Crisis Flashcards

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1
Q

What is the four areas of CBT

A

action (activating event)
belief
consequence
dispute

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2
Q

What does action refer to

A

some action causing a change in thought like boss asking you to work longer hours

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3
Q

What does belief refer to

A

my boss doesnt like me

these are called distorted beliefs

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4
Q

What does consequence refer to

A

different types result from the belief
physio- BP and HR increase
behavioral- stuborness, sadness

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5
Q

What does dispute refer to

A

challenging the belief to change it to a positive one

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6
Q

Do personality dis pats believe others are the problem not them?

A

yes

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7
Q

What is a crisis

A

an event that causes a imbalance of psychological homeostasis that cannot be resolved with normal coping mechanisms

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8
Q

Is crisis pathological in nature

A

no

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9
Q

How long does a crisis last

A

4-6 weeks

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10
Q

What are common characterisitics of crisis

A

little or not time to prepare
perception of the event is overwhelming or life-threatening
Loss or decrease in communication with significant others
A sense of displacement from familiar
An actual or perceived loss

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11
Q

What are some comlicaitons that crisis can increase the risk of

A
Suicide
Homicide
Fear
Injury
post-trauma syndrome
Ineffective community coping
Depressions 
Anxiety (panic)
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12
Q

What are the goal for treatment of cirisis

A

either returning to normal funcitoning or even higher

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13
Q

What are hte tpyes of crisis

A

maturational
situational
adventitious

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14
Q

What is maturational crisis

A

relating to new developmental stages or events

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15
Q

What are examples of maturaitonal crisis

A
puberty 
retirement 
marriage
birth of a child
death (if by old age)
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16
Q

What is a situational crisis (dispositional)

A

related to a experiencing a unexpected loss or change of everyday life

17
Q

What are some examples of dispositional/situaitonal crisis

A
job loss
having an obortion 
diagnosed with disease
death of loved one
divorce
18
Q

What are adventitious crisis

A

related to experiencing things like
natural disaters
crimes (rape, assault, murder, child abuse)
terrorist attacks

19
Q

What is phase 1 of crisis

A

soemthing triggers defense mechanisms

20
Q

What is phase 2 of crisis

A

anx excalates as their defense mechanisms fail
functioning becomes disorganized
the pat resorts to internal and external resources for trial and error problem solving

21
Q

What is phase 3 of crisis

A

as trial and error attempts fail, anx rises and panic sets in triggering flight reponse or withdrawal symps

22
Q

What is phase 4 of crisis

A

Feeligns of overwhelming anxiety, anguish, powerlessness, dissociative symptoms, depression, confusion, and violence

23
Q

What are some priority assesments for crisis

A

find the precipitating event

24
Q

How fast do we want to stabalize a pat in the acute phase of a crisis

A

within 72 hours

25
Q

Nursing care

A
safety first 
- hospitalization for suicidal/homicidal pats
- prioritize physical safety first 
dev therapeutic relationship
-make eyecontact
-ask about feelings and event
26
Q

What are the phases of critical incident debriefing and give examples

A

introductory - Purpose of meeting and members identification

fact - Discuss facts of the incident and involvement

thought - First thought of incident

symptoms- Cognitive, emotional or behavioral experience

teaching - anticipatory guidance and stress management
reentry - re-eval, referrals, support, appreciation

27
Q

What FEMA region is alaska in

A

10

28
Q

What is an example of external resources for trial and error problem solving in

A

friends

medications