ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 20 : Crisis, Loss, Grief, Response, Bereavement, and Disaster Management Questions
Question 1 of 5
A patient?s 5-year-old poodle ran in front of a car and was killed. The patient continues to be upset by her pet?s death, and she explains to a community counseling center nurse that she can?t stop crying because, 'My Precious meant the world to me, and now my world will never be the same!' If the nurse were to determine that the patient was experiencing a crisis, which of the following types of crisis would it most likely be?
Correct Answer: B
Rationale: A situational crisis arises from an external event, such as the sudden loss of a pet. The patient?s intense grief and sense of a changed world suggest a situational crisis triggered by the pet?s death. Maturational and developmental crises relate to life transitions, and traumatic crises involve life-threatening events, which do not apply here.
Question 2 of 5
A 62-year-old man experienced the loss of his 87-year-old father a week ago. The hospice nurse is making a follow-up visit to determine how he is handling his father?s death. Which of the following statements made indicates to the hospice nurse that patient is in the acute mourning stage of bereavement?
Correct Answer: C
Rationale: The acute mourning stage involves intense emotional reactions such as anger, crying, and inability to work, as seen in the statement about anger at God and persistent crying. The other statements reflect denial/guilt (
A), acceptance (
B), or coping (
D), which align with different stages of grief.
Question 3 of 5
A 25-year-old legal secretary is seeking counseling because she recently lost her job unexpectedly. Which question would be most appropriate for the nurse to use in assessing the patient?s response to losing her job?
Correct Answer: B
Rationale: Assessing the patient?s emotional response immediately after the job loss provides insight into the impact of the event and her coping mechanisms. Understanding her feelings helps evaluate the crisis?s severity. The other questions focus on causes, expectations, or past behavior, which are less directly tied to her current response.
Question 4 of 5
An individual is seeking employment as a nurse in a crisis center. The interviewer asks the person what he would ask someone who called the crisis hotline to determine whether the caller was experiencing a crisis. Which response would be most appropriate?
Correct Answer: B
Rationale: Asking the caller to describe their experience and its meaning allows the nurse to assess the emotional and functional impact, key indicators of a crisis. This open-ended question encourages detailed responses. The other options are too vague (
A), quantitative (
C), or assume a crisis (
D), which may limit the assessment.
Question 5 of 5
A Red Cross nurse is interviewing a woman whose house was totally destroyed during the night by a tornado; the woman?s pet poodle died as a result of the tornado. Which of following would the nurse most likely expect to hear from the woman?
Correct Answer: A
Rationale: After a traumatic event like a tornado, shock and dissociation are common, as reflected in the statement 'I can?t feel anything right now. Nothing seems real.' This indicates a crisis response. The other statements reflect grief (B,
D) or practical concerns (
C), which may occur later but are less immediate.