Which approaches would the nurse use during a crisis

Which approaches would the nurse use during a crisis intervention interview? Select all that
apply. One, some, or all responses may be correct.
Rationale
Describes how others have caused the addiction
Identi fi es personal strengths and weaknesses
Expresses uncertainty about meeting with the nurse
Acknowledges the e ff ects of the addiction on the family
Addresses how the addiction has contributed to family distress
Active
Passive
Re fl ective
Interpretive
Goal directed
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The nurse would assume an active role in assessing the situation and conduct the interview with authority.
During crisis intervention the nurse would be goal directed to help the client cope with the crisis. A passive
approach is not appropriate; the client usually needs direction to move forward. A re fl ective approach might
be more appropriate for long-term therapy. An interpretive (analytical) approach is used during
psychoanalysis.
Which responses would the nurse use during the stage 1 relationship with a depressed
client? Select all that apply. One, some, or all responses may be correct.
Rationale
Stage 1, the orientation phase of the therapeutic relationship, involves the nurse learning about the client and
initial concerns and needs. The client’s feelings are the initial focus of the communication. Assessing for
suicidal thoughts is necessary for safety. Assuring con fi dentiality helps build trust, which is part of this stage.
Discussions concerning treatment techniques, such as journaling and medication, are done in stage 2 of the
working phase of the relationship.
Test-Taking Tip: Practicing a few relaxation techniques may prove helpful on the day of an examination.
Relaxation techniques such as deep breathing, imagery, head rolling, shoulder shrugging, rotating and
stretching of the neck, leg lifts, and heel lifts with feet fl at on the fl oor can e ff ectively reduce tension while
causing little or no distraction to those around you. It is recommended that you practice one or two of these
techniques intermittently to avoid becoming tense. The more anxious and tense you become, the longer it will
take you to relax.
The home health nurse suspects that the client’s house is being used as a
methamphetamine laboratory. Which observations support this conclusion? Select all that
apply. One, some, or all responses may be correct.
'I’m here to talk with you about how you’ve been feeling.'
'How do you feel about keeping a journal regarding how you are feeling?'
'Are you experiencing any suicidal or homicidal thoughts?'
'Are you open to the prospect of being prescribed antidepressant medication?'
'What we talk about will be shared only with your treatment team.'
Many small plastic bags
A strong odor of acetone
Many empty cold medicine bottles
A pot of tall plants with broad leaves
Jars containing crystals
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