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NURS 3525 MENTAL HEALTH EXAM 3 LATEST REAL EXAM
QUESTIONS AND CORRECT ANSWERS|KEISER UNIVERSITY
How much time does it usually take for a crisis to self-resolve?
A) 1 to 10 days
B) 1 to 3 weeks
C) 4 to 6 weeks
D) 3 to 4 months - ANSWER: 4-6 weeks
At 4 to 6 weeks, the individual is making accommodations and adjustments to relieve
anxiety, and the crisis is no longer a crisis. These adjustments usually cannot be
made in less time, but taking 3 to 4 months would not be tolerable.
p. 325
Which statements are true regarding tertiary crisis care? Select all that apply.
A) The care may be provided on an outpatient basis.
B) A goal is to have the client regain optimum function.
C) A goal is the prevention of further crisis-related emotional disruption.
D) Sheltered workshops are not designed to provide tertiary crisis care.
E) Care focuses on recovery from a disabling mental state resulting from a crisis. -
ANSWER: A, B, C, E
Tertiary care provides support for those who have experienced a severe crisis and
are now recovering from a disabling mental state. Social and community facilities
that offer tertiary intervention include rehabilitation centers, sheltered workshops,
day hospitals, and outpatient clinics. Primary goals are to facilitate optimal levels of
functioning and prevent further emotional disruptions.
p. 330
What is the priority concern for the crisis intervention nurse?
A) Client safety
B) Setting up future contacts
C) Brainstorming possible solutions
D) Working through termination issues - ANSWER: Client safety
Client safety is always the priority concern in crisis intervention therapy. The
disequilibrium of crisis predisposes the client to suicidal thinking. Setting up contacts,
brainstorming solutions, and working through termination issues are all concerns of
crisis intervention, but they are secondary to safety.
p. 330
,What is the highest priority of care for a client in emotional crisis?
A) Reduction of anxiety
B) Development of new coping skills
C) Prevention of boundary blurring
D) Promoting client safety - ANSWER: Promoting client safety
The nurse's initial task is to promote safety by assessing the client's potential for
suicide or homicide. Reduction of anxiety, development of new coping skills, and
prevention of boundary blurring are all important components of the care plan, but
safety of the client takes the highest priority.
p. 330
A client is experiencing stress at work. What is an example of a physical stressor in
the workplace?
A) Staff cliques
B) Guilt
C) Low pay
D) Loud noises - ANSWER: Loud noises
Loud noises are an example of a physical stressor in the workplace. Staff cliques and
low pay are psychosocial stressors. Guilt is a psychological stressor.
p. 120
In the United States, which agency has overall responsibility to coordinate responses
to disasters?
A) World Health Organization (WHO)
B) Department of Homeland Security (DHS)
C) Federal Emergency Management Agency (FEMA)
D) National Incident Management System (NIMS) - ANSWER: Department of
Homeland Security (DHS)
The DHS has ultimate government responsibility for the safety of United States
citizens and territories while assuring adequate preparedness, response, and
recovery protocols are immediately available. WHO serves the global community.
DHS oversees operations of FEMA. NIMS helps first responders from different
disciplines and areas to work together effectively when a community has exhausted
its available resources in addressing a large-scale occurrence.
p. 327
What is the term used for the emotional pain or cost of working with traumatized
persons that may result in a stress response for a nurse?
Compassion fatigue is the emotional pain or cost of working with traumatized
persons that may result in a stress response for a nurse. Grief is incorrect, because it
is defined as the individualized response to a loss that is perceived, real, or
anticipated. Burnout is incorrect, because it is defined as decreased work
performance due to negative behaviors and thoughts. Compassion is incorrect,
because it is defined as the ability to be with someone who is suffering.
p. 395
Which assumption serves as a foundation for the use of crisis intervention?
A) The individual is mentally healthy but in a state of disequilibrium.
B) Long-term dysfunctional adjustment can be addressed by crisis intervention.
C) An anxious person is unlikely to be willing to try new problem-solving strategies.
D) Crisis intervention nurses need to remain passive as the client deals with the
crisis. - ANSWER: The individual is mentally healthy but in a state of disequilibrium.
The individual is mentally healthy but in a state of disequilibrium is the only true
statement. Crisis intervention cannot address long-term dysfunctional adjustment.
An anxious person is not likely to try new strategies. Crisis intervention nurses take
an active role in working with the client.
p. 325
Which event can lead to the development of a situational crisis in clients?
A) Physical assault
B) Natural disaster
C) Birth of a child
D) Loss of a job - ANSWER: Loss of a job
A situational crisis arises from external events such as loss of a job or an abortion. An
adventitious crisis results from accidental events that are unplanned, which may be
human-made or caused by nature. This crisis arises from situations such as physical
assaults and natural disasters like floods and earthquakes. A maturational crisis
arises from developmental changes in a person's life such as the birth of a child or
death of parents.
p. 326
The nurse must initially assess a client in crisis for which equilibrium-focused
behavior?
A) Self-report of feeling depressed
B) Unrealistic report of a crisis-precipitating event
C) Report of a high level of anxiety
, D) Admission that he or she is abusing drugs - ANSWER: Unrealistic report of a crisis-
precipitating event
A person's equilibrium may be affected adversely by one or more of the following: an
unrealistic perception of the precipitating event, inadequate situational supports,
and inadequate coping mechanisms. These factors must be assessed when a crisis
situation is evaluated because data gained from the assessment are used as guides
for both the nurse and the client to set realistic and meaningful goals, as well as to
plan possible solutions to the problem situation. Feelings of depression or anxiety
and admission of drug use are important to the crisis management process, but they
are secondary to assessing the client's report of the event.
p. 327
What quality may explain why some individuals tend to survive traumas and
stressors more successfully than others?
A) Intimacy
B) Adversity
C) Resiliency
D) Impulsivity - ANSWER: Resiliency
Individuals with resiliency tend to survive traumas or stressors more successfully.
Resiliency is developed through the successful transition through a previous crisis,
often with the guidance of parents and other supportive figures. Individuals who are
resilient may also have better resources and parenting, and may be neurologically
less vulnerable to stress. Most children can develop resiliency if provided with the
necessary support. Intimacy is an important quality to establishing close social
relationships. Adversity describes traumas and stressors that challenge a person's
well-being. Impulsivity is a risky quality that involves acting without evaluating
possible consequences.
p. 405
Which principles related to crisis resolution direct the care provided by a crisis
intervention nurse? Select all that apply.
A) The client employs previously used problem-solving methods to regain pre-crisis
function.
B) The goal of crisis intervention is for the client to regain pre-crisis level functioning.
C) During a crisis, people often are more receptive than usual to outside
intervention.
D) Early intervention probably increases the chances for coping that is effective.
E) The nurse must be willing to take a passive and nondirective role in the care. -
ANSWER: B, C, D
The goal of crisis intervention is to return the client to at least the pre-crisis level of
functioning. During a crisis, people often are more receptive than usual to outside
intervention. With intervention, the client can learn different adaptive means of
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