Chapter 26: Crisis

Question 1

Crisis

Answer 1

 Disturbance caused by a stressful event or a
threat DETERMINED BY PT
 Normal coping mechanisms fail
 Results in inability to function as usual
 Perception of threat is based on a person’s
unique perspective and coping abilities.
 Crisis threatens personality organization, but it
also presents an opportunity for personal growth
 Acute and time-limited

Question 2

Outcomes of Crisis Depend On

Answer 2

 Realistic perception of the event (subjective so..focus on)
 Adequate situational supports
* Crisis intervention
 Adequate coping mechanisms

Question 3

Maturational Crisis

Answer 3

Culturally based

Ex: Puberty, Menopause, leaving the house at 18, going to college, pregnancy, grandma dying

 New developmental stage is reached
 Old coping skills no longer effective
 Leads to increased tension and anxiety

Question 4

Situational Crisis

Answer 4

Something happened that was unexpected

 Arise from events that are
* Extraordinary
* External
* Often unanticipated

Question 5

Adventitious Crisis

Answer 5

Terrorism, weather events, mass casualty, acts of violent crime (key large group of people)

Arise from events that are
* Large weather or environmental events
* Acts of terrorism
* Acts of violent crime

Question 6

when you are in crisis what kind of teaching do they need to give

Answer 6

short, concise, direct

Question 7

when do most pts seek help in a crisis

Answer 7

wen they exhausted all of their resources

Question 8

phase 1 of crisis

Answer 8

Conflict or problem
Self-concept threatened
Increased anxiety
Use of problem-solving techniques and defense mechanisms (sometimes resolves the problem)

Question 9

phase 2 of conflict

Answer 9

Defense mechanisms fail
Threat persists
Anxiety increases
Feelings of extreme discomfort
Functioning disorganized
Trial-and-error attempt to solve problem and restore normal balance

Question 10

phase 3 of crisis

Answer 10

Trial-and-error attempts fail
Anxiety can escalate to severe level or panic
Automatic relief behaviors mobilized (i.e., withdrawal and flight)
Some form of resolution may be devised(i.e., compromising needs or redefining situation)

Question 11

phase 4

Answer 11

Trial-and-error attempts fail
Anxiety can escalate to severe level or panic
Automatic relief behaviors mobilized (i.e., withdrawal and flight)
Some form of resolution may be devised(i.e., compromising needs or redefining situation)