Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

PSYCH > 5 Crisis Management > Flashcards

5 Crisis Management Flashcards

1
Q

What is the definition of crisis?

A

sudden event in one’s life that disturbs homeostasis, during which coping mechanisms cannot resolve the problem

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Characteristics of a crisis

  1. Occurs in _ individuals at one time or another
  2. Not equated with __
  3. Precipitated by __ __ __
  4. __
  5. __
  6. Potential for __ __ or __
A
  1. all
  2. psychopathology
  3. specific identifiable events
  4. personal
  5. acute
  6. psychological growth; deterioration
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

The goal of crisis intervention:

A

resolution of the immediate crisis and restoration of pre-crisp functioning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the role of the nurse in crisis intervention?

A

direct, supportive and active

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In a crisis intervention, methodology focuses on orderly ___-___ and __ __

A

problem-solving ;

structured activity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The focus of crisis intervention is on __

A

change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Name the 4 phases of crisis intervention

A
  1. phase 1 assessment
  2. phase 2 planning of therapeutic intervention
  3. intervention
  4. evaluation of crisis resolution and anticipatory planning
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Nursing interventions for Crisis Management (10)

A
  1. reality based approach
  2. here and now focus
  3. unconditional acceptance
  4. active listening
  5. attend to immediate needs
  6. encourage verbalization of feelings
  7. set firm limits on aggressive, destructive behaviors
  8. acknowledge feelings of anger, guilt, helplessness
  9. help client identify source of the crisis
  10. clarify the problem
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What are signs/symptoms of someone who may act out?

What should you do if you see these?

A
  1. pacing
  2. clenching fists
  3. posturing
  4. someone hearing voices
  5. isolating themselves
  6. grimacing
  7. agitated depression

INTERVENE EARLY

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Problem-solving process for Crisis Management

What are the three key points?

A
  1. Help client begin to identify changes they would like to make
  2. explore alternative coping mechanisms
  3. identify external support systems
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What should you do before managing a crisis (if you have time?)

What should you do after the incident?

A

assess your own self

self reflection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What does this describe?

Any disturbance in thoughts, feelings, or actions for which immediate therapeutic intervention is necessary

A

psychiatric emergencies/crises

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What can be seen during a psychiatric emergency or crisis?
1.
2.

A
  1. psychosis

2. violence

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Psychiatric Emergencies/Crises
examples of disorders that can cause violence:
(7)

A
  1. psychoactive substance induced
  2. antisocial personality disorder
  3. cerebral neoplasm
  4. delusional disorder
  5. paranoid personality disorder
  6. temporal lobe epilepsy
  7. manic episode
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are 8 things to look for when assessing for potential violent behavior?

A
  1. hx of recent acts of violence
  2. verbal or physical threats
  3. progressive psychomotor agitation
  4. alcohol or drug intoxication
  5. command auditory hallucinations
  6. acute mania
  7. agitated depression
  8. personality disorders prone to rage, impulse dyscontrol
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What does this describe?

Involuntary confinement of a person alone in a room or area where the person is physically prevented from leaving.

A

seclusion

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Seclusion may only be used for the management of __ or __-___ ___

A

violent

self-destructive behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

When seclusion isn’t enough and they are still harming themselves/still violent, then put them on __ __ __

A

4 point restraints

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Restraint is any manual method or physical or __ device, material, or equipment that immobilizes or reduces the ability of a person to move his or her __, __, __ or __ freely.

A

mechanical

arms, legs, body, head

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How can a drug or medication be used as a restraint?

A

when the drug is used to manage a person’s behavior or restrict the person’s freedom of movement and is NOT a STANDARD TREATMENT or DOSAGE for the person’s condition

21
Q

What does the position statement state under the APNA Standards?

A

Articulates both the vision of eliminating seclusion and restraint as well as the principles that support these standards

22
Q

When are seclusion and restraints initiated?

A

when least restrictive measures have proven ineffective and the behavioral emergency poses serious and imminent danger to the person, staff, or others

23
Q

Seclusion and Restraints are used when the risk associated with ___ to take __ __ outweigh the risks of HARM associated with seclusion and restraint

A

failure

immediate action

24
Q

Initiation of Seclusion and Restraint:

Necessary measures to protect person’s __, __, and __ are in place

A

dignity
privacy
confidentiality

25
Q

If a client is on seclusions or restraints, what are the 4 standards of care?

A
  1. secluded persons are never left alone in a locked room
  2. within one hour of initiation of seclusion or restraint, person must be seen by a physician, licensed independent practitioner (LIP), RN, PA
  3. continuous monitoring
  4. assessed by RN Q1 hour
26
Q

Rates of Workplace Violence in:

  1. ___/1000 workers in all occupations
  2. ___/1000 among physicians
  3. ____/1000 among nurses
  4. ___/1000 in psychiatrists and mental health are professionals
A
  1. 12.6
  2. 16.2
  3. 21.9
  4. 68.2
27
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

male

A

static

28
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

depression

A

dynamic

29
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

previous history of violence

A

static

30
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

history of head trauma

A

static

31
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

history of military service

A

static

32
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

impulsivity

A

dynamic

33
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

substance use

A

dynamic

34
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

persecutory delusions

A

dynamic

35
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

treatment non-adherence

A

dynamic

36
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

weapons training

A

static

37
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

lower intelligence

A

static

38
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

hopelessness

A

dynamic

39
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

past diagnosis of major mental illness

A

static

40
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

young adulthood

A

static

41
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

suicidality

A

dynamic

42
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

command hallucinations

A

dynamic

43
Q

Is this a STATIC risk factor for violence or DYNAMIC risk factor for violence?

access to weapons

A

dynamic

44
Q

What are some nursing interventions for treating a crisis/a violent client? (6)

A
  1. perform risk assessment
  2. increased nursing staff
  3. staff training in de-escalation techniques
  4. observe client for escalation of anger/agitation
  5. intervene at the earliest signs
  6. ensure that there are sufficient staff to intervene
45
Q

Increase in violence has been associated with a decrease in…

A

permanent nursing staff

46
Q

Name 14 de-escalation techniques

A
  1. stay calm
  2. manage your own response
  3. set limits
  4. handle challenging questions
  5. prevent a physical confrontation
  6. undivided attention
  7. nonjudgmental attitude
  8. focus on feelings
  9. allow silence
  10. clarify messages
  11. develop a plan
  12. team approach
  13. recognize personal limits
  14. debrief
47
Q

6 techniques for dealing with the aggressive patient

A
  1. start with least restrictive
  2. talking down
  3. physical outlets
  4. medication
  5. seclusion
  6. restraints
48
Q

Name 6 nursing diagnoses

A
  1. ineffective coping
  2. anxiety
  3. risk for self - or other-directed violence
  4. rape trauma syndrome
  5. post-trauma syndrome
  6. fear

PSYCH (9 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions