The community health nurse is teaching a group of adults about crisis experienced by various populations. Which statement by one of the group members indicates that the nurse's teaching has been effective?
1. "A good example of an adventitious crisis is a complicated divorce."
2. "I will be aware that maturational crisis may occur more frequently among my older adult patients."
3. "Patients with chronic illness are at greater risk for situational crisis than individuals without chronic illness."
4. "Adventitious crisis may occur in patients who have miscarried during pregnancy or have delivered a preterm infant."
Answer: 3
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 medical (acute onset injury or new chronic illness diagnosis), psychosocial (divorce, legal problems, financial problems), and cultural (immigration). Patients with chronic illness are at greater risk for situational crisis than individuals without chronic illness. A complicated divorce is more likely to be a situational crisis than an adventitious crisis. Adventitious crises arise from traumatic events that are well beyond the expected scope of normal human experience, such as violent crime, natural disasters, war, and terrorism. Maturational crisis occurs more frequently in adolescents and young adults than in the older adult population. Patients who have miscarried during pregnancy or have delivered a preterm infant are at greater risk for a maturational crisis or situational crisis, not an adventitious crisis.
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