Crisis Emergencies

Question 1

Phases of crisis

Answer 1

1-4

Question 2

Phase one of phases of a crisis

Answer 2

Crisis happens..person becomes anxious.. attempt to problem solve and use defense mechanism

Question 3

Phase 2 of phases of crisis

Answer 3

Defense mechanism fails and anxiety escalates try a different trial and error of problem solving

Question 4

Phase 3

Answer 4

Trial and error not working and panic develops
Anxiety is severe
Fight or flight

Question 5

Phase 4

Answer 5

Anxiety overwhelming , violence, depression , suicide ideation may occur
Person becomes disorganized and unable to cope

Dissociative symptoms :derealization, depersonalization

Question 6

The cycle of violence

Answer 6

Tension building phase
Serious battering phase
Honey moon phase

Question 7

Tension building phase the abuser

Answer 7

Edgy
Minor explosions
Verbally abusive
Minor hitting , slapping
And other incidents may begin

Question 8

Tension building phase the victim

Answer 8

Feels tense and afraid like walking on egg shells
Feels helpless . Becomes compliant , accepts blame

Question 9

Serious battering phase —- what may the victim do when the tension is unbearable?

Answer 9

victim may provoke an incident to get it over with

Question 10

Serious battering phase- what else may the victim do in this phase

Answer 10

Cover up the injury or may look for help

Question 11

Honey moon phase the abuser

Answer 11

Loving behavior, such as bringing gifts and flowers and doing special things for victim

Contrite, sorry, making promises to change

Question 12

Honey moon phase the victim

Answer 12

Trusting , hoping for change, wants to believe partners promises

Question 13

Catharsis

Answer 13

Expression of anger, aggression but safe activities

Releasing anger emotion but not doing it in a harmful way

Question 14

Suppression

Answer 14

Holding anger in - instead of releasing it

They explode eventually so we dont want them to do that

Question 15

Agression and violence

Answer 15

Can be defined as hurting others physically or psychologically
Can be appropriate and self protective
Can be overt or covert

Question 16

Violence

Answer 16

Does not always come from anger
Intent to do harm
Bullying common

Question 17

Lateral bullying

Answer 17

Bullying among equals

Question 18

Acute aggressive episodes IM meds

Answer 18

Benzodiazepines
Antipsychotics

Question 19

Antipsychotics used for acute aggressive episodes

Answer 19

Ziprasidone IM
Olanzapine IM or orally dis integrating
Haloperidol

Question 20

Uncomplicated grief

Answer 20

Depressed, poor apetite, insomnia, loss of interest, guilt , dream of dead, spiritually shaken or strengthen , disappointment , self isolation

Question 21

Normal grief

Answer 21

Anything up to two years

Question 22

Anticipatory grief

Answer 22

Grieve early (someone has cancer) may feel grief symptoms in advance

Question 23

Disenfranchised grief

Answer 23

If a person was having an affair and the person died and the person that was having an affair can’t publicly grieve

OR if someone committed suicide and the person can’t feel like they aren’t allowed to grieve due to the circumstances

Question 24

Complicated tried

Answer 24

Unresolved can’t function and does not end at an appropiate time

Question 25

Ambiguous loss

Answer 25

No resolution and no predictable ending or closure Physical body absent but person is psychologically present (Plane crash, MI)

Question 26

Second kind of ambiguous loss

Answer 26

Body is present but person is physiologically changed such as dementia

Question 27

Bereavement

Answer 27

Time of sadness after significant loss

Question 28

Symbols and context bereavement

Answer 28

Wearing black or black armband

Question 29

Three types of crisis

Answer 29

Developmental Situational Existential

Question 30

Erich lindemann

Answer 30

Crisis theorist Believed the same interventions utilized in bereavement would be helpful with other stressful events. He proposed a crisis intervention ,Odell as a major element of preventative psychiatry in the community

Question 31

Stage one of 7 stages

Answer 31

Plan and conduct crisis assessment ( including lethality measures)

Question 32

Stage 2 of 7 stage crisis

Answer 32

Establish rapport and rapidly establish relationship

Question 33

stage 3 of crisis

Answer 33

Identify major probs including the last straw or crisis precipitants

Question 34

Stage 4

Answer 34

Deal with feelings and emotions including active listening and validation

Question 35

Stage 5

Answer 35

Generate and explore alternatives

Question 36

Stage 6

Answer 36

Develop and formulate an action place

Question 37

Stage 7

Answer 37

Follow up plan and agreement

Question 38

Crisis revolution falls between which stage

Answer 38

6 and 7

Question 39

Development crisis

Answer 39

Erick Erickson identified 8 stages

Question 40

Situational crisis

Answer 40

Arises from external source such as loss of job of a loved one, unwanted pregnancy, a move , change of job , change in financial status, divorce and severe physical or mental illness. Threat ends self concept and self esteem

Question 41

Adventitious crisis

Answer 41

Like situational but on larger scal a community , natural disaster , national crisis such as terrorist attack airplane crashes or crimes of violence such as shootings in public places

Question 42

Existential crisis

Answer 42

Questioning life’s purposes such as marriage, death of a loved one , children becoming adults and leaving the home

Question 43

Primary nursing interventions of nursing process for a crisis

Answer 43

Recognize potential probs Teach coping skills ( catching it early before it happens)

Question 44

secondary nursing intervention

Answer 44

Interventions during acute crisis Safety of pt

Question 45

Tertiary nursing interventions

Answer 45

Rehabilitation Community support Continued education Interventions to keep pt stable

Question 46

Critical incident stress debriefing

Answer 46

Self care for nurses and other health care workers Can work for pt who have gone through stressful and painful events

Question 47

Critical incident stress debriefing phases

Answer 47

Introductory Fact Thought Reaction Symptom Teaching Reentry

Question 48

Introductory phase

Answer 48

Why are we meeting to debrief

Question 49

fact phase

Answer 49

Exactly what happen

Question 50

Thought phase

Answer 50

What was your thought process

Question 51

Reaction phase

Answer 51

What did you do

Question 52

Symptom phase

Answer 52

Physical cognitive and behavioral experiences

Question 53

Teaching phase

Answer 53

What changes can be made what teaching can be done

Question 54

Reentry phase

Answer 54

Encouragement and resources provided

Question 55

Nursing process

Answer 55

Assessment Diagnosis Outcome , planning Interventions, implementation Evaluation

Question 56

Hypersensitivity in an abuser

Answer 56

When they see themselves as the victim

Question 57

The way a bully behaves they use innuendoes. What is this ?

Answer 57

An allusive or oblique remark or hint typically a suggestive or disparaging one