Mental Health Ch. 9
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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?

    <p>Friendly demeanor and calm voice</p> Signup and view all the answers

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

    <p>Risk for infection</p> Signup and view all the answers

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

    <p>Past history of violence</p> Signup and view all the answers

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

    <p>Reassessment to determine success of nursing interventions</p> Signup and view all the answers

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

    <p>Preventing escalation</p> 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?

    <p>Current behaviors</p> Signup and view all the answers

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

    <p>Strong family support</p> Signup and view all the answers

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

    <p>Cultivating healthy coping mechanisms</p> 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?

    <p>Traumatic stress crisis</p> Signup and view all the answers

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

    <p>Maturational crisis</p> Signup and view all the answers

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

    <p>Psychopathological crisis</p> Signup and view all the answers

    What defines a psychiatric emergency crisis?

    <p>Impaired general functioning and inability to assume personal responsibility</p> Signup and view all the answers

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

    <p>High-pitched voice</p> Signup and view all the answers

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

    <p>Role of unresolved conflicts</p> Signup and view all the answers

    What defines a crisis according to the text?

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

    What is a key characteristic of a crisis?

    <p>It disturbs homeostasis.</p> Signup and view all the answers

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

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

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

    <p>Anxiety further increases.</p> Signup and view all the answers

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

    <p>Phase 3</p> Signup and view all the answers

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

    <p>'Tension mounts beyond a further threshold.'</p> Signup and view all the answers

    What is the minimum therapeutic goal of crisis intervention?

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

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

    <p>Phase 1: Assessment</p> Signup and view all the answers

    In crisis intervention, what happens during the Planning phase?

    <p>Selecting appropriate nursing diagnoses reflecting the immediacy of the crisis situation</p> Signup and view all the answers

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

    <p>Crisis helpers in any setting committed to nursing practice</p> Signup and view all the answers

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

    <p>By drawing on past successful coping strategies</p> Signup and view all the answers

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

    <p>The type of crisis and individual's strengths and available resources for support</p> 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'.

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