Questions and Answers
Finding out what an agitated individual wants and expressing a desire to help the individual get what he/she wants can lead to rapid de-escalation of agitation.
True
What is one of the 10 domains of de-escalation that involves finding something to agree about with the patient?
Fogging
What behavior is recommended to be non-provocative?
The goal of de-escalation is to recognize which state a person is in by observing their verbal and non-verbal behaviors.
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Debriefing with staff involved in the use of force and/or restraints is necessary to identify what went well.
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It is beneficial to have several people verbally interact with an agitated individual.
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How should you respond to an agitated individual named Sam?
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It is necessary to restore a therapeutic relationship with the patient following an involuntary intervention.
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What are the benefits of using a non-coercive approach?
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Offering realistic choices and optimism can empower an individual who thinks physical violence is necessary.
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What is the definition of non-coercive de-escalation?
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What are the objectives of non-coercive de-escalation?
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What stage is Sam at when he raises his voice and expresses anger?
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Sam apologizing for raising his voice and asking to reschedule his appointment is an example of successful de-escalation.
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The 'Aggression Continuum' Ladder includes 6 behavioral stages from calm to physical violence.
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Study Notes
De-escalation Techniques
- Identifying the desires of agitated individuals and expressing a willingness to assist can facilitate rapid de-escalation.
- "Fogging" involves agreeing with portions of a patient's stance as a way to demonstrate empathy.
- One of the 10 de-escalation domains emphasizes non-provocative behavior—maintaining calm and neutral responses is crucial for effective de-escalation.
Goals and Processes
- The main objective of de-escalation is recognizing a person's emotional state through their verbal and non-verbal cues and assisting them in returning to a state of calmness.
- Conducting debriefing sessions after the use of force or restraints is essential to evaluate the event's effectiveness and learn for future incidents.
- Establishing a therapeutic relationship post-intervention requires a debrief to re-engage the patient positively.
Interaction Guidelines
- Multiple individuals interacting with an agitated person can lead to confusion or increased agitation—one-on-one interaction is preferred.
- Responding to conflicts involves using non-confrontational body language and giving the individual space while demonstrating a willingness to help.
Non-Coercive Approaches
- Non-coercive de-escalation entails persuading individuals without the use of force, fostering an environment of respect and cooperation.
- Benefits of a non-coercive approach can include increased cooperation and feeling of empowerment for individuals who might resort to violence.
- Offering realistic choices may empower those who perceive physical aggression as their only option.
Behavioral Stages
- The "Aggression Continuum" Ladder outlines six stages that individuals can progress through, from calmness to physical violence.
- A person exhibiting verbally hostile behavior, like raising their voice and expressing frustration, indicates they are at the third stage of the aggression continuum.
- Successful de-escalation can be evidenced when a previously agitated individual apologizes and seeks to resolve the situation amicably.
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Description
This quiz focuses on techniques and strategies for de-escalating situations with agitated individuals. It covers key concepts such as empathetic responses and specific phrases that can aid in calming tension. Ideal for healthcare professionals or anyone involved in conflict resolution.
