The staff of a busy emergency department have been traumatized by ...

[kellyjaisingh]

The staff of a busy emergency department have been traumatized by a violent attack of a client on one of their colleagues. Critical incident stress debriefing (CISD) has consequently been provided for the nurses.
 
  What is the primary goal of this intervention?
  A) To help nurses better recognize the signs of violent escalation in the future
  B) To help the nurses realize that the outcomes of the incident could have been far worse
  C) To enhance the nurses' empathy and sympathy with traumatized future clients
  D) To reduce the stress symptoms experienced by the nurses

Question 2

Darrin and Kay's marriage of 7 years is threatened because Darrin has recently found out that Kay has been unfaithful while Darrin is at work.
 
  Darrin feels betrayed and wants to confide in his parents about what he is going through. He wants to ask for support but feels both embarrassed and emasculated that he somehow was not a good enough husband to prevent her infidelity. The nurse identifies a need to assist Darrin to gain enough self-esteem to approach his parents. Darrin needs help with this process because of which of the following?
  A) He is struggling with feeling that he is emotionally dependent on his parents.
  B) He is going to be judged negatively by his parents.
  C) He is giving up on his marriage without sufficient effort to resolve the crisis.
  D) He may discover that he is ultimately responsible for his wife's unhappiness.

[Meganchabluk]

Answer to Question 1

Ans: D
Feedback:
The primary aim of CISD is to reduce stress symptoms. Crisis interveners never attempt to downplay a crisis, and the goal of CISD is not to create a basis for future policies and procedures.

Answer to Question 2

Ans: A
Feedback:
In a crisis, it is natural to withdraw and feel isolated. Therefore, the nurse helps the client to communicate directly with significant others. Clients who place high value on independence may need particular assistance to recognize interdependence as a healthy balance. Often, the nurse must teach such clients how to ask for help.