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Module 6 > Crisis Emergencies > Flashcards

Crisis Emergencies Flashcards

1
Q

Phases of crisis

A

1-4

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2
Q

Phase one of phases of a crisis

A

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

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3
Q

Phase 2 of phases of crisis

A

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

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4
Q

Phase 3

A

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

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5
Q

Phase 4

A

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

Dissociative symptoms :derealization, depersonalization

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6
Q

The cycle of violence

A

Tension building phase
Serious battering phase
Honey moon phase

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7
Q

Tension building phase the abuser

A

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

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8
Q

Tension building phase the victim

A

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

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9
Q

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

A

victim may provoke an incident to get it over with

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10
Q

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

A

Cover up the injury or may look for help

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11
Q

Honey moon phase the abuser

A

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

Contrite, sorry, making promises to change

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12
Q

Honey moon phase the victim

A

Trusting , hoping for change, wants to believe partners promises

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13
Q

Catharsis

A

Expression of anger, aggression but safe activities

Releasing anger emotion but not doing it in a harmful way

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14
Q

Suppression

A

Holding anger in - instead of releasing it

They explode eventually so we dont want them to do that

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15
Q

Agression and violence

A

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

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16
Q

Violence

A

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

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17
Q

Lateral bullying

A

Bullying among equals

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18
Q

Acute aggressive episodes IM meds

A

Benzodiazepines
Antipsychotics

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19
Q

Antipsychotics used for acute aggressive episodes

A

Ziprasidone IM
Olanzapine IM or orally dis integrating
Haloperidol

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20
Q

Uncomplicated grief

A

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

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21
Q

Normal grief

A

Anything up to two years

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22
Q

Anticipatory grief

A

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

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23
Q

Disenfranchised grief

A

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

24
Q

Complicated tried

A

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

25
Q

Ambiguous loss

A

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

26
Q

Second kind of ambiguous loss

A

Body is present but person is physiologically changed such as dementia

27
Q

Bereavement

A

Time of sadness after significant loss

28
Q

Symbols and context bereavement

A

Wearing black or black armband

29
Q

Three types of crisis

A

Developmental
Situational
Existential

30
Q

Erich lindemann

A

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

31
Q

Stage one of 7 stages

A

Plan and conduct crisis assessment ( including lethality measures)

32
Q

Stage 2 of 7 stage crisis

A

Establish rapport and rapidly establish relationship

33
Q

stage 3 of crisis

A

Identify major probs including the last straw or crisis precipitants

34
Q

Stage 4

A

Deal with feelings and emotions including active listening and validation

35
Q

Stage 5

A

Generate and explore alternatives

36
Q

Stage 6

A

Develop and formulate an action place

37
Q

Stage 7

A

Follow up plan and agreement

38
Q

Crisis revolution falls between which stage

A

6 and 7

39
Q

Development crisis

A

Erick Erickson identified 8 stages

40
Q

Situational crisis

A

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

41
Q

Adventitious crisis

A

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

42
Q

Existential crisis

A

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

43
Q

Primary nursing interventions of nursing process for a crisis

A

Recognize potential probs
Teach coping skills

( catching it early before it happens)

44
Q

secondary nursing intervention

A

Interventions during acute crisis
Safety of pt

45
Q

Tertiary nursing interventions

A

Rehabilitation
Community support
Continued education

Interventions to keep pt stable

46
Q

Critical incident stress debriefing

A

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

47
Q

Critical incident stress debriefing phases

A

Introductory
Fact
Thought
Reaction
Symptom
Teaching
Reentry

48
Q

Introductory phase

A

Why are we meeting to debrief

49
Q

fact phase

A

Exactly what happen

50
Q

Thought phase

A

What was your thought process

51
Q

Reaction phase

A

What did you do

52
Q

Symptom phase

A

Physical cognitive and behavioral experiences

53
Q

Teaching phase

A

What changes can be made what teaching can be done

54
Q

Reentry phase

A

Encouragement and resources provided

55
Q

Nursing process

A

Assessment
Diagnosis
Outcome , planning
Interventions, implementation
Evaluation

56
Q

Hypersensitivity in an abuser

A

When they see themselves as the victim

57
Q

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

A

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

Module 6 (21 decks)

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