Which of the following nursing statements and/or questions represent appropriate communication to assess an individual in crisis? (Select all that apply.)
1. "Tell me what happened."
2. "What coping methods have you used, and did they work?"
3. "Describe to me what your life was like before this happened."
4. "Let's focus on the current problem."
5. "I'll assist you in selecting functional coping strategies."
1, 2, 3
Rationale: In the assessment phase, the nurse should gather information regarding the precipitating stressor and the resulting crisis. Focusing on the current problem and selecting functional coping strategies would not occur until after a complete assessment.
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A patient tells a nurse, “I sometimes get into trouble because I make quick decisions and act on them.” A therapeutic response would be:
a. "Let's consider the advantages of being able to stop and think before acting."
b. "It sounds as though you've developed some insight into your situation."
c. "I'll bet you have some interesting stories to share about overreacting."
d. "It's good that you're showing readiness for behavioral change."