Crisis Intervention Flashcards
Phases of crisis: phase 1
The individual is exposed to a precipitating stressor
Phases of crisis: phase 2
When previous problem-solving techniques do not relieve the stressor, anxiety increases further
Phases of crisis: phase 3
All possible resources, both internal and external, are called on to resolve the problem and relieve the discomfort
Phases of crisis: phase 4
If resolution does not occur in previous phases, “the tension mounts beyond a further threshold or its burden increases over time to a breaking point. Major disorganization of the individual with drastic results often occurs.”
Role of nurses in crisis intervention
- nurses respond to crises on a daily basis as they occur in all settings
- nurses may be called on to function as crisis helpers
Phases of crisis intervention: assessment
The RN gathers info regarding the precipitating stressor and the resulting crisis that prompted the individual to seek professional help
Phases of crisis intervention: planning of the therapeutic intervention
- the RN selects the appropriate nursing actions for the identified nursing diagnoses
- in planning the interventions the type of crisis, as well as the individuals strengths, desired choices and available resources for support are taken into consideration
- goals are established for crisis resolution and a return to, or increase in, level of precrisis functioning
Phases of crisis intervention: intervention
The actions identified in phase 2 implemented
Phases of crisis intervention: evaluation of crisis resolution and anticipatory planning
- the RN and client summarize what has occurred during the intervention
- they review what the individual has learned and “anticipate” how he/she will respond in the future
- follow-up therapy has been established, if appropriate
Aggression
- can rise from a number of feeling states, including anger, anxiety, guilt, frustration or suspicion
- aggressive behaviors can be mild, moderate, severe or extreme
Defining characteristics of aggression
- pacing
- restlessness
- threatening body language
- verbal or physical threats
- loud voice
- shouting
- use of obscenities
- argumentativeness
- threats of homicide or suicide
- increase in agitation
- panic anxiety
- suspiciousness and defensive posturing
- angry mood
- destruction of property
- acts of physical harm toward others
Risk factors for aggression
- past hx of violence
- client diagnosis
- current behavior