A client, divorced for one year, has recently had crisis ...

[joblessjake]

A client, divorced for one year, has recently had crisis counseling. The client has begun to take classes at the community college and has enrolled the children in day care. These new actions could be referred to as:
 
  1. A response to stress.
  2. A situational crisis.
  3. A turning point in life.
  4. A maturational crisis.

Question 2

The client with bulimia is experiencing anxiety. What action should the nurse take to assist the client to avoid binge eating and purging in response to the anxiety?
 
  1. Assume a matter-of-fact attitude and positive expectations of the client.
  2. Project a calm reassuring attitude and provide a quiet non-stimulating environment.
  3. Contract for safety since the client is likely to engage in self-injurious behavior.
  4. Maintain total control of the environment and project an attitude of authority.

[Awesome]

Answer to Question 1

3
Rationale: Crisis situations such as a divorce can become turning points or junctures in life that result in a change in equilibrium, positive or negative. The client may have experienced a situational crisis and stress, but the events of the client's last year have resulted in a turning point. A maturational crisis is a developmental progression to the next level of maturity, a predictable event experienced by nearly all individuals.

Answer to Question 2

2
Rationale: The goal is to assist the client to recognize events creating anxiety and to cope with them. A calm environment will decrease anxiety-producing situations. There is no indication the client is in imminent danger of self-harm. Projecting an attitude of authority or setting expectations may increase the client's anxiety.