Therapeutic communication during crisis intervention always begins with
Initiating the early interventions yourself, as the client is too emotional
Introducing yourself and asking how the client wishes to be addressed
Limiting the length of time allowed for the client to ventilate to avoid excessive emotional reactions to the crisis
Assuming intimacy regarding their crisis as quickly as possible
The Correct Answer is B
A. Initiating the early interventions yourself, as the client is too emotional
This undermines the collaborative nature of crisis intervention. Clients should be involved from the beginning where possible.
B. Introducing yourself and asking how the client wishes to be addressed
Establishing rapport, safety, and trust is foundational. Proper introduction and respectful communication create a therapeutic atmosphere.
C. Limiting the length of time allowed for the client to ventilate to avoid excessive emotional reactions
Ventilation is essential for emotional release. Setting rigid limits early may suppress important feelings and hinder the therapeutic process.
D. Assuming intimacy regarding their crisis as quickly as possible
Rushing into emotional closeness may be seen as intrusive or inappropriate. Boundaries and rapport should be developed gradually.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Bring her and her children to a room immediately
This is a safety-first response. The woman is frightened and possibly in immediate danger. Moving her and the children to a private area provides physical and emotional safety and allows the nurse to continue assessment confidentially.
B. Ask her please not to scream-she is alarming the other patients
This is inappropriate and dismissive. Her distress signals potential abuse or trauma; silencing her prioritizes others’ comfort over her safety.
C. Ask, "Who will kill you?"
Although assessing threat is important, immediate safety must be ensured first before probing for more details.
D. Ask her to sit for a moment while you contact someone who can provide safety for her
Delaying action may increase the risk to her and her children. Immediate removal to a safe space is more appropriate.
Correct Answer is D
Explanation
A. The patient’s history and previous behavior
History is helpful for diagnosis, but current observable behavior and context are more essential for classification.
B. The ability of the patient to conform
This may reflect social norms but does not alone determine mental illness.
C. The response of society to behavior
Society’s reaction may be influenced by bias or stigma, not clinical criteria.
D. The behavior exhibited and the context
Mental illness is defined based on observable symptoms and the context in which they occur (e.g., is the behavior maladaptive, distressing, or dysfunctional?).
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