Test Bank - Varcarolis\' Foundations of
Psychiatric Mental Health Nursing
(8th Edition) {Chapters 26-30}
C HAPTER 26: C RISIS AND D ISASTER
MULTIPLE CHOICE
1. Which situation demonstrates use of primary care related to crisis
intervention?
a. Implementation of suicide precautions for a depressed patient
b. Teaching stress reduction techniques to a first -year college student
c. Assessing coping strategies used by a patient who attempted suicide
d. Referring a patient with schizophrenia to a partial hospitalization
program
ANS: B
Primary care-related crisis intervention promotes mental health and
reduces mental illness. The incorrect options are examples of
secondary or tertiary care.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 498 TOP: Nursing Process: Evaluation MSC:
Client Needs: Psychosocial Integrit y
2. A victim of spousal violence comes to the crisis center seeking help.
Crisis intervention strategies the nurse uses will focus on:
a. supporting emotional securit y and reestablishing equilibrium.
b. long-term resolution of issues precipi tating the crisis.
c. promoting growth of the individual.
d. providing legal assistance.
, ANS: A
Strategies of crisis intervention address the immediate cause of the
crisis and restoration of emotional security and equilibrium. The goal
is to return the individual to the pre -crisis level of function. Crisis
intervention is, by definition, short term. The correct response is the
most global answer. Promoting growth is a focus of long - term therapy.
Providing legal assistance might or might not be applicabl e.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 490 TOP: Nursing Process: Planning MSC:
Client Needs: Psychosocial Integrit y
3. After celebrating the fortieth birthday, an individual becomes concerned
with the loss of youthful appearance . What t ype of crisis has occurred?
a. Reactive
b. Situational
c. Maturational
d. Adventitious
ANS: C
Maturational crises occur when a person arrives at a new stage of
development and finds that old coping styles are ineffective but has not
yet developed new strate gies. Situational crises arise from sources
external to the individual, such as divorce and job loss. There is no
classification called reactive. Adventitious crises occur when disasters,
such as natural disasters (e.g., floods, hurricanes), war, or violen t
crimes, disrupt coping.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 492 TOP: Nursing Process: Assessment MSC:
Client Needs: Health Promotion and Maintenance
4. Which scenario is an example of an adventitious crisis?
a. The death of a chi ld from sudden infant death syndrome
b. Being fired from a job because of company downsizing
, c. Retirement of a 55 -year-old person
d. A riot at a rock concert
ANS: D
The rock concert riot is unplanned, accidental, violent, and not a part
of everyday life. The incorrect options are examples of situational or
maturational crises.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 492 TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrit y
5. Which agency provides coordination in th e event of a terrorist attack?
a. Food and Drug Administration (FDA)
b. Environmental Protection Agency (EPA)
c. National Incident Management S ystem (NIMS)
d. Federal Emergency Management Agency (FEMA)
ANS: C
The National Incident Management S ystem (NIMS) provides a
s ystematic approach to guide departments and agencies at all levels of
government, nongovernmental organizations, and the private sector
during disaster situations.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 500 TOP: Nursing Process: Planning MSC:
Client Needs: Safe, Effective Care Environment
6. During the initial interview at the crisis center, a patient says, Ive been
served with divorce papers. Im so upset and anxious that I cant think
clearl y. Which comment should the nurse use to assess personal coping
skills?
a. In the past, how have you handled difficult or stressful situations?
b. What would you like us to do to help you feel more relaxed?
c. Tell me more about how it feels to be anxious and upset.
, d. Can you describe your role in the mari tal relationship?
ANS: A
The correct answer is the onl y option that assesses coping skills. The
incorrect options are concerned with self - esteem, ask the patient to
decide on treatment at a time when he or she cannot think clearl y, and
seek to explore issues tangential to the crisis.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 494 TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrit y
7. An adult has cared for a debilitated parent for 10 years. The parents
condition recentl y declined, and the health care provider recommended
placement in a skilled nursing facilit y. The adult says, Ive always been
able to care for m y parents. Nursing home placement goes against
everything I believe. Successful resolution of this persons cr isis will most
closel y relate to:
a. resolving the feelings associated with the threat to the persons self -
concept.
b. abilit y of the person to identify situational supports in the
communit y.
c. reliance on assistance from role models within the persons culture.
d. mobilization of automatic relief behaviors by the person.
ANS: A
The patients crisis clearl y relates to a loss of (or threatened change in)
self-concept. Her capacit y to care for her parents, regardless of the
deteriorating condition, has been challenged. Crisis resolution will
involve coming to terms with the feelings associated with this loss.
Identifying situational supports is relevant, but less so than coming to
terms with the threat to self -concept. Reliance on lessons from role
models can be helpful but not the primary factor associated with
resolution in this case. Automatic relief behaviors will not be helpful.
Automatic relief behaviors are part of the fourth phase of crisis.
