A victim of intimate partner violence comes to the crisis center seeking help. The nurse uses crisis intervention strategies that focus on what?
Providing resources and legal assistance.
Promoting the emotional growth of the individual.
Supporting emotional security and re-establishing equilibrium.
Offering long-term resolution of issues precipitating the crisis.
The Correct Answer is C
Choice A reason: Providing resources and legal assistance is practical but secondary in crisis intervention. Intimate partner violence triggers amygdala-driven fear and cortisol surges, requiring immediate emotional stabilization to restore prefrontal cortex regulation before addressing long-term resources.
Choice B reason: Emotional growth is a long-term goal, not the focus of acute crisis intervention. Violence-induced stress heightens amygdala activity and cortisol, needing immediate stabilization of emotional security to restore neural equilibrium, not developmental growth.
Choice C reason: Crisis intervention prioritizes emotional security and equilibrium, reducing amygdala-driven fear and cortisol surges from violence. Supporting prefrontal cortex regulation restores coping capacity, addressing the immediate neurochemical and emotional impact of the crisis effectively.
Choice D reason: Long-term resolution is not the focus of acute crisis intervention, which targets immediate stabilization. Violence causes acute amygdala hyperactivity and cortisol release, requiring short-term emotional security, not prolonged resolution of underlying issues, which comes later.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["400"]
Explanation
Step 1: Convert the infusion time from minutes to hours.
15 minutes ÷ 60 minutes/hour = 0.25 hours
Result at step 1 = 0.25 hours
Step 2: Calculate the infusion rate in mL/hr.
100 mL ÷ 0.25 hours = 400 mL/hr
Result at step 2 = 400 mL/hr
Step 3: Round to the nearest whole number.
400 mL/hr is already a whole number.
Result at step 3 = 400 mL/hr
Correct Answer is C
Explanation
Choice A reason: Pseudoparkinsonism and tardive dyskinesia are side effects of antipsychotics, not TCAs, due to dopamine blockade in the basal ganglia. TCAs primarily affect serotonin and norepinephrine reuptake, causing anticholinergic and cardiovascular effects, not extrapyramidal symptoms.
Choice B reason: Diarrhea and electrolyte imbalance are not common TCA side effects. TCAs’ anticholinergic properties cause constipation, not diarrhea, and do not significantly disrupt electrolyte balance. Their primary effects involve serotonin and norepinephrine modulation, leading to other systemic effects.
Choice C reason: TCAs like amitriptyline cause orthostatic hypotension via alpha-1 adrenergic blockade and urinary retention due to anticholinergic effects on bladder muscles. These result from altered autonomic signaling, impacting cardiovascular and urinary systems, making them critical side effects to monitor in older adults.
Choice D reason: Photosensitivity and skin rashes are rare with TCAs. Their primary side effects stem from anticholinergic and adrenergic blockade, affecting cardiovascular and urinary function, not dermatological reactions, which are more common with other drug classes like antipsychotics.
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