27 Dec Physical environmental factors.

DQ1

How is stress different than a crisis? What makes a person “crisis-prone”?

How did the introduction of psychotropic medication and the deinstitutionalization of the mentally ill influence current crisis intervention and the provision of mental health services?

DQ2

When MUST a counselor, nurse, or other health care provider (HCP) breech confidentiality? When MAY a counselor, nurse, or HCP breech confidentiality? Give an example -maybe even one where you were directly involved. (Do not use real names or breech confidentiality.)

Explain the assigned readings from the ANA Scope and Standards, ANA Social Policy Statement, and ANA Code of Ethics state in relation to confidentiality

Week 2 discussion

DQ1

Read the case study on page 862 in Clark 6th edition* entitled Caring for a Client with Depression. Consider you are the nurse caring for Donna. Describe the type of crisis or crises Donna is experiencing. How might you assess her risk for suicide or harm to others such as her baby? What interventions might you implement in Donna’s plan of care? Who else might need to be involved in Donna’s care? Provide rationales for all responses.

*If you have Clark 5th edition, the case study is on page 926.

DQ2

Describe the 4 stages for successful mourning.

What are some special needs of a parent who has lost a child to death?

Relate the assigned readings from the ANA Scope and Standards, and the ANA Code of Ethics to the needs of the parent and stages of mourning.

Week 3 discussion

DQ1

What is a need of most adolescents that often is thwarted and leads to acting out through self-destructive behaviors?

Discuss a developmental crisis or special situational crises of adolescence and possible intervention strategies to deal with it.

DQ2

Nurses assess patients’ use of alcohol and drugs upon admission. Many times those under the influence present to emergency rooms for medical crisis situations. Explain how you would go about assessing for substance abuse and crises. What type of interventions might be appropriate for alcoholics or substance abusers? Describe 5 defense mechanisms that are often utilized by enablers and co-dependents.

Week 4 discussion

DQ1

Tessa was ready to deploy with her unit, until her doctor told her she’d have to stay behind. Returning to her previous life turned out to be more difficult than she planned. Hear how Tessa was able to find solutions—for herself and for her family.

From a self-described “happy kid” to a determined Marine – Bryan returned home thinking he’d forever lost the ability to feel. Hear him tell how he overcame IEDs, posttraumatic stress, and the unique challenges of a long-distance romance. Bryan got his life on a better track with help from VA.

After you view the videos discuss why it’s important to have innovative approaches to preparing nurses to care for service members and veterans. Discuss what resources are available to veterans in your community. (View all the videos located under week 4 Video Animations).

DQ2

Describe the phases of community disaster as discussed in Kanel pages 158-159. How do these compare to the Stages of Disaster Response as described in Clark Chapter 25 pages 703-706? What interventions would be appropriate for nurses to assist people involved in a natural disaster? Choose and explain two of the assessment considerations from Clark Chapter 25 and why it is important for nurses to be aware of.

Week 2 Handout Assignment

NUR3516 Handout Assignment Guideline

DUE DATE: Sunday of Week 2

Summary: Patient handouts have been used by nurses for many years as a teaching tool. A good patient handout can be an effective teaching strategy for additional patient education. For this assignment, you will create a two-page only patient handout or brochure outlining specific criteria and based on your readings and literature searches.

http://www.advancecustomcommunications.com/education/

Who you will What you will write about How you will write How you will evaluate and

write for support

Primary Topic: Crisis Intervention Format: Create your Write in your own words by

Audience: The Education assignment in a paraphrasing content from other

primary audience Microsoft Word sources and cite according to

is the general For this assignment, you will document. There are APA standards. Citations can be

population of create a two-page only patient templates you can use in a smaller font following any

patients in your handout or brochure. Consider within Microsoft paraphrased content.

community. the use of variety, balance, text Word if you wish.

and images placed Save it in a location It is important to present your

Tone: This asymmetrically and with on your computer and ideas about the subject matter

assignment is to simplicity. with a name that through your reflection and

be written in follows this analysis. Present the information

third person as it You will address all of the format: Last name, to your audience in terms they

reflects your following criteria on your First name, can understand. Write as if you

professional handout/brochure: NUR3516, Crisis are telling the information to the

insight and • Discuss the definition of a Brochure. person who is reading the

research findings. “crisis” Organization: Your brochure.

