The nurse working with a client with a maturational crisis ...

[Zulu123]

The nurse working with a client with a maturational crisis suggests enhancing the client's stress
  management skills by learning relaxation techniques. This intervention takes place at the level of
  care identified as
 
  a. primary.
  b. secondary.
  c. tertiary.
  d. quaternary.

Question 2

A client with severe mental illness who lived independently in an apartment and attended a
  psychosocial rehabilitation program 5 days a week appears at the emergency department seeking
  admission to the inpatient unit.
 
  The mental status examination reveals no acute symptoms of
  psychiatric disorder. Her chief complaint is that she has no money to pay her rent or refill her
  antipsychotic medication prescription. The best action for the emergency department nurse would be
  to
  a. arrange for a short in-patient admission and begin discharge planning.
  b. send the client to a homeless shelter until housing can be arranged.
  c. involve the client's case manager to provide crisis intervention.
  d. explain that one must have psychiatric symptoms to be admitted.

[wuly]

Answer to Question 1

A
Primary care promotes mental health and reduces mental illness to decrease the incidence of crisis. It
includes early recognition of potential problems, teaching an individual specific skills to handle
stress, and environmental manipulation to decrease the negative effects of stress. Secondary care
provides intervention during an acute crisis. Tertiary care provides support for those recovering from
a disabling mental state. Quaternary care does not exist.

Answer to Question 2

C
The client is experiencing a crisis. Crisis stabilization, undertaken by the case manager who knows
the client, can undoubtedly avert an unnecessary hospitalization. Options A and B carelessly uses
scarce resources. Option D may prompt the client to feign symptoms.

[Zulu123]

Thank you

[wuly]

No problemo