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NUR 3516

NUR 3516

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NUR 3516

NUR 3516 Week 1 discussion

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

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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. NUR 3516.

*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! NUR 3516.

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.

NUR 3516 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. NUR 3516. 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

NUR 3516 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. NUR 3516.

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 s

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