A client comes to a psychiatric clinic experiencing sudden ...

[jessicacav]

A client comes to a psychiatric clinic experiencing sudden extreme fatigue and decreased sleep and appetite. The client works 12 hours a day and rates anxiety as 8/10 on a numeric scale.
 
  What long-term outcome is realistic in addressing this client's crisis? 1. The client will change his type A personality traits to more adaptive ones by one week.
  2. The client will list five positive self-attributes.
  3. The client will examine how childhood events led to his overachieving orientation.
  4. The client will return to previous adaptive levels of functioning by week six.

Question 2

A wife brings her husband to an emergency department after an attempt to hang himself. He is a full-time student and works 8 hours at night to support his family.
 
  He states, I can't function any longer under all this stress. Which type of crisis is the client experiencing?
  1. Maturational/developmental crisis
  2. Psychiatric emergency crisis
  3. Anticipated life transition crisis
  4. Traumatic stress crisis

[ErinKing]

Answer to Question 1

4
Rationale: The nurse should identify that a realistic long-term outcome for this client is to return to previous adaptive levels of functioning. The nurse should work with the client to develop attainable outcomes that reflect immediacy of the situation.

Answer to Question 2

2
Rationale: The nurse should determine that the client is experiencing a psychiatric emergency crisis. Psychiatric emergencies occur when crisis situations result in severe impairment, incompetence, or an inability to assume personal responsibility.