A nurse educator is providing a review course for staff nurses regarding the impact and risk factors for situational crisis among the psychiatric patient population. The educator asks one of the staff nurses to provide a clinical example of a patient
at increased risk for situational crisis. Which statements made by the staff nurse indicates that teaching has been effective? Select all that apply.
1. "The teenager who is graduating high school in 3 weeks."
2. "The older adult who recently immigrated from Mexico."
3. "The middle-aged adult who just received a diagnosis of depression."
4. "The young adult who is arrested and incarcerated for driving under the influence."
5. "The young adult who is experiencing psychosis after giving birth to a healthy baby."
Answer: 2, 3, 4, 5
Explanation: Situational crises develop in response to sudden, unexpected traumatic life events. Situational crises often are beyond the established coping capabilities of the individuals experiencing them. Situational crises can arise from many kinds of precipitants, including immigration. Acute and chronic illness, such as depression and psychosis, may lead to situational crises. Legal problems, such as arrest and incarceration, may lead to a situational crisis. The teenager who is graduating high school is most at risk for a maturational crisis, not a situational crisis.
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