BSN 346 - SHERPATH WEEK 1 (STRESS & COPING) QUESTIONS WITH
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY
GRADED A +
Determine Mr. Helms's risk for self-harm.
Assessing the patient's risk for self-harm and harm to others is the priority nursing intervention.
RATIONALE FOR INCORRECT:
Identifying the patient's coping skills is important, but this is not the priority nursing intervention.
Although identifying the source of the crisis will help Mr. Helms decrease anxiety, this is not the priority
nursing intervention. Also, the source of the crisis (the death of Mr. Helms' wife) is already known.
Although planning for the future is important, this is not the priority nursing intervention. - ANSWER-
Which is the priority nursing intervention for Mr. Helms?
Case Study Details
Ray Helms is a 65-year-old male patient who is being assessed by the nurse in the primary care
provider's office. Mr. Helms' daughter is present. The patient appears disheveled; he is wearing
mismatched clothes, is malodorous, and has not groomed for the visit. The daughter expresses that Mr.
Helms' wife of 40 years died five days prior. Since his wife's death, Mr. Helms has been inconsolable and
refuses to eat, bathe, or groom. He did not attend the memorial service for his wife.
The daughter who brought Mr. Helms in states that her father is a strong person and this is not
characteristic behavior. She states she is afraid for his health and safety. The nurse states that she
understands the daughter's concerns and begins to assess and plan for the care of Mr. Helms.
Identify Mr. Helms's coping skills.
Determine Mr. Helms's risk for self-harm.
Help Mr. Helms identify the source of the crisis.
Assist Mr. Helms in planning for future crisis situations.
What is a main goal of the nurse during crisis intervention?
Provide housing for patients displaced from their homes
Resolve the negative impact of the crisis on the patient's functioning
,Assist patients to schedule needed medical appointments to care for physical needs
Help the patient in crisis identify why current coping mechanisms failed - ANSWER-Resolve the negative
impact of the crisis on the patient's functioning
A main goal of crisis intervention is to enable the patient to resolve the negative impact of the crisis on
daily functioning.
RATIONALE FOR INCORRECT:
Providing shelter is sometimes a part of crisis intervention, but is not the primary goal.
Nurses may need to help patients with appointments and follow up, but this is not the main goal of crisis
intervention.
During crisis situations it is expected that current coping mechanisms have failed; therefore, this is not
the main goal of crisis intervention.
Which statements are true of crisis?
Select all that apply.
Everyone experiences crisis in his or her lifetime.
Crisis depends on a person's perception of an event.
Crisis indicates that a person is experiencing mental illness.
The patient should be involved in goal evaluation during a crisis.
Crisis occurs when an event overwhelms an individual's coping skills. - ANSWER-Everyone experiences
crisis in his or her lifetime.
Everyone is likely to experience a maturational or situational crisis in his or her lifetime.
Crisis depends on a person's perception of an event.
Crisis is unique to the person experiencing the event. The loss of a pet or failing an exam could be a crisis
for one person but not for another.
Crisis occurs when an event overwhelms an individual's coping skills.
Crisis occurs when the patient's coping skills fail to enable him or her to manage a situation.
RATIONALE FOR INCORRECT:
,Everyone experiences a crisis in his or her lifetime; crisis does not indicate mental illness.
Patients can set goals during a crisis, but evaluating the goals comes after the crisis is resolved.
Which individual is experiencing a maturational crisis?
A 19-year-old male rape victim
A 23-year-old female traumatized by a nearby bombing
A 65-year-old female suffering from post-traumatic stress disorder
A 60-year-old male buying a sports car after suddenly leaving his family - ANSWER-A 60-year-old male
buying a sports car after suddenly leaving his family
A person transitioning into a new life stage—such as nearing retirement—may experience a maturational
crisis.
RATIONALE FOR INCORRECT:
Rape is an example of an adventitious crisis because it is a traumatic event that is not part of everyday
life.
