Crisis Intervention Chapter 10

Question 1

Crisis Intervention

Answer 1

An emergency type of assistance in which the intervener becomes part of the individual’s life situation. The focus is to provide guidance and support to help mobilize the resources needed to resolve crisis and restore or generate an improvement in previous level of functioning. Usually last no longer than six to eight weeks.

Question 2

Disaster

Answer 2

A natural or man made occurrence that overwhelms the resources of an individual or community and increases the need for emergency evaluation and medical services.

Question 3

Prodromal Syndrome

Answer 3

A syndrome of symptoms that often proceed the onset of aggressive or violent behavior. These symptoms include anxiety and tension ,verbal abuse and profanity, and increasing, hyperactivity.

Question 4

Crisis

Answer 4

A sudden event in one’s life that disturbs homeostasis, during which usual coping mechanisms cannot resolve the problem. Crisis results in a disequilibrium from which an individual requires assistance to recover.

Question 5

Characteristics of Crisis

Answer 5

1. Can occur in all individuals/populations.
2. Crisis are precipitated by specific identifiable events.
3. Crisis are personal.
4. Crisis are acute
5. Cris situation contain the potential for psychological growth or deterioration.

Question 6

Crisis Theorist

1.Caplan

Answer 6

Crisis is real for the person experiencing it.

Question 7

Crisis Theorists

2. Aguilera

Answer 7

Describes a paradigm of balancing factors.

Question 8

Assistance with problem solving does what ?

Answer 8

Preserves self esteem and promotes growth with resolution.

Question 9

CAPLAN “Phases”

Answer 9

PHASE 1. Exposure to precipitating stressor.
PHASE 2. Previous problem solving strategies do not relieve stressor.
PHASE 3.All possible resources are used to relieve the discomfort.
PHASE 4. No resolution in previous phases, major disorganization occurs.

Question 10

AGUILERA “ Balancing FACTORS”

Answer 10

1. Perception of the event.
2. Available supports.
3. Available of adequate coping mechanisms.

Question 11

Dispositional Crisis

Answer 11

An acute response to an external situation stressor.

Question 12

Dispositional Crisis Class One

INTERVENTION

Answer 12

Physical care of wounds and screening for Domestic Violence issues should be conducted in ER. The mental health counselor can provide support and guidance in terms of presenting alternatives to her. The ER nurse should encourage and empower victims so referrals can be made.

Question 13

Class TWO

Crisis of Anticipated life transitions.

Answer 13

Normal life cycle transitions that may be anticipated but over which the individual may feel a lack of control.

Question 14

Class Three

Traumatic Stress

Answer 14

Crisis precipitated by an unexpected external stressor over which the individual has little or no control and as a result of which he or she feels emotionally overwhelmed and defeated.

Question 15

Class Four

Maturation and Developmental Crisis

Answer 15

Crisis that occur in response attempts to master developmental tasks associated with transitions in the life cycle.

Question 16

Class Five

Crisis Reflecting Psychopathology

Answer 16

A crisis that is influenced or triggered by preexisting psychopathology. Examples that may precipitate crisis include personality disorders ,anxiety disorders, bipolar disorder and schizophrenia.v

Question 17

Class Six

Psychiatric Emergencies

Answer 17

Crisis situations in which general functioning has been severely impaired and the individual rendered incompetent or unable to assume personal responsibility for their behaviors. Examples include acutely suicidal individuals , drug overdoses, reactions to hallucinogenic drugs, acute psychosis, uncontrollable anger and alcohol intoxication.