Challenging Situations/de-esculation

Question 1

What are the learning outcomes?

Answer 1

Identify factors that contribute to challenging situations, explore strategies for challenging situations and practice calming techniques

Question 2

What does de-escalation involve?

Answer 2

Understanding common signs of escalating behaviours and ability to use communication skills to purposefully engage anxious, emotionally aroused or agitated individuals.

Question 3

What are some factors that influence de-escalation?

Answer 3

Emotions, physical stimulation, relational aspects, thoughts and beliefs, and culture.

Question 4

What are some physiological signs of situations which require de-escalation.

Answer 4

Flushed/red face, gritted teeth, grimacing, clenched fists, pacing, prolonged eye contact or staring, increased respiration’s, puffing and blowing.

Question 5

Why do nurses need to use de-escalation.

Answer 5

We are helping people that are very vulnerable and out of their usual environment. Aka lots of emotions going on.

Question 6

Preparation strategies for de-escalation?

Answer 6

Self-awareness (control your own response), self inventory (what makes you angry or anxious), physiological preparation (Slow your breathing and drop your shoulders)

Question 7

What are some de-escalation strategies?

Answer 7

Encourage face to face communication, do not interrupt,

Question 8

What are some de-escalation strategies?

Answer 8

Encourage face to face communication, do not interrupt, ask questions and paraphrase, move slowly, respond to physical signs of relaxation.

Question 9

What are the 3 things you need to make sure you do when attempting de-escalation.

Answer 9

Attitude (respectful), verbal communication (calm, clear, slow), Non-verbal communication (non-threatening, relaxed, eye contact)

Question 10

What is the size of an intimate space between you and another?

Answer 10

45cm

Question 11

What is the size of a social space between you and another?

Answer 11

1.2m

Question 12

What is the size of a public space between you and another?

Answer 12

3.6m

Question 13

What are effective strategies of negotiation?

Answer 13

Active listening, validation, empathy, offer choices and hope, set clear limits.

Question 14

What are ineffective strategies of negotiation?

Answer 14

Arguing, lying, making false promises, and threats.