ATI LPN
Psychiatric Nursing: Contemporary Practice 6th Edition
Chapter 20 : Crisis, Loss, Grief, Response, Bereavement, and Disaster Management Questions
Question 1 of 5
The nurse is providing follow-up care to victims of a disaster that occurred several months ago. Assessment of which of the following would lead the nurse to suspect that the victims are experiencing possible aftereffects of the disaster?
Correct Answer: C
Rationale: Unexplained gastrointestinal disturbances can be a psychosomatic aftereffect of disaster-related stress, indicating lingering psychological impact. Tachycardia, perspiration, and tremors are more acute stress responses, less likely months later.
Question 2 of 5
A nurse is working with a patient who is in crisis. Which of the following would be least appropriate for the nurse to do?
Correct Answer: C
Rationale: Promising that 'everything will be okay' is inappropriate as it may dismiss the patient?s reality and undermine trust. Supporting cultural beliefs (
A), focusing on one aspect (
B), and clarifying information (
D) are therapeutic interventions.
Question 3 of 5
A group of nursing students is reviewing information about grief and bereavement. The students demonstrate understanding of the information when they identify which of the following?
Correct Answer: B
Rationale: Bereavement is the process of mourning a loss, while grief is the emotional response to that loss. The terms are not interchangeable (
A), grief confronts stress (
C) but bereavement doesn?t avoid it, and both are culturally influenced (
D).
Question 4 of 5
The nurse is assessing a 35-year-old woman who is seeking assistance at a local community counseling center. Which of the following statements made by the woman would indicate that she is experiencing a crisis?
Correct Answer: C
Rationale: A crisis is characterized by an inability to function as usual due to overwhelming stress. The statement 'I can?t seem to function like I usually do' directly indicates impaired functioning, a hallmark of a crisis. The other statements reflect emotional distress but do not explicitly highlight functional impairment.
Question 5 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.