Chapter 15: Crisis, Loss, Grief, Response, Bereavement, and Disaster Management

Question 1

Developmental Crisis (Maturation)

Answer 1

Happens with normal growth and development (Graduating School)(Going to College) (We’re about to graduate to become nurses and adults)

Question 2

Situational Crisis

Answer 2

A person enters a new situation without adequate coping skills. Ex. Obtaining job promotion, loss of pet, moving to a new city

Question 3

Crisis

Answer 3

occurs when there is a perceived challenge or threat that overwhelms the capacity of the individual to cope effectively with the event. last no longer than 4 to 6 weeks.

Question 4

Acute stress disorder

Answer 4

significantly distress or social functioning is impaired. Has dissociative symptoms and persistently re experiences the event. Happens up to 6 weeks after event.

Question 5

Traumatic Crisis

Answer 5

earthquake, riot, war, kidnapping, rape, violent crime, hate crime

Question 6

emotional reaction

Answer 6

Sobbing, crying, dry heaving ,completely shutting down

Question 7

Physical Response

Answer 7

gut wrenching, fainting, LOC, shaking, tremors

Question 8

Emotional Response

Answer 8

crying, sobbing

Question 9

Social Response

Answer 9

isolate themselves injecting self to far into events.

Question 10

Cognitive Response

Answer 10

can we remember the things we are doing. Are we oriented to time, place, and what is going on around them. Can cary for each person

Question 11

Shock and Denial

Answer 11

Avoidance, Confusion, Fear, numbness, blame

Question 12

Anger

Answer 12

Frustration, anxiety, irritation, embarrassment , shame

Question 13

Depression and Detachment

Answer 13

Overwhelmed, lack of energy, helplessness

Question 14

Dialogue and Bargaining

Answer 14

reaching out to others, desire to tell one’s story, struggle to find meaning for what has happened.

Question 15

Acceptance

Answer 15

Exploring options, new plan in place

Question 16

Return to meaningful life

Answer 16

Empowerment, security, self-esteem, meaning.

Question 17

Uncomplicated Bereavement

Answer 17

Experienced by most. Painful, can still be disruptive but the person still live their life

Question 18

Traumatic Grief

Answer 18

External Factors, Suddenness and lack of anticipation to the death. Violence, mutilation, destruction. Degrees of preventability or randomness.

Question 19

Complicated Bereavement

Answer 19

Excessive bitterness, unexpected loss, stigmatized loss. prolonged mourning process can last 1-6 months.

Question 20

Acute mourning stage of Grief

Answer 20

the individual has intense feelings , may socially withdraw, and identifies with the deceased.

Question 21

Shock Stage of Grief

Answer 21

there is denial and disbelief.

Question 22

Resolution Stage of Grief

Answer 22

Acceptance of loss, awareness of having grieved, a return to well-being, and an ability to recall the deceased without subjective pain

Question 23

Paroxetine

Answer 23

SSRI Antidepressant, decrease anxiety and depression of a client who is experiencing crisis.

Question 24

Lorazepam

Answer 24

Benzodiazepines, may be prescribed to decrease the anxiety of a client who is experiencing a crisis.

Question 25

Kugler-Ross: Five Stages of Grief

Answer 25

Denial
Bargaining
Anger
Depression

Question 26

Engel’s Five Stages Grief

Answer 26

Shock and Disbelief
Developing Awareness
Restitution
Resolution of the loss
Recovery

Question 27

Normal Grief

Answer 27

May experience feelings of resentment
withdraw from others
experience changes in sleep.

Question 28

Prewarning of the Disaster

Answer 28

Preparation for possible evacuation, mobilization of resources, and review of community disaster plans.

Question 29

Disaster Event Occurs

Answer 29

Provision of resources, assistance, and support as needed. Putting people in shelters, national guard.

Question 30

Recuperative Effort

Answer 30

Strategies for healing the sick and injured, preventing complications from health problems, repairing damages, and reconstructing the community.