An adolescent comes to the crisis clinic and reports sexual abuse by an uncle. The adolescent told both parents about the uncle's behavior, but the parents did not believe the adolescent. What type of crisis exists?

Correct Answer: C

Rationale: A situational crisis arises from events that are extraordinary, external rather than internal, and often unanticipated. Sexual molestation falls within this classification. Maturational crisis occurs as an individual arrives at a new stage of development, when old coping styles may be ineffective. "Organic" and "Tertiary" are not types of crisis.

Correct Answer: A

Rationale: In the context of responding to a large-scale natural disaster, the correct first action for emergency response workers is to report to the incident command system (ICS) center. This is crucial because the ICS serves as the central coordination point for all response efforts, ensuring effective communication, resource allocation, and overall management of the disaster response. Option B, determining whether the community is safe, is not the first priority because without proper coordination and information from the ICS, individual assessments of community safety can be inaccurate and lead to inefficient or even dangerous response actions. Option C, establishing teams of workers with varied skills, is important but should come after reporting to the ICS to ensure that team formations align with the overall response strategy and resource needs identified by the command center. Option D, evaluating actions completed by local law enforcement, is not the immediate first action as the priority should be to integrate into the established command structure to work collaboratively with all response partners. In an educational context, understanding the importance of following established incident command protocols in emergency response situations is essential for effective and coordinated disaster management. By prioritizing reporting to the ICS center, responders can contribute to a well-organized and efficient response effort that maximizes resources and minimizes risks during a crisis.

Correct Answer: A

Rationale: The most effective action the nurse leader can take will be the one that encourages the group to solve its own problem. Pointing out changes in the group and asking members to respond to them lays the foundation for a discussion of group dynamics. Asking members to respond to the talkative patient puts that patient in an awkward position, likely increasing her anxiety. As anxiety increases, monopolizing behavior tends to increase as well, so this response would be self-defeating. Asking members what is going on is a broader opening and might lead to responses unrelated to the issue that bears addressing; narrowing the focus to the group process more directly addresses what is occurring in the group. Focusing on the talkative patient would be less effective and involves the leader addressing the issue instead of members first attempting to do so themselves (giving them a chance to practice skills such as assertive communication).

Correct Answer: A

Rationale: In this scenario, the correct answer is A) altruism. Altruism refers to unselfish concern for the welfare of others. The patient's statement indicates a desire to help others once they are better, demonstrating a selfless attitude towards supporting and caring for others in the future. Option B) universality, refers to the understanding that one's experiences and feelings are shared by others in similar situations. While this concept may relate to the patient's feeling of being tired of being sick, it does not directly address the desire to help others. Option C) cohesiveness, refers to the sense of belonging and unity within a group. Although the patient is in a support group, the statement does not specifically reflect a sense of unity but rather a desire to give back. Option D) corrective recapitulation, refers to the process of reenacting and resolving past conflicts or issues. This concept does not align with the patient's expression of wanting to help others in the future. In an educational context, understanding concepts related to patients' expressions of altruism, universality, cohesiveness, and corrective recapitulation can help nurses and healthcare providers better assess and support patients' psychosocial needs. Recognizing and encouraging altruistic behaviors in patients can contribute to their overall well-being and sense of fulfillment.

Correct Answer: C

Rationale: In the context of examining the societal factors that can exacerbate the impact of abuse and violence, the correct option is C) cultural acceptance of violence. This is because when a culture normalizes or accepts violence as a means of resolving conflicts or exerting power, individuals may be more likely to perpetrate or tolerate abusive behaviors. This normalization can contribute to a cycle of violence where victims may not seek help or perpetrators may not face consequences. Option A) strong community support is incorrect in this context because while community support can be a protective factor against abuse, it does not exacerbate the impact of abuse and violence. Economic stability (option B) can also be a protective factor but does not directly exacerbate the impact of abuse. Option D) access to mental health services is important for addressing the consequences of abuse but does not directly exacerbate the impact of abuse. Educationally, understanding the societal factors that influence the prevalence and impact of abuse and violence is crucial for healthcare professionals, especially those working in fields like nursing where they may encounter victims of abuse. By recognizing the role of cultural acceptance of violence, nurses can better assess and support individuals who may be experiencing or at risk of abuse, and advocate for interventions to address cultural norms that perpetuate violence.