A patient that has recently survived a plane crash has returned to work and reports being unable to sleep at night. The nurse meets with the patient once a month to provide ongoing support and encouragement. Which type of crisis intervention is the nurse performing?

Reasoning: Choice A reason: Primary crisis intervention focuses on health promotion and the prevention of crisis episodes. It involves teaching coping skills and reducing stressors before a traumatic event occurs. Since the plane crash has already happened and symptoms have manifested, the intervention has moved past the primary prevention stage. Choice B reason: Tertiary intervention occurs in the post-crisis phase for individuals who have experienced a crisis and are now dealing with long-term consequences. Meeting monthly to provide support, facilitate social reintegration, and prevent further disability or chronic psychological impairment (like PTSD) is the hallmark of tertiary prevention in mental health. Choice C reason: Critical incident stress debriefing (CISD) is a specific, structured group intervention that typically occurs within 24 to 72 hours of a traumatic event. It is a short-term, acute clinical tool. Monthly follow-up meetings long after the event do not meet the criteria for the CISD protocol. Choice D reason: Secondary intervention focuses on acute treatment during the crisis itself or immediately following it to reduce the intensity of the reaction. It usually involves screening and prompt treatment of early symptoms. The described ongoing, monthly supportive care is more indicative of long-term rehabilitation and tertiary support.