C HAPTER 26: C RISIS AND D ISASTER
Varcarolis’ Foundations of Psychiatric -Mental Health Nursing: 8th Edition
MULTIPLE CHOICE
1. Which situation demonstrates use of primary care related to crisis
intervention?
a. Implementation of suicide precautions for a depressed patient
b. Teaching stress reduction techniques to a first -year college student
c. Assessing coping strategies used by a patient who attempted suicide
d. Referring a patient with schizophrenia to a partial hospitalization
program
ANS: B
Primary care-related crisis intervention promotes mental health and
reduces mental illness. The incorrect options are examples of
secondary or tertiary care.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 498 TOP: Nursing Process: Eval uation MSC:
Client Needs: Psychosocial Integrit y
2. A victim of spousal violence comes to the crisis center seeking help.
Crisis intervention strategies the nurse uses will focus on:
a. supporting emotional securit y and reestablishing equilibrium.
b. long-term resolution of issues precipitating the crisis.
c. promoting growth of the individual.
, d. providing legal assistance.
ANS: A
Strategies of crisis intervention address the immediate cause of the
crisis and restoration of emotional security and equilibrium. The goa l
is to return the individual to the pre -crisis level of function. Crisis
intervention is, by definition, short term. The correct response is the
most global answer. Promoting growth is a focus of long - term therapy.
Providing legal assistance might or mig ht not be applicable.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 490 TOP: Nursing Process: Planning MSC:
Client Needs: Psychosocial Integrit y
3. After celebrating the fortieth birthday, an individual becomes concerned
with the loss of youthful appearance. What t ype of crisis has occurred?
a. Reactive
b. Situational
c. Maturational
d. Adventitious
ANS: C
Maturational crises occur when a person arrives at a new stage of
development and finds that old coping styles are ineffective but has not
yet developed new strategies. Situational crises arise from sources
external to the individual, such as divorce and job loss. There is no
classification called reactive. Adventitious crises occur when disasters,
, such as natural disasters (e.g., floods, hurrican es), war, or violent
crimes, disrupt coping.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 492 TOP: Nursing Process: Assessment MSC:
Client Needs: Health Promotion and Maintenance
4. Which scenario is an example of an adventitious crisis?
a. The death of a child from sudden infant death syndrome
b. Being fired from a job because of company downsizing
c. Retirement of a 55 -year-old person
d. A riot at a rock concert
ANS: D
The rock concert riot is unplanned, accidental, violent, and not a part
of everyday life. The incorrect options are examples of situational or
maturational crises.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 492 TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrit y
5. Which agency provides co ordination in the event of a terrorist attack?
a. Food and Drug Administration (FDA)
b. Environmental Protection Agency (EPA)
c. National Incident Management S ystem (NIMS)
d. Federal Emergency Management Agency (FEMA)
Varcarolis’ Foundations of Psychiatric -Mental Health Nursing: 8th Edition
MULTIPLE CHOICE
1. Which situation demonstrates use of primary care related to crisis
intervention?
a. Implementation of suicide precautions for a depressed patient
b. Teaching stress reduction techniques to a first -year college student
c. Assessing coping strategies used by a patient who attempted suicide
d. Referring a patient with schizophrenia to a partial hospitalization
program
ANS: B
Primary care-related crisis intervention promotes mental health and
reduces mental illness. The incorrect options are examples of
secondary or tertiary care.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 498 TOP: Nursing Process: Eval uation MSC:
Client Needs: Psychosocial Integrit y
2. A victim of spousal violence comes to the crisis center seeking help.
Crisis intervention strategies the nurse uses will focus on:
a. supporting emotional securit y and reestablishing equilibrium.
b. long-term resolution of issues precipitating the crisis.
c. promoting growth of the individual.
, d. providing legal assistance.
ANS: A
Strategies of crisis intervention address the immediate cause of the
crisis and restoration of emotional security and equilibrium. The goa l
is to return the individual to the pre -crisis level of function. Crisis
intervention is, by definition, short term. The correct response is the
most global answer. Promoting growth is a focus of long - term therapy.
Providing legal assistance might or mig ht not be applicable.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 490 TOP: Nursing Process: Planning MSC:
Client Needs: Psychosocial Integrit y
3. After celebrating the fortieth birthday, an individual becomes concerned
with the loss of youthful appearance. What t ype of crisis has occurred?
a. Reactive
b. Situational
c. Maturational
d. Adventitious
ANS: C
Maturational crises occur when a person arrives at a new stage of
development and finds that old coping styles are ineffective but has not
yet developed new strategies. Situational crises arise from sources
external to the individual, such as divorce and job loss. There is no
classification called reactive. Adventitious crises occur when disasters,
, such as natural disasters (e.g., floods, hurrican es), war, or violent
crimes, disrupt coping.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 492 TOP: Nursing Process: Assessment MSC:
Client Needs: Health Promotion and Maintenance
4. Which scenario is an example of an adventitious crisis?
a. The death of a child from sudden infant death syndrome
b. Being fired from a job because of company downsizing
c. Retirement of a 55 -year-old person
d. A riot at a rock concert
ANS: D
The rock concert riot is unplanned, accidental, violent, and not a part
of everyday life. The incorrect options are examples of situational or
maturational crises.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 492 TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrit y
5. Which agency provides co ordination in the event of a terrorist attack?
a. Food and Drug Administration (FDA)
b. Environmental Protection Agency (EPA)
c. National Incident Management S ystem (NIMS)
d. Federal Emergency Management Agency (FEMA)
