A patient comes to the crisis clinic after an unexpected job termination. The patient paces around the room sobbing, cringes when approached, and responds to questions with only shrugs or monosyllables
Choose the nurse's best initial comment to this patient.
a. "Everything is going to be all right. You are here at the clinic, and the staff will keep you safe."
b. "I see you are feeling upset. I'm going to stay and talk with you to help you feel better."
c. "You need to try to stop crying and pacing so we can talk about your problems."
d. "Let's set some guidelines and goals for your visit here."
ANS: B
A crisis exists for this patient. The two primary thrusts of crisis intervention are to provide for the safety of the individual and use anxiety-reduction techniques to facilitate use of inner resources. The nurse offers therapeutic presence, which provides caring, ongoing observation relative to the patient's safety, and interpersonal reassurance.
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