Author Question: As part of a community program on crisis prevention, a nurse is describing the phases of crisis. ... (Read 178 times)

naturalchemist · **on:** Jul 19, 2018

As part of a community program on crisis prevention, a nurse is describing the phases of crisis. Which of the following would the nurse identify as occurring first?

A) Person has a problem that doesn't fit with their usual problem-solving methods
B) Trial-and-error attempts to alleviate the problem
C) Automatic relief behaviors take over as the fight-or-flight hormones dissipate
D) Person has serious personality disorganization

Question 2

A nurse is assessing the parents of a child age 6 years who has died from leukemia. The nurse is integrating the dual process model for the assessment. Which of the following would the nurse identify as reflecting the parents' loss-oriented coping?

A) Engaging in new activities
B) Denying the grief
C) Developing new relationships
D) Thinking about the lost child

connor417 · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: A
A crisis occurs in phases as identified by psychiatrist Gerald Caplan. A crisis occurs when a person faces a problem that cannot be solved by customary problem-solving methods. When the usual problem-solving methods no longer work, a person's life balance or equilibrium is upset, and the person uses trial and error to solve the problem. These attempts fail, and the anxiety rises to severe or panic levels, whereby the person then adopts automatic relief behaviors. When these fail, anxiety overwhelms the person and leads to serious personality disorganization, which signals the person is in crisis.

Answer to Question 2

Ans: D
According to the dual process model, a person adjusts to loss by oscillating between loss-orientated coping (in which there is preoccupation with the deceased person, such as thinking about the lost child) and restoration-oriented coping (in which the bereaved person is preoccupied with stressful events as a result of the death, such as financial issues, new identity as a widow, etc.). Engaging in new activities, denying the grief, and developing new relationships reflect restoration-oriented coping.