A patient presents in crisis. She tells the nurse, "I cannot take it anymore! It has to stop. Last year my husband had an affair, and we do not communicate anymore
Three months ago I found a lump in my breast, and yesterday my 20-year-old daughter told me she is quitting college and moving to another state with her boyfriend.". The nurse can make the assessment that crisis intervention is successful when the patient: a. resolves her grief regarding the actual and potential losses in her life.
b. permits others to make decisions for her until her anxiety is reduced.
c. develops a higher degree of resilience to use when facing future crises.
d. learns to respond more calmly and logically in crisis situations.
A
When a person's crisis centers on actual or potential losses, the patient is dealing with actual or anticipatory grief. Although the actual or threatened losses increase anxiety as well, successful resolution of the crisis depends on resolving the grief she is experiencing. Permitting others to assume decision making increases dependency and is rarely a strategy in crisis intervention. Enhancing resilience is always desirable but is not required to resolve the present crisis. Learning to respond more calmly when under stress would seem helpful but is not fundamental to resolving a crisis situation.
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