The crisis nurse is interviewing a client who has come to the ...

[lracut11]

The crisis nurse is interviewing a client who has come to the center in a state of severe anxiety. Which intervention would the nurse initiate first?
 
  1. Determining the crisis-precipitating event
  2. Talking with a family friend about the client
  3. Requesting a copy of old health information
  4. Outlining a strategy to deal with the panic

Question 2

A new nurse mentions, I can understand a situational crisis upsetting a person's equilibrium, but I don't understand how something positive, like getting married or having a baby, can precipitate a crisis.
 
  To explain, the mentor should answer, You need to think of a crisis as a(n):
  1. threat to the familiar.
  2. threat to survival.
  3. opportunity to learn.
  4. psychiatric disorder.

[polinasid]

Answer to Question 1

ANS: 1
The precipitating event and its meaning to the client are of primary importance in assessment. Little can be accomplished without this information. Options 2 and 3 would not be considered the first interventions. Option 4 would not be possible until the event and its meaning are identi-fied.

Answer to Question 2

ANS: 1
By viewing a crisis as a threat to the norm, it is possible to understand why even positive events, such as winning the lottery, may provoke a crisis. Option 2 indicates how the nurse currently views a crisis. Option 3 does not address the nurse's question. Option 4 is incorrect because crises are not considered discrete psychiatric disorders.

[lracut11]

TYSM

[milbourne11]

Excellent