3. A 42-year-old divorced school teacher has a 20-year-old daughter who has deve

Question

3. A 42-year-old divorced school teacher has a 20-year-old daughter who has developed schizophrenia and has withdrawn from college. Her youngest daughter is a 19-year-old, unmarried mother who is living at home. The 19-year –old has just given birth to a baby boy who has a heart defect. The baby’s father refuses to pay for any of the healthcare costs. The 42yrs old dire economic situation is very stressful to her. Her ex-husband refuses to help financially, and the bank has refused a second loan

a. Can you differentiate between maturational, situational, and adventitious crises? What type of crisis is Frances experiencing?

b. Discuss how to apply the nursing process in the care of Frances.

Explanation / Answer

a. Maturational crisis : It is normally occurring events in life which is caused by person's continual growth and development.

Situational crisis : It includes unexpected events, job loss or death which results in disrupting biopsychosocial balance.

Adventitious crisis : It includes cataclysmic disasters such as earthquake, flood, that cause a massive upheaval of social and personal order.

Frances is experiencing situational crisis.

b. Nursing interventions :

Frances has to be taught that it is fine to ask for help, people who are independent may face difficulties.

Adaptive coping methods are to be encouraged such expression of feelings, progressive relaxation, as well as physical exercise.

It is necessary to assist Frances to focus on the problem and specific goals which may lead to its resolution.

A crisis team has to be included consisting of psychologist, social worker, aide, minister.

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