A nurse is assisting with the admission assessment for a client who is receiving treatment following a situational crisis. Which of the following actions is the nurse's priority?

Identifying if friends or family are available to help

Identifying the client's coping skills

Determining if the client has thoughts of self-harm

Asking the client to identify the cause of the crisis

Answer and Explanation

The Correct Answer is C

A. Identifying if friends or family are available to help: Important for support but not the immediate priority.
B. Identifying the client's coping skills: Important for long-term care but not the immediate priority.
C. Determining if the client has thoughts of self-harm: Correct. Assessing for self-harm or suicidal ideation is crucial for immediate safety.
D. Asking the client to identify the cause of the crisis: Important for understanding the crisis but not the immediate priority.

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Correct Answer is D

Explanation

A. Situational crisis: A situational crisis arises from specific, external events that disrupt an individual's normal functioning. Going off to college could be considered a situational crisis if it leads to significant stress or difficulty adjusting.
B. Unanticipated crisis: An unanticipated crisis refers to unexpected events that were not planned for. While going off to college might be unexpected, the term "unanticipated crisis" is less specific and not as fitting as "situational crisis."
C. Adventitious crisis: Adventitious crises are caused by events that are not part of the individual's daily life, such as natural disasters or major accidents. Going off to college does not fit this description.
D. Maturational crisis: A maturational crisis occurs as individuals face developmental transitions or changes (e.g., adolescence, leaving home). Going off to college is a developmental milestone and thus is considered a maturational crisis.

A. Restricted affect B. Broad affect C. Blunt affect D. Flat affect

Correct Answer is D

Explanation

A. Restricted affect: Restricted affect indicates a limited range of emotions but not a complete lack of expression.
B. Broad affect: Broad affect indicates a wide range of emotional expressions, which is not the case here.
C. Blunt affect: Blunt affect indicates a severe reduction in the intensity of emotional expression, but some expression is still present.
D. Flat affect: Correct. Flat affect indicates a complete lack of emotional expression, which matches the client's behavior.

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A nurse is assisting with the admission assessment for a client who is receiving treatment following a situational crisis. Which of the following actions is the nurse's priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When an individual experience a crisis when leaving the home to go off to college, this is an example of what type of crisis?

Correct Answer is D

Explanation

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Correct Answer is D

Explanation

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