Crisis Intervention and Trauma-Informed Approaches Quiz
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Questions and Answers

According to the text, what defines a crisis?

  • A prolonged response to life events that challenges a person's coping mechanisms
  • A permanent state of distress caused by life events
  • A time-limited response to life events that overwhelms a person's usual coping mechanisms (correct)
  • A predictable and manageable reaction to life events

    • What is the primary purpose of timely crisis stabilization, as mentioned in the text?

  • To intensify the crisis for future hopefulness
  • To prolong the crisis for personal evolution
  • To deepen the impact of the crisis for resilience
  • To mitigate further negative impact (correct)

    • According to the text, what characterizes a situational crisis?

  • Events that are internal and predictable, such as aging or personal growth
  • Events that are external and unexpected, such as loss/change in job or sudden illness (correct)
  • Events that are external and planned, such as career advancement or financial stability
  • Events that are internal and unexpected, such as emotional breakthroughs or self-discovery

    • What type of crisis may threaten survival, as mentioned in the text?

    <p>Disaster or unexpected situation crisis</p> Signup and view all the answers

    According to the text, what are some potential outcomes of crisis intervention?

    <p>Personal evolution and growth, resiliency, and gaining skills and hopefulness for the future</p> Signup and view all the answers

    What defines a developmental/maturation crisis, as per the text?

    <p>A life stage that creates internal conflict, such as adolescence, moving away, marriage, becoming a parent, retirement, etc.</p> Signup and view all the answers

    What distinguishes a disaster or unexpected situation crisis, according to the text?

    <p>It results from events that are not part of everyday life, such as natural disasters or violent crime</p> Signup and view all the answers

    What percentage of the Canadian population is estimated to be affected by suicidal ideation and self-harm?

    <p>0.1%</p> Signup and view all the answers

    Which factor is classified by Durkheim and Cohen as influencing suicide?

    <p>Socioeconomic status</p> Signup and view all the answers

    What is the average cost of hospitalization for suicide and attempted suicide in Canada?

    <p>$5,500 per admission</p> Signup and view all the answers

    Which type of interventions for suicidal patients focuses on improving communication and networking?

    <p>Social interventions</p> Signup and view all the answers

    Which region in Canada had the highest suicide rate in 2009?

    <p>Nunavut</p> Signup and view all the answers

    What percentage of suicide fatalities in Canada involve firearms?

    <p>20%</p> Signup and view all the answers

    What is the estimated prevalence of suicidal ideation and self-harm among adolescents?

    <p>Higher than adult population</p> Signup and view all the answers

    What is the single greatest cause of injury to women?

    <p>Battering</p> Signup and view all the answers

    Which form of abuse is a serious problem in Canada with adult children often identified as responsible?

    <p>Elder abuse</p> Signup and view all the answers

    What is essential in working with individuals experiencing intimate partner violence?

    <p>Trauma-informed care</p> Signup and view all the answers

    What may survivors of abuse experience and have an increased risk of?

    <p>Dissociative identity disorder and substance use</p> Signup and view all the answers

    What is crucial in cases of sexual assault, which can lead to unwanted pregnancies and STIs?

    <p>Early treatment and support</p> Signup and view all the answers

    What are nurses advised to do in assessing everyone for violence?

    <p>Develop culturally sensitive questions using a trauma-informed approach</p> Signup and view all the answers

    Who is primarily affected by human trafficking in Canada?

    <p>Indigenous women and girls</p> Signup and view all the answers

    What have long-term consequences for social groups, affecting social norms and dynamics?

    <p>Collective trauma and historical trauma</p> Signup and view all the answers

    What is the recurring pattern of abuse and reconciliation in abusive relationships called?

    <p>The cycle of violence</p> Signup and view all the answers

    What are the principles of trauma-informed approach in crisis intervention?

    <p>Safety, trust, choice, collaboration, shared power, consideration of cultural, historical, and gender issues</p> Signup and view all the answers

    What does the Roberts' Seven-Stage Crisis Intervention Model provide?

