Author Question: The community health nurse is teaching a group of adults about crisis experienced by various ... (Read 53 times)

lunatika · **on:** Jul 19, 2018

The community health nurse is teaching a group of adults about crisis experienced by various populations. Which statement by one of the group members indicates that the nurse's teaching has been effective?

1. A good example of an adventitious crisis is a complicated divorce.
2. I will be aware that maturational crisis may occur more frequently among my older adult patients.
3. Patients with chronic illness are at greater risk for situational crisis than individuals without chronic illness.
4. Adventitious crisis may occur in patients who have miscarried during pregnancy or have delivered a preterm infant.

Question 2

A nurse is researching the trends of maturational crisis for a graduate-level research course. When considering risk factors for this type of crisis, which patients will the nurse determine are at greatest risk for developing a maturational crisis?

Select all that apply.
1. Young child whose parent is murdered
2. Older adult whose spouse recently passed away
3. Young adult single parent of two young children
4. College student who is attending an out-of-state university
5. Exchange student whose family has been killed in a terrorist attack overseas

Tonny · **Reply #1 on:** Jul 19, 2018

Answer to Question 1

Answer: 3
Explanation: Situational crises develop in response to sudden, unexpected traumatic life events. Situational crises often are beyond the established coping capabilities of the individuals experiencing them. Situational crises can arise from many kinds of precipitants, including medical (acute onset injury or new chronic illness diagnosis), psychosocial (divorce, legal problems, financial problems), and cultural (immigration). Patients with chronic illness are at greater risk for situational crisis than individuals without chronic illness. A complicated divorce is more likely to be a situational crisis than an adventitious crisis. Adventitious crises arise from traumatic events that are well beyond the expected scope of normal human experience, such as violent crime, natural disasters, war, and terrorism. Maturational crisis occurs more frequently in adolescents and young adults than in the older adult population. Patients who have miscarried during pregnancy or have delivered a preterm infant are at greater risk for a maturational crisis or situational crisis, not an adventitious crisis.

Answer to Question 2

Answer: 3, 4
Explanation: Maturational crises may occur when an individual has difficulty achieving developmental tasks using available resources and coping strategies. Maturational crises may occur during milestones or developmental tasks, such as early parenting situations, and transitioning from home to college. The young adult single parent and college students are most at risk for experiencing a maturational crisis. The young child whose parent is murdered, as well as the older adult whose spouse recently passed away, are most likely to experience a situational crisis. The exchange student whose family has been killed in a terrorist attack overseas is most at risk for adventitious crisis.