• Describe how a crisis can

be both an opportunity handout/brochure References: Include a minimum

Secondary and a danger should have a balance of three (3) references; one (1)

Audience: As • Analyze how someone of informational being a nursing journal article

your instructor, I becomes “crisis prone” content and images. (no more than 5 years old). Use

will read and • Provide suggestions for Images should not proper APA paraphrasing, in-

evaluate how assistance constitute large text citations, and corresponding

effectively you portions of your reference for all sources.

have addressed Consider your audience, handout/brochure.

your primary There should not be References should be found

varying cultures, and literacy

audience. large amounts of somewhere on the two pages.

levels as you create your

white space nor DO NOT move to a third page.

brochure. The elderly may not

should there be so Your references can be in a text

be able to read typeface that is

many things on it that box with smaller font.

too small. Too large typeface

it is confusing to the

will not allow you enough room

eye. Additional sources can be from

for all the content you need.

the ANA Essential texts or the

Same for too many or too large

Length: Two pages, course textbook. Professional

images. Images should relate

front and back only websites can be included, but

explicitly to the content near it

for a handout. A must be in proper APA format.

and help make you point or

brochure template The use of web sites such as

gain attention to your content.

will only be two Wikipedia or a non-discipline

pages and can be a supportive website are not

trifold type brochure. allowed.

Submission: Submit *Please use the Keiser University

your handout or Online Library for professional

brochure to the week nursing journal articles. Sites such

2 Assignment area. as the OJIN Online Journal of

Issues in Nursing are also

SafeAssign: N/A acceptable.

Title: Crisis Intervention Patient Education Due Date: Sunday of Week 2

Audience: General Patient Population

Tone: Third Person

Format: APA Microsoft Word Handout or Brochure

Length: Two (2) pages ONLY

References: Minimum three (3) scholarly sources; One (1) being a current, nursing journal article

Assignment Rubric:

Criteria Allowed Points Comments

Points earned

Two-page ONLY handout/brochure 5

SEQUENCING 25

Covers all information completely.

Good sequencing of material with

clear and concise content reflecting

education of the general population.

APPLICATION: 25

Demonstrates synthesis, analysis, and

evaluation of topic. Presented

succinct and relevant information in

consideration of a diverse population.

VISUAL APPEAL 15

Handout/Brochure demonstrates

good visual appeal. Graphics are

appropriate for space and relate well

to message. Font is appropriate for

population.

REFERENCES: 20

Minimum of 3 references (1 reference

from a nursing peer reviewed journal

within the last 5 years) included on

the two pages and in APA

format and style.

GRAMMAR: 5

No spelling errors. Excellent

grammar/spelling/punctuation.

Proper APA Format, Citations, and 5

References

Total points 100

To ensure that you get the most benefit from your BSN education and meet learning/program outcomes, this assignment is NOT optional. All students must complete the assignment in order to pass the course. Failure to submit the assignment will result in an F in the course regardless of the numeric grade without the assignment.

Week 4 assignment

NUR3516 Self Care Assignment Guideline

DUE DATE: Saturday of Week 4

Summary: Your assignment is to write an APA formatted reflection paper based on taking one hour a week to do something for yourself, reflecting on the experience, and answering some final questions. You will also present findings from a scholarly, nursing journal article.

“ANA defines a healthy nurse as one who actively focuses on creating and maintaining a balance and synergy of physical, intellectual, emotional, social, spiritual, personal and professional wellbeing. A healthy nurse lives life to the fullest capacity, across the wellness/illness continuum, as they become stronger role models, advocates, and educators, personally, for their families, their communities and work environments, and ultimately for their patients.” (American Nurses Association [ANA], 2017)

Explore the Healthy Nurse Healthy Nation website and take the challenge!

http://nursingworld.org/MainMenuCategories/WorkplaceSafety/Healthy-Nurse

Who you will What you will write about How you will write How you will

write for evaluate and

support

Primary Topic: Self Care Reflection and Format: Your paper Write in your own

Audience: The Personal crisis prevention will be written in APA words and paraphrase

primary audience /intervention 6th edition format content from other

is the general including a Title and sources and cite

nursing Each week, you ARE REQUIRED to Reference page. No according to APA

community take ONE HOUR and do something that abstract is needed. standards, as

including your YOU ENJOY, just for yourself! No kids applicable. It is

peers and nursing or family/friends allowed! It is time just Write your paper in a important to present

leaders. for you to relax and reflect. It can be Microsoft Word your ideas about the

anything that helps you regroup and put document. Save it in a subject matter through

Tone: This balance back in your life like horse- location on your your reflection and

assignment is to be backing riding, swimming, yoga, computer and with a analysis. Present a

written in first reading (something other than a name that follows this paraphrased summary

person as it textbook), and going to the park or a format: Last name, of the article you

reflects your own spa. It must NOT be anything related to First name, NUR3516, present from the

personal beliefs school coursework or your job. You will Reflection Paper. literature to support or

and values. then journal each week about the argue your ideas.