    <p>A widely recognized framework for crisis intervention</p> Signup and view all the answers

    What does acute crisis intervention primarily focus on?

    <p>Addressing risks to personal safety, active suicidality, and mental health deterioration</p> Signup and view all the answers

    What is included in a safety plan for crisis intervention?

    <p>Identifying factors that make one feel safe or unsafe, recognizing signs of distress, and outlining coping strategies and support needed during a crisis</p> Signup and view all the answers

    What are the factors contributing to crisis response according to the text?

    <p>Holistic factors including socio-cultural, psychological, situational, biological, developmental, and spiritual aspects</p> Signup and view all the answers

    What does nursing care in crisis intervention encompass?

    <p>Early intervention, stabilization, facilitating understanding, focusing on problem-solving, and encouraging self-reliance</p> Signup and view all the answers

    What are the communication techniques in crisis intervention according to the text?

    <p>Demonstrating empathy and respect, talking openly, being self-aware, staying calm, and showing genuine interest</p> Signup and view all the answers

    What is the primary characteristic of a crisis, as defined in the text?

    <p>It overwhelms a person's usual coping mechanisms</p> Signup and view all the answers

    What distinguishes a developmental/maturation crisis from a situational crisis?

    <p>Developmental crisis involves internal conflict related to life stages, while situational crisis involves unexpected external events</p> Signup and view all the answers

    What type of crisis may result from events that are not part of everyday life, such as natural disasters or violent crime?

    <p>Disaster or unexpected situation crisis</p> Signup and view all the answers

    What is the primary purpose of timely crisis stabilization, as mentioned in the text?

    <p>To mitigate further negative impact</p> Signup and view all the answers

    What are the potential outcomes of crisis intervention, as mentioned in the text?

    <p>Resiliency and gain skills for the future</p> Signup and view all the answers

    According to the text, what type of crisis may individuals be more open and amenable to interventions?

    <p>Crisis</p> Signup and view all the answers

    What is the estimated prevalence of suicidal ideation and self-harm among adolescents, as mentioned in the text?

    <p>Not provided in the text</p> Signup and view all the answers

    What percentage of the Canadian population is estimated to be affected by suicidal ideation and self-harm?

    <p>0.1%</p> Signup and view all the answers

    What was the suicide rate in Nunavut per 100,000 people in 2009?

    <p>56.9</p> Signup and view all the answers

    What factor is recognized as a source of resilience and coping in addressing suicide?

    <p>Spiritual beliefs and connectedness</p> Signup and view all the answers

    What is the most frequently present mental health disorder in cases of suicidal behavior?

    <p>Major depressive disorder</p> Signup and view all the answers

    What is the average cost of hospitalization for suicide and attempted suicide in Canada?

    <p>$5,500 per admission</p> Signup and view all the answers

    What type of interventions for suicidal patients focuses on improving communication and networking?

    <p>Social interventions</p> Signup and view all the answers

    What are the factors influencing suicide, as classified by Durkheim and Cohen?

    <p>Socioeconomic status, social structures, and experiences of isolation</p> Signup and view all the answers

    What are the principles of trauma-informed approach in crisis intervention?

    <p>Safety, trust, choice, collaboration, shared power, consideration of cultural, historical, and gender issues</p> Signup and view all the answers

    What does the Roberts' Seven-Stage Crisis Intervention Model provide?

    <p>A widely recognized framework for crisis intervention</p> Signup and view all the answers

    What does acute crisis intervention primarily focus on?

    <p>Addressing risks to personal safety, active suicidality, and mental health deterioration</p> Signup and view all the answers

    What are the communication techniques in crisis intervention?

    <p>Demonstrating empathy and respect, talking openly, being self-aware, staying calm, and showing genuine interest</p> Signup and view all the answers

    What is crucial in cases of sexual assault, which can lead to unwanted pregnancies and STIs?

    <p>Timely access to medical care and support services</p> Signup and view all the answers

    What distinguishes a disaster or unexpected situation crisis?

