ATI LPN
Test Bank for Essentials of Psychiatric Mental Health Nursing: A Communication Approach to Evidence-Based Care, 4e 4th Edition
Chapter 20 Questions
Question 1 of 5
An adult has cared for a debilitated parent for 10 years. The parent's condition recently declined, and the health care provider recommended placement in a skilled care facility. The adult says, 'I've always been able to care for my parents. Nursing home placement goes against everything I believe.' Successful resolution of this person's crisis will most closely relate to what?
Correct Answer: A
Rationale: The crisis involves a threat to self-concept, and resolution requires addressing these feelings. Other options are less directly related.
Question 2 of 5
A woman says, 'I can't take anymore! Last year my husband was diagnosed with cancer. Three months ago, I lost my job. Yesterday my daughter said she's quitting college.' What is the nurse's priority assessment?
Correct Answer: D
Rationale: During crisis intervention, the priority concern is patient safety. This question helps assess personal coping skills, focusing on the most immediate stressor causing disequilibrium.
Question 3 of 5
After completing the contracted number of visits to the crisis clinic, an adult says, 'I've emerged from this as a stronger person. You supported me while I worked through my feelings of loss and helped me find community resources. I'm benefiting from a support group.' The nurse can evaluate the patient's feelings about the care received as what?
Correct Answer: D
Rationale: The patient's positive statements about strength, support, and resources indicate a high level of satisfaction.
Question 4 of 5
A woman says, 'I can't take anymore! Last year my husband had an affair. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college.' What type of crisis is this person experiencing?
Correct Answer: C
Rationale: A situational crisis arises from an external source and involves a loss of self-concept or self-esteem. The series of events described, particularly the daughter's decision, points to external stressors.
Question 5 of 5
An adult tells the nurse, 'I can't take anymore! My mother passed away, my husband lost his job and yesterday my daughter told me she's quitting college and moving in with her boyfriend.' What is the priority nursing diagnosis?
Correct Answer: C
Rationale: This nursing diagnosis reflects the precipitating event (daughter's actions) causing the crisis. Other options are not supported by the data provided.