An adult has cared for a debilitated parent for 10 years. The parent's condition recently declined, and the health care provider recommended placement in a skilled nursing facility. The adult says, "I've always been able to care for my parents
Nursing home placement goes against everything I believe." Successful resolution of this person's crisis will most closely relate to:
a. resolving the feelings associated with the threat to the person's self-concept.
b. ability of the person to identify situational supports in the community.
c. reliance on assistance from role models within the person's culture.
d. mobilization of automatic relief behaviors by the person.
ANS: A
The patient's crisis clearly relates to a loss of (or threatened change in) self-concept. Her capacity to care for her parents, regardless of the deteriorating condition, has been challenged. Crisis resolution will involve coming to terms with the feelings associated with this loss. Identifying situational supports is relevant, but less so than coming to terms with the threat to self-concept. Reliance on lessons from role models can be helpful but not the primary factor associated with resolution in this case. Automatic relief behaviors will not be helpful. Automatic relief behaviors are part of the fourth phase of crisis.
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