Mental Health Chapter 9 Quiz: Characteristics of a Crisis

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Questions and Answers

What are some common behavioral responses to disasters mentioned in the text?

Excitement and happiness

Confidence and contentment

Anger, disbelief, and sadness (correct)

Calmness and serenity

Which of the following is NOT listed as a common behavioral response to disasters?

Anger

Joy (correct)

Anxiety

Fear

What may children experience after a disaster according to the text?

Nightmares and separation anxiety (correct)

Increased appetite

Improved concentration

Elevated mood

Which characteristic is NOT typically associated with aggression, as mentioned in the text?

Friendly demeanor and calm voice Signup and view all the answers

What is a common nursing diagnosis associated with disasters mentioned in the text?

Risk for infection Signup and view all the answers

What is a crucial factor in managing aggressive or violent behavior?

Past history of violence Signup and view all the answers

What does the evaluation process in disaster nursing involve according to the text?

Reassessment to determine success of nursing interventions Signup and view all the answers

What aspect is emphasized as the key issue in managing aggressive or violent behavior?

Preventing escalation Signup and view all the answers

Based on the text, which of the following is considered crucial in identifying the extent of risks associated with aggression?

Current behaviors Signup and view all the answers

What should individuals ideally have to help prevent the development of a crisis, according to the text?

Strong family support Signup and view all the answers

In crisis situations, what could potentially help individuals avoid reaching a critical point, based on the information provided?

Cultivating healthy coping mechanisms Signup and view all the answers

What type of crisis is characterized by an unexpected, external stressor over which the individual has little or no control?

Traumatic stress crisis Signup and view all the answers

Which type of crisis occurs in response to a situation triggering unresolved conflicts in one's life?

Maturational crisis Signup and view all the answers

In which crisis type is preexisting psychopathology instrumental in precipitating the crisis?

Psychopathological crisis Signup and view all the answers

What defines a psychiatric emergency crisis?

Impaired general functioning and inability to assume personal responsibility Signup and view all the answers

Which characteristic is NOT associated with identifying anger in a crisis situation according to the text?

High-pitched voice Signup and view all the answers

What is the key difference between a maturational crisis and a traumatic stress crisis?

Role of unresolved conflicts Signup and view all the answers

What defines a crisis according to the text?

A sudden event in one's life that requires usual coping mechanisms. Signup and view all the answers

What is a key characteristic of a crisis?

It disturbs homeostasis. Signup and view all the answers

How are crises different from chronic situations according to the text?

Crises are resolved quickly, while chronic situations last indefinitely. Signup and view all the answers

What happens when previous problem-solving techniques fail in a crisis?

Anxiety further increases. Signup and view all the answers

In which phase of crisis development are all possible resources called on to resolve the problem?

Phase 3 Signup and view all the answers

What happens if resolution does not occur in the earlier phases of crisis development?

'Tension mounts beyond a further threshold.' Signup and view all the answers

What is the minimum therapeutic goal of crisis intervention?

Psychological resolution of the individual’s immediate crisis and restoration to at least the level of functioning that existed before the crisis period Signup and view all the answers

During which phase of crisis intervention is information gathered about the precipitating stressor and resulting crisis?

Phase 1: Assessment Signup and view all the answers

In crisis intervention, what happens during the Planning phase?

Selecting appropriate nursing diagnoses reflecting the immediacy of the crisis situation Signup and view all the answers

What role may nurses play in crisis intervention according to the text?

Crisis helpers in any setting committed to nursing practice Signup and view all the answers

How can a crisis be potentially diverted according to the text?

By drawing on past successful coping strategies Signup and view all the answers

What should be taken into consideration when selecting appropriate nursing actions in crisis intervention?

The type of crisis and individual's strengths and available resources for support Signup and view all the answers

Study Notes

Aggression Management

Aggression can be identified by a cluster of characteristics, including:
- Pacing
- Restlessness
- Verbal/physical threats
- Threats of homicide or suicide
- Loud voice
- Argumentative
- Tense facial expression and body language

Assessing Risk Factors

Three factors are important considerations in identifying the extent of risks:
- Past history of violence
- Client diagnosis
- Current behaviors

Managing Aggressive Behavior

Prevention is the key issue in managing aggressive or violent behavior

Crisis Intervention

The minimum therapeutic goal of crisis intervention is psychological resolution of the individual's immediate crisis and restoration to at least the level of functioning that existed before the crisis period
Phase 1: Assessment - gather information regarding the precipitating stressor and the resulting crisis
Phase 2: Planning - select appropriate nursing diagnoses, establish desired outcome criteria, and select appropriate nursing actions
Phase 3: Intervention - implement the actions identified in the planning phase, using a reality-oriented approach

Disaster Nursing

Disasters leave victims with a damaged sense of safety and well-being and varying amounts of emotional trauma
Common behavioral responses to disasters include:
- Anger
- Disbelief
- Sadness
- Anxiety
- Fear
- Sleep disturbances
- Increased use of alcohol, caffeine, and tobacco
Children may experience:
- Separation anxiety
- Nightmares
- Problems with concentrating
Nursing diagnoses and outcomes for disaster nursing include:
- Risk for injury
- Risk for infection
- Anxiety (panic)
- Fear
- Spiritual distress
- Risk for post-trauma syndrome
- Ineffective community coping

Crisis Types

Crisis resulting from traumatic stress: precipitated by an unexpected, external stressor over which the individual has little or no control
Maturational/developmental crisis: occurs in response to a situation that triggers emotions related to unresolved conflicts in one's life
Crisis reflecting psychopathology: an emotional crisis in which preexisting psychopathology has been instrumental in precipitating the crisis
Psychiatric emergency: a crisis situation in which general functioning has been severely impaired and the individual is rendered incompetent or unable to assume personal responsibility

Crisis Definition and Characteristics

Crisis is defined as a sudden event in one's life that disturbs homeostasis and cannot be resolved by usual coping mechanisms
Crisis occurs in all individuals at one time or another and is not necessarily equated with psychopathology
Crises are precipitated by specific identifiable events, are personal by nature, and are acute, not chronic
A crisis situation contains the potential for psychological growth or deterioration

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Description

Test your knowledge on crisis intervention with this quiz covering topics like defining crisis, characteristics of crisis, and problem solving during crisis. This quiz is based on Chapter 9 of the book 'Crisis Intervention'.

Mental Health Ch. 9

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