An older adult client who is mourning the death of her spouse comes to the health clinic for follow-up care for an irregular heartbeat.
During the examination the client tells the nurse, I don't care about my irregular heartbeat; I will be with my husband soon. The best response by the nurse is,
a. It sounds as if you would like to see your husband again.
b. Your husband is dead and you have so much to live for.
c. Your heartbeat was good today. The medication seems to be working.
d. Have you talked to your children recently about how you're doing?
Question 2A client is admitted to a psychiatric unit with severe depression and thoughts of suicide. The client is placed on suicide precautions. When caring for this client, the nurse recognizes that
a. people who talk about harming themselves are at less risk.
b. clients who verbalize or behaviorally demonstrate a weight being lifted off the shoulders are no longer at risk.
c. once the acute crisis has subsided, the client is no longer at risk.
d. a major goal in evaluating suicidal risk is to assess for imminent danger of doing harm to self.
Question 3When a disaster strikes within a community, the shock of the disaster pulls people together and outside resources are brought in. This is known as which phase of the community response to disaster?
a. Reconstruction
b. Honeymoon
c. Heroic
d. Disillusionment
Question 4A client states, I feel like I have no control over my life. The nurse determines the client is experiencing a sense of powerlessness. Which strategy most likely assisted the nurse in the identification of powerlessness?
a. Looking for central emotional themes in the client's story
b. Keeping the focus on the future
c. Providing lengthy responses when interacting with the client
d. Ignoring vocal inflections as the client speaks
Question 5A client who is experiencing a crisis is admitted to a nursing unit. When entering the client's room, the nurse should attempt to establish rapport and engage the client by
a. offering a brief introductory statement to quickly orient the client to the purpose of crisis questions.
b. demonstrating an inflexible approach when caring for the client.
c. placing the client in a dimly lit room close to the nursing unit.
d. delegating to several nurses the role as primary contact for information.
Question 6When educating a student nurse about the definition of a crisis state, the nurse recognizes that additional instruction is needed when the student nurse states,
a. A crisis state is an acute normal human response.
b. A crisis state is a mental illness.
c. A crisis state represents a personal response.
d. A crisis state creates a temporary disconnect from attachment to others.
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