Crisis Flashcards
Define crisis
An overwhelming emotional response to a life, circumstance or stressor
-this usually lasts 4 to 6 weeks (if last longer than that, it can be an issue for the patient)
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What are the three categories that you will see in crisis?
- Maturation
-Situational
-Adventitious
Define Maturational crisis
Predicted or expected
- major changes in one’s life
Define Situational crisis
UNEXPECTED or SUDDEN (loss, cancer)
Define aDVentitious crisis
(Social crisis)
*(D)isaster or (V)iolence
During a crisis event what is the first and most important factors that influence crisis
Patient’s perception of the event
For crisis intervention what is the primary intervention that the nurse should use
Directive intervention
What is the goal for directive intervention (crisis)
- find out what the patient needs
- raising self-awareness by providing feedback to patient
-directing behavior by recommending suggestions for patients actions
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What is another intervention that the nurse can use for crisis
Supportive interventions
Define supportive interventions (crisis)
** to help empower the patient and not working on (fixing them)
-encourage recognition and expressing feelings
-serving as a sounding board
AFFIRMING SELF WORTH***
Define anger
This is “normal” when handled appropriately
Define hostility
Verbal aggression
Define physical aggression
Behavioral response
When a patient showing aggression what is the neuron background
Aggression shown in a patient can indicate a low serotonin level and can be fixed with admin of SSRI med
What screening tool can a nurse use to assess behavioral health in a patient
BROSET scale
- confusion
- irritable
- boisterous
-verbally threatening
- physically threatening
-attacking objects
What screening tool can the nurse use to assess aggression
ABRAT scale
Define the stages of aggression the nurse should assess
1) Preassaultive
-Triggering
-Escalation
2) Assaultive
-Crisis
3) Postassaultive
-Recovery
-Postcrisis
What does the Preassaultive stage consist of
*Triggering- this is an event/ circumstance that initiates a response
*Escalation- patient shows hostility or anger that moves towards the (loss of patient control)
Define the assaultive stage
*Crisis- this is the patients loss of control ( emotion and physical crisis)
Define postassaultive stage
*Recovery
*Postcrisis- returning to base line
During a Postcrisis stage, how long would the nurse expect to see the patient calm down and return to baseline
***10 min to calm down
What is the BEST de-escalation technique the nurse can provide to the patient
Remaining CALM
Be empathetic
Provide NONJUDGMENTAL
Avoid taking things personal
Avoid overreacting
Use nonverbal communication
When providing de-escalation to a patient what is the most important thing the nurse should focus on
Focus on patients feelings***
* Allow time for the patient to respond
* Allow silence for reflection
If a patient is need of seclusion or violent restraints what must the nurse look for in the doctors order
- the order CANNOT be a PRN order
