Author Question: A nurse is assessing a woman age 35 years who is seeking assistance at a local community counseling ... (Read 59 times)

DelorasTo · **on:** Jul 19, 2018

A nurse is assessing a woman age 35 years who is seeking assistance at a local community counseling center. Which of the following statements made by the woman would indicate that she is experiencing a crisis?

A) I'm so upset; my husband has never left me like this before.
B) I'm confused and hurt; I have lost my best friend and my lover.
C) I don't understand; I can't seem to function like I usually do.
D) No matter what I do, I am still overcome by these sad feelings.

Question 2

When assessing a client's anger, which of the following would be important for a nurse to obtain? Select all that apply.

A) How the person expresses the anger
B) Problems at work resulting from the anger
C) Frequency of the anger episodes
D) Evidence of coping techniques
E) The intensity of the anger, outwardly or inwardly

ansleighelindsey · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Ans: C
Crisis occurs when there is a perceived challenge or threat that overwhelms the capacity of the individual to cope effectively with the event. Life is disrupted, and unexpected emotional (e.g., depression) and biologic (e.g., nausea, vomiting, diarrhea, headaches) responses occur. Functioning is severely impaired. Although feelings of upset, confusion, hurt, and sadness may occur with a crisis, the key component is impaired functioning.

Answer to Question 2

Ans: A, B, C, D, E
The manner of anger expression is not the only important aspect of assessment. The difficulty in regulating the frequency and intensity of anger must also be assessed, along with the extent to which anger is creating problems in work or intimate relationships. The nurse should also assess for the presence or absence of coping techniques such as calming or diffusion through vigorous exercise.