However, you will experience (reflection) and how it Organization:

also correlate the relates to what you are learning about Include a brief References: Include

values, beliefs, and stress, crisis, coping skills, self-care, and introduction and one (1) nursing journal

ethical standards supporting a “Healthy Nurse, Healthy conclusion to your article summary. Use

Nation™”. paper. Each journal proper APA

of the nursing

profession. Within your reflection paper, you will

address all of the following questions

using APA level 1 headings:

Secondary

Audience: As 1. Present the activity you

your instructor, I selected each week, why you

will read and chose it, and how it made you

evaluate how feel.

effectively you 2. Reflect on how you handle

have addressed daily stresses, the resources

your primary (material, personal, and social)

audience. you use to cope, and how your

perception of events affects

how you cope.

3. How might this activity prevent

burn-out in your daily

professional nursing practice?

4. What changes have you made

in your life that support a

Healthy Nurse, Healthy

Nation™” lifestyle?

5. How does the crisis

intervention course better

prepare you to assist those in

crisis?

Include a summary of one nursing

journal article on self-care or burn-out

and how you benefited by reading it.

You may use the Keiser University

Online Library or a nursing related

professional website to obtain your

article.

The goal of this assignment is to assist

you to reflect and understand the

importance of caring for yourself as a

first line to caring for others and to

incorporate self-care activities into your

daily lives.

entry (4) must be a minimum of 250 words. Use of Level One APA Headings are required.

Length: A minimum of three (3) full double-spaced pages are required excluding the title and reference page.

Submission: Submit as one completed paper in one Word document to the week 4 Assignment area.

SafeAssign: Your paper will automatically be submitted through SafeAssign, a plagiarism software program

Please review the SafeAssign information under the Student Resources Tab, Writing and Library link within the course.

paraphrasing, in-text citations, and corresponding reference for all sources (if additional sources are used).

Additional sources can be from the ANA Essential texts or the course textbook. Professional websites can be included, but must be in proper APA format. The use of web sites such as Wikipedia or a non-discipline supportive website are not allowed.

*Please use the Keiser University Online Library for professional nursing journal articles. Sites such as the OJIN Online Journal of Issues in Nursing are also acceptable.

Title: Self Care Personal Crisis Prevention/Intervention Due Date: Saturday of Week 4

Audience: General Nursing Community

Tone: First Person

Format: APA and Level 1 Headings

Length: Three (3) full double-spaced pages are required excluding the title and reference page.

References: One summarized nursing journal article

Assignment Rubric:

Criteria Allowed Points Comments

Points earned

Submitted reflections for each week 40

(4). Each with a minimum of 250

words.

Demonstrates synthesis, analysis, and 20

evaluation of topics.

Brief introduction and conclusion 10

included

Included a summary of a nursing 20

journal article related to topic with

reference.

Minimum of three pages not 5

including title and reference

page. Grammar/Spelling/Punctuation

are .

