Exam 2

Question 1

Describe phase 123 and 4 of caplan stages of crisis.

Answer 1

Phase 1: event causes disequilibrium/Increased anxiety which stimulates use the prom solving/ defense mechanisms.

Phase 2: usual defensive responses fail; disequilibrium increases.

Phase 3: trial and error attempts fail; anxiety increases to severe organic levels; emergency coping measures used. ie: denial/ rationalization/ drug use.

Phase 3: new cooking skills ineffective; overwhelming anxiety; personality disorganization/ depression/ violence/ suicidal behavior

Question 2

________Loss arises from external rather than internal sources. There’re two types ______&________.

________Crisis arises from normal growth and development.

________crisis arises because of disaster/Act of violence.

Answer 2

Situational loss; anticipated and unanticipated

Maturational crisis

Adventitious crisis

Question 3

How to assess the stages of coping of an individual with situational loss?

Answer 3

Assist patient ID immediate problem.

Assist balancing factors; precipitating event; situational supports; coping mechanisms

Assess suicidal or homicidal potential.

Process effect of crisis on Pt’s life.

Evaluate patient has returned to precrisis level of function.

Question 4

________ : A pattern of assaultive or coercive behaviors including inflicted physical injury, psychological abuse, sexual salt, intimidation threats, stalking, Progressive social isolation, and deprivation.

Answer 4

Intimate partner violence

Question 5

_______ abuse includes improper confinement, intentional mental or physical pain in the intentional withdrawal of mental and physical services. Neglect is alleged lately regarding sales provide necessary physical and mental health services. Exploitation involves illegal use of victims money/Resources.

Answer 5

Elder abuse

Question 6

Possible indicators of abuse in children:

Answer 6

Anxiety

change in behavior

Absenteeism

frequent ED visits

inconsistencies in reports of injuries/Wounds

bruises in different stages of healing

Question 7

Intimate partner violence

R

A

D

A

R

Answer 7

Routinely screen

Ask directly/ kindly

Document findings

Assess patient’s safety needs

Review options/referrals

Question 8

They have professional must report what three things?

Answer 8

Infants/child abuse

Dependent elder abuse

Specified communicable diseases.

Question 9

Five infrastructures to do ethical violations:

Answer 9

Code of conduct development

Organizational ethics committee development

Educational forums.

Get aggressive about passivity.

A clear published procedure for all individuals to follow.

Question 10

4 things risk managers should do.

Answer 10

Identify possible risks.

Analyze risks.

Act to reduce risks.

Evaluate the steps taken.

Question 11

What are the five main categories of risk that are dealt with in risk management?

Answer 11

Medication incidents.

Diagnostic incidents.

Medical-legal incidents.

Patient/family dissatisfaction with incidents.

Falls.

Question 12

What are the 6 steps to incident reporting?

Answer 12

Discovery. (anyone can report)

Notification. (Risk Manager recieves report within 24hrs)

Investigation. (Started Immediately)

Consultation. (to obtain additional information/ guidance)

Action. (misinformation clarified/ communicated w/pt)

Recording. (and filed away)

Question 13

For elements to prove negligence/ malpractice.

Answer 13

Establishment of a nurse/patient relationship.

Nurse breached duty to patient.

Patient suffered actual harm/ damage.

Calls and connection established btwn care given and patient’s injury.