A nurse working with a patient in individual crisis intervention would characterize the approaches used as:
a. open-ended.
b. passive and indirect.
c. active, focused, and explorative.
d. psychoanalytic-based techniques.
C
Because of time constraints, nurses performing crisis intervention use techniques that are active, focused, and explorative to carry out the interventions. Interventions must be aimed at achieving quick resolution. Nurses must be creative, flexible, and competent in the use of many techniques.
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While the nurse is bathing a seven-year-old child, the child states, "I get so sad when my mom leaves." The response that ignores the importance of the child's feelings is:
1. "I am working tonight so I will be with you tonight while your mother is away." 2. "Could you explain to me what you mean by sad?" 3. "Your mother has to take care of your brothers and sisters, too. She will be back tomorrow." 4. "Can you tell me more about how it makes you feel when your mom leaves?"
After a mastectomy, a woman should be instructed to do all of the following except:
1. empty surgical drains twice a day and as needed. 2. avoid lifting more than 4.5 kg (10 lb) or reaching above her head until given per-mission by her surgeon. 3. wear clothing with snug sleeves to support the tissue of the arm on the operative side. 4. report immediately if inflammation at the incision site or the affected arm occurs.
A client with body dysmorphic disorder tells the nurse that he plans to have a surgical procedure that will affect his appearance. The nurse understands that this plan is an effort to:
A) Suppress intrusive thoughts. B) Decrease anxiety. C) Decrease anticipatory anxiety and treat associated depression. D) Deal with exposure response prevention.
The nurse is caring for a woman who is in early labor. The woman wants to avoid pain medications as long as possible. What will the nurse tell her?
a. "I can give you a sedative-hypnotic now to help you relax." b. "I can teach you some simple breathing exercises to help lessen discomfort." c. "If you take fentanyl (Sublimaze) now, it will be more effective than if you wait." d. "You may take ibuprofen, which won't cause drowsiness."