Chapter 9, exam 2 Flashcards
Crisis intervention
A sudden event in one’s life, during which usual coping mechanisms cannot solve the problem is known as what?
A Crisis
What are 5 characteristics of a crisis?
-Happens to everyone
-Acute
-Personal
-It has a specific, identifiable event
-It can result in growth or deterioration
When a person’s anxiety levels are increased, and they resort to using previous coping skills to aid in their anxiety management, what phase of crisis development are they in?
1st phase
Confusion, hopelessness, and feelings of being disorganized because of the failing of previously effective coping mechanisms is what phase of crisis development?
2nd phase
Looking through different perspectives, both internal and external, and asking for outside help to solve a problem is what phase of crisis development?
3rd phase.
Anxiety can reach panic levels, erratic behavior and lead to psychotic breakdown, or stress can be resolved and result in personal growth. What phase is this?
4th phase
What subjective factor plays in to whether or not an event is stressful, or a crisis?
Your perception of an event plays into whether or not the situation is stressful, or a crisis.
If a patient has a more realistic view of a crisis, the better the chances of what?
Restoring order
A person’s perception of a crisis can be positively influenced by what 2 factors?
-Their availability of support
-Their coping mechanisms
Which type of crisis is an acute response to an external stressor?
a.) Dispositional crisis
b.) Crisis of anticipated life transitions
c.) Crisis resulting from traumatic stress
d.) Maturational/developmental crisis
e.) Crisis reflecting psychopathology
f.) Psychiatric emergencies
a.) A Dispositional crisis is an acute response to an external stressor.
What is a dispositional crisis?
An acute response to an external stressor
Ethan gets yelled at by his boss at work for the 4th day in a row. When Ethan returns home, he is confronted by his wife for not taking out the garbage again like she asked. Ethan explodes in a rage and begins throwing dishes and furniture against the wall while screaming at his wife. Ethan is experiencing what kind of crisis?
a.) Dispositional crisis
b.) Crisis of anticipated life transitions
c.) Crisis resulting from traumatic stress
d.) Maturational/developmental crisis
e.) Crisis reflecting psychopathology
f.) Psychiatric emergency
a.) Dispositional crisis
An acute response to an outside stressor
Normal life-cycle transitions that you know are coming, but nonetheless, you feel a lack of control.
This is known as what type of crisis?
a.) Dispositional crisis
b.) Crisis of anticipated life transitions
c.) Crisis resulting from traumatic stress
d.) Maturational/developmental crisis
e.) Crisis reflecting psychopathology
f.) Psychiatric emergencies
b.) Crisis of anticipated life transitions.
A crisis involving a stressor that someone has absolutely no control over and results in feeling emotionally overwhelmed and defeated is what type of crisis?
a.) Dispositional crisis
b.) Crisis of anticipated life transitions
c.) Crisis resulting from traumatic stress
d.) Maturational/developmental crisis
e.) Crisis reflecting psychopathology
f.) Psychiatric emergencies
c.) Crisis resulting from traumatic stress
Eva is a server who, two weeks ago, was abducted by two men with guns, and beaten and robbed in an abandoned parking garage. She survived and has healed from her injuries. However, Eva cannot be left alone, she is constantly in fear, and relives the events in her dreams. Eva cannot eat or sleep and quits her job as a server. Eva is undergoing what type of crisis?
a.) Dispositional crisis
b.) Crisis of anticipated life transitions
c.) Crisis resulting from traumatic stress
d.) Maturational/developmental crisis
e.) Crisis reflecting psychopathology
f.) Psychiatric emergencies
c.) Crisis resulting from traumatic stress.
Crisis resulting from failure to develop a task associated with life-cycle transitions is known as what?
a.) Dispositional crisis
b.) Crisis of anticipated life transitions
c.) Crisis resulting from traumatic stress
d.) Maturational/developmental crisis
e.) Crisis reflecting psychopathology
f.) Psychiatric emergencies
d.) Maturational/Developmental crisis
Kelly is a new, single mother at 18 years old. Kelly has her child just 3 days ago but already feels overwhelmed at the task of motherhood at her age. Kelly frantically considers giving her baby away to a foster family, screaming that she doesn’t know what to do, and that she is just a kid. Kelly is experiencing what kind of crisis?
a.) Dispositional crisis
b.) Crisis of anticipated life transitions
c.) Crisis resulting from traumatic stress
d.) Maturational/developmental crisis
e.) Crisis reflecting psychopathology
f.) Psychiatric emergencies
d.) Maturational/developmental crisis
Maggie, a woman with BPD, threatens suicide when her therapist tells her that he is moving away, and will no longer be her therapist. This is an example of what type of crisis?
a.) Dispositional crisis
b.) Crisis of anticipated life transitions
c.) Crisis resulting from traumatic stress
d.) Maturational/developmental crisis
e.) Crisis reflecting psychopathology
f.) Psychiatric emergencies
e.) Crisis reflecting psychopathology.
Because the patient has a psychopathy disorder; Resulting from mental illness.
A crisis where an individual’s functioning has been impaired, and they may not be able to take personal responsibility for their actions is known as what?
a.) Dispositional crisis
b.) Crisis of anticipated life transitions
c.) Crisis resulting from traumatic stress
d.) Maturational/developmental crisis
e.) Crisis reflecting psychopathology
f.) Psychiatric emergencies
f.) Psychiatric emergency
Garry has taken large amounts of fentanyl. He is experiencing hallucinations, and has developed acute psychosis, and uncontrollable anger. Garry is experiencing what type of crisis?
a.) Dispositional crisis
b.) Crisis of anticipated life transitions
c.) Crisis resulting from traumatic stress
d.) Maturational/developmental crisis
e.) Crisis reflecting psychopathology
f.) Psychiatric emergencies
f.) Psychiatric emergency
What should patients never be allowed to do in the middle of a crisis?
