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NURS 406 > Crisis > Flashcards

Crisis Flashcards

Exam 4 (FINAL)

1
Q

Crisis

A

Perceived challenge or threat that overwhelms the capacity of the individual to cope effectively with the event

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2
Q

How long does crisis last?

A

Generally lasts no more than 4 to 6 week.s

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3
Q

Why do crises usually only last a short time?

A

The individual will come to grip with the event and begin to harness resources to cope with long term consequences.

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4
Q

People who live in constant turmoil are in

A

People who live constant turmoil are not in crisis but in chaos.

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5
Q

Examples of Maturational crisis?

A

Marriage

Birth of a child

Leaving home for the first time

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6
Q

Situational crisis examples

A

Entering a new situation without adequate coping skills

Disease process

Move to another city

Job promotion

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7
Q

Traumatic crisis examples

A

National disasters

violent crimes

environmental disasters

covid-19

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8
Q

Phases of Crisis: Phase 1

A

A problem arises that contributes to increase in anxiety levels.

The anxiety initiates the usual problem-solving techniques of the person

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9
Q

Phases of Crisis: Phase 2

A

The usual problem-solving techniques are ineffective.

Anxiety levels continue to rise.

Trial and error attempts are made to restore balance

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10
Q

Phases of Crisis: Phase 3

A

The trial and error attempts fail.

The anxiety escalates to severe or panic levels.

The person adopts automatic relief behaviors.

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11
Q

Phases of Crisis: Phase 4

A

When these measures do not reduce anxiety, anxiety can overwhelm the person and lead to serious personality disorganization, which signals the person in crisis

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12
Q

A person in crisis is at high risk for what?

A

A person in crisis may be at high risk for suicide or homicide.

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13
Q

Nursing Management Human Response to Crisis: What is the goal?

A

Goal: return to precrisis level of functioning

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14
Q

Nursing Management Human Response to Crisis: What should you assess?

A

Assess the level of effectiveness of coping capabilities

Assess for suicidal or homicidal risk*

Assess for evidence of self-mutilation activities

Assess the client’s perception of the problem and the availability of support mechanisms

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15
Q

Nursing Management: Physical Health Assessment

A

Changes in health practices, biologic function (sleep and eating patterns)

Changes in body function: tachycardia, tachypnea, profuse perspiration, nausea, vomiting, extreme shakiness

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16
Q

Nursing Management: Physical Health- Interventions

A

Treat life-threatening physical injuries

Do not give unrealistic or false reassurances of positive outcomes

Anticipate pharmacologic interventions to help reduce emotional intensity

17
Q

Nursing Management: Psychological Domain- What do you assess

A

Emotions and coping strengths
Changes in presentation agitation, anxious, depressed
Loss of feelings of well-being and safety

18
Q

Nursing Management: Psychological Domain- Interventions

A

Safety

Psychosocial aspects

Counseling

19
Q

What is involved in safety interventions for nursing management of psychological domain?

A

Preventing suicide or homicide

Arranging for food and shelter (if needed)

Mobilizing social support

20
Q

What is involved in Psychosocial aspects interventions for nursing management of psychological domain?

A

Encouraging report of any depression, anxiety, or interpersonal difficulties

21
Q

Nursing Management Interventions: ABCs of psychological first aid

A

A—arousal

B—behavior

C—cognition

22
Q

Nursing Management Interventions: ABCs of psychological first aid– A- Arousal

A

A—arousal, when present, the intervention goal is to decrease excitement by providing safety, comfort, and consolation

23
Q

Nursing Management Interventions: ABCs of psychological first aid– B-behavior

A

B—behavior, when abnormal or irrational behavior present, survivors should be assisted to function more effectively in the disaster

24
Q

Nursing Management Interventions: ABCs of psychological first aid– C- cognition

A

C—cognition, when cognitive disorientation occurs, reality testing and clear information should be provided

25
Q

Grief responses

A

Intense, emotional reaction to the loss of a loved one; biopsychosocial response that often includes spontaneous expression crying, anger and expressions of guilt

26
Q

Kubler-Ross Grief Cycle phases

A
  1. Denial
  2. Anger
  3. Bargaining
  4. Depression
  5. Acceptance
27
Q

Kubler Ross Grief Cycle: Denial phase

A

Avoidance

Confusion

Elation

Shock

Fear

28
Q

Kubler Ross Grief Cycle: Anger phase

A

Frustration

Irritation

Anxiety

29
Q

Kubler Ross Grief Cycle: Bargaining

A

Struggling to find meaning

Reaching out to others

Telling one’s story

30
Q

Kubler Ross Grief Cycle: Depression phase

A

Overwhelmed

Helplessness
Hostility

Flight

31
Q

Kubler Ross Grief Cycle: Acceptance

A

Exploring options

New plan in place

Moving forward

32
Q

Grief definition

A

Natural, intense, physical, emotional, social, cognitive, or social reaction to the death of a loved one.

33
Q

Responses to Grief include:

A

Spontaneous expressions to loss can include subbing, crying, anger, and expressions of guilt

34
Q

Bereavement

A

Process of healing and learning how to cope with the loss. It begins immediately after the loss, and can last months or years.

35
Q

Bereavement expressions

A

Individual differences, age, religious, and cultural practices, and social support influence grief and bereavement.

36
Q

Persistent Complex Bereavement Disorder: What is the DSM-V criteria

A

A. Individual had a close relationship with the deceased

B. Persisted at 12 months after the death of bereaved adults and 6 months for bereaved children.

37
Q

Persistent Complex Bereavement Disorder in addition to DSM-5 Criteria, one of the following symptoms must be present:

A
  1. persistent yearning/longing for the deceased
  2. Intense sorrow of emotional pain
  3. Preoccupation with the deceased
  4. Preoccupation with circumstances of the death
38
Q
A
39
Q

C. Six of the following symptoms: (In addition to DSM-V criteria and 1 of 4 symptoms)

A
  1. Marked difficulty accepting the death
  2. Experiencing disbelief and emotional numbness
  3. Difficulty with positive reminiscing about the deceased
  4. Bitterness or anger related to the loss
  5. Maladaptive appraisal of oneself i.e. self blame
  6. Excessive avoidance of reminders of the loss
  7. A desire to die*
  8. Difficulty trusting others after the death
  9. Feeling alone or detached from others
  10. Feeling that life is meaningless or empty
  11. Confusion about one’s role in life
  12. Reluctance to pursue interests

NURS 406 (29 decks)

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