    <p>It affects a large number of people and requires immediate response</p> Signup and view all the answers

    What does nursing care in crisis intervention encompass?

    <p>Early intervention, stabilization, facilitating understanding, focusing on problem-solving, and encouraging self-reliance</p> Signup and view all the answers

    What is the estimated primary cause of injury to women, as mentioned in the text?

    <p>Battering</p> Signup and view all the answers

    What is the most prevalent form of child abuse, as per the text?

    <p>Witnessing intimate partner violence</p> Signup and view all the answers

    What is the primary focus of early treatment and support in cases of sexual assault, as mentioned in the text?

    <p>Preventing unwanted pregnancies</p> Signup and view all the answers

    What is essential in working with individuals experiencing intimate partner violence, according to the text?

    <p>Trauma-informed care</p> Signup and view all the answers

    What is a significant consequence for social groups, as mentioned in the text?

    <p>Collective trauma</p> Signup and view all the answers

    What is crucial for rebuilding communities affected by trauma, according to the text?

    <p>Holistic community approaches</p> Signup and view all the answers

    What may survivors of abuse experience and have an increased risk of, as per the text?

    <p>Dissociative identity disorder</p> Signup and view all the answers

    What is the recurring pattern of abuse and reconciliation in abusive relationships called?

    <p>Cyclical violence</p> Signup and view all the answers

    What is the primary cause of injury to women, as mentioned in the text?

    <p>Battering</p> Signup and view all the answers

    What does the 'Dish With One Spoon' treaty represent?

    <p>A treaty between Indigenous Nations and newcomers to share and protect the land</p> Signup and view all the answers

    What does the 'Dish' or 'Bowl' represent in the 'Dish With One Spoon' treaty?

    <p>Southern Ontario, from the Great Lakes to Quebec and from Lake Simcoe into the United States</p> Signup and view all the answers

    What is symbolized by the fact that there are no knives at the table in the 'Dish With One Spoon' treaty?

    <p>The need to maintain peace and avoid conflict</p> Signup and view all the answers

    What is the primary responsibility of those who share the territory according to the 'Dish With One Spoon' treaty?

    <p>To ensure the dish is never empty and take care of the land and creatures</p> Signup and view all the answers

    What is the significance of the wampum in the 'Dish With One Spoon' treaty?

    <p>It graphically represents the dish</p> Signup and view all the answers

    What is the purpose of the 'Dish With One Spoon' treaty?

    <p>To promote sharing, peace, friendship, and respect among Indigenous Nations, newcomers, and subsequent peoples</p> Signup and view all the answers

    What was the primary purpose of the Royal Proclamation/The Treaty of Niagara in 1764?

    <p>To recognize and incorporate newcomers into the treaty</p> Signup and view all the answers

    What percentage of male federal inmates had an identified mental health need?

    <p>25%</p> Signup and view all the answers

    What percentage of female federal inmates had an identified mental health need?

    <p>50%</p> Signup and view all the answers

    What was the main factor contributing to the over-representation of people with serious mental health issues in Canadian courts and correctional facilities?

    <p>Lack of access to timely treatment and supports</p> Signup and view all the answers

    What historical context of mental health care is mentioned in the text?

    <p>Existence of asylums in the 1500s-1800s</p> Signup and view all the answers

    What role have police officers taken on in relation to people with mental illness?

    <p>Secondary responders in mental health crises</p> Signup and view all the answers

    Which notable figures championed humane treatment for mentally ill patients in the late 1700s to early 1800s?

    <p>Philippe Pinel and William Tuke</p> Signup and view all the answers

    In the late 19th and early 20th centuries, Canada's mental health care shifted from familial care to what type of care?

    <p>Institutionalized care</p> Signup and view all the answers

    What were the unintended consequences of rapid deinstitutionalization in Canada?

    <p>Increased homelessness and inadequate community resources</p> Signup and view all the answers

    What development in the 1950s and 1960s contributed to the improvement of mental health care in Canada?

