Chapter 10, 11 & 20 Flashcards
What are the four phases in the development of a crisis?
Phase 1: Individual is exposed to a precipitating stressor. (Anxiety increases)
What is a Crisis?
A sudden event in one’s life that disturbs homeostasis, during which usual coping mechanisms cannot resolve the problem.
What is Phase 2 of the development crisis?
When the previous problem-solving techniques do not relieve the stressor, anxiety increases further.
What is Phase 3 of the development crisis?
All possible resources, both internal and external are called on to resolve the problem and relieve the discomfort.
What is phase 4 of the development crisis?
If resolution does not occur in the previous phases, the tension mounts beyond further threshold or its burden increases over time until it comes to a breaking point
Types of Crisis
Class 1?
Class 1: Dispositional Crisis- An acute response to an external situational stressor.
Types of Crisis
Class 2?
Class 2: Anticipated Life Transitions- Normal life cycle transitions that may be anticipated over which the individual may feel a lack of control.
Types of Crisis
Class 3?
Class 3: Traumatic Stress- unexpected extern stressor over which the individual has little or no control and feels emotionally overwhelmed and defeated.
Types of Crisis
Class 4?
Class 4: Maturational/Developmental Crisis- Occurs in response to situations that trigger emotions related to unresolved conflicts in ones life. (Internal in origin: dependency, value conflicts, sexual identity, control, and capacity for emotional intimacy.)
Types of Crisis
Class 5?
Class 5: Psychopathology- Borderline personality, severe neuroses, characterological disorders or schizophrenia.
Types of Crisis
Class 6?
Class 6: Psychiatric Emergencies- Situations in which general function has been severely impaired and the individual rendered incompetent or unable to assume responsibility. Examples: acutely suicidal, drug OD, reactions to hallucinogenic drugs, acute psychosis, alcohol intoxication…etc.
What is the goal of crisis intervention?
To restore functioning and enhance personal growth.
What are the steps of crisis intervention/ Role of the nurse?
- Assessment
- Planning Therapeutic Intervention
- Intervention (Rapidly establish rapport)
- Evaluation of Crisis Resolution & Anticipatory Planning
What is Crisis intervention?
Requires problem solving skills that are often diminished by the level of anxiety accompanying disequilibrium. Assistance with problem-solving during crisis period that preserves self-esteem and promotes growth with resolution.
What is a Disaster?
The event that overwhelms local resources and threatens the functional safety of the community.
