The principle most useful to a nurse planning crisis intervention for any patient is that the patient

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Assessing Health Behavior Nursing Questions

Question 1 of 5

The principle most useful to a nurse planning crisis intervention for any patient is that the patient

Correct Answer: A

Rationale: The correct answer is A) is experiencing a state of disequilibrium. This principle is essential for a nurse planning crisis intervention because it acknowledges that the patient is currently in a state of imbalance or instability, which requires immediate attention and support. In crisis situations, individuals often experience emotional distress, confusion, and a sense of being overwhelmed, leading to a state of disequilibrium. By recognizing this, the nurse can tailor the intervention to help the patient regain stability and emotional balance. Option B) is experiencing a type of mental illness is incorrect because not all crisis situations are linked to mental illness. Crisis can arise from various factors such as sudden life changes, trauma, or overwhelming stressors, which do not always indicate a mental health disorder. Option C) poses a threat of violence to others is incorrect as it assumes all patients in crisis are potentially violent. While some individuals in crisis may exhibit aggressive behavior, it is not a universal characteristic, and assuming so can lead to stigmatization and inappropriate interventions. Option D) has high potential for self-injury is also incorrect as not all patients in crisis are at risk of self-harm. Crisis situations can manifest in different ways, and the focus should be on assessing the individual's specific needs and risks rather than making generalized assumptions about potential self-injury. In an educational context, understanding the principle of disequilibrium in crisis intervention is crucial for nurses to provide effective and empathetic care to individuals in distress. By recognizing and addressing the underlying imbalance, nurses can support patients in regaining stability and coping with the crisis effectively.

Question 2 of 5

During a therapy group that uses existential/Gestalt theory, patients shared feelings that occurred at the time of their admission. After a brief silence, one member says, "Several people have described feeling angry. I would like to hear from members who had other feelings." Which group role is evident by this comment?

Correct Answer: B

Rationale: The member is encouraging participation from others and encouraging input from others. An energizer encourages the group to make decisions or take an action. The compromiser focuses on reducing or resolving conflict to preserve harmony. A self-confessor verbalizes feelings or observations unrelated to the group.

Question 3 of 5

A leader begins the discussion at the first meeting of a new group. Which comments should be included? (Select all that apply.)

Correct Answer: B

Rationale: The leader must set ground rules for the group before members can effectively participate. Confidentiality of personal experiences should be maintained. Arriving on time is important to the group process. Talking to family members would jeopardize confidentiality. While groups are cost-effective, blaming the budget would not help members feel valued. Setting an expectation to share may be intimidating for a withdrawn patient.

Question 4 of 5

What potential impact might prolonged exposure to clients’ grief and loss have on a nurse?

Correct Answer: B

Rationale: The correct answer is B) increased stress due to excessive sympathy. In the context of nursing, prolonged exposure to clients' grief and loss can lead to a phenomenon known as compassion fatigue. This occurs when nurses become emotionally overwhelmed by constantly empathizing with their patients' suffering. While empathy is a crucial aspect of nursing care, excessive sympathy without proper emotional boundaries can result in increased stress levels for the nurse. Option A) decreased empathy and emotional detachment is incorrect because prolonged exposure to grief and loss is more likely to lead to heightened emotional sensitivity rather than emotional detachment. Nurses often become more empathetic over time, but this can also lead to compassion fatigue. Option C) enhanced coping skills and emotional resilience is incorrect because while some nurses may develop coping mechanisms and resilience, it is more common for prolonged exposure to grief and loss to result in increased stress and emotional strain. Option D) unchanged emotional state and unaffected work performance is incorrect as it is unrealistic to expect nurses to remain unaffected by the emotional challenges they face in their work. Nursing inherently involves emotional labor, and it is essential for nurses to acknowledge and address the impact of their work on their well-being. Educationally, understanding the potential impact of prolonged exposure to grief and loss on nurses is crucial for fostering self-awareness and promoting strategies for self-care and emotional regulation. By recognizing the signs of compassion fatigue and implementing healthy coping mechanisms, nurses can better navigate the emotional demands of their profession and maintain their well-being.

Question 5 of 5

Which of the following statements about mental illness are true? Select one that does not apply.

Correct Answer: C

Rationale: Mental illness can cause significant distress, impaired functioning, or both. Mental illness may be related to individual, interpersonal, or social/cultural factors. Excessive dependency on or withdrawal from relationships are interpersonal factors that relate to mental illness. Individuals suffering from mental illness can feel overwhelmed with daily life. Individuals suffering from mental illness may experience dissatisfaction with relationships and self.

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