A client who was mugged attends his third crisis intervention ...

[joesmith1212]

A client who was mugged attends his third crisis intervention therapy session and reports that he has lost 10 pounds, cannot sleep, and feels very low. He ruminates about the possibility of being at fault for the mugging.
 
  The priority action the nurse should take is:
  1. Hospitalize the client for protection of the self and others
  2. Refer for assessment for antidepressant therapy
  3. Discuss his blamelessness with him
  4. Suggest dietary supplements

Question 2

Each individual listed on the intake sheet for the crisis center resided in the area hit by a tornado. Which individual would the nurse assess as being at greatest risk for a severe crisis reaction?
 
  1. Client A's home was destroyed, and her husband was killed. She sustained no physical injury other than bruises. No insurance was on the home. Her husband had no life insurance. She states, I don't know what to do. I can't handle this.
  2. Client B's house was badly damaged; the factory at which he worked was de-stroyed. He sustained a concussion. No insurance was on the home. He states that he's lucky.
  3. Client C's home sustained only minor damage. She has a broken arm. She states, I can still see my neighbor's home being blown apart.
  4. Client D's home is intact, but his car was destroyed. Two neighbors were badly injured. He states, I was terrified by the noise of the wind.

[Jsherida]

Answer to Question 1

ANS: 2
Crisis intervention therapists are very active in therapy, making referrals and suggestions for cop-ing strategies. In this case the nurse would recognize the client's symptoms as suggesting depres-sion. Antidepressant medication is used in crisis therapy when symptoms suggest it is necessary; thus the nurse would refer the client to a physician or nurse practitioner with prescriptive privi-leges for evaluation for medication therapy. 1. Hospitalization is not necessary unless suicidal ideation is present. 3. The topic should be discussed, but if the ruminations are due to depression, simple discussion may not change his thinking. 4. This is appropriate, but it is not the priority.

Answer to Question 2

ANS: 1
This individual has sustained multiple losses of spouse, home, and source of financial support and has no expressed means of providing for shelter. Further, she verbalizes inability to cope. 2. The meaning of the disaster to this individual may be less devastating than it is to client A, since he sees himself as lucky. This suggests he may find adaptive approaches to reorganizing his life. 3. The losses incurred by this client are fewer than those sustained by client A. Vividly remember-ing the scene of devastation is normal at this stage. 4. The losses incurred by this client are fewer than those sustained by client A. Remembering the feelings of fear at the time of the disaster is normal at this stage.

[joesmith1212]

Thank you

[Jsherida]

Happy to help you