Make big decisions.
What are the 2 minimum therapeutic goals of crisis intervention?
Mental resolution of the crisis and returning the patients mental functioning to pre-crisis levels.
The prevalence of workplace violence is higher in which area?
a.) Private Sector industries
b.) Healthcare system
b.) Violence rates are higher in the Healthcare system than in the private sector.
How many times more violent are patients with psychotic disorders (Schizophrenia, BPD, Major depression, Bipolar) than those without psychotic disorders?
5 times more violent
Feelings of anxiety, guilt, frustration, and suspiciousness are rooted in which expression?
a.) Anger
b.) Aggression
Aggression is rooted in feelings of anxiety, guilt, frustration, and suspicion.
Intent is a major difference between what two similar types of emotional expression?
Anger and Aggression
What refers to a behavior that is intended to inflict harm or destruction?
Aggression/Aggressive
What is the greatest single predicter of future violence?
A history of violence
What is a major difference between anger and aggression?
Intent. specifically, the physical manifestation of an intent to harm or destroy.
The best way to understand anger vs aggression is to know that aggression is an action, while anger is a what?
Anger is an emotion.
Put these in order of 1st to 7th:
Robert’s Seven-Stage Crisis Intervention Model
-Psychosocial and Lethality assessment
-Identify the major problems or crisis precipitants
-Generate and explore alternatives
-Rapidly establish rapport
-Follow up
-Deal with feelings and emotions
-Implement an action plan
1.) Psychosocial and Lethality assessment.
2.) Rapidly establish rapport.
3.) Identify the major problems or crisis precipitants.
4.) Deal with feelings and emotions.
5.) Generate and explore alternatives.
6.) Implement an action plan.
7.) Follow up.
In Roberts seven-stage crisis intervention model, if a counselor uses genuineness, respect, and acceptance, while also using good eye contact with a non-judgmental attitude, they are utilizing which stage?
Stage 2: Rapidly establishing rapport
In Roberts seven-stage crisis intervention model, a nurse conducts a rapid, but thorough biopsychosocial assessment. What stage has been used?
Stage 1: Psychosocial and Lethality assessment.
Using Roberts seven-stage crisis intervention model, a nurse identifies the precipitating event that led the client to seek help, and prioritizes major problems by discussing their coping mechanisms. Which stage is being used?
Stage 3: Identify the major problems or crisis precautions.
In which stage of the Roberts seven-stage crisis intervention model would you assess the clients’ coping strategies, and assess where modifications would be helpful?
Stage 3: Identify the major problems or crisis precautions.
In Roberts seven-stage crisis intervention model, a nurse encourages the client to vents their feelings, while providing validation. Which stage is being used?
Stage 4: Deal with feelings and emotions.
At what stage of Roberts seven-stage crisis intervention model would you begin to challenge a clients maladaptive beliefs and behaviors?
Stage 4: Deal with feelings and emotions
Using Roberts seven-stage crisis intervention model, a nurse develops a concrete plan to deal with the current crisis. What stage is this?
Stage 6: Implement an action plan.
When does the shift from crisis to resolution occur during Roberts seven-stage crisis intervention model?
Stage 6: Implement an action plan.
Using Roberts seven-stage crisis intervention model, a nurse collaboratively explores options with a client, and identifies strategies that have been helpful in the past. Which stage is this?
Stage 5: Generate and explore alternatives.
A very common pharmacological intervention used in acute care facilities, that is a combination of drugs, is called a what?
B-52
Bomb that anger away
In Roberts seven-stage crisis intervention model, the Follow up stage (Stage 7) plans visits. This includes follow ups on what two anniversaries?
1 month, and 1 year anniversary
What is B-52?
Benadryl, 5mg of Haldol, and 2mg of Ativan.
The pharmacological intervention commonly used in acute care settings that is made of Benadryl, 5mg of Haldol, and 2mg of Ativan is called what?
B-52
Bomb that anger away
What is B-52 used for the control of?
Aggressive and compulsive behavior
Psychotherapy, such as DBT (Dialectical Behavioral therapy) is very effective in treatment of what? Who benefits most from this type of treatment?
Effective in treatment of violence and anger in male patients.
CBT is good therapy for developing what kind of skills?
Anger management skills.
True or False:
Mood stabilizers, and beta-blockers are medications used for the chronic treatment of anger/aggression
True:
Mood stabilizers, and beta-blockers are medications used for the chronic treatment of anger/aggression
True or False:
B-52 is used for the chronic treatment of anger/aggression
False:
B-52 is used for acute treatment.
Bomb that anger away
What event overwhelms resources and threatens the function and safety of a community?
A disaster
Disasters leave victims with a damaged sense of what? With varying degrees of what?
Disasters leave victims with a damaged sense of safety and well-being.
Disasters leave victims with varying degrees of emotional trauma.
Separation anxiety, nightmares, and trouble concentrating are common behavioral responses to disasters in what group of people?
Children
Which of these are normal nursing diagnoses involving disasters?
Risk for injury
Risk for infection
Anxiety (panic)
Fear
Spiritual distress
Risk for post-trauma syndrome
Ineffective community coping
All of the above, baby
