Agressive Behavior Flashcards
What are the 4 components of crisis development?
Anxiety level
Defensive level
Acting Out person
Tension reduction
What are the 5 Phases of the Aggression Cycle?
Phase I: Triggering Phase Phase II: Escalation Phase Phase III: Crisis Phase Phase IV: Recovery Phase Phase V: Post-crisis Depression Phase
Pacing, decreased concentration, muttering, and wringing the hands are examples of what component of Crisis development?
Anxiety level
When a patient is testing your limits and “pushing your buttons”, this is an example of what component of the crisis development?
Defensive Level
When a patient acting out shifts from the verbal range to the physical range.
The Acting Out Person
True or False
When a patient is acting out staff need to physically restraint them to deescalate the situation.
False
Physical restraint of a patient is to be used as a LAST RESORT, when at other intervention methods have failed.
What crisis development component is characterized by the patient experiencing a total expenditure of energy and tension?
Tension Reduction
Explain what happens in each of the 5 phases of the aggression cycle.
Phase I: Triggering Phase: the stress event occurs
Phase II: Escalation Phase: indicators are present for the potential loss of control
Phase II: Crisis Phase: period of emotional and physical crisis
Phase IV: Recovery Phase: typically referred to as the cooling down period
Phase V: Post Crisis Depression Phase: Period of experiencing feeling associated with the cycle.
When does intervention normally occur (in what phase)?
Phase III: Crisis Phase
What phase included accusations, lower voice and change in focus of conversation?
Phase IV: Recovery Phase
True or False
The impact of aggression need to focus on the one or 2 patients that are distressed.
False
The focus needs to be on the whole milieu, including the staff, not just the one or two patients that are distressed.
Describe a staff person’s therapeutic response to escalating patients or situations.
Recognize the person’s feelings
Does not evade the issue
Give the patient an opportunity to talk
Accept their feelings
Define integrated experience.
Integrated Experience: the concept that behaviors and attitudes of staff impact on behaviors and attitudes of patients and visa versa
What does the Law of Least Restrictive Means entail?
Right to treatment in the least restrictive setting
Treatment plans are changed based on a patient’s current condition
There must be adequate rationale for the use of these practices
What are the 2 aspects of restriction?
- The nature of the choices being restricted from a patient
2. The method by which choices are restricted from a patient
What are reframing techniques?
A technique used to expand limited or constricted perceptions
What are grounding techniques?
Helping the patient focus on an object within the current environment
What are guided options?
Provide 2 choices/options that will help to de-escalate the patient.
True or False
Limit setting can be punitive, non-manipulative act in which the patient is told what behavior is acceptable.
False
Limit setting is a non-punitive, non-manipulative act in which the patient is told what behavior is acceptable.
What is the difference between information seeking and challenging?
Information- seeking: a rational question seeking a rational response
Challenging: questioning authority or being evasive; attempting to draw staff into a power struggle
It is still possible to calm down a patient at the anxiety level when the staff member does what?
When the staff member demonstrates care and concern for the patient, and patient is allowed to vent for a period of time, he or she may be able to find control
When a patient is at the defensive level staff’s statements need to be_____?
Keep statements direct and simple, don’t give patient a lot of options to choose from, it only adds confusion
What is the overall goal when a patient is at the acting out stage?
Goal here is to quickly restrain patient, to prevent them from hurting themselves or others, and to allow them to gain control over themselves.
What does the staff need to do when a patient is in the Tension Reduction Stage?
Staff needs to reassure the patient they are ok, that no one will seek revenge for the patient’s behavior, and that while their behavior was dangerous and unacceptable, the person is still accepted and cared about.
What are boundary violations?
Departures from traditional roles, locales, and arrangements in therapy. Boundary violations are so commonly associated with misconduct that their occurrence may be taken as presumptive evidence that misconduct occurred.
What is counter transference?
The analyst’s unconscious emotional needs, wishes, or conflicts that are evoked by the patient, brought into the analytic situation, and influence (usually negative) the analyst’s objective judgment and reason