    <p>Introduction of universal health insurance</p> Signup and view all the answers

    What organization was established in 2007 to address the lack of a nationwide mental health strategy in Canada?

    <p>Mental Health Commission of Canada</p> Signup and view all the answers

    When was the Mental Health Strategy for Canada, outlining 26 priorities and 109 recommendations for action, established?

    <p>2012</p> Signup and view all the answers

    What ethical theory emphasizes duty or obligation?

    <p>Principlism</p> Signup and view all the answers

    Which legal term is related to the involuntary admission of individuals to designated facilities under specific conditions?

    <p>Admission certificate</p> Signup and view all the answers

    Which ethical framework is grounded in compassion, empathy, and professionalism?

    <p>Ethics of care</p> Signup and view all the answers

    What is part of the legal framework for mental health care in Canada?

    <p>Conditional leave</p> Signup and view all the answers

    What is the primary responsibility of nurses regarding the Mental Health Act of their province/territory?

    <p>Understand and explain the basic provisions</p> Signup and view all the answers

    What ethical theory focuses on promoting happiness for the greatest number of people?

    <p>Utilitarianism</p> Signup and view all the answers

    What are the four eligibility criteria for Medical Assistance in Dying (MAiD) in Canada?

    <p>Being eligible for health insurance, at least 18 years old and capable of making health care decisions, having a grievous and irremediable medical condition, making a voluntary request free from external pressure, and giving informed consent after being informed of all other available treatments and care</p> Signup and view all the answers

    What is considered a grievous and irremediable medical condition for MAiD eligibility?

    <p>A serious and incurable illness, disease, or disability, in an advanced state of irreversible decline, causing enduring physical or psychological suffering intolerable to the individual</p> Signup and view all the answers

    What are some of the ethical issues in psychiatric settings mentioned in the text?

    <p>Threats to dignity, behavior control, seclusion, and restraint, psychiatric advance directives, relational engagement, confidentiality, advances in neurotechnology, genetics, social justice, and research ethics</p> Signup and view all the answers

    What are psychiatric advance directives used for?

    <p>To designate a surrogate decision maker and communicate with physicians</p> Signup and view all the answers

    What is a core value underpinning the CNA Code of Ethics in relation to mental illness?

    <p>Individual autonomy and self-determination</p> Signup and view all the answers

    What do research ethics in psychiatric and mental health nursing involve?

    <p>Addressing the tainted history, providing adequate support for mental health and addictions research, evaluating risks for vulnerable populations, and addressing social, economic, and political issues affecting health and well-being</p> Signup and view all the answers

    Study Notes

    Crisis Intervention and Trauma-Informed Approach Overview

    • Crisis can lead to overwhelming anxiety and impair cognitive, emotional, and behavioral functions
    • Crisis provides an opportunity for personal evolution and growth, and timely stabilization is essential to mitigate negative impact
    • Factors contributing to crisis response are holistic and include socio-cultural, psychological, situational, biological, developmental, and spiritual aspects
    • Roberts' Seven-Stage Crisis Intervention Model is a widely recognized framework for crisis intervention
    • Trauma-informed approach principles include safety, trust, choice, collaboration, shared power, and consideration of cultural, historical, and gender issues
    • Trauma-informed approach applied to crisis involves realizing, recognizing, and responding to trauma, establishing feelings of personal safety, and intervening in person-centered ways
    • Communication techniques in crisis intervention involve demonstrating empathy and respect, talking openly, being self-aware, staying calm, and showing genuine interest
    • Acute crisis intervention focuses on addressing risks to personal safety, active suicidality, and mental health deterioration
    • Legal and ethical considerations in crisis intervention include respecting the rights of the person, navigating the limits of the law, and balancing the therapeutic relationship with the safety of the client
    • A safety plan includes identifying factors that make one feel safe or unsafe, recognizing signs of distress, and outlining coping strategies and support needed during a crisis
    • Toronto area resources for crisis intervention include the Distress Centre of Greater Toronto, Gerstein Centre, and Mobile Crisis Intervention Team (MCIT)
    • Nursing care in crisis intervention encompasses early intervention, stabilization, facilitating understanding, focusing on problem-solving, and encouraging self-reliance; the goals include assisting individuals to return to adaptive functioning and preventing negative effects of extreme stress. Additionally, the text provides statistics and risk factors related to self-harm behavior and suicide, including gender-specific differences, indigenous people, and LGBTQ individuals.

