Psychiatric Emergencies Flashcards
crisis
an acute and time limited event that exceeds normal coping mechanisms
crisis intervention
focuses only on the present problem
generally short term
crisis resolution
regaining pre-crisis/baseline level of functioning
maturational crisis
personal crisis that relates to a developmental stage
ex: getting marries, retirement, childbirth
situational crisis
critical life problems - not sought out by person
ex: divorce, loss of job, death of loved one
adventitious crisis
unexpected disaster and is not a part of every day life
ex: natural disasters, wars, violence
phase 1 of a crisis:
initiation of a crisis event
problem solving begins and defense mechanisms are in use
phase 2 of a crisis
anxiety escalates r/t defense mechanism failure
trial and error problem solving
phase 3 of a crisis
anxiety turns to severe and panic levels r/t failure of problem solving
fight/flight begins
phase 4 of a crisis
anxiety becomes overwhelming and violent
suicidal ideation and dissociative symptoms may occur
abuse
wrongful use and maltreatment of another person
social isolation
victims may be threatened with violence if they reveal the abuse to others
abuse of power
usually the abuser holds power over the victim, may be financial or physical
traits of abuse perpetrators
low self esteem
poor problem solving
impulsive behavior
narcissism
immaturity
characteristics of a child abuser
expectation that a child will provide love and support
hx of abuse or neglect as a child
has unrealistic expectations of childhood behaviors
poor parenting skills
may believe child is evil
cycle of IPV abuse
tension building phase
battering phase
honey-moon phase
characteristics of IPV perpetrator
denies and blames
controls through isolation
controls through economic abuse
controls through power
traits of IPV victim
dependent nature
fearful of leaving
defines self by relationship
may believe they are to blame
school violence examples
bullying/school shootings
community violence examples
gang/drug activity and homlessness
world violence example
terrorism
anger
unplanned reaction to a stressor
catharsis
expression of anger in aggressive but safe activities
suppression
holding anger in and not expressing it verbally or productively
violence
intent to cause harm that may or may not include emotion of anger
preassaultive stage:
triggering and escalation
intervention: de-escalation
assaultive stage
crisis and recovery
intervention: medication, restraints, seclusion
post-assaultive stage
post crisis
intervention” debriefing
X3 meds for aggression
olanzapine
ziprasidone
haloperidol
stages of grieving
denial anger bargaining depression acceptance
worden grieving
1: accepting reality
2: using coping skills to process emotional pain of loss
3: adjusting to world without deceased
4: finding an enduring connection with deceased while moving forward and embracing lfie
how long is “normal” grief
about 1 year
