FINAL - Crisis Management Flashcards
1
Q
Assessment for potential violent behavior
A
- History
- Threat
- Substance
- Command auditory hallucinations
- Progressive psychomotor agitation
- Acute mania
- Agitated depression
- Personality disorders
- Delirium
2
Q
Interventions for Violence
A
Increase staff
Train staff on de-escalation techniques
Observe for escalation
Intervene at earliest sign
3
Q
De-Escalation techniques
A
- Calm, undivided attention
- Non judgmental
- Set limits
- Prevent physical confrontation
4
Q
Techniques for aggressive patients
A
- Talk DOWN
- Physical outlets
- Meds
- Seclusion, restraints
5
Q
How should you start to deal with aggressive patients?
A
Least restrictive technique
6
Q
Should secluded patients be left alone in a room?
A
NO
7
Q
Must be seen by who, how often?
A
MD, LIP, RN, PA within 1 hr of initiation
8
Q
How often should the RN assess a patient on seclusion/restraints
A
Every hour
9
Q
Goal of crisis intervention
A
Resolution and restore to pre-crisis functioning
10
Q
Role of RN (3)
A
Support, direct, active
11
Q
Methodology for crisis
A
Orderly problem solving + structured activity
12
Q
What is the focus on
A
Change
