Crisis: Theory and Intervention

Question 1

What is the 1st phase of crisis?

Answer 1

Self-esteem threatened, and anxiety increases

Question 2

What is the 2nd phase of crisis?

Answer 2

Anxiety rises, defense mechanisms fail, Problem solving fails

Question 3

What is the 3rd phase of crisis?

Answer 3

Anxiety at severe or near panic levels, automatic behaviors: withdrawal/avoidance (flight, fight or freeze)

Question 4

What is the 4th phase of crisis?

Answer 4

Anxiety overwhelms and personality disorganizes: Psychosis, violence to self and others.

Question 5

Define Crisis.

Answer 5

A struggle for balance when the problem seems unsolvable.

Question 6

What is a crisis?

Answer 6

Sudden event that disturbs psychological homeostasis and results in disequilibrium.

Question 7

What does a crisis overwhelm for an individual?

Answer 7

It overwhelms the usual coping mechanisms and skills/mechanisms the client uses to resolve the problems.

Question 8

What are symptoms of a crisis?

Answer 8

Extreme distress, anxiety and the ability to function is impaired.

Question 9

Before a crisis is an individual considered to be mentally healthy or unhealthy?

Answer 9

Healthy

Question 10

What are the 5 elements of a crisis?

Answer 10

• Acute
• Time-limited occurrence (lasts 4,6,8 weeks and resolves or lessens)
• Experienced as overwhelming emotional reaction to event
• Crises are universal across cultures
• Culture plays a strong role in how event is perceived and interperted

Question 11

What is the goal of crisis intervention?

Answer 11

Reduce anxiety so person can feel safe and think and be able to return to previous level of functioning before crisis occurred.

Question 12

The resolution of the crisis depends on what?

Answer 12

Action of client and helpful intervention of others.

Question 13

What is the time frame for crisis intervention therapy

Answer 13

It is short 1 to 6 to 8 weeks

Question 14

What is the focus of crisis intervention therapy?

Answer 14

On the resolution of immediate or present problem

Question 15

What is the nurses role in crisis intervention therapy?

Answer 15

Active and direct in the helping process (eliciting feelings and meaning in the person)

Question 16

What does early crisis intervention do for prognosis?

Answer 16

increases the possibility of a good prognosis

Question 17

The client undergoing Crisis intervention therapy is encouraged to work with the nurse to do what?

Answer 17

Set realistic goals and plan interventions or ways to deal with the crisis.

Question 18

What are the three types of Crises?

Answer 18

Maturational, Situational, Adventitious

Question 19

Define Maturational/Developmental Crisis?

Answer 19

Normal events that everyone goes through. It’s a response to situations that trigger emotions related to unresolved conflicts in ones life.

Question 20

Give example of Maturational/developmental crises.

Answer 20

Leaving home as a young adult, birth of a child, marriage

Question 21

Define a situational crisis

Answer 21

Uncommon or extraordinary external and often unanticipated life-cycle transitions over which the person may feel a lock of control.

Question 22

Give examples of situational crises.

Answer 22

Severe physical or mental illness, divorce or death of significant person, extreme change in financial status

Question 23

Define an adventitous crisis.

Answer 23

precipitated by natural disasters, natural disasters, or crimes of violence. The person has little or no control over the situation and is emotionally overwhelmed and deleted.

Question 24

Give examples of adventitous crises.

Answer 24

Natural disasters in nature such as forest fires, wars, riots, terrorism, tornados, earthquakes, and floods. Crimes or violence such as workplace violence, assault, spouse or child abuse, or murder.

Question 25

What are four common problems of beginning nurses?

Answer 25

Need to be needed, set unrealistic goals for client, difficulty dealing with issue of suicide, difficulty terminating the relationship.

Question 26

What is the initial goal in the nursing assessment in crisis intervention?

Answer 26

Client Safety

Question 27

What are five nursing assessments in Crisis intervention?

Answer 27

Does the client need external controls such as 72-hr hold? Are the clients basic needs met? Does the client recognize the situational supports available? Does the client recognize the precipitating event? Is the person able to assess personal coping skills?

Question 28

What do you need to do to the crisis model if it is a complex crisis?

Answer 28

Need to adjust the model if it is a complex crisis.