CrisisDisaster Flashcards
Common characteristics of someone who’s been through a crisis include what?
Experience of a sudden event with little or no time to prepare. Perception of the event as overwhelming or life-threatening. Loss or decrease in communication with significant others. Sense of displacement from the familiar. An actual or perceived loss.
What nurses and other health professionals do to assist those in crisis to cope.
Crisis intervention. Interventions need to be broad, creative, and flexible. Deals with an immediate criss and realistic goals for the current situation.
What do crisis events represent?
The even itself is not pathologic, but represents a struggle for equilibrium and an adjustment when problems seem unsolvable. Present both danger to personality organization and an opportunity for growth.
What do outcomes from crises depend on?
Hoe individual, family, community, perceives and deals with the crisis. Outside supports available.
Crises are acute, time-limited occurrences experienced as overwhelming emotional reactions to what?
Stressful situational events, events that are developmental, societal, cultural, perception of an event.
A person in a crisis is assumed to be what? When do crisis resolve?
Assumed to be mentally healthy but is presently in a state of disequilibrium.
A crisis is sled-limiting and is usually resolved within 4-6 weeks.
Factors that limit the ability to problem solve or cope include the presence of stressful life events such as:
Mental illness, substance abuse, history of poor coping skills, diminished cognitive abilities, preexisting physical health problems, limited social support network, developmental and physical challenges
What are the three basic types of crisis?
Maturational/internal, situational/external, adventitious (disasters)
Phase 1 of a crisis?
Person is confronted by conflict that threatens self-concept, responds with increased anxiety.
Phase 2 of a crisis?
If the usual defensive response fails and if threat persists, the anxiety escalates. Trial and error begins.
Phase 3 of a crisis?
If the trial and error attempts fail, then anxiety can escalate to severe and panic levels
Phase 4 of a crisis?
If the problem is not solved, and new coping skills are ineffective, then anxiety can overwhelm the person and lead to serious illness. Assess for suicidal thoughts.
Explain Roberts’s seven-stage model of criss intervention?
Plan and conduct crisis assessment. Establish rapport and rapidly establish relationship. Identify major problems. Deal with feelings and emotions. Generate and explore alternatives. Develop and formulate action plans. Follow-up plan and agreement.
Determining whether an event is a crisis is based on what?
The perspective and strengths of the patient. Seeing the event through the eyes of the patient is important. The nurse’s initial task is to assess the individual or family’s perception of the problem.
How to asses for crises?
Identify whether the pt needs psychiatric treatment or hospitalization, suicidal, homicidal. Can the pt identify the precipitating event? Does the pt understand situation supports? Identify coping skills. Determine religious and cultural beliefs that need to be considered.
