Crisis Management

Question 0

Common characteristics of a crisis:

Answer 0

1. Experience of a sudden event with little or no time to prepare
2. Perception of the event as overwhelming or life-threatening.
3. Loss or decrease in communication with significant others
4. Sense of displacement from the familiar
5. An actual or perceived loss

Question 1

A Crisis (Definition)

Answer 1

An acute, time limited (lasting 4-6 weeks) event during which a client experiences an emotional response that cannot be managed with the clients normal coping mechanisms.

Question 2

Stages of Crisis Management:

Pase 1

Answer 2

Escalating anxiety from a threat activates increased defense responses.

Question 3

Stages of Crisis Management:

Phase 2

Answer 3

Anxiety continues escalating as defense responses fail, functioning becomes disorganized, and the client resorts to trial-and-error attempts to resolve anxiety.

Question 4

Stages of Crisis Management:

Phase 3

Answer 4

Trial-and-error methods of resolution fail, and the clients anxiety escalates to sever or panic levels, leading to fight or withdrawal behaviors.

Question 5

Stages of Crisis Management:

Phase 4

Answer 5

The client experiences overwhelming anxiety that can lead to anguish and apprehension, feelings of powerlessness and being overwhelmed, dissociative symptoms (depersonalization, detachment from reality), depression, confusion, and/or violence against other or self.

Question 6

Nursing care:

Answer 6

1. Provide rapid assistance
2. assess potential for suicide or homicide
3. Identify current problem & interventions for resolution
4. Take active & direct role w/ client
5. Help client set realsitic, attainable goals.

Question 7

Development of an action plan:

Answer 7

1. Short-term, no longer than 24-72 hr.
2. Focused on crisis
3. Realistic and manageable