The nurse is performing a crisis assessment on a patient who is experiencing crisis due to a recent divorce. Which statement made by the patient will alert the nurse that the patient is experiencing the exhaustion phase of crisis?

1. "I can't believe this is happening to me."
2. "I have called my mom to help me with the kids."
3. "I am tired from moving all of my belongings into a new house. "
4. "I just can't seem to cope anymore. I am not sure what I am going to do."


Answer: 4
Explanation: Classifying the stage of adaptation displayed by the individual is a component of the initial crisis assessment. The General Adaptation Syndrome describes three basic stages through which most individuals progress during attempts to cope with significant stressors: alarm, resistance, and exhaustion. The statement, "I just can't seem to cope anymore. I am not sure what I am going to do" is characteristic of the exhaustion phase of crisis. Exhaustion occurs when coping resources are low or depleted. The statement, "I can't believe this is happening to me" best describes the alarm stage of crisis, which occurs during the initial reaction to a crisis. The statements "I have called my mom to help me with the kids" and "I am tired from moving all of my belongings into a new house" best describe the resistance stage of crisis when the individual mobilizes resources in an effort to attempt to resolve the stressor.

Nursing

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