Proper APA Format, Citations, and 5

References

SafeAssign Score <15% SafeAssign Score/Feedback: similarity with no plagiarism Total points 100 To ensure that you get the most benefit from your BSN education and meet learning/program outcomes, this assignment is NOT optional. All students must complete the assignment in order to pass the course. Failure to submit the assignment will result in an F in the course regardless of the numeric grade without the assignment. Week 1 quiz Question 1 Crisis intervention has its beginnings during the time of Freud. Answers: True False Question 2 Suicide prevention and community mental health services became widespread in the Answers: 1800's. 1960's. 1980's. 1990's. Question 3 The role of nurses in the Gay, Lesbian, Bisexual, and Transgender (GLBT) community is to: Answers: Provide access to public health care Allow free expression of sexuality in the community Provide direct care and advocate for healthcare services Establish their basic human needs in society Question 4 Countertransference refers to the unresolved feelings that the client feels toward the counselor. Answers: True False Question 5 Battered woman syndrome is a form post traumatic stress disorder (PTSD). Answers: True False Question 6 Which of the following options is not a characteristic of effective coping behavior as presented by Caplan? Answers: Actively exploring reality issues. Trusting in oneself. Freely expressing feelings. Handling it alone. Question 7 All of the following are characteristics of a batterer except Answers: jealousy. controlling. crying. criticizing. Question 8 Community mental health centers have just about dissolved the crisis intervention model. Answers: True False Question 9 The term sexual orientation is more closely defined by: Answers: Attraction Culture Heterosexuality Sexual Behavior Question 10 The use of the paraprofessional in providing crisis intervention Answers: has always been considered appropriate. is accepted by all mental health professionals. is costly, therefore avoided. is controversial due to level of training. Question 11 Ego strength refers to Answers: how proud and self-centered the person is. the amount of energy available to overcome post-traumatic stress disorder. the ability to understand the world realistically and act upon it to get one's needs met. what the crisis worker feels is the root of all problems. Question 12 Informed consent is when the client is told of his rights and the nature of therapy. Answers: True False Question 13 Crisis and stress mean exactly the same thing. Answers: True False Question 14 It is possible to grow after effective resolution of a crisis. Answers: True False Question 15 A healthy way to manage the stress that emergency workers often experience on the job is to Answers: keep quiet and focus on their work. drink a glass of wine after work. talk with co-workers about their feelings. Talk with their patients about their concerns. Question 16 The ANA Nursing Social Policy Statement is a document about the relationship between individual nurses and society. Answers: True False Question 17 Duty to Warn refers to disclosure of a client's intention to harm another. Answers: True False Question 18 The process of critical Incident debriefing Answers: is similar to crisis intervention. is a specialized approach to dealing with schizophrenia. is the oldest form of crisis intervention. none of the above. Question 19 The outcome of a person's crisis is determined by his/her Answers: material resources. personal resources. social resources. all of the above. Question 20 A crisis can be an opportunity because Answers: the person can grow from the challenge of dealing with the precipitating event. the person can seek financial opportunity by winning malpractice lawsuits or workman's compensation. the person may learn to use ego defense mechanism. none of the above. Question 21 Crisis intervention is popular with HMO's and managed care. Answers: True False Question 22 The original population with which Lindemann developed his crisis intervention model was WWII veterans. True False Question 23 A crisis worker must break confidentiality in cases of. Answers: elder abuse. child abuse. intent to murder someone. all of the above. Question 24 Confidentiality and privacy are major patient rights that nurses have an ethical and legal responsibility to protect. Answers: True False Question 25 Most crises lead to psychosis. Answers: True False Week 2 quiz Question 1 Parents who lose a child to death often benefit from support groups. Answers: True False Question 2 What is the purpose of basic attending skills? Answers: To find the precipitating event. To develop rapport with the client. To provide coping skills. To practice effective communication. Question 3 Which of the following is an example of a support or validation statement? Answers: "More than 30% of woman live in abusive households." "You have the choices now that you didn't have before. Let's explore them." "Your feelings are normal and other people would feel the same in your situation." "When life gives you lemons, make lemonade!" Question 4 Suicidal people rarely leave hints that they are thinking of suicide. Answers: True False Question 5 Death of a loved one is much worse than divorce. Answers: True False Question 6 A community health nurse has made available a list of trained volunteers to assist families with members who have chronic mental health problems, including dementia and Alzheimer's disease. These volunteers are available to provide primary caregivers opportunities for respite services. This is an example of what level of care for chronic mental illness? Answers: Maintenance