Crisis Intervention And Suicide Flashcards
Definition of crisis:
Experience of a confrontation by a stressful event. The individual is unable to mobilize coping actions and problem solving.
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How may an individual change during a crisis? How long could they last?
Crises are self-limiting, lasting from 4/6 weeks.
During crises, there is a potential for either increased psychological vulnerability, or, return to precrisis state, or personal growth.
(Strengthened sense of self, and/or newfound problem-solving abilities)
All crises have some aspect of?
Change or loss threatens the individual’s equilibrium. All crises have some aspect of loss (perceived or actual).
This means, a loss can include a person, object, hope, or a dream.
What makes it difficult for an individual to learn during a crisis?
Tension/mild/moderate anxiety, and/or panic accompanies a crisis, making it hard for them to cope or problem solve.
Cognitive responses that are positive:
Resilience, hardiness, internal locus of control.
Resilience definition
Ability, not to just survive, but bounce back from traumatic experiences, and also grow emotionally/psychologically beyond a precrisis state.
Hardiness definition
Individuals level of commitment (control) when confronted by stress
Internal locus of control definition
Means the individual believes that her/his destiny is guided by their own actions.
***Person’s with internal locus of control tend to do better in crisis situation than external locus of control.
Appraisal of stressor definition
SUBJECTIVE meaning of how an individual perceives the stressful event.
Intervention when a patient is angry and questioning safety interventions?
Acknowledge the patient’s feelings of frustration and reaffirming the need of safety is the priority. Remain calm, matter-of-fact in the situation when tolerating a patient’s outburst.
**Validation of pt’s feelings and info about the intention of the intervention (one-on-one observation) is to keep the pt safe.
Are pts resistant to verbal suggestions during crisis?
No, pts are open to suggestions during crisis. They are ready to depend on others for assistance with decision making. They are free and direct expression of anxiety.
Focus of crisis intervention?
Focus on the PRESENT, crisis intervention is viewed as “here-and-now” type of therapy. The goal is to reestablish equilibrium and return the pt to precrisis levels of functioning. Focus at the problem at hand, the nurse cannot proceed past that!
Risk of successful suicide?
The risk of successful suicide is greater once a single attempt has been carried out.
Situational crisis definition
Unexpected, unavoidable, acute state of emotional disequilibrium. It threatens a person’s physical/emotional/and/or, social integrity.
**Pt feels anxious, overwhelmed, and confused/disorganized, this makes the pt unable to make effective decisions.
