FSCJ 1023C exam 3 module 5 Questions With Complete
Solutions
A client whose spouse died in an accident says, "God does not
have mercy on me. He always takes away the people I love."
Which is the best response given by the nurse in this situation?
Correct Answer "It is not as you think. God is never wrong."
"I think you are correct. I also feel this way sometimes."
"It is okay. There are many other people in your life who love
you."
"I understand how you are feeling. Being angry is natural in this
situation."
(The nurse should respond in such a way that the client
understands that being angry with God is a normal part of the
grieving process. Therefore, this response is best for the client)
According to Aguilera, which factor affects the way a client
perceives and responds to a precipitating stressor? Correct
Answer Availability of coping strategies - one of the factors
identified by Aguilera as affecting an individual's response to a
stressor is the availability of coping strategies.
Loss of a valuable possession
Exposure to harmful situations
Challenges faced during the crisis
According to the Brøset violence checklist, which client
behavior should be scored by the nurse? Select all that apply.
Correct Answer Calm voice
Confusion (confusion is a behavior scored on the
Broset checklist)
,Irritability (Irritability is a behavior scored on the broset
checklist)
Identification of consequences
Attacks on object (Attacking an object is a behavior scored on
the Broset checklist.)
After losing a friend in a motorcycle accident, the client tells the
nurse, "I should have died in the accident instead of my friend. I
was driving the bike too fast." What does the client's statement
indicate? Correct Answer Survivor's guilt - survivor's guilt is a
perception of being in the wrong for having survived a traumatic
incident. The statement of the client is an indication of survivor's
guilt.
The nurse admits an adult client with severe anxiety to the
psychiatric unit as a direct admission from the health-care
provider's office. Based on the assessment data collected, which
priority nursing action is required for this client? Select all that
apply. Correct Answer Isolate the client by closing the door.
Establish a rapid working relationship with the client
(A crisis intervention requires a quick response. The nurse
would want to develop a quick relationship by showing
unconditional acceptance, listening actively, and attending to
immediate needs.)
Clarify the current problem with the client.
, (The nurse can do this by describing their perception of the
problem and comparing it with the individual's perception of the
problem.)
Implement the use of touch when the client is upset.
Guide the client through a problem-solving process.
(This will help the client to confront the factors that are
contributing to the crisis. Encourage the client to discuss
changes she would like to make. Encourage exploration of
feelings. Discuss alternative strategies.)
The nurse is caring for a client experiencing fear and anxiety.
Which nursing intervention is beneficial to reduce the sense of
confusion in the client? Correct Answer Maintaining a silent
environment around the client
Noting the degree of disorganization
Determining the presence of physical symptoms
Identifying if the incident has reactivated preexisting situations
Maintaining a silent environment around the client
Rationale: Maintaining a silent environment around the client
reduces the sense of confusion.
The nurse is caring for a client who is experiencing a great deal
of anxiety because previously used problem-solving techniques
have failed. In which phase of crisis development is the client
most likely to be? Correct Answer Phase 1 (In phase 1 of crisis
develop, the client is faced with a problem, and previous
problem-solving techniques are used)
Phase 2 (in phase 2 of crisis development, anxiety increases due
to failure of previously used problem solving techniques.
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