Chapter 15 Flashcards
Crisis, loss, grief, bereavement, disaster
what does crisis mean?
temporary state of severe emotional disorganization cause by an event that is perceived as a threat
what does grief mean?
intense physical, emotional, social, and cognitive response to loss
sadness
what does bereavement mean?
process of healing after a loss
death of someone
the variations in grief response are influenced by what?
the characterizes of the individual, perceived relationship to the deceased and the type of loss
grief is defined for how long ?
6 months - year
what is the nursing goal of crisis and loss ?
support, help understand process of recovery and identify resources they need and how to get them for the patient
what are the 4 phases of crisis ?
a problem arises
(stress & anxiety )
the usual problem-solving
( youre usual ways to cope dont work )
the trial and error attempts
( anxiety goes up even more, unhealthy coping mechanisms )
person feels overwhelm and puts them in crisis, feel threaten
what are the 5 stages of grief ?
denail
anger
bargaining
depression
acceptance
Any unusual behaviors
▪ Determine level of involvement of person with crisis ▪ Evidence of self-mutilation activities
▪ Client’s perception of problem
▪ Availability of support for person
▪ Patience, listening, and empathy important tools
▪ Calm, nurturing approach to help establish trust
▪ Avoid giving unrealistic or false reassurances of positive outcomes over which have no control
▪ Assess usual responses to stressful events; meaning of event to individual
Self-care
▪ Diet, sleep, personal grooming
▪ Medications
▪ Initiation, stabilization, maintenance, medication cessation
▪ Counseling
▪ Reinforces healthy coping behaviors and interaction patterns
▪ Telephone counseling may provide enough help
▪ Refer to mental health specialist if person unable to cope
what is disaster?
sudden, overwhelming, catastrophic event causing great damage and destruction
what is terrorism?
situations that mimic disasters, can be categoriezes as a type of disaster
what are the 3 phases of disaster and describe each one ?
prewarning
- prepraprtion, evacuation
diaster event occurs
- provision of resources
recuperative effort
- healing the sick and injured
The nurse is reviewing the assessment data of a client admitted to the mental health unit. The nurse notes that the admission nurse documented that the client is experiencing anxiety as a result of a situational crisis. The nurse plans care for the client, determining that this type of crisis could be caused by which event?
A. Witnessing a murder
B. The death of a loved one
C. A fire that destroyed the client’s home
D. A recent rape episode experienced by the client
B. The death of a loved one
The nurse is conducting an initial assessment of a client in crisis. When assessing the client’s perception of the precipitating event that led to the crisis, which is the most appropriate question?
A. “With whom do you live?”
B. “Who is available to help you?”
C. “What leads you to seek help now?”
D. “What do you usually do to feel better?”
C. “What leads you to seek help now?”
