Crisis Intervention Flashcards

1
Q

Phases of crisis: phase 1

A

The individual is exposed to a precipitating stressor

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2
Q

Phases of crisis: phase 2

A

When previous problem-solving techniques do not relieve the stressor, anxiety increases further

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3
Q

Phases of crisis: phase 3

A

All possible resources, both internal and external, are called on to resolve the problem and relieve the discomfort

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4
Q

Phases of crisis: phase 4

A

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.”

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5
Q

Role of nurses in crisis intervention

A
  • nurses respond to crises on a daily basis as they occur in all settings
  • nurses may be called on to function as crisis helpers
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6
Q

Phases of crisis intervention: assessment

A

The RN gathers info regarding the precipitating stressor and the resulting crisis that prompted the individual to seek professional help

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7
Q

Phases of crisis intervention: planning of the therapeutic intervention

A
  • 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
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8
Q

Phases of crisis intervention: intervention

A

The actions identified in phase 2 implemented

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9
Q

Phases of crisis intervention: evaluation of crisis resolution and anticipatory planning

A
  • 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
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10
Q

Aggression

A
  • can rise from a number of feeling states, including anger, anxiety, guilt, frustration or suspicion
  • aggressive behaviors can be mild, moderate, severe or extreme
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11
Q

Defining characteristics of aggression

A
  • 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
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12
Q

Risk factors for aggression

A
  • past hx of violence
  • client diagnosis
  • current behavior
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