Psychiatric Emergencies: Crisis Intervention Flashcards

Question

Caplan's phase 4 of crisis

Answer 1

if problem is not solved and new coping skills are ineffective, anxiety can overwhelm and lead to serious personality disorganization, depression, confusion, violence against others, suicidal ideations

Answer 2

Initial task is to assess potential for suicide (safety) Next want to look at the perception of event, situational supports, and personal coping skills Self Assessment - recognize own triggers and responses to them, as well as debriefing

Answer 3

Crisis usually lasts 4-6 weeks before it is resolved Once resolved person will have either higher, same, or lower level functioning (want to be at least at same level - is goal of crisis intervention) Crisis intervention is here and now oriented focusing on immediate crisis, nurse takes more active and directive role

Answer 4

Can diagnose someone experiencing anxiety, inefficient communication, problem solving difficulty, decreased ability to recognize or access resources with crisis

Answer 5

if occurring within family functioning and communication, changes in family relationships

Answer 6

inability to meet basic needs or role expectations, useful when ineffective behaviors are present

Answer 7

a crisis is experienced and events are severe and widespread

Answer 8

Can be mild, moderate, severe, or panic - severe and panic are first priority

Answer 9

crisis resolution through effective coping and reduced anxiety

Answer 10

Nurse can plan and intervene through varieties of crisis

Answer 11

focus is on present problem and has two goals of safety and anxiety reduction

Answer 12

promotes mental health and reduces mental illness

Answer 13

establishes intervention during an acute crisis to prevent prolonged anxiety from diminishing personal effectiveness and personality organization

Answer 14

programs and services for long term support to those who have experienced crisis

Answer 15

Phase 1 - Introductory phase - meeting purpose explained, debrief is provided, confidentiality is ensured Phase 2 - Fact phase - facts of situation are discussed, introduce selves, tell involvement, and say their point of view Phase 3 - Thought phase - discuss first thoughts Phase 4 - Reaction phase - talk about worst part of incident, what they want to forget Phase 5 - Symptom phase - describe cognitive, physical, emotional, or behavioral experiences at scene and describe symptoms felt after event Phase 6 - Teaching phase - normalcy of expressed symptoms is acknowledged and affirmed, group is in stress management techniques Phase 7 - Reentry phase - review material discussed, introduce new topics, as questions, discuss closure

Answer 16

goal is to return people to pre crisis level of functioning, evaluation is done to see if goal was achieved

Answer 17

Emergency care/crisis care: 1. Crisis call lines 2. Warm lines - prevent escalation of distress 3. Crisis intervention teams 4. Crisis stabilization facilities 5. Psychiatric advance directive plan

Answer 18

*Mitigation* - attempt to limit a disaster impact on human health and community function *Preparedness* - plan designed before event takes place to structure response, assess risk, and evaluate damage *Response* - immediate aftermath of a disaster, operations do not function properly, person safely and well being depends on preparedness Examples are sending out messages, providing shelter, evacuation, search and rescue *Recovery* - restoration efforts occur concurrently with regular activities *Evaluation* is always important to end with as it can help better prepare for future