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    Mental Health Finals Proctored Exam

    While conducting the initial interview with a patient in crisis, the nurse should do which of the following?

    Explanation & Rationale

    Reasoning: Choice A reason: Patients in crisis are already experiencing high levels of physiological and psychological arousal. Conveying an additional sense of urgency can exacerbate the patient's anxiety and further disorganized thinking. The nurse should instead model a calm, grounded, and containing presence to help stabilize the patient’s emotional state. Choice B reason: Establishing an authoritarian "control" over the interview can damage the therapeutic alliance and make the patient feel disempowered. While the nurse provides structure, the approach should be collaborative. Reassurance and safety are prioritized over rigid control to encourage the patient to share their distressing experiences freely. Choice C reason: While time limits are eventually relevant, focusing on them during the initial phase of a crisis interview can make the patient feel rushed or unheard. The priority in crisis intervention is establishing rapport, ensuring safety, and identifying the precipitating event rather than emphasizing the clock. Choice D reason: Active listening and frequent summarization are essential in crisis intervention. It validates the patient's feelings, ensures the nurse has accurately understood the situation, and helps the patient organize their fragmented thoughts. Summarizing provides a sense of order and clarity to an otherwise chaotic emotional experience.

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