A client is admitted to a psychiatric unit for crisis ...

[Sportsfan2111]

A client is admitted to a psychiatric unit for crisis intervention. When caring for this client, the nurse recognizes that crisis intervention is
 
  a. a long-term treatment to improve coping skills.
  b. a system for focusing on future problem-solving skills.
  c. a method of intervention with a goal of returning the client to a level of functioning higher than their precrisis level.
  d. a time-limited treatment focused on the immediate problem and its resolution.

Question 2

The nurse is caring for a client who is experiencing a crisis situation. The nurse recognizes that after feeling a sense of shock, the client will go through a period of recoil in which the client
 
  a. behaviors can appear normal to outsiders.
  b. takes constructive actions to face and resolve the reality issues present.
  c. achieves at least precrisis functioning.
  d. experiences variations in emotions.

[onowka]

Answer to Question 1

ANS: C
Crisis intervention is a time-limited treatment that focuses only on the immediate problem and its resolution. The goal of crisis intervention is to return the client to his or her precrisis level of functioning.

Answer to Question 2

ANS: A
Caplan described the initial response to a crisis situation as shock, with variations in emotions ranging from anger, laughing, hysterics, crying, and acute anxiety to social withdrawal. Then follows an extended period of adjustment, a period of recoil. This period can last from 2 to 3 weeks. Client behaviors can appear normal to outsiders, but the person often describes nightmares, phobic reactions, and flashbacks of the crisis event. Caplan uses the term restoration or reconstruction to describe the final phase of crisis intervention. This phase involves taking constructive actions to face and resolve the reality issues present in a crisis situation. If successfully negotiated, the person achieves precrisis functioning, or better.