A woman says, I can't take anymore. Last year my husband had an ...

[bio_gurl]

A woman says, I can't take anymore. Last year my husband had an affair, and now we do not communicate. Three months ago, I found a lump in my breast. Yesterday my daughter said she's quitting college and moving in with her boyfriend.
 
  Which issue should the nurse focus on during crisis intervention?
 
  a. The possible mastectomy
  b. The disordered family communication
  c. The effects of the husband's extramarital affair
  d. Coping with the reaction to the daughter's events

Question 2

An adult seeks counseling after the spouse was murdered. The adult angrily says, I hate the beast that did this. It has ruined my life. During the trial, I don't know what I'll do if the jury doesn't return a guilty verdict.
 
  What is the nurse's highest priority response?
 
  a. Would you like to talk to a psychiatrist about some medication to help you cope during the trial?
  b. What resources do you need to help you cope with this situation?
  c. Do you have enough support from your family and friends?
  d. Are you having thoughts of hurting yourself or others?

[stano32]

Answer to Question 1

ANS: D
The focus of crisis intervention is on the most recent problem: the straw that broke the camel's back. The patient had coped with the breast lesion, the husband's infidelity, and the disordered communication. Disequilibrium occurred only with the introduction of the daughter leaving college and moving.

Answer to Question 2

ANS: D
The highest nursing priority is safety. The nurse should assess suicidal and homicidal potential. The distracters are options, but the highest priority is safety.

[bio_gurl]

Thanks for the timely response, appreciate it

[raenoj]

Gracias!