A client, aged 42 years, seeks crisis intervention. 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.". After making the assessment that the
client's nuclear family is unable to provide the client with sufficient situational support, the nurse
should
a. suggest that the client seek admission to the inpatient crisis unit.
b. ask what other relatives or friends are available to support her.
c. tell the client to be emotionally strong and to let her daughter go.
d. foster insight by relating the present situation to earlier situations involving loss.
B
The assessment of situational supports should continue. Even though the client's nuclear family may
not be supportive, other situational supports may be available. If they are adequate, admission to an
inpatient unit will be unnecessary (option A). Option C violates the concept that the therapist can
review available options but that the client should actually choose the option. Option D describes a
traditional psychotherapeutic approach rather than crisis intervention.
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