A client tells the nurse about being laid off from work, the ...

[penguins]

A client tells the nurse about being laid off from work, the spouse wanting a divorce, and being ill with a chest cold for a month. What statement should the nurse make that reflects understanding of a client in crisis?
 
  1. Once you reach the crisis state, you may remain there for several months until you recover.
  2. People generally find it easier to work through a crisis if someone is working with them.
  3. Men often handle crisis better individually, whereas women do better with a counselor.
  4. Experiencing a crisis is never positive, so we must work to relieve your anxiety as soon as possible.

Question 2

The nurse is caring for a critically ill child. While the nurse is preparing to administer a treatment to the child, the child's mother becomes distraught and begins to cry loudly while stroking the child's face.
 
  What is the nurse's best response to this occurrence?
  1. Tell the mother that she needs to control herself for the benefit of her child.
  2. Distract the mother by having her straighten the linens on the bed.
  3. Explain the procedure that will occur with the treatment.
  4. Take the mother out of the room and comfort her.

[mtmmmmmk]

Answer to Question 1

Correct Answer: 2
Rationale 1: A crisis results in such a state of disequilibrium that it is generally self-limiting and not a long-term event.
Rationale 2: In general, people are more successful in working through a crisis if they have someone to help them.
Rationale 3: The need for help during a crisis is not dependent upon the client's gender.
Rationale 4: Experiencing a crisis may actually offer the family or individual a potential for growth and change.

Answer to Question 2

Correct Answer: 4
Rationale 1: Although the mother's expression of anxiety is understandable, the child should be protected from this strongly upsetting situation. Just telling the mother to control herself discounts the seriousness of her anxiety and may serve to alienate the mother from the nurse.
Rationale 2: This mother is too upset to distract by smoothing linens.
Rationale 3: Explaining the procedure may help, but the mother should be removed at least temporarily and be comforted so that she will be able to receive the information.
Rationale 4: In this situation, the nurse must analyze which of the available options would be best for this mother and child. At this level of emotion, the nurse should remove the mother from the room and comfort her.

[penguins]

Excellent

[yeungji]

TYSM