A nurse is working with a client with a history of panic attacks. During group therapy, the nurse notes the client begins to tap their foot, becomes mildly anxious, and is pushing away, preparing to leave the group. The nurse Instructs the client to remain seated and asks if they would like to use their journal to write down some thoughts while the group resumes. What phase of crisis care Is the nurse implementing?
Phase One - Assessment
Phase Two-Planning
Phase Three - Intervention
Phase Four - Evaluation
The Correct Answer is C
In this phase, the nurse takes action to help the client manage their anxiety and prevent a panic attack. By instructing the client to remain seated and offering them the opportunity to use their journal, the nurse is providing a calming and grounding intervention that can help the client regain control of their emotions and remain engaged in the group therapy session.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Disassociation is a defense mechanism that involves mentally separating oneself from a stressful or traumatic situation in order to maintain a sense of calm and focus. In this scenario, the nurse is able to block out the sirens and alarms, which may be causing stress and anxiety, and maintain a calm and focused demeanor while speaking with the client's family. This is an adaptive use of disassociation because it allows the nurse to provide effective care and support to the family despite the chaotic environment.
Denial is a defense mechanism that involves denying or minimizing the existence of a stressful or traumatic situation. Rationalization involves justifying or excusing one's behavior or actions. Altruism involves selflessly helping others as a way of dealing with one's own problems. In this scenario, none of these defense mechanisms are being used by the nurse.
Correct Answer is B
Explanation
The nurse has violated the mayor's right to privacy and confidentiality by disclosing his medical information to a third party without his consent. This action can lead to a charge of breach of confidentiality.
Additionally, the statement made by the nurse could be considered defamatory as it is likely to harm the mayor's reputation and could be interpreted as an accusation of a crime or moral wrongdoing. Therefore, the nurse could be charged with defamation of character. False imprisonment and batery are not relevant to the situation described.
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