Psychiatric Mental Health Nursing
(8th Edition) {Chapters 26-30}
C HAPTER 26: C RISIS AND D ISASTER
MULTIPLE CHOICE
1. Which situation demonstrates use of primary care related to crisis
intervention?
a. Implementation of suicide precautions for a depressed patient
b. Teaching stress reduction techniques to a first -year college student
c. Assessing coping strategies used by a patient who attempted suicide
d. Referring a patient with schizophrenia to a partial hospitalization
program
ANS: B
Primary care-related crisis intervention promotes mental health and
reduces mental illness. The incorrect options are examples of
secondary or tertiary care.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 498 TOP: Nursing Process: Evaluation MSC:
Client Needs: Psychosocial Integrit y
2. A victim of spousal violence comes to the crisis center seeking help.
Crisis intervention strategies the nurse uses will focus on:
a. supporting emotional securit y and reestablishing equilibrium.
b. long-term resolution of issues precipi tating the crisis.
c. promoting growth of the individual.
d. providing legal assistance.
, ANS: A
Strategies of crisis intervention address the immediate cause of the
crisis and restoration of emotional security and equilibrium. The goal
is to return the individual to the pre -crisis level of function. Crisis
intervention is, by definition, short term. The correct response is the
most global answer. Promoting growth is a focus of long - term therapy.
Providing legal assistance might or might not be applicabl e.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 490 TOP: Nursing Process: Planning MSC:
Client Needs: Psychosocial Integrit y
3. After celebrating the fortieth birthday, an individual becomes concerned
with the loss of youthful appearance . What t ype of crisis has occurred?
a. Reactive
b. Situational
c. Maturational
d. Adventitious
ANS: C
Maturational crises occur when a person arrives at a new stage of
development and finds that old coping styles are ineffective but has not
yet developed new strate gies. Situational crises arise from sources
external to the individual, such as divorce and job loss. There is no
classification called reactive. Adventitious crises occur when disasters,
such as natural disasters (e.g., floods, hurricanes), war, or violen t
crimes, disrupt coping.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 492 TOP: Nursing Process: Assessment MSC:
Client Needs: Health Promotion and Maintenance
4. Which scenario is an example of an adventitious crisis?
a. The death of a chi ld from sudden infant death syndrome
b. Being fired from a job because of company downsizing
, c. Retirement of a 55 -year-old person
d. A riot at a rock concert
ANS: D
The rock concert riot is unplanned, accidental, violent, and not a part
of everyday life. The incorrect options are examples of situational or
maturational crises.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 492 TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrit y
5. Which agency provides coordination in th e event of a terrorist attack?
a. Food and Drug Administration (FDA)
b. Environmental Protection Agency (EPA)
c. National Incident Management S ystem (NIMS)
d. Federal Emergency Management Agency (FEMA)
ANS: C
The National Incident Management S ystem (NIMS) provides a
s ystematic approach to guide departments and agencies at all levels of
government, nongovernmental organizations, and the private sector
during disaster situations.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: 500 TOP: Nursing Process: Planning MSC:
Client Needs: Safe, Effective Care Environment
6. During the initial interview at the crisis center, a patient says, Ive been
served with divorce papers. Im so upset and anxious that I cant think
clearl y. Which comment should the nurse use to assess personal coping
skills?
a. In the past, how have you handled difficult or stressful situations?
b. What would you like us to do to help you feel more relaxed?
c. Tell me more about how it feels to be anxious and upset.
, d. Can you describe your role in the mari tal relationship?
ANS: A
The correct answer is the onl y option that assesses coping skills. The
incorrect options are concerned with self - esteem, ask the patient to
decide on treatment at a time when he or she cannot think clearl y, and
seek to explore issues tangential to the crisis.
PTS: 1 DIF: Cognitive Level: Appl y (Application)
REF: 494 TOP: Nursing Process: Assessment MSC:
Client Needs: Psychosocial Integrit y
7. An adult has cared for a debilitated parent for 10 years. The parents
condition recentl y declined, and the health care provider recommended
placement in a skilled nursing facilit y. The adult says, Ive always been
able to care for m y parents. Nursing home placement goes against
everything I believe. Successful resolution of this persons cr isis will most
closel y relate to:
a. resolving the feelings associated with the threat to the persons self -
concept.
b. abilit y of the person to identify situational supports in the
communit y.
c. reliance on assistance from role models within the persons culture.
d. mobilization of automatic relief behaviors by the person.
ANS: A
The patients crisis clearl y relates to a loss of (or threatened change in)
self-concept. Her capacit y to care for her parents, regardless of the
deteriorating condition, has been challenged. Crisis resolution will
involve coming to terms with the feelings associated with this loss.
Identifying situational supports is relevant, but less so than coming to
terms with the threat to self -concept. Reliance on lessons from role
models can be helpful but not the primary factor associated with
resolution in this case. Automatic relief behaviors will not be helpful.
Automatic relief behaviors are part of the fourth phase of crisis.
