A nurse driving home after work comes upon a serious automobile ...

[lilldybug07]

A nurse driving home after work comes upon a serious automobile accident. The driver gets out of the car with no apparent physical injuries. Which assessment findings would be expected from the driver immediately after this event? Select all that apply.
 
  a. Difficulty using a cell phone
  b. Long-term memory losses
  c. Fecal incontinence
  d. Rapid speech
  e. Trembling

Question 2

At the last contracted visit in the crisis intervention clinic, an adult says, I've emerged from this a stronger person. You helped me feel like my life is back in balance.
 
  The nurse responds, I think it would be worthwhile to have two more sessions to explore why your reactions were so intense. Which analysis applies?
 
  a. The patient is experiencing transference.
  b. The patient demonstrates a need for continuing support.
  c. The nurse is having difficulty terminating the relationship.
  d. The nurse is empathizing with the patient's feelings of dependency.

[yeungji]

Answer to Question 1

ANS: A, D, E
Immediate responses to crisis commonly include shock, numbness, denial, confusion, disorganization, difficulty with decision making, and physical symptoms such as nausea, vomiting, tremors, profuse sweating, and dizziness associated with anxiety. Incontinence and long-term memory losses would not be expected.

Answer to Question 2

ANS: C
The nurse's remark is clearly an invitation to work on other problems and prolong contact with the patient. The focus of crisis intervention is on the problem that precipitated the crisis, not other issues. The scenario does not describe transference. The patient's need for continuing support is not demonstrated in the scenario. The scenario does not describe dependency needs.