Crisis, Grief, Suicide, and Abuse Interventions — NCLEX-PN Review | Chapter 64: Saunders

Crisis, Grief, Suicide, and Abuse Interventions — NCLEX-PN Review | Chapter 64: Saunders

Chapter 64 of Saunders Comprehensive Review for the NCLEX-PN® Examination (7th Edition) by Linda Anne Silvestri and Angela E. Silvestri provides a detailed guide to crisis theory, grief responses, suicide prevention, and abuse interventions. This content equips NCLEX-PN candidates with practical, legally compliant strategies for supporting vulnerable individuals in high-risk situations.

Watch the lecture above for a comprehensive NCLEX-focused review of crisis management, grief processes, suicide care, and abuse intervention nursing protocols.

Saunders NCLEX-PN Examination Review book cover

Crisis Theory & Intervention

  • Phases of crisis: initial impact, disorganization, resolution or maladaptation.
  • Types of crises: maturational (life transitions), situational (unexpected events), adventitious (disasters, violence).
  • Nursing care: immediate emotional support, problem-solving, connecting to resources.

Grief and Loss

  • Types of grief: normal, anticipatory, disenfranchised, dysfunctional.
  • Child responses vary by age; provide developmentally appropriate explanations.
  • Cultural sensitivity is essential when supporting grieving clients and families.

Suicide Risk & Prevention

  • Risk factors: previous attempts, psychiatric illness, hopelessness, major loss.
  • Warning signs: giving away belongings, withdrawal, sudden mood improvement.
  • Assessment includes evaluating intent, plan, means, and history.
  • Precautions: 1:1 supervision, safe environment, removal of harmful objects.

Managing Aggression & Violence

  • Warning signs: pacing, clenched fists, raised voice, threats.
  • Use calm tone, maintain safe distance, set boundaries.
  • Restraints & seclusion: last resort, continuous monitoring, follow legal guidelines.

Bullying & Family Violence

  • Bullying can be verbal, relational, or cyber; may lead to PTSD and depression.
  • Family violence cycle: tension building, acute abuse, honeymoon phase.
  • Identify characteristics of both abusers and victims; ensure safety planning.

Elder & Child Abuse

  • Elder abuse: physical, emotional, financial; signs include bruises, malnutrition, fear.
  • Child abuse: physical, sexual, emotional, neglect; shaken baby syndrome presents with lethargy, seizures, retinal hemorrhage.
  • Nurses are mandated reporters — report suspected abuse immediately.

Special Safety Concerns

  • Child abduction: prevention education for families and children.
  • Latchkey children: risks include accidents, loneliness, exposure to crime.

Rape & Sexual Assault Care

  • Ensure consent, safety, and privacy.
  • Preserve forensic evidence (clothing, swabs, documentation).
  • Support through trauma-informed care and counseling referrals.

NCLEX-Priority Nursing Actions

  • Provide immediate crisis intervention and emotional stabilization.
  • Maintain safety for suicidal, aggressive, or vulnerable clients.
  • Fulfill legal obligations for mandatory reporting.

Conclusion

Chapter 64 reinforces the importance of quick assessment, therapeutic communication, and legal compliance in managing crises, grief, suicidal behavior, and abuse cases. Mastering these skills prepares nurses to protect life, uphold patient rights, and provide compassionate care in the most critical moments.

Subscribe to Last Minute Lecture for more NCLEX-focused lectures and nursing study resources.

View the complete Saunders Comprehensive Review for the NCLEX-PN® Examination (7th Edition) playlist here: Complete NCLEX-PN Review Playlist

Comments

Post a Comment

Popular posts from this blog

Behavior Therapies & Evidence-Based Practice — Chapter 9 Summary from Systems of Psychotherapy

Image
Behavior Therapies & Evidence-Based Practice — Chapter 9 Summary from Systems of Psychotherapy Chapter 9 of Systems of Psychotherapy: A Transtheoretical Analysis explores the robust field of behavior therapies, which focus on changing maladaptive behaviors through practical, empirical methods. These approaches, grounded in learning theory and continuous assessment, have become foundational in treating a range of psychological conditions. This expanded summary, based on our podcast-style breakdown of Chapter 9 , highlights the key techniques, theoretical foundations, and clinical applications of behavior therapy. Want a concise video guide? Watch the chapter summary above and subscribe to Last Minute Lecture for more psychology study resources! The Foundations of Behavior Therapy Behavior therapy focuses on observable, measurable changes in behavior rather than probing unconscious processes. Using empirical methods, therapists continuously assess and adjust treatmen...
Read more

Cognitive & Rational-Emotive Therapies — Chapter 10 Summary from Systems of Psychotherapy

Image
Cognitive & Rational-Emotive Therapies — Chapter 10 Summary from Systems of Psychotherapy Chapter 10 of Systems of Psychotherapy: A Transtheoretical Analysis explores the evolution and techniques of Cognitive Therapy (CT) and Rational-Emotive Behavior Therapy (REBT). Developed by Aaron Beck and Albert Ellis, these therapies target the root of emotional distress by challenging and changing maladaptive thought patterns. This in-depth summary, based on our podcast breakdown of Chapter 10 , explains the major concepts, therapeutic techniques, and clinical impact of these cognitive-based approaches. Watch the chapter summary above and subscribe to Last Minute Lecture for expert textbook guides and psychology study resources! The Foundations of Cognitive Therapy & REBT Cognitive therapies emerged in response to limitations of psychoanalysis and behaviorism, emphasizing the role of thoughts in shaping emotions and behaviors. Aaron Beck’s Cognitive Therapy and Albert E...
Read more

Materials Failure: Fracture, Fatigue, and Creep — Chapter 8 Summary from Callister’s Materials Science and Engineering

Image
Materials Failure: Fracture, Fatigue, and Creep — Chapter 8 Summary from Callister’s Materials Science and Engineering Chapter 8 of Materials Science and Engineering: An Introduction by William D. Callister, Jr. and David G. Rethwisch explores the primary failure modes in engineering materials: fracture, fatigue, and creep. This chapter is essential for anyone interested in the reliability, durability, and safety of materials used in engineering structures and components. By understanding these mechanisms, engineers can design safer, longer-lasting products and infrastructure. Watch the full podcast-style summary below, and subscribe to Last Minute Lecture for more clear, chapter-by-chapter breakdowns of foundational STEM topics! Fracture: Ductile vs. Brittle Failure Ductile fracture involves significant plastic deformation and energy absorption prior to failure. It usually provides visual warning signs, making it the preferred mode in most engineering applications. I...
Read more