Author Question: Daniel is a 48-year-old patient who was involved in a motor vehicle accident. He was driving home ... (Read 91 times)

HCHenry · **on:** Jul 22, 2018

Daniel is a 48-year-old patient who was involved in a motor vehicle accident. He was driving home from a wedding with his family when he was hit by a drunk driver. Daniel's 23-year-old daughter and his wife were killed in the accident.

Daniel is in the trauma unit with internal injuries. He had to have his left leg amputated above the knee. How is the crisis that Daniel is facing best described? A. Situational
B. Developmental
C. Existential
D. Ecosystemic

Question 2

The nurse delegates the task of ambulating a patient to the assistive personnel. The nurse ascertains that the assistive personnel understands how to intervene when the patient complains of dizziness when the assistive personnel verbalizes:

A. I call for help.
B. I gently lower the patient to the floor.
C. I support the patient and walk quickly back to the room.
D. I lean the patient against the wall and wait until the episode passes.

epscape · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
A patient with stress so severe that the patient is unable to cope using previous stress reduction strategies often experiences a crisis. A crisis devastates a person and requires use of all resources available. Unlike stress, which ends when the stressor disappears, the effects of a crisis sometimes last for years. Developmental crises often arise during the normal flow of human growth, such as with the birth of a child, graduation from college, or a midlife career change. Situational crises emerge from the occurrence of extraordinary events such as terrorist attacks, car crashes, rapes, or job loss. Existential crises refer to inner conflicts and anxieties arising from concerns about life's purpose, responsibilities, independence, or commitment. Finally, ecosystemic crises occur following a natural or human-caused disaster, such as a hurricane.

Answer to Question 2

B
Remember, when a patient begins to fall, the nurse should assume a wide base of support with one foot in front of the other to support the patient's weight, gently lower the patient to the floor, and protect the patient's head.