Secondary Prevention Treatment Question 7 The ANA Code of Ethics for Nurses states that a nurse: Answers: is responsible for advancing the paraprofessionals. is not responsible for health needs and concerns. should advocate to protect the health, safety and rights of all patients. should not promote intraprofessional integrity. Question 8 About what percentage of marriages end in divorce? Answers: 25% 50% 75% 90% Question 9 Suicide is always an insane act. Answers: True False Question 10 People who are divorcing are at risk for increased alcohol use. Answers: True False Question 11 Reflection of feelings is contraindicated for clients in crisis due to the risk for suicide. Answers: True False Question 12 According to the ANA Code of Ethics for Nurses, nurses must respect the worth, dignity and rights of all human beings unless the nature of the health problem is against the beliefs of the nurse. Answers: True False Question 13 People who lose someone to death should never learn to adjust to life without them. Answers: True False Question 14 The most important part of the coping phase of crisis intervention is to Answers: make sure the client reads self-help books. help the client develop new coping ideas. give the client solid financial advice. determine the level of subjective distress. Question 15 The ANA Scope and Standards of Practice (2nd edition) states that a nurse Answers: promotes informed decision-making when ordered by a physician. maintains professional role boundaries while engaging in a dual relationship. does not need to use the Code of Ethics for Nurses to guide practice. delivers care that protects patients autonomy, dignity, rights, values, and beliefs. Question 16 A problem-focused coping strategy is best to help people with mental illness deal with their symptoms. Answers: True False Question 17 Hospitalizing a high risk client is avoided at all costs. Answers: True False Question 18 The ANA Code of Ethics for Nurses states the nurse supports the health, wellness, and decision-making of patients even if the patient choices are self destructive. Answers: True False Question 19 According to the ANA Code of Ethics for Nurses, each nurse has an obligation to be knowledgeable about the moral and legal rights of all patients to self-determination. Answers: True False Question 20 Which is considered the most effective way to invite a client to talk? Answers: Close ended questions Interpretations Open ended questions None of the above Question 21 A client who says “I’m going to kill myself and you can’t stop me” is probably in what category of suicide risk? Answers: No Risk Low Risk Middle Risk High Risk Question 22 Most people will experience grief in the same way. Answers: True False Question 23 People who are divorcing should be encouraged to tell their parents and in-laws the details of the break-up. Answers: True False Question 24 People with a mental disorder such as schizophrenia are at an increased risk for suicide. Answers: True False Question 25 Which is an example of a 12-step group that can be suggested as an alternative coping behavior? Answers: Cocaine Anonymous Scared Straight Phoenix House All of the above Week 3 quiz Question 1 While interviewing the spouse of a client who is being treated for substance abuse, the population health nurse suspects codependence exists between the client and the spouse. What characteristic of codependence did the nurse assess? Answers: Evidence of high self-esteem. The ability to freely express feelings. Control of others. The ability to stand up for one's own desires. Question 2 Which statement is true about teen pregnancy? Answers: Teen birth rates are decreasing yearly. Teen pregnancy does not present a crisis situation. It is rare and not a major problem in the U. S. The majority of teen pregnancies end in abortion. Question 3 Which of the following is the fastest growing drug problem and accounts for the second most commonly abused category of drugs? Answers: Alcohol Marijuana Prescription drugs Illicit drugs Question 4 In dealing with developmental or evolutional crises, which approach would yield the best results? Answers: Psychoanalysis Darwinism Theory Family Systems Theory Humanistic Approach Question 5 During middle childhood, the major role changes going on for the child deal with Answers: bonding. stagnation. success and failures. all of the above. Question 6 The main goal of crisis intervention for victims of sexual assault is to Answers: confront the abuse head on and aggressively. allow them to experience the associated depression and guilt. move them from victim role to survivor role. simply be there as a supportive role model. Question 7 What types of crises usually bring in a drug addict or alcoholic? Question 8 Cyberbullying reflects abuse that is committed through texting or social media sites. Answers: True False Question 9 Women in the military may be at risk of being raped because they make poor decisions in social and training activitites. Answers: True False Question 10 A geriatric nurse specialist has been visiting a senior community center and would like to screen the senior clients who visit for substance abuse. The nurse realizes this is an important intervention in the care of the elderly client because Answers: there are several community resources available for elderly client use. while prevalence of abuse is low in this population, consequences are more severe. physicians prefer others address this concern. substance abuse is a huge problem in this age group. Question 11 Define Situational Crisis and give an example. Question 12 The empty nest syndrome is part of the crisis of which stage? Answers: Infancy Middle