Crisis Intervention

Question 1

What is a crisis?

Answer 1

A state of psychological dis-equilibrium that occurs when a person faces a situation or important problem he can neither escape from or solve with his typical problem solving processes; a turning point in life that causes stress and anxiety to the point where he cannot cope

Question 2

Is a crisis inevitable?

Answer 2

Yes

Question 3

What are the goals of crisis intervention?

Answer 3

To stabilize the person quickly so they return to baseline functioning and prevent negative effects like mental illness and addictive behaviors

Question 4

What is a developmental crisis?

Answer 4

Expected role changes; can be on time or delayed

Question 5

What causes a delayed developmental crisis and an example?

Answer 5

Situations that trigger emotions related to unresolved conflicts. EX: Teen never rebels; manifests later on.

Question 6

What is an expected crisis?

Answer 6

Midlife crisis- adult questions goals.

Question 7

What is a situational crisis?

Answer 7

An event that upsets a person equilibrium with a sudden, unexpected onset

Question 8

What is a traumatic crisis?

Answer 8

When a person personally experiences a traumatic event beyond their control (sexual assault)

Question 9

What is an adventitious crisis?

Answer 9

An environmental disaster that disrupts the entire community

Question 10

What is a sociocultural crisis?

Answer 10

Experiencing discriminatory practices based on age, race, gender, and sexual preference, or class. Also reject social norms.

Question 11

What is an example of when a client who has a psychiatric diagnosis destabilizes?

Answer 11

When a schizo pt has a flare up due to medication

Question 12

What is a crisis related to a new onset of psychopathology?

Answer 12

An individual who was not previously identified as having emotional problems becomes suicidal or psychotic.

Question 13

Why do some people go into crisis while others do not?

Answer 13

Because of balancing factors.

Question 14

What are some balancing factors that can prevent or cause a crisis?

Answer 14

Perception of the event, availability of support, and coping mechanisms.

Question 15

What are the stages of a sudden onset of a crisis?

Answer 15

Impact- realizing the event
Recoil- experiencing overwhelming distress and struggle to cope
Post Traumatic period- distrupting n ormal function.

Question 16

What is the first stage of a gradual onset crisis?

Answer 16

Individuals anxiety rises, usual problem solving mechanisms dont work.

Question 17

What is the second stage of a gradual onset crisis?

Answer 17

Strategies to cope fail and stress escalates

Question 18

What is the third stage of a gradual onset crisis?

Answer 18

Stress and anxiety continue to rise, and the individual reaches out to solve problem.

Question 19

What is the fourth stage of a gradual onset crisis?

Answer 19

Coping mechanisms and support are insufficient and tension and anxiety becomes unbearable. Person feels helpless and hopeless.

Question 20

What are some nursing assessments for crisis interventions?

Answer 20

Get accurate description of circumstances, determine the precipitating event, assess balance factors, assess sociocultural problems.

Question 21

What are some nursing interventions for crisis intervention?

Answer 21

Use direct, matter of fact style, calmness, say you will help, listen for facts and feedings, clarify distorted thinking, focus on here and now.

Question 22

What is a critical incident stress management program for?

Answer 22

Large scale crisis events.

Question 23

What are some expected evaluations for crisis intervention?

Answer 23

Decreassed stress level, increased coping behaviors, client learns how to cope in the future.

Question 24

How is a crisis prevented?

Answer 24

Preparation, teaching, coping strategies.