A bombing victim is experiencing an adventitious crisis because a bombing is a traumatic event, not part
of everyday life.
Post-traumatic stress disorder may be experienced after an adventitious crisis.
Which are examples of adventitious crises?
Select all that apply.
A family loses their home in a flood.
A young woman is raped on a college campus.
Students are traumatized by a school shooting.
A wildfire causes evacuation of a neighborhood.
A teenager loses his grandfather after a long illness.
A man receives notice that he is being laid off at work. - ANSWER-A family loses their home in a flood.
Natural disasters such as floods are adventitious crises.
A young woman is raped on a college campus.
, Incidents of crime such as rape are adventitious crises.
Students are traumatized by a school shooting.
Incidents of crime such as shootings are adventitious crises.
A wildfire causes evacuation of a neighborhood.
Natural disasters such as fires are adventitious crises.
RATIONALE FOR INCORRECT:
Situational crises occur as a result of events that happen in everyday life, such as death of a loved one.
Situational crises occur as a result of events that happen in everyday life, such as loss of a job.
1 / Development of approved disaster plans for responding to vulnerability of individuals and the
environment to a specific type of potential crisis (natural or man- made)...
2 / Strategic strategies are considered to minimize the significant impact of the disaster on the health of
humans ...
3 / The plan is implemented with careful attention paid to rescue activities for potential revisions ...
4 / Individuals and community resources affected by the disaster are stabilized. The recovery process is,
frequently, an extended process that requires ongoing supportive resources...
5 / The response is evaluated. If needed, the community is involved in revising the disaster plan
There are five phases of disaster management: preparedness, mitigation, response, recovery, and
evaluation. - ANSWER-Place the phases of disaster response in order.
The response is evaluated. If needed, the community is involved in revising the disaster plan , and
Development of approved disaster plans for responding to vulnerability of individuals and the
environment to a specific type of potential crisis (natural or man- made). Plans include goals for
stabilization and recovery after the crisis. Individuals and community are alerted about the plan and the
goals.
DETAILED VERIFIED ANSWERS (100% CORRECT ANSWERS) /ALREADY
GRADED A +
Determine Mr. Helms's risk for self-harm.
Assessing the patient's risk for self-harm and harm to others is the priority nursing intervention.
RATIONALE FOR INCORRECT:
Identifying the patient's coping skills is important, but this is not the priority nursing intervention.
Although identifying the source of the crisis will help Mr. Helms decrease anxiety, this is not the priority
nursing intervention. Also, the source of the crisis (the death of Mr. Helms' wife) is already known.
Although planning for the future is important, this is not the priority nursing intervention. - ANSWER-
Which is the priority nursing intervention for Mr. Helms?
Case Study Details
Ray Helms is a 65-year-old male patient who is being assessed by the nurse in the primary care
provider's office. Mr. Helms' daughter is present. The patient appears disheveled; he is wearing
mismatched clothes, is malodorous, and has not groomed for the visit. The daughter expresses that Mr.
Helms' wife of 40 years died five days prior. Since his wife's death, Mr. Helms has been inconsolable and
refuses to eat, bathe, or groom. He did not attend the memorial service for his wife.
The daughter who brought Mr. Helms in states that her father is a strong person and this is not
characteristic behavior. She states she is afraid for his health and safety. The nurse states that she
understands the daughter's concerns and begins to assess and plan for the care of Mr. Helms.
Identify Mr. Helms's coping skills.
Determine Mr. Helms's risk for self-harm.
Help Mr. Helms identify the source of the crisis.
Assist Mr. Helms in planning for future crisis situations.
What is a main goal of the nurse during crisis intervention?
Provide housing for patients displaced from their homes
Resolve the negative impact of the crisis on the patient's functioning
,Assist patients to schedule needed medical appointments to care for physical needs
Help the patient in crisis identify why current coping mechanisms failed - ANSWER-Resolve the negative
impact of the crisis on the patient's functioning
A main goal of crisis intervention is to enable the patient to resolve the negative impact of the crisis on
daily functioning.