adult Childhood Maturity Question 13 Many elderly struggle with issues of Answers: integrity vs. despair. intimacy vs. isolation. generativity vs. stagnation. none of the above. Question 14 Engagement is the term used to describe situations when everyone in the family are overly involved in each other's lives. Answers: True False Question 15 The ANA Code of Ethics for Nurses states the needs for health care does not justify unwanted intrusion into the patient's life. Answers: True False Question 16 The ABC Model of Crisis Intervention is not applicable to victims of rape. Answers: True False Question 17 An eating disorder in which a teenage girl starves herself and refuses to maintain adequate nutrition is called Answers: bulimia nervosa. anorexia nervosa. food abstinence syndrome. none of the above. Question 18 High school students should be educated on date rape because it is highest in the 16-19-year-old age group. Answers: True False Question 19 When working with a bully and their parents, it is important to Answers: evaluate the family dynamics. help the bully understand it is not their fault. bring the victim to the meetings for an apology. encourage empowerment. Question 20 During which stage or stages of development might a crisis worker teach parents how to deal with power struggles? Answers: Toddlerhood Adolescence Maturity Toddlerhood and adolescence Question 21 One competency of the ANA Scope and Standards of Practice is that the RN employs strategies to promote a healthy lifestyle and preventative self-care for patients. Answers: True False Question 22 A major task in the development of family subsystems is Answers: establishing new roles. strongly maintaining set boundaries. helping family members maintain homeostasis by counteracting changes. All of the above. Question 23 A major emotional cause of teen runaways is Answers: to live with supportive friends who don't bully. due to feelings of abandonment by parents. due to the glamour of living on the streets. All of the above. Question 24 Which drug is usually injected and highly addictive? Heroin Answers: LSD Heroin Marijuana All of the above Question 25 Define "Crises of old age" and provide an example. Week 4 final quiz Question 1 A person in crisis may be in danger of Answers: becoming psychotic. attempting suicide. coming through the crisis at a lower level of functioning. all of the above. Question 2 The ANA Scope and Standards of Practice states a nurse is not required to provide healthcare consumers with information about intended effects and potential adverse effects of proposed therapies. Answers: True False Question 3 Mr and Mrs. Collins' children have all moved out and the couple is feeling disconnected and depressed. This is an example of a crisis in which stage of development according to Erikson? Answers: Trust versus Mistrust Generativity versus Stagnation Intimacy versus Isolation Ego Intergrity versus Despair Question 4 Death of a loved one is much worse than a divorce. Answers: True False Question 5 Enmeshment is typical of Mexican-American families. Answers: True False Question 6 A client who says "I'm going to kill myself and you can't stop me" is probably Answers: high suicide risk. middle suicide risk. low suicide risk. not a suicide risk. Question 7 Paraphrasing is Answers: a way to help clients feel their emotions. a clarifying technique. is a way to give advice. all of the above. Question 8 Briefly describe a crisis (situational, developmental, or evolutional) in which you observed as a nurse and how you were able to cope or how you helped the person in crisis to cope. This can be a hypothetical situation. Question 9 Typical warning signs of suicide include all of the following except Answers: giving things away. putting things in order. continuing usual activities. increased drug use. Question 10 Who may waive privileged communication by signing a waiver for purposes of continuity of care? Answers: The therapist The client The courts The patients family Question 11 Crisis intervention is popular with HMO's and managed care. Answers: True False Question 12 The overall goal when intervening with someone going through a divorce is Answers: to help the client grieve. to ensure the better spouse gets the best deal. to ensure that in-laws are well aware of the details of the divorce. to help them get their finances in order. Question 13 Children whose parents go through divorce may suffer from Answers: loyalty issues. blended family issues. depression. all of the above. Question 14 The majority of rape victims do not know who their assailant is. Answers: True False Question 15 The ANA Code of Ethics for Nurses states that the nurse owes the same duty to self as others. Answers: True False Question 16 Dual relationship is legal if the patient is legally insane. Answers: True False Question 17 People who are divorcing can avoid a crisis when they have resources in place to support them. Answers: True False Question 18 The ANA Scope and Standards of Practice states that a nurse commits to lifelong learning to strengthen their individual practice within varied settings. Answers: True False Question 19 What is the biggest difference between Post-Traumatic Stress Disorder (PTSD) and Acute Stress Disorder (ASD)? Selected Answer: Answers: The seriousness of the trauma levels of anxiety Duration of time None of above Question 20 Crisis and stress differ in their meaning. Answers: True False Question 21 The most important part of the coping phase of crisis intervention is to Answers: reads books as a coping mechanism. develop new coping ideas. educate and give solid advice. understand the perception of the event. Question 22 The use of the