Which scenario best depicts a behavioral crisis?

Crying hysterically after receiving a phone call from a friend

Making threats to harm self and others

Pacing nervously in the hallway

Wrapped up in a blanket during group therapy

Answer and Explanation

The Correct Answer is B

Choice A reason: Hysterical crying may indicate emotional distress but does not necessarily constitute a behavioral crisis unless it escalates to danger. It reflects an emotional response, not an immediate threat requiring urgent intervention, making it less severe than harm threats.

Choice B reason: Making threats to harm self and others indicates a behavioral crisis, signaling imminent danger due to a mental health condition. This requires immediate intervention to ensure safety, aligning with psychiatric emergency criteria, making this the correct choice.

Choice C reason: Nervous pacing suggests anxiety but does not inherently indicate a behavioral crisis. It lacks the immediate risk of harm to self or others, requiring monitoring but not urgent intervention, making this choice incorrect for a crisis scenario.

Choice D reason: Being wrapped in a blanket during group therapy suggests withdrawal or discomfort, not a behavioral crisis. It does not indicate imminent danger or severe behavioral dysregulation, making it an incorrect choice compared to explicit harm threats.

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Correct Answer is B

Explanation

Choice A reason: Administering medications addresses symptoms pharmacologically but is not a core cognitive behavioral therapy (CBT) intervention. CBT focuses on modifying thoughts and behaviors, not drug therapy, making this choice incorrect for the specified theoretical approach.

Choice B reason: CBT targets negative thought patterns to modify maladaptive behaviors and emotions, central to treating anxiety. Challenging distorted cognitions helps the patient reframe perceptions, reducing withdrawal, aligning with CBT principles, making this the correct choice.

Choice C reason: Group therapy encourages social interaction but is not a primary CBT intervention. CBT focuses on individual cognitive restructuring, not group dynamics, making this choice less relevant for the specified theoretical approach to anxiety treatment.

Choice D reason: Relaxation techniques are adjunctive in CBT but not the primary focus. Challenging negative thoughts is the core intervention, directly addressing cognitive distortions driving anxiety, making relaxation a secondary approach and this choice incorrect.

A. Arrange for social services to address the patient’s housing needs B. Contact the landlord to discuss the eviction situation further C. Determine whether the adverse medication reaction was genuine D. Delay discharge until the patient’s mental status improves

Correct Answer is A

Explanation

Choice A reason: Arranging social services addresses the patient’s eviction, a social determinant of health impacting mental stability. This holistic approach supports recovery by ensuring housing stability, aligning with psychiatric nursing’s focus on comprehensive care, making this the correct choice.

Choice B reason: Contacting the landlord directly exceeds the nurse’s role and may violate privacy. It does not address the patient’s immediate housing needs or mental health, making it less appropriate than coordinating with social services for professional support.

Choice C reason: Questioning the medication reaction’s validity is inappropriate without evidence and distracts from addressing the eviction. It undermines trust and does not support discharge planning, making this choice irrelevant to the patient’s current needs.

Choice D reason: Delaying discharge without clinical justification risks unnecessary hospitalization. The eviction requires social support, not prolonged admission, as mental status improvement is not specified as a concern, making this choice incorrect.

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Which scenario best depicts a behavioral crisis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

When using cognitive behavioral theory with an anxious, withdrawn patient, interventions should focus on which of the following?

Correct Answer is B

Explanation

A patient was hospitalized for 24 hours after a reaction to a psychotropic medication. While planning discharge, the nurse learned the patient received a notice of eviction immediately prior to admission. Select the nurse’s most appropriate action.

Correct Answer is A

Explanation

In which phase of group therapy should the nurse plan to first address termination?

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