    Violence and Abuse Across the Lifespan

    • Men are more likely to be victims of serious assaults and less likely to seek help.
    • Child abuse prevalence includes witnessing intimate partner violence, neglect, physical violence, emotional neglect, physical, sexual, and emotional abuse.
    • Elder abuse is a serious problem in Canada, with adult children often identified as responsible.
    • Battering involves repeated physical or sexual violence for coercive control and is the single greatest cause of injury to women.
    • Human trafficking in Canada involves well-organized networks, primarily affecting indigenous women and girls.
    • Early treatment and support are crucial in cases of sexual assault, which can lead to unwanted pregnancies and STIs.
    • Trauma-informed care is essential in working with individuals experiencing intimate partner violence.
    • The cycle of violence depicts the recurring pattern of abuse and reconciliation in abusive relationships.
    • Nurses should assess everyone for violence and develop culturally sensitive questions using a trauma-informed approach.
    • Survivors of abuse may experience dissociative identity disorder and have an increased risk of substance use and dependence.
    • Collective trauma and historical trauma have long-term consequences for social groups, affecting social norms and dynamics.
    • Integrated holistic community approaches are essential for rebuilding communities affected by trauma, involving public awareness, traditional practices, and rehabilitation.

    Legalization of Medical Assistance in Dying (MAiD) for Mental Illness in Canada

    • Medical Assistance in Dying (MAiD) for mental illness will be legal in Canada from March 2023.
    • MAiD involves administering a substance to cause death at the person's request or providing a substance for self-administration to cause their own death.
    • Four eligibility criteria for MAiD include being eligible for health insurance, at least 18 years old and capable of making health care decisions, having a grievous and irremediable medical condition, making a voluntary request free from external pressure, and giving informed consent after being informed of all other available treatments and care.
    • A person is considered to have a grievous and irremediable medical condition if they have a serious and incurable illness, disease, or disability, are in an advanced state of irreversible decline, and their illness causes enduring physical or psychological suffering intolerable to them.
    • Death does not need to be reasonably foreseeable for MAiD eligibility, and there are procedural safeguards to be met before accessing MAiD, including medical assessments and informed consent.
    • Ethical issues in psychiatric settings include threats to dignity, behavior control, seclusion, and restraint, psychiatric advance directives, relational engagement, confidentiality, advances in neurotechnology, genetics, social justice, and research ethics.
    • Threats to dignity in psychiatric settings can lead to suffering, and it is essential to consistently ask what it is like to use mental health services.
    • Individuals at risk due to mental illness need to be protected and supported with the least intrusive and restrictive interventions, respecting individual rights, dignity, and autonomy.
    • Psychiatric advance directives are legal resources for individuals with compromised decision-making ability due to mental illness, allowing for the designation of a surrogate decision maker and communication with physicians.
    • Confidentiality and privacy in psychiatric care involve complex decisions related to consent and sharing information with the care team, with advances in technology posing threats to privacy.
    • Social justice is a core value underpinning the CNA Code of Ethics, addressing social injustices related to mental illness due to stigma and discrimination worldwide.
    • Research ethics in psychiatric and mental health nursing involve addressing the tainted history, providing adequate support for mental health and addictions research, evaluating risks for vulnerable populations, and addressing social, economic, and political issues affecting health and well-being.

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    Description

    Test your knowledge of crisis intervention and trauma-informed approaches with this overview quiz. Explore Roberts' Seven-Stage Crisis Intervention Model, trauma-informed principles, communication techniques, legal and ethical considerations, and Toronto area resources. Assess your understanding of acute crisis intervention, safety planning, nursing care, and statistics and risk factors related to self-harm behavior and suicide.

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