Author Question: A patient presents in crisis. She tells the nurse, I cannot take it anymore It has to stop. Last ... (Read 81 times)

pragya sharda · **on:** Jul 19, 2018

A patient presents in crisis. She tells the nurse, I cannot take it anymore It has to stop. Last year my husband had an affair, and we do not communicate anymore.

Three months ago I found a lump in my breast, and yesterday my 20-year-old daughter told me she is quitting college and moving to another state with her boyfriend.. The nurse can make the assessment that crisis intervention is successful when the patient: a. resolves her grief regarding the actual and potential losses in her life.
b. permits others to make decisions for her until her anxiety is reduced.
c. develops a higher degree of resilience to use when facing future crises.
d. learns to respond more calmly and logically in crisis situations.

Question 2

An obese woman is seen in the emergency department complaining of headaches. Her blood pressure is 150/92 . Also present are her 4-year-old son and 2-year-old daughter.

When the nurse offers to call a family member to pick up the children, the woman states that they are living alone in a women's shelter. What is the most appropriate action for the nurse to take? a. Instruct the client on proper nutrition and educate her regarding the dangers of hypertension.
b. Make a referral for the client to a weight loss center.
c. Assist the client to plan better coping strategies.
d. Assess the family's daily living needs and consult social work for community resources.

morganmarie791 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

A
When a person's crisis centers on actual or potential losses, the patient is dealing with actual or anticipatory grief. Although the actual or threatened losses increase anxiety as well, successful resolution of the crisis depends on resolving the grief she is experiencing. Permitting others to assume decision making increases dependency and is rarely a strategy in crisis intervention. Enhancing resilience is always desirable but is not required to resolve the present crisis. Learning to respond more calmly when under stress would seem helpful but is not fundamental to resolving a crisis situation.

Answer to Question 2

D
It is crucial to learn about the client's living conditions and work within the reality of their situation. Instruction on nutrition and health practices and development of coping strategies cannot be addressed until basic needs for food, clothing, and shelter are met.