A client describes being depressed, out of control, and unable to ...

[Sufayan.ah]

A client describes being depressed, out of control, and unable to make decisions.
 
  Upon assessment, the nurse determines that the client has recently experienced a fire at home in which many important files as well as family mementos were destroyed. Many things that were not totally burned were water damaged. The nurse knows that identifying the origin of the crisis: 1. Motivates the client and family to take significant action in relationships.
  2. Promotes an increased opportunity for interventions to be effective.
  3. Decreases communication with significant others.
  4. Assists with identifying the level of grief.

Question 2

Which of the following are risk factors that may continue to promote disequilibrium?
 
  1. Sudden experience, no warning signs
  2. Poverty, abuse, pre-existing psychiatric disorder
  3. Coping skills, strong self-esteem
  4. Communication with others

[amit]

Answer to Question 1

2
Rationale: Understanding the origin of the crisis is as important as recognizing the type of crisis. Interventions will vary depending on the origin of a crisis. Identifying the origin of a crisis does not lead to decreased communication with significant others. The client's family relationships may be unrelated to the crisis, and may potentially be a strong resource for the client. Not all clients experience grief in response to a crisis.

Answer to Question 2

2
Rationale: Poverty, abuse, and psychiatric disorders can contribute to instability, making it difficult to establish a new equilibrium. Communication, coping skills, and strong self-esteem are included in balancing factors that may help the client after a crisis. Suddenness and a lack of warning signs are characteristics of events that cause a situational crisis.