A nurse is caring for a client following the recent, sudden death of his partner. The client says, "I feel paralyzed and can't seem to cope with work or family responsibilities anymore." Which of the following types of crisis is the client demonstrating?
Situational
Developmental
Maturational
Adventitious
The Correct Answer is A
A situational crisis is a type of crisis that occurs in response to a specific event or situation that disrupts a person's usual coping mechanisms. In this case, the sudden death of the client's partner has caused significant distress and an inability to cope with work and family responsibilities. The client's feelings of paralysis and inability to function indicate a response to the specific situation they are facing.
Incorrect:
B- Developmental crisis refers to crises that arise during normal stages of growth and development, such as adolescence or midlife crisis.
C- A maturational crisis involves a crisis that occurs as a result of the normal process of aging and the associated challenges and changes that come with it.
D- Adventitious crisis refers to crises that arise from unpredictable, uncommon events that are out of the ordinary, such as natural disasters or accidents.
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Related Questions
Correct Answer is A
Explanation
The response "It sounds like you're having a difficult time" acknowledges the client's distress and validates their experience. It demonstrates empathy and shows the nurse's willingness to listen and provide support. This response encourages the client to express their feelings and concerns further, facilitating open communication and a therapeutic relationship.
The response "Why do you think you are so anxious?" may come across as confrontational or intrusive. It puts the client on the spot and may make them feel defensive or uncomfortable. It is important to create a supportive environment where the client feels safe to share their experiences without judgment.
The response "Everyone has trouble sleeping at times" minimizes the client's concerns and may invalidate their feelings. It does not address the client's anxiety or offer any support or guidance.
The response "Have you talked to your provider about this yet?" is a helpful question to explore whether the client has sought professional help. However, it should be used after acknowledging the client's difficulties and showing empathy. It can be part of a conversation about accessing appropriate care and resources.
Correct Answer is C
Explanation
The appropriate response for the nurse in this situation would be: "I'll just sit here with you for a few minutes then."
This response acknowledges the client's expressed desire not to talk and respects their boundaries. It shows support and presence by offering companionship without pressuring the client to discuss their feelings. The nurse's willingness to sit with the client demonstrates empathy and provides a sense of comfort and reassurance.
The other options are not as appropriate:
1. "It might help you feel better if you talk about it." This response disregards the client's stated preference not to talk and may create a sense of pressure or intrusiveness. It is important to respect the client's autonomy and readiness to share their feelings.
2. "Why are you feeling so down?" This response directly asks the client to explain their feelings, which they have already indicated they do not want to discuss. It can be seen as intrusive and may make the client feel uncomfortable or defensive.
3. "I understand. I've felt like that before, too." While empathy is important, this response brings the focus back to the nurse's own experiences, potentially diverting the attention from the client. It is important for the nurse to remain focused on the client's needs and create a supportive environment for them to express their feelings if they choose to do so.
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