The nurse preceptor is giving a seminar about recognition and ...

[Brittanyd9008]

The nurse preceptor is giving a seminar about recognition and assessment of coping mechanisms found in older adult patients in crisis to a group of novice nurse. Which statement by the novice nurse indicates that the teaching has been effective?
 
  1. Older adult patients generally do not have well-established coping mechanisms.
  2. Older adult patients generally use physiological coping due to their advanced age.
  3. Older adult patients in crisis are more likely to suffer from a lack of social support.
  4. Older adult patients in crisis are more likely to suffer from a lack of belief-based coping.

Question 2

The nurse is caring for a school-age child who is experiencing crisis. The child's mother tells the nurse that the child has started wetting the bed at night. Which statements by the nurse are the most appropriate
 
  regarding the best therapies for the child? Select all that apply.
  1. School-based interventions may help your child.
  2. Cognitive-behavioral therapy is most beneficial for your child.
  3. Interventions that support parental involvement may help your child.
  4. Cognitive therapy that addresses thought processes involved in crisis may help your child.
  5. Behavioral therapy to address the relationship between mood and behavior may help your child.

[iman]

Answer to Question 1

Answer: 3
Explanation: Crisis coping mechanisms vary across the life span. Older adults are more likely to suffer from a lack of social supports due to a variety of factors such as relocation and outliving some close family members and friends. Older adults generally have well-established coping mechanisms based on a life of experiences. Older adults generally do not use physiological coping as much as younger adults due physiological changes associated with aging. The older adult is more likely to use belief-based coping during crisis.

Answer to Question 2

Answer: 1, 2, 3
Explanation: School-based interventions, as well as interventions aimed at parental involvement may be beneficial to the child who is experiencing crisis. Studies have shown that cognitive-behavior therapy (CBT) is most beneficial for children in crisis. However, it is not known what aspect of CBT makes this therapy effective, so attempting either cognitive therapy or behavioral therapy alone is not likely to be effective.