Upgrade to remove ads
Crisis Management & Mass Disaster
Terms in this set (54)
an acute, time-limited (lasting 4-6 weeks) event that a client experiences an emotional response that can't be managed with normal coping mechanisms.
a crisis distorts our _____
hurricanes, tornados, & mass shootings
examples of crisis
A crisis can present in two ways; what are they?
An opportunity or danger
With support / Counseling / Intervention, the individual survives the crisis with increased coping skills, emotional growth, and resources which prepare him for future stressors.
Without support, the individual may return to a lowered level of functioning by use of the ego defense mechanisms or remain nonfunctional via suicide, homicide, or psychosis.
Who (HCP) will be involved with crisis intervention?
Social workers, therapists, EMS, nurses
Do we ask crisis patients open ended questions like "how did you feel when your house was burning ?"
No, we use directive care and communication. "Are the kids safe?"
What must you be able to identify in a crisis?
is a personal struggle for equilibrium and adaptation. What might be considered a crisis for one person may not be so for another.
T or F: A crisis is an illness.
Will a patient with a mental illness approach crisis differently?
Yes, they may be mania or schizophrenic and lack judgement skills and won't have rational thinking.
- universal, occurs in all individuals
- Not necessarily associated with psychopathology
limited to a brief period, 4 to 6 weeks except death
- Crises are personal
- Crisis presents both danger to personality organization and an opportunity for growth or deterioration
These are ________ ______ of _______.
Common Characteristics of Crisis
sudden event with little or no time to prepare, perception of the event as overwhelming or life-threatening, loss or decrease in communication with significant other, sense of displacement from the familiar, an actual or perceived loss.
3 types of Crisis
often unanticipated loss or change experienced in every day, often unanticipated, LIFE events.
illness, divorce, unemployment
examples of situational crisis
achieving new developmental STAGES, which requires learning additional coping mechanisms.
examples of maturational crisis
the occurrence of NATURAL disasters, crimes, or national disasters. Large scale psychological trauma caused by natural disaster. CISD tool is used in the community when this happens
September 11th, hurricanes
examples of adventitious crisis.
In which type of crisis will the community resources be depleted?
Adventitious crisis (natural disaster)
crisis (risk factors)
accumulation of unresolved losses, life stressors, mental and physical health issues, excessive fatigue or pain, age and developmental stage, support system and prior experience with stress/crises.
suicidal or homicidal ideation requiring hospitalization, client's perception of the precipitating event, cultural or religious needs, support system and present coping skills.
A crisis has how many phases?
crisis phase 1
escalating anxiety from a threat activates increased defense responses.
In what PHASE of crisis will the person be faced with the conflict?
1 ; they will also try DEFENSE MECHANISMS.
crisis phase 2
anxiety continues escalating as defense response fail, functioning becomes disorganized, and the client resorts to trial and error attempts to resolve anxiety.
crisis phase 3
trial-and-error methods of resolution fail, and the clients anxiety escalates to severe or panic levels, leading to flight or withdrawal behaviors.
If effective coping skills are NOT used, the problem will not be resolved, resulting in
crisis phase 4
crisis phase 4
client experiences overwhelming anxiety that can lead to anguish and apprehension, feeling of powerlessness and being overwhelmed, dissociative symptoms (depersonalization, detachment from reality), depression, confusion, and/or violence against others or self.
- Patient's Perception
- Support system
- Coping Skills
are the 3 what?
Areas of Crisis that we assess
While assessing the patient perception, you should ask about what?
the patients SI, support system, coping skills, and spirituality.
Are religion and spirituality the same?
What should an assessment of a crisis patient include?
- Determine the severity of the crisis
- Assess the risk for suicide/homicide
- Assess patient's perception of the precipitating events
Assess the patient's coping skills
- Assess the available support system
- Determine the religious and cultural beliefs that need to be considered as you intervene in the crisis.
T or F : it's important to ask a patient what coping methods have worked for them in the past?
provides rapid assistance for individuals or groups. the initial task for the nurse it to provide a sense of safety by assessing clients potential suicide or homicide.
What is our goal with crisis?
and identify the patients strengths and weaknesses
What are some medications the we can give during crisis?
lorazepam (Ativan) (A benzo will act quickly)
Levels of Nursing Care in Crisis can be broken down into
Primary, secondary, and tertiary levels.
________ care promotes mental health and reduces mental illness to decrease the incidence of crisis.
TEACHING the patient to take their prescribed medication would be what level of care?
__________ care establishes the intervention during an acute crisis to prevent prolonged anxiety from diminishing personal effectiveness and personality organization.
an example of secondary care
______ care provides support for those who have experienced a severe crisis and are now recovering from a disabling mental state.
an example of tertiary care
T or F : We want the patient to set realistic goals to return to pre-crisis level of functioning
What type of care should we provide for crisis patients?
Ms. T., a single mother of four, comes to the crisis center 24 hours after an apartment fire in which all the family's household goods and clothing were lost. Ms. T. has no family in the area. Her efforts to mobilize assistance have been disorganized, and she is still without shelter. She is distraught and confused. The nurse assesses the situation as which of the following types of crisis?
A. Maturational crisis
B. Situational crisis
C. Adventitious crisis
D.Evidence of an inadequate personality
C. Adventitious because it (1) it's an unexpected
- a fire. (2) affected EVERYONE in the apartment building
* Decrease Anxiety
Develop a therapeutic nurse-client relationship, remain with the client, listen and observe, eye contact, ask questions related to the client's feelings, ask questions related to the event, demonstrate genuineness and caring, clear communication if needed with clear directives, avoid false reassurance and non therapeutic response, relaxation techniques, ID and teach coping skills
Crisis plan of action
short-term, no longer than 24-72 hr, focused on the crisis and realistic and manageable.
administer anti-anxiety and/or antidepressants (paxil) medication as prescribed. benzodiazepine is used to minimize anxiety.
Crisis client education
Identify and coordinate with support agencies and other resources. Plan and provide follow up care.
While evaluating the patient, what are some questions to ask?
- Is the patient safe?
- Has the patient developed more adaptive ways to cope with stress and anxiety?
- Does the patient have a stronger existing support system?
- Has the patient maintained an optimal level of functioning?
- Has the patient returned to the pre-crisis level of functioning?
THIS SET IS OFTEN IN FOLDERS WITH...
MH Stress and Anxiety
Schizophrenia Practice Questions
YOU MIGHT ALSO LIKE...
Psych Exam 2 - Ch. 26 (Crisis and Disaster)
psych ch 26 EAQ's
Unit 1 EAQ questions & rationals
Chap 21 - Variables affecting the Therapeutic Envi…
OTHER SETS BY THIS CREATOR
CMS Exam 2: Renal Failure
Life Threatening Dysrhythmias
ARDS (acute resp. distress syndrome)