A client at the crisis clinic has cared for her invalid mother for 10 years. The mother's condition has
deteriorated, and placement in a nursing home has been suggested by the mother's physician.
The
client states she has always seen herself as capable of caring for her mother despite the personal
sacrifice it requires. To place the mother in a home threatens her value system. Successful resolution
of the client's crisis will be most closely related to
a. resolving the grief associated with the threat to the client's self-concept.
b. ability of the client to avail herself of situational supports in the community.
c. reliance on assistance from role models within the client's culture.
d. mobilization of automatic relief behaviors by the client.
A
The client's crisis clearly relates to a loss of (or threatened change in) self-concept and self-esteem.
Her capacity to care for her mother, regardless of the mother's deteriorating condition, has been
challenged. Crisis resolution will involve coming to terms with the grief associated with this loss.
Option B is relevant, but less so than coming to terms with the loss of self-esteem. Option C:
Reliance on lessons from role models can be helpful but is not the primary factor associated with
resolution in this case. Option D: Automatic relief behaviors will not be helpful. Automatic relief
behaviors are part of the fourth phase of crisis.
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