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the expected reaction to a major stressor. Acute stress disorder is a similar diagnosis that differs
from PTSD in duration of symptoms. Alarm reaction involves physiological events such as
increased activation of the sympathetic nervous system that would have occurred at the time of
the sexual assault.
3. The nurse teaches stress-reduction and relaxation training to a health education group of
patients after cardiac bypass surgery. Which level of intervention is the nurse using?
a. Primary
b. Secondary
c. Tertiary
d. Quad
ANS: C
Tertiary-level interventions assist the patient in readapting and can include relaxation training
and time-management training. At the primary level of prevention, you direct nursing activities
to identifying individuals and populations who are possibly at risk for stress. Nursing
interventions at the secondary level include actions directed at symptoms such as protecting the
patient from self-harm. Quad level does not exist.
4. A nurse is teaching guided imagery to a prenatal class. Which technique did the nurse
describe?
a. Singing
b. Massaging back
c. Listening to music
d. Using sensory peaceful words
ANS: D
Guided imagery is used as a means to create a relaxed state through the person’s imagination,
often using sensory words. Imagination allows the person to create a soothing and peaceful
environment. Singing, back massage, and listening to music are other types of stress
management techniques.
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5. After a natural disaster occurred, an emergency worker referred a family for crisis intervention
services. One fa mily member refused to attend the services, stating, “No way, I’m not crazy.”
What is the nurse’s best response?
a.
“Many times disasters can create mental health problems, so you really should participate
with your family.”
b.
“Seeking this kind of help does not mean that you have a mental illness; it is a short-
term problem- solving technique.”
c. “Don’t worry now. The psychiatrists are well trained to help.”
d. “This will help your family communicate better.”
ANS: B
Crisis intervention is a type of brief therapy that is more directive than traditional psychotherapy
or counseling. It focuses on problem solving and involves only the problem created by the crisis.
The other options do not properly reassure the patient and build trust. Giving advice in the form
of “you really should participate” is inappropriate. “Don’t worry now” is false reassurance.