54. Which approaches should a nurse use during crisis
intervention? SATA
A. Active
B. Passive
C. Reflective
D. Interpretative
E. Goal-directed correct answers A. Active
E. Goal-directed
55. Which is the most important assessment data for a nurse to
gather from the client in crisis?
A. The client's work habits
B. Any significant physical health data
C. A history of emotional problems in the family
D. The client's perception of the circumstances surrounding the
crisis correct answers D. The client's perception of the
circumstances surrounding the crisis
56. An extremely anxious client enters a crisis center and asks a
nurse for help. Which response best reflects the nurse's role in
crisis intervention?
A. "Tell me what you have done to help yourself"
B. "I will be here for you to help you figure things out"
C. "I understand that in the past you have had problems"
D. "Tell me about the things that are bothering you the most"
correct answers B. "I will be here for you to help you figure
things out"
,57. When assisting clients to cope with a crisis, the health care
provider should follow the principles of intervention. Place the
following interventions in order of their priority.
1. Stabilize the client
2. Intervene immediately
3. Encourage self-reliance
4. Use the available resources
5. Facilitate understanding of the event correct answers 2, 1, 5,
4, 3
58. A child in the first grade is murdered, and counseling is
planned for the other children in the school. What should a nurse
identify first before assessing a child's response to a crisis?
A. Developmental level of the child
B. Quality of the child's peer relationships
C. Child's perception of the crisis situation
D. Child's communication patterns with family members correct
answers A. Developmental level of the child
59. What is an initial client objective in relation to anger
management?
A. Expressing remorse over aggressive actions
B. Taking responsibility for the hostile behaviors
C. Developing alternative method to release feelings
D. Teaching others how to avoid triggering the angry behavior
correct answers B. Taking responsibility for the hostile
behaviors
60. A nurse leads an assertiveness training program for a group
of clients. Which client statement demonstrates that the
treatment has been effective?
, A. "I know I should put the needs of others before mine"
B. "I won't stand for it, so I told my boss he's a jerk and to get
off my back"
C. "It annoys me when people call me 'Dearie,' so I told him not
to do it anymore"
D. "It is easier for me to agree up front and then just do enough
so that no one notices" correct answers C. "It annoys me when
people call me 'Dearie,' so I told him not to do it anymore"
61. A nurse is working with a married woman who has come to
the emergency department several times with injuries that
appear to be related to domestic violence. While talking with the
nurse manager, a nurse expresses disgust that the woman returns
to the same situation. What is the nurse manager's best
response?
A. "She must not have the financial resources to leave her
husband"
B. "Most woman attempt to leave about six times before they
are able to do so"
C. "There is nothing the staff can do because people are free to
choose their own life"
D. "These women should be told how foolish they are to remain
in their current situation" correct answers B. "Most woman
attempt to leave about six times before they are able to do so"
62. What is the most important information a nurse should teach
to prevent relapse in a client with a psychiatric illness?
A. Develop a close support system
B. Create a stress-free environment
C. Refrain from activities that cause anxiety