriefing (CISD) - correct answers-Small group "psychological first aid"
-For best outcomes: integrate with existing community crisis support services
Primary Objectives:
1. Lessen the impact of the traumatic event
2. Facilitate recovery process & restore adaptive functioning in psychologically healthy people in
distress by the crisis event
3. Screen for & identify community members who might benefit from additional support services
& provide referrals for professional care
-The primary emphasis is to inform and empower a homogeneous group after a threatening or
overwhelming traumatic situation.
-It attempts to enhance resistance to stress reactions, build resiliency or the ability to "bounce
back" from a traumatic experience, and facilitate both a recovery from traumatic stress and a
return to normal, healthy functions.
-Should be linked and blended with numerous crisis support services including, but not limited
to, pre-incident education, individual crisis intervention, family support services, follow-up
services, referrals for professional care, if necessary, and post incident education programs.
-The best effects, which are enhanced group cohesion and unit performance, are always achieved
when it is part of a broader crisis support system.
Who Might Benefit from It?
-Staff members on an inpatient unit after a client's suicide
-Clients on an inpatient unit after a client's suicide
-Staff members & clients after an incident of violence
-Crisis hotline volunteers
-Schoolchildren and school personnel after school-based shootings have occurred
-Rescue and health care workers who responded to a natural disaster or terrorist attack
-A structured process that includes the cognitive and affective domains of human experience
-The phases are arranged in a specific order to facilitate the transition of the group from the
cognitive domain to the affectiv
abuse and neglect - correct answers-Prevalent among all social divisions: ethnic, religious, age,
social & socioeconomic groups
-Trusted authority figures are also part of the picture of violence in our society
-Four primary categories: emotional, physical, sexual, neglect
Signs that May Indicate Abuse or Neglect:
-Recurrent emergency department (ED) visits, attributed to the client being "accident prone"
-Presenting problems that reflect signs of high anxiety or chronic stress, such as:
-Hyperventilation, panic attacks
-Anxiety, depression
-GI disturbances
-Hypertension
-Physical injuries
-Insomnia, violent nightmares
-Extreme fatigue
-Cachexia
-Loss of hair
family violence - correct answers-Because the concept is so complex, there are a number of
theories suggesting an explanation for its occurrence.
-Ultimately, domestic violence is likely the result of a combination of societal, cultural and
psychological factors.
-Intergenerational Theory is based upon Bandura's Social Learning Theory. It is most likely the
interaction of societal, cultural, psychologic, and neurobiological factors. Child learns violence
as a behavioral norm through role modeling, identification and human interaction within the
family unit. Not all abused children become abusers.
-Societal and Cultural Factors: poverty or unemployment, communities with inadequate
resources, overcrowding, social isolation of families