RATIONALE FOR INCORRECT:
Providing shelter is sometimes a part of crisis intervention, but is not the primary goal.
Nurses may need to help patients with appointments and follow up, but this is not the main goal of crisis
intervention.
During crisis situations it is expected that current coping mechanisms have failed; therefore, this is not
the main goal of crisis intervention.
Which statements are true of crisis?
Select all that apply.
Everyone experiences crisis in his or her lifetime.
Crisis depends on a person's perception of an event.
Crisis indicates that a person is experiencing mental illness.
The patient should be involved in goal evaluation during a crisis.
Crisis occurs when an event overwhelms an individual's coping skills. - ANSWER-Everyone experiences
crisis in his or her lifetime.
Everyone is likely to experience a maturational or situational crisis in his or her lifetime.
Crisis depends on a person's perception of an event.
Crisis is unique to the person experiencing the event. The loss of a pet or failing an exam could be a crisis
for one person but not for another.
Crisis occurs when an event overwhelms an individual's coping skills.
Crisis occurs when the patient's coping skills fail to enable him or her to manage a situation.
RATIONALE FOR INCORRECT:
,Everyone experiences a crisis in his or her lifetime; crisis does not indicate mental illness.
Patients can set goals during a crisis, but evaluating the goals comes after the crisis is resolved.
Which individual is experiencing a maturational crisis?
A 19-year-old male rape victim
A 23-year-old female traumatized by a nearby bombing
A 65-year-old female suffering from post-traumatic stress disorder
A 60-year-old male buying a sports car after suddenly leaving his family - ANSWER-A 60-year-old male
buying a sports car after suddenly leaving his family
A person transitioning into a new life stage—such as nearing retirement—may experience a maturational
crisis.
RATIONALE FOR INCORRECT:
Rape is an example of an adventitious crisis because it is a traumatic event that is not part of everyday
life.
A bombing victim is experiencing an adventitious crisis because a bombing is a traumatic event, not part
of everyday life.
Post-traumatic stress disorder may be experienced after an adventitious crisis.
Which are examples of adventitious crises?
Select all that apply.
A family loses their home in a flood.
A young woman is raped on a college campus.
Students are traumatized by a school shooting.
A wildfire causes evacuation of a neighborhood.
A teenager loses his grandfather after a long illness.
A man receives notice that he is being laid off at work. - ANSWER-A family loses their home in a flood.
Natural disasters such as floods are adventitious crises.
A young woman is raped on a college campus.
, Incidents of crime such as rape are adventitious crises.
Students are traumatized by a school shooting.
Incidents of crime such as shootings are adventitious crises.
A wildfire causes evacuation of a neighborhood.
Natural disasters such as fires are adventitious crises.
RATIONALE FOR INCORRECT:
Situational crises occur as a result of events that happen in everyday life, such as death of a loved one.
Situational crises occur as a result of events that happen in everyday life, such as loss of a job.
1 / Development of approved disaster plans for responding to vulnerability of individuals and the
environment to a specific type of potential crisis (natural or man- made)...
2 / Strategic strategies are considered to minimize the significant impact of the disaster on the health of
humans ...
3 / The plan is implemented with careful attention paid to rescue activities for potential revisions ...
4 / Individuals and community resources affected by the disaster are stabilized. The recovery process is,
frequently, an extended process that requires ongoing supportive resources...
5 / The response is evaluated. If needed, the community is involved in revising the disaster plan
There are five phases of disaster management: preparedness, mitigation, response, recovery, and
evaluation. - ANSWER-Place the phases of disaster response in order.
The response is evaluated. If needed, the community is involved in revising the disaster plan , and
Development of approved disaster plans for responding to vulnerability of individuals and the
environment to a specific type of potential crisis (natural or man- made). Plans include goals for
stabilization and recovery after the crisis. Individuals and community are alerted about the plan and the
goals.
