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Questions and Answers
What are some common behavioral responses to disasters mentioned in the text?
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?
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?
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?
Which characteristic is NOT typically associated with aggression, as mentioned in the text?
What is a common nursing diagnosis associated with disasters mentioned in the text?
What is a common nursing diagnosis associated with disasters mentioned in the text?
What is a crucial factor in managing aggressive or violent behavior?
What is a crucial factor in managing aggressive or violent behavior?
What does the evaluation process in disaster nursing involve according to the text?
What does the evaluation process in disaster nursing involve according to the text?
What aspect is emphasized as the key issue in managing aggressive or violent behavior?
What aspect is emphasized as the key issue in managing aggressive or violent behavior?
Based on the text, which of the following is considered crucial in identifying the extent of risks associated with aggression?
Based on the text, which of the following is considered crucial in identifying the extent of risks associated with aggression?
What should individuals ideally have to help prevent the development of a crisis, according to the text?
What should individuals ideally have to help prevent the development of a crisis, according to the text?
In crisis situations, what could potentially help individuals avoid reaching a critical point, based on the information provided?
In crisis situations, what could potentially help individuals avoid reaching a critical point, based on the information provided?
What type of crisis is characterized by an unexpected, external stressor over which the individual has little or no control?
What type of crisis is characterized by an unexpected, external stressor over which the individual has little or no control?
Which type of crisis occurs in response to a situation triggering unresolved conflicts in one's life?
Which type of crisis occurs in response to a situation triggering unresolved conflicts in one's life?
In which crisis type is preexisting psychopathology instrumental in precipitating the crisis?
In which crisis type is preexisting psychopathology instrumental in precipitating the crisis?
What defines a psychiatric emergency crisis?
What defines a psychiatric emergency crisis?
Which characteristic is NOT associated with identifying anger in a crisis situation according to the text?
Which characteristic is NOT associated with identifying anger in a crisis situation according to the text?
What is the key difference between a maturational crisis and a traumatic stress crisis?
What is the key difference between a maturational crisis and a traumatic stress crisis?
What defines a crisis according to the text?
What defines a crisis according to the text?
What is a key characteristic of a crisis?
What is a key characteristic of a crisis?
How are crises different from chronic situations according to the text?
How are crises different from chronic situations according to the text?
What happens when previous problem-solving techniques fail in a crisis?
What happens when previous problem-solving techniques fail in a crisis?
In which phase of crisis development are all possible resources called on to resolve the problem?
In which phase of crisis development are all possible resources called on to resolve the problem?
What happens if resolution does not occur in the earlier phases of crisis development?
What happens if resolution does not occur in the earlier phases of crisis development?
What is the minimum therapeutic goal of crisis intervention?
What is the minimum therapeutic goal of crisis intervention?
During which phase of crisis intervention is information gathered about the precipitating stressor and resulting crisis?
During which phase of crisis intervention is information gathered about the precipitating stressor and resulting crisis?
In crisis intervention, what happens during the Planning phase?
In crisis intervention, what happens during the Planning phase?
What role may nurses play in crisis intervention according to the text?
What role may nurses play in crisis intervention according to the text?
How can a crisis be potentially diverted according to the text?
How can a crisis be potentially diverted according to the text?
What should be taken into consideration when selecting appropriate nursing actions in crisis intervention?
What should be taken into consideration when selecting appropriate nursing actions in crisis intervention?
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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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