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Nursing 1111
Crisis Chapter 22
| Question | Answer |
|---|---|
| crisis intervention | what nurses and other health professionals do to assist those in crisis to cope. |
| broad, creative, and flexible | crisis intervention |
| maturational or developmental | arise from situations that occur in conjunction with maturity |
| arise from external source, usually unanticipated | situational |
| adventitious crisis | unplanned, crisis of disaster |
| a sudden event in one's life which disturbs homeostatsis, during which one's usual coping skills are compromised | crisis |
| crisis | is self limiting and resolved in 4-6 weeks |
| types of crisis, phases of crisis, and aspects of crisis that have relevance for nurses | 3 areas of ciris theory enables application of the nursing process |
| 3 basic types of crisis situation | maturational, situational, and adventitious |
| Phase One | the individual is exposed to a precitpitating stressor (Anxiety increases, Previous coping skills are used) |
| Phase Two | Previous coping skill have not worked and do not relieve the stress; anxiety increases |
| Phase Two | Discomfort increases, feelings of helplessness occur because coping skills used fail, Confusion and disorganization |
| Phase Three | all possible resources are activated to solve the problem and ease the discomfort |
| anxiety may escalate to severe and panic levels, fight or flight kicks in | Phase Three |
| new pperspectives are sought. May attempt to overlook certain aspects to come to resolution. | Phase Three |
| New coping skill may be attempted. If effective -- rsolution will occur | Phase Three |
| Phase Four | Tension mounts, burden increases to a braking point |
| Anxiety may overwhelm person. Cognitive functions are disorganized | Phase Four |
| Phase Four | Emotions are labile. Behavior may be disorganized. May become suicidal or violent against others |
| Emotional resolution of the immediate crisis. Client safety | Goals of Crisis Intervention |
| Anxiety Reduction. Restoration to precrisis period or higher | Goals of Crisis Intervention |
| Which crisis phase is serious? | Phase Four |
| Which crisis phase is panic level? | Phase Three |
| Phase Three | Which phase is repression and suppression? |
| What phase an individual maybe sucidal or violent against others? | Phase Four |
| The nurse assesses three main areas after determining whether there is a need for external controls because of suicial or homicidal ideation or gestures are? | 1) the client's perception of the preciptitating event, 2) the client's situationalsupports, and 3)the client's personal coping skill |
| Goals of crisis interventions | Emotional resolution of the immediate crisis; Client Safety |
| Anxiety Reduction; Restoration to precrisis period or higher | Goals of Crisis Interventions |
| Overwhelmed, depressed, states that has nothing in life worthwhile, self-hate and feelings of being ineffectual are assessed | Risk for self-directed violence; Chronic low self-esteem; Spiritual distress; Hopelessness; Powerlessness |
| Confused, highly anxious, incoherent, crying or sobbing, shows extreme emotional pain | Anxiety (moderate, severe, panic); Acute confusion; Distrubed thought processes ; Sleep deprivation |
| Has difficulty with interpersonal relationships, isolated, has few or no social supports | Social isolation; Risk for loneliness; Impaired social interaction |
| Unable to function at work, school, and/or home at previous level, has difficulty concentrating or completting simple tasks | Ineffective coping; Interrupted family processes; Caregiver role strain |
| Has experienced traumatic, emotionally overwhelming event or loss; unable to work through overwhelmingloss or event | Risk for psottrauma syndrome; Rape-trauma syndrome; Dysfunctional grieving; Chronic sorrow |
| The two basic inital goals of crisis intervention which considered to be a function of the basic level of nursing are? | Client safety and Anxiety reduction |
| Counseling Strategies | Primary Care, Secondary Care, Tertiary Care |
| Primary care | Promotes mental health and reduces mental illness to decrease the incidence of crisis |
| Work with client, Teach coping skills, assist client to make life changes | Primary Care |
| Secondary Care | Establishes intervention during an acute crisis to prevent prolonged anxiety from diminishing personal effectiveness and personality organization |
| Provide safety, assess problem, support systems and coping styles | Secondary Care |
| Tertiary Care | Provides support forthose recovering from a disabling mental state secondary to a severe crisis |
| Rehabilitation centers, shelters, community centers | Tertiary Care |
| Critical Incident Stress Debriefing | CISD |
| CISD | Example of tertiary intervention directed towards a group that has experienced a crisis |
Created by:
keystudent
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