A nurse is caring for an older adult client following the sudden death of their spouse. The client feels stuck in their ability to deal with work and family responsibilities. The nurse should recognize that the client is experiencing which type of crisis?
Adventitious
Maturational
Developmental
Situational
The Correct Answer is D
Choice A Reason:
An adventitious crisis is not applicable here. This type of crisis is usually a result of a natural or man-made disaster, war, or major accident, which is not the case with the client's situation.
Choice B Reason:
Maturational crises are associated with life transitions or developmental stages, such as retirement or menopause. While the client is older, the crisis is not due to a normal life transition but rather an unexpected event.
Choice C Reason:
Developmental crises occur as a person moves through the stages of life. The client's crisis does not stem from a developmental issue but from an external event that has disrupted their life.
Choice D Reason:
Situational crises arise from external sources that an individual may face throughout life, such as the death of a loved one, loss of a job, or severe illness. The client's inability to cope with the sudden death of their spouse is a situational crisis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A Reason:
Providing continuity of care by assigning the same staff is essential in creating a therapeutic environment. It allows for the development of trust and rapport, which are foundational for effective mental health treatment. Consistent caregivers can better understand the clients' needs and tailor interventions accordingly.
Choice B Reason:
While it is important to be open to discussing various topics, the nurse must ensure that discussions remain therapeutic and relevant to treatment goals. Some topics may need to be redirected or limited to maintain a safe and supportive environment.
Choice C Reason:
Allowing clients to determine the boundaries of the nurse-client relationship could lead to blurred lines that may affect the quality of care. It is the nurse's responsibility to establish clear professional boundaries while being empathetic and supportive.
Choice D Reason:
Focusing on client wellness is a broad concept that encompasses the clients' physical, mental, and social well-being. It is a goal of the therapeutic environment to promote overall wellness, but specific strategies are needed to achieve this aim.
Correct Answer is B
Explanation
Choice A Reason:
The statement that clients can be hospitalized for as long as the provider deems necessary is not entirely accurate. Involuntary admission is regulated by law, and there are specific criteria and time frames that must be adhered to. For example, if a person is admitted involuntarily, they must either be discharged within a certain number of days or brought to a mental health court to request a longer commitment.
Choice B Reason:
This statement is correct. Clients who are involuntarily admitted retain their rights, including the right to informed consent. They should be informed about their condition, the proposed treatments, and the potential risks and benefits, and they should be involved in their care decisions as much as possible.
Choice C Reason:
Administering medications to clients who refuse them is a complex issue. While there are circumstances where treatment may be given against a client's wishes, particularly if they pose a danger to themselves or others, this must be done within the framework of the law, which includes respecting clients' rights and obtaining necessary legal orders.
Choice D Reason:
The laws regarding the use of restraints on involuntarily admitted clients are indeed different and often more stringent. These laws are designed to protect the rights of clients and ensure that restraints are used only when absolutely necessary and as a last resort.
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