Nursing Exam Test V

Crisis Intervention
1. True or false; Stress has the ability to precipitate a crisis?
Answer: True0 any stressful situation can precipitate a crisis

2. What does problem solving during the crisis period do?

A. Nothing, a pt is not able to resolve a problem during the crisis period
B. Makes the crisis worse. During a crisis period trying to solve the problem
will cause stress which will precipitate the crisis
C. It will preserve self-esteem and promote growth with resolution.
D. It will cause the patient to withdraw and go into depression
Answer: C; problem solving during the crisis period preserves self
esteem and promotes growth with resolution

3. A disaster leaves victims with a (select all that apply)

A. damaged sense safety
B. varying amount of emotional trauma
C. damaged sense of coping mechanisims
D. damaged sense of well being
Answer: A, B, D; disasters leave victims with a damaged sense of
safety and well-being, and varying amounts of emotional trauma.

4. A common feature of disasters is that they(select all that apply)

A. Threaten the safety of the community
B. overwhelm local resources
C. cause a sensory overload in the elderly
D. threaten the function of the community
Answer: A,B,D - a common feature of disasters is that they overwhelm
local resources and threaten the function and safety of the community.

5. Nurse Jane is working on crisis intervention with a patient, she takes the
information she has gathered about the stressor and writes the following statement
in her nurses notes:
“Ineffective coping r/t mental illness AEB pt stating that she drinks 7
days a week until she passes out. “Pt. will identify 1 positive coping skill by
discharge”
What phase of crisis intervention is nurse Jane completing?
A. Intervention (Phase 3)
B. Assessment (Phase 1)
C. Planning of therapeutic intervention (Phase 2)
D. Evaluation of crisis resolution and anticipatory planning (4)
Answer: The correct answer is C; the planning therapeutic intervention
is the stage where from the assessment data the nurse selects appropriate nursing
diagnoses that reflect the immediacy of the crisis situation.

6. Stacy comes home to find her house has been burglarized. She is very upset and
immediately calls the cops. For months after the burglary Stacy cannot sleep, she
awakes in the middle of the night thinking that she hears footsteps or glass breaking.
Stacy’s current mental state is a result of which type of crises?
A. Crisis reflecting psychopathology
B. Maturational/developmental crisis
C. Crisis of anticipated life transition
D. Crisis resulting from traumatic stress
Answer: D; a crisis resulting from traumatic strees results from an
unexpected external stressor which the individual has little or no control, (causing
them to feel defeated or overwhelmed)

7. A sudden event in ones life that disrupts homeostasis during which usual coping
mechanisms can’t resolve the problem is defined as:
A. Crisis B. Monumental moment
C. Disaster D. Intervention
Answer: A. Crisis

8. Nurse Jane has just met with a new client who is having trouble coping with his
crisis. Jane begins the interview buy asking what happened to cause this patient to
become so upset, she finds out when the event happens, if it has ever happened
before, if so what coping skills has the client used in the past and did they work. She
also pays close attention the clients physical and mental state during this period
Nurse Jane is acting out what phase in crisis intervention.
A. Intervention (Phase 3)
B. Assessment (Phase 1)
C. Planning of therapeutic intervention (Phase 2)
D. Evaluation of crisis resolution and anticipatory planning (4)
Answer: B, assessment is the period when a nurse gathers information
about the stressors in the clients life.

9. Interventions with the client who has experienced a traumatic even are aimed at
(select all that apply)
A. Maintaining anxiety at a manageable level
B. Stopping the crisis completely and immediately
C. Developing a trusting relationship with the client
D. Encouraging expression of beliefs and values
Answer A, C, D - you also want to keep a calm and confident manor
with the pt, speak in an even tone and use short simple sentences.

10. The individuals perception of the event; the availability of situational support;
availability of adequate coping mechanisms are all examples of what?
A. Maturational crises
B. Balancing Factors
C. Developmental Factors
D. Situational Crises
Answer: B. Balancing factors

11. Crisis situations in which general functioning has been severely impaired and the
individual rendered incompetent or unable to assume personal responsibility are
known as:
A. Situational Crisis B.Crises reflecting psychopathology
C. Developmental emergencies D. Psychiatric emergencies
Answer; D. Psychiatric emergencies

12. Put the following phases in the development of a crisis into chronological order;
A. All possible resources, both internal and external, are called on to resolve
the problem and relieve the discomfort
B. The individual is exposed to a precipitating stressor anxiety is increased.
 C. If resolution has not occurred in previous phases, the tension mounts
beyond a further threshold or its burden increases over time to a breaking point.
Major disorganization of the individual with drastic results often occurs.
D. When previous problem-solving techniques do not relieve the stressor,
anxiety increases further
Answer: B, D, A, C

13.