Crisis management

Question 1

sudden event in one’s life that is perceived by the individual as distressing and disturbs homeostasis

Answer 1

crisis

Question 2

crisis is precipitated by ________

Answer 2

specific identifiable events

Question 3

phase of crisis- exposure to precipitating event; increased anxiety, use of established coping mechanisms

Answer 3

phase 1

Question 4

phase of crisis- ↑ anxiety due to failure of established coping mechanisms to relieve stress

Answer 4

phase 2

Question 5

phase of crisis- Feeling of great discomfort, all internal and external resources are employed to resolve the problem and relieve the discomfort

Answer 5

phase 3

Question 6

phase of crisis- If resolution does nor occur, the tension that has built becomes unbearable and brings the individual to a breaking point
Anxiety can reach panic level, cognition is disordered, emotions are labile, and behavior may reflect psychotic thinking

Answer 6

phase 4

Question 7

3 types of crisis

Answer 7

maturational
dispositional (situational)
Adventitious

Question 8

type of crisis- Birth, death, retirement
New developmental stage is reached
Old coping skills no longer effective, increased tension

Answer 8

maturational

Question 9

type of crisis- An acute response to an external stressor, i.e., loss or change of job, death, divorce, mental/physical illness
Arise from events that are extraordinary, external , often unanticipated

Answer 9

dispositional (situational)

Question 10

type of crisis- Unplanned and accidental
Natural disaster
National disaster
Crime of violence

Answer 10

adventitious

Question 11

6 types of emotional crisis

Answer 11

• dispositional
• crisis of anticipated life transitions
• crises resulting from traumatic stress
• maturational/ developmental
• crises reflecting psychopathology
• psychiatric emergencies

Question 12

emotional crisis- An acute response to an external situational stressor ( domestic violence)

Answer 12

dispositional crisis

Question 13

Emotional crisis- normal life changes, but individual may feel a lack of control (role change)

Answer 13

crisis of anticipated life transitions

Question 14

emotional crisis- an unexpected external stressor over which the individual has no control (rape)

Answer 14

crisis resulting from traumatic stress

Question 15

emotional crisis- failed attempts to deal with an associated life transition

Answer 15

maturation/developmental crisis

Question 16

emotional crisis- crises arising out of diagnosed mental illness, i.e. personality disorder, bipolar, anxiety disorder, etc.

Answer 16

crisis reflecting psychopathology

Question 17

emotional crisis- Acute psychosis, suicide attempt, alcohol intoxication, violent anger

Answer 17

psychiatric emergency

Question 18

goal of crisis intervention

Answer 18

resolution of the immediate crisis and restoration of pre-crisis functioning

Question 19

phases of crisis intervention- phase 1

Answer 19

assessment

Question 20

phases of crisis intervention- phase 2

Answer 20

planning of therapeutic intervention

Question 21

phases of crisis intervention- phase 3

Answer 21

intervention

Question 22

phases of crisis intervention- phase 4

Answer 22

evaluation of crisis resolution and anticipatory planning

Question 23

assessing potential for violent behavior 6

Answer 23

• hx of recent acts of violence
• verbal or physical threats
• progressive psychomotor agitation
• alcohol or drug intoxication
• command hallucinations
• acute mania

Question 24

Involuntary confinement of a person alone in a room or area where the person is physically prevented from leaving

Answer 24

seclusion

Question 25

Any manual method or physical or mechanical device material or equipment that immobilizes or reduces the ability of a person to move his or her arms, legs, body, or head freely.

Answer 25

restraint

Question 26

2 types of risk factors for violence

Answer 26

static (can't change) dynamic (can change)

Question 27

static risk factors for violence

Answer 27

-Previous hx of violence -Male -Young adulthood -Lower intelligence -Hx of head trauma -Hx of military service -Weapons training -Past dx of major mental illness

Question 28

dynamic risk factors for violence

Answer 28

-Substance use -Persecutory delusions -Command hallucinations -Depression -Hopelessness -Suicidality -Treatment non-adherence -Impulsivity -Access to weapons

Question 29

when do you intervene during a crisis

Answer 29

at the earliest signs

Question 30

interventions for crisis (5)

Answer 30

-risk assessment for violence -increased nursing staff -staff training In de-escalation techniques - observe pt for escalation of anger/agitation - ensure that there are staff to intervene

Question 31

technique with dealing with the aggressive patient

Answer 31

-start with least restrictive