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mental health > week 8 > Flashcards

week 8 Flashcards

1
Q

What is a crisis?

A

struggle for equilibrium and adjustment when problems seem unsolvable

no way to fix what’s happening in a situation

acute and time limited

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2
Q

How does someone get through a crisis?

A
  1. how the individual copes
  2. do they have a support system
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3
Q

How do we assist those in a crisis?

A

helping them understand that they can’t fix or solve the problem

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4
Q

what interventions would be implemented for someone going through a crisis?

A

broad
creative
flexibile

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5
Q

What types of crises are there?

A
  1. developmental
  2. situational
  3. existential
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6
Q

What stage of psychosocial development does someone go through as an INFANT?

A

trust vs mistrust

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7
Q

What stage of psychosocial development does someone go through as a TODDLER?

A

autonomy vs shame and doubt

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8
Q

What stage of psychosocial development does someone go through as a PRE-SCHOOLER?

A

initiative vs guilt

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9
Q

What stage of psychosocial development does someone go through as a GRADE-SCHOOLER?

A

industry vs inferiority

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10
Q

What stage of psychosocial development does someone go through as a TEENAGER?

A

identify vs role confusion

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11
Q

What stage of psychosocial development does someone go through as a YOUNG ADULT?

A

Intimacy vs isolation

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12
Q

What stage of psychosocial development does someone go through as a MIDDLE-AGE ADULT?

A

generatively vs stagnation

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13
Q

What stage of psychosocial development does someone go through as a OLDER ADULT?

A

Integrity vs Despair

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14
Q

Where does a situational crisis arise from?

A

external source

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15
Q

Are situational crises unanticipated and uncommon?

A

yuh

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16
Q

What do responses on a situational crisis depend on?

A
  1. degree of support available
  2. Resiliency
  3. overall physical and emotional health
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17
Q

what is an adventitious crisis?

A

community wide

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18
Q

What is an external crisis?

A

questioning life purpose or spirituality

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19
Q

What can a existential crisis lead to?

A
  1. newfound motivation
  2. Feelings of isolation and depression
20
Q

What happens in stage 1 of crisis?

A
  1. confronted with conflict
  2. Responds with anxiety
  3. adapt to conflict/assimilate to crisis
21
Q

What happens in stage 2 of crisis?

A
  1. Threat persists
  2. Anxiety rises
  3. Individual functioning becomes disorganized
  4. will use trial and error attempts
22
Q

What happens in stage 3 of crisis?

A
  1. severe anxiety
  2. Withdrawal and flight
  3. Reevaluating needs (as long as I’m surviving)
23
Q

What happens in stage 4 of crisis?

A
  1. overwhelming anxiety
  2. Serious personality disorganization
  3. homicidal or suicidal behavior
24
Q

What do we asses for in someone who is going through stage 4 crisis?

A

assess for any psychotic behavior (homicide, suicide, safety)

25
Q

What do we do in an assessment for crisis?

A
  1. patients perception
  2. Situational support
  3. Coping skills
26
Q

What is primary care in the implementation phase of crisis?

A
  1. promotes mental health and reduces mental illness

-teach coping skills
-preventative
-help pt recognize that their life crises are stressful
-try not to make changes during stressful events

27
Q

What is secondary care in the implementation phase of crisis?

A
  1. Establishes intervention during an acute crisis to prevent prolonged anxiety

-they are currently experiencing the crisis
-suicide preven
-helping identity a support system
-assess for coping skills/teach new ones

28
Q

What is tertiary care in the implementation phase of crisis?

A
  1. Provides support for those recovering from a disabling mental state

-after crisis has subsided
-prevent further disruption

critical stress debriefing

29
Q

What are the phases of critical stress debriefing? (Don’t need to know all the phases, these are for reference)

A
  1. introductory phase
  2. fact phase
  3. Thought phase
  4. Reaction phase
  5. Symptom phase
  6. teaching phase
  7. reentry phase
30
Q

What is KEY to know about the critical stress debriefing phases?

A

debriefing is done after a traumatic situation

31
Q

What should we evaluate for in a crisis?

A
  1. is the pt safe
  2. is the pt able to use coping skills
  3. what is the pts level of functioning
    (can they get by in their daily life)
32
Q

Who is most likely to commit suicide?

A

15-29 yr olds
Males more likely due to lethal means but women attempt more they just dot always die

33
Q

What are some risk factors for suicide?

A
  1. health
  2. environmental
  3. historical
  4. Genetics
  5. age
34
Q

What do we include in an assessment for suicide?

A
  1. verbal cues
  2. behavioral cues
  3. suicide assessment
35
Q

What is the difference between overt and covert statements?

A

overt: straightforward statements

covert: subtle statements

36
Q

What would we do for the implementation stage of suicide?

A
  1. Don’t leave individual alone
  2. family and community support
  3. Restrict access to lethal means
  4. CBT
  5. Remain nonjudgemental and listen attentively
37
Q

What is postvention?

A

kinda like debriefing

to prevent suicide

  1. for survivors
  2. Initiate within 24-72 hours after death
  3. Post traumatic stress reactions
  4. Psot trauma loss debriefing
38
Q

What is uncomplicated grief?

A

normal progression through grief, should resolve in 6 months

39
Q

What is acute grief?

A

Results from the unexpected death of a family member

40
Q

What is anticipatory grief?

A

-terminal prognosis
-they anticipate someone is going to pass away

41
Q

What is disenfranchised grief?

A

grief that is not publicly mourned. ie:miscarriage, mistress passes

42
Q

What is complicated grief?

A

grief that lasts more than 6 months

43
Q

What is ambiguous grief?

A

-presence and absence
-you don’t know where someone is but you don’t know if they’re alive

44
Q

When would grieving be considered dysfunctional?

A

if they can’t perform ADLs or experience other emotions

45
Q

What are the 4 tasks of mourning?

A
  1. Accept
  2. Process
  3. Adjust
  4. Find
46
Q

What are some communication skills for the dying?

A
  1. open ended questions
  2. active listening
  3. therapeutic response
  4. address spirituality

mental health (14 decks)

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