Chapter 23: Emergency Psychiatric Medicine
MULTIPLE CHOICE
1. Which patient statement is representative of those seen in Phase 2 of the crisis response
regarding financial problems?
a. I cant get evicted and live on the street; Id kill myself first.
b. I need to get drunk and forget about money problems for a little while
c. I need to figure out a way to get enough money to meet my rent this month.
d. Ive always been able to rely on my mother but she wont give it to me this time.
ANS: B
Phase 2: Previous coping and problem-solving strategies fail to relieve the stressor. Phase 1: The
individual is exposed to a stressor. Phase 3: Resources from within and outside of the individual
are mobilized to resolve the problem and to alleviate the discomfort caused by the stressor. Note
that people may drop out of situations in numerous ways, including self- medication with alcohol.
Phase 4: The absence of crisis resolution leads to major disorganization such as self-injurious
behavior.
2. Which event has the potential for causing a situational crisis?
a. Losing ones faith in God
b. Losing a job after 10 years
c. Leaving home to attend college
d. Retirement from teaching school
ANS: B
A situational crisis occurs when a specific, external event, such as job loss, disturbs ones
psychologic equilibrium. The other options would be considered internal (subjective) crises.
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,3. Which patient statement made by a spouse is representative of those seen in Phase 3 of the
crisis response regarding the death of a loved one?
a. I dont know what Ill do to fill my days now.
b. Life isnt worth living if I have to live alone.
c. Prayer doesnt seem to give me the peace it has in the past.
d. Maybe going and spending time with my daughter will help.
ANS: D
Phase 3: Resources from within and outside of the individual are mobilized to resolve the
problem and to alleviate the discomfort caused by the stressor. Phase 1: The individual is
exposed to a stressor. Phase 2: Previous coping and problem-solving strategies fail to relieve the
stressor. Phase 4: The absence of crisis resolution leads to major disorganization such as self-
injurious behavior.
4. Which patient response demonstrates that the patient whose home was destroyed by a fire is
coping with the disaster?
a. Agreeing to see a grief counselor
b. Stating, At least no one was hurt in the fire.
c. Addressing the details regarding the rebuilding of the house
d. Stating, I knew things were going along too well to be true.
ANS: C
Coping does not imply mastery over the crisis; rather, it is the process that is used to respond to
the crisis and find resolution. Working on rebuilding the home is an example of this process. The
remaining option show varying degrees of attempting to justify or minimize the crisis.
5. Which factor will have the greatest impact on a patients ability to effectively respond to the
loss of a spouse?
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, a. The age of the patient
b. The years they were married
c. How the patient has handled other deaths
d. Availability of an effective support system
ANS: C
An individuals interpretation of the crisis is based to a large degree on previous outcomes to
similar situations such as experiencing another death crisis. The remaining options do not have
the same degree of influence as does the correct option since they are not an example of previous
experience.
6. What is the basis for a 1-month crisis intervention follow-up for individuals who have
survived a major hurricane?
a. Symptomology of acute stress disorder can occur within a month of experiencing
the trauma.
b. The patient generally has had time to reflect on the trauma and is now ready to
discuss its impact.
c. Medications prescribed to help manage the initial anxiety caused by the trauma
will need to be re-evaluated.
d. Private insurance carriers require professional mental health follow-ups when
initial counseling has occurred.
ANS: A
An acute stress disorder (ASD) may manifest when a person is in crisis. ASD is an anxiety
disorder that is characterized by a cluster of dissociative and anxiety symptoms that occur within
1 month of a major traumatic stressor. Although the patient may now be receptive to counseling,
there is no reason to believe this will happen within a month. The remaining options are not
necessarily true.
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MULTIPLE CHOICE
1. Which patient statement is representative of those seen in Phase 2 of the crisis response
regarding financial problems?
a. I cant get evicted and live on the street; Id kill myself first.
b. I need to get drunk and forget about money problems for a little while
c. I need to figure out a way to get enough money to meet my rent this month.
d. Ive always been able to rely on my mother but she wont give it to me this time.
ANS: B
Phase 2: Previous coping and problem-solving strategies fail to relieve the stressor. Phase 1: The
individual is exposed to a stressor. Phase 3: Resources from within and outside of the individual
are mobilized to resolve the problem and to alleviate the discomfort caused by the stressor. Note
that people may drop out of situations in numerous ways, including self- medication with alcohol.
Phase 4: The absence of crisis resolution leads to major disorganization such as self-injurious
behavior.
2. Which event has the potential for causing a situational crisis?
a. Losing ones faith in God
b. Losing a job after 10 years
c. Leaving home to attend college
d. Retirement from teaching school
ANS: B
A situational crisis occurs when a specific, external event, such as job loss, disturbs ones
psychologic equilibrium. The other options would be considered internal (subjective) crises.
HTTPS://PASINGGRADES.COM/
,3. Which patient statement made by a spouse is representative of those seen in Phase 3 of the
crisis response regarding the death of a loved one?
a. I dont know what Ill do to fill my days now.
b. Life isnt worth living if I have to live alone.
c. Prayer doesnt seem to give me the peace it has in the past.
d. Maybe going and spending time with my daughter will help.
ANS: D
Phase 3: Resources from within and outside of the individual are mobilized to resolve the
problem and to alleviate the discomfort caused by the stressor. Phase 1: The individual is
exposed to a stressor. Phase 2: Previous coping and problem-solving strategies fail to relieve the
stressor. Phase 4: The absence of crisis resolution leads to major disorganization such as self-
injurious behavior.
4. Which patient response demonstrates that the patient whose home was destroyed by a fire is
coping with the disaster?
a. Agreeing to see a grief counselor
b. Stating, At least no one was hurt in the fire.
c. Addressing the details regarding the rebuilding of the house
d. Stating, I knew things were going along too well to be true.
ANS: C
Coping does not imply mastery over the crisis; rather, it is the process that is used to respond to
the crisis and find resolution. Working on rebuilding the home is an example of this process. The
remaining option show varying degrees of attempting to justify or minimize the crisis.
5. Which factor will have the greatest impact on a patients ability to effectively respond to the
loss of a spouse?
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, a. The age of the patient
b. The years they were married
c. How the patient has handled other deaths
d. Availability of an effective support system
ANS: C
An individuals interpretation of the crisis is based to a large degree on previous outcomes to
similar situations such as experiencing another death crisis. The remaining options do not have
the same degree of influence as does the correct option since they are not an example of previous
experience.
6. What is the basis for a 1-month crisis intervention follow-up for individuals who have
survived a major hurricane?
a. Symptomology of acute stress disorder can occur within a month of experiencing
the trauma.
b. The patient generally has had time to reflect on the trauma and is now ready to
discuss its impact.
c. Medications prescribed to help manage the initial anxiety caused by the trauma
will need to be re-evaluated.
d. Private insurance carriers require professional mental health follow-ups when
initial counseling has occurred.
ANS: A
An acute stress disorder (ASD) may manifest when a person is in crisis. ASD is an anxiety
disorder that is characterized by a cluster of dissociative and anxiety symptoms that occur within
1 month of a major traumatic stressor. Although the patient may now be receptive to counseling,
there is no reason to believe this will happen within a month. The remaining options are not
necessarily true.
HTTPS://PASINGGRADES.COM/