paraprofessional in providing crisis intervention Answers: has always been considered inappropriate. is accepted by all mental health professionals. is costly, therefore avoided. none of the above. Question 23 What types of crises usually bring in a drug addict or alcoholic? Question 24 The ANA Code of Ethics for Nurses states the nurse provides nursing services according to need while respecting the rights and dignity of all patients. Answers: True False Question 25 Paraprofessionals are not qualified to conduct crisis intervention sessions. Answers: True False Question 26 What might be a sign that a caretaker of someone with Alzheimer's disease may need intervention? Answers: They are socializing too much. Their own health problems are exacerbated. They are sleeping 6-8 hours a night. all of the above. Question 27 The Battering Cycle - match the stage to the definition Question Match Selected Match Love and dependency are key characteristics. Honeymoon Stage All Answer Choices A. Tension-Building Stage B. Return to Honeymoon Stage C. Honeymoon Stage D. Explosion Stage Question 28 Post-Traumatic Stress Disorder (PTSD) was first recognized as a medical condition after which military event? Answers: Vietnam War World War II Persian Gulf War Veteran's Day Question 29 The purpose of the American with Disabilities Act (ADA) of 1990 was to Answers: broadly challenge discrimination against disabled people. provide funding for retirement homes. provide testing for Alzheimer's disease. prevent discrimination against other races. Question 30 The Department of Social Services primary role in regards to veterans is to Answers: ensure they use services entitled to them. provide direct primary health care services. maintian mental health counseling appointments. None of the above. Question 31 The ANA Code of Ethics for Nurses states the standard of nursing practice and the nurse's responsibility to provide quality care require that relevant data not be shared with those members of the healthcare team who have a need to know. Answers: True False Question 32 Critical incident debriefing includes Answers: support and assurance. encouraging functioning. empathy and information. all of the above. Question 33 It is best not to encourage a client to speak about a loved one's death. Answers: True False Question 34 A major task in the development of family subsystems is Answers: establishing new roles. strongly maintaining set boundaries. Helping family members maintain homeostasis by counteracting changes. All of the above Question 35 Which is probably the most important development in intervening with the disabled? Answers: Psychoanalysis Eye-Movement Desensitization and Reprocessing (EMDR) Case management Person centered therapy Question 36 All of the following signs or behaviors indicate probable child abuse except: Answers: Genital bruises The absence of a hymen Venereal disease Child report of abuse Question 37 During which stage of development might a crisis worker teach parents how to deal with power struggles? Answers: Toddlerhood Adolescence Maturity Toddlerhood and adolescence Question 38 Which statement is most true regarding Rape Trauma Syndrome (RTS)? Answers: RTS has four distinct stages. Victims self-esteem is increased in the reorganization stage. Counselors can have the biggest impact in the first stage. RTS is not a form of PTSD Question 39 Parents who lose a child to death often prefer support groups. Answers: True False Question 40 A nurse is assessing a patient who appears euphoric, is slow to answer questions, has bloodshot eyes, and asks if "there is anything to munch on around here". The patient is most likely under the influence of Answers: LSD. marijuana. heroin. alcohol. Question 41 Duty to Warn refers to disclosure of a client's intention to harm another. Answers: True False Question 42 A crisis can be an opportunity because Answers: the person can grow from the challenge of dealing with the precipitating event. the person can seek financial opportunity by winning malpractice lawsuits or workman's compensation. the person may learn to use ego defense mechanism. None of the above. Question 43 A person who is considering suicide will typically hold onto possessions dear to them. Answers: True False Question 44 In which stage of cultural sensitivity does the therapist consider culture as distracting from clinical effectiveness? Answers: Unawareness of cultural issues Heightened awareness of culture Burden of considering culture Toward cultural sensitivity Question 45 Shame and obligation issues are of utmost importance when dealing with Mexican-Americans. Answers: True False Question 46 The best technique for a counselor to use when working with a battering parent is Answers: educating. reframing. empowering. validation. Question 47 Ego strength refers to one's capacity to deal with the demands of reality. Answers: True False Question 48 A patient tells a nurse that he was a member of OIF. The nurse knows that the patient served in the military operation known as Answers: Operation Intelligence Forensics. Operation Iraqi Freedom. Operation Iraqi Fighters. Operation Intelligence Finder. Question 49 A young soldier returning home from duty in a war zone tells the nurse at the state-side army base that sometimes he felt the media was a bigger enemy than the terrorists he was fighting. The nurse, understanding the considerations to assess in this situation, believes this soldier is reacting to: Answers: Behavioral factors. Physical environmental factors. Psychological factors. Sociocultural factors. Question 50 Crisis intervention has its beginnings during the time of the Wellesley project. Answers: True False