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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Direct questions like "Did you feel angry?" may elicit specific information but can feel confrontational, limiting open dialogue. They focus on the nurse’s agenda rather than signaling attentive listening, which is critical for therapeutic communication in mental health, making this choice less effective.
Choice B reason: Asking "Why did you do that?" can seem judgmental, causing defensiveness and hindering open communication. It shifts focus to justification rather than fostering a safe space for the patient to share feelings, making it non-therapeutic and incorrect for showing listening interest.
Choice C reason: Maintaining eye contact and nodding are nonverbal cues that demonstrate active listening and empathy, encouraging patients to share openly. These align with therapeutic communication principles in psychiatric nursing, creating a supportive environment and fostering trust, making this the correct choice for showing interest.
Choice D reason: Offering advice based on personal experience shifts focus to the nurse, undermining the patient’s perspective. It risks blurring professional boundaries and is non-therapeutic, as it does not prioritize the patient’s feelings or encourage open dialogue, making this choice incorrect.
Correct Answer is A
Explanation
Choice A reason: Silence in group therapy provides space for reflection, allowing members to process emotions and thoughts. This supports therapeutic goals by fostering insight and self-awareness, aligning with psychiatric principles of facilitating emotional processing, making this the correct choice.
Choice B reason: Silence does not encourage immediate verbal responses; it promotes contemplation. Encouraging quick responses may pressure participants, disrupting therapeutic processing, which relies on reflective pauses, making this statement contrary to the therapeutic use of silence and incorrect.
Choice C reason: Using silence to discipline is punitive, not therapeutic. Silence in therapy aims to facilitate reflection, not control behavior, which contradicts psychiatric nursing principles of fostering a supportive environment, making this choice incorrect and non-therapeutic.
Choice D reason: Silence complements, not replaces, active listening. Active listening involves verbal and nonverbal engagement, while silence provides reflective space. Replacing listening with silence undermines therapeutic communication, making this statement incorrect for the role of silence in therapy.
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