Podcast
Questions and Answers
A crisis is self-limiting and usually resolves within 4-6 weeks.
A crisis is self-limiting and usually resolves within 4-6 weeks.
True
The earlier interventions are implemented, the better the expected prognosis.
The earlier interventions are implemented, the better the expected prognosis.
True
The nurse should maintain a directive role during a crisis.
The nurse should maintain a directive role during a crisis.
False
The patient in crisis is assumed to be mentally unhealthy.
The patient in crisis is assumed to be mentally unhealthy.
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What is the goal of crisis management?
What is the goal of crisis management?
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Which statement about crisis theory will provide a basis for nursing intervention?
Which statement about crisis theory will provide a basis for nursing intervention?
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You assess Lilly's situation after her house fire as:
You assess Lilly's situation after her house fire as:
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What intervention takes priority when responding to a patient like Lilly?
What intervention takes priority when responding to a patient like Lilly?
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Which belief would be LEAST helpful for a nurse working in crisis intervention?
Which belief would be LEAST helpful for a nurse working in crisis intervention?
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The highest-priority goal of crisis intervention is:
The highest-priority goal of crisis intervention is:
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Which event is an example of a maturational crisis?
Which event is an example of a maturational crisis?
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Which medications might the provider prescribe for a patient experiencing a crisis?
Which medications might the provider prescribe for a patient experiencing a crisis?
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Crises that occur as an individual moves from one developmental level to another are called?
Crises that occur as an individual moves from one developmental level to another are called?
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When a person becomes unemployed, he is likely to experience a(n)?
When a person becomes unemployed, he is likely to experience a(n)?
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When a tornado results in the loss of homes, businesses, and life, the town residents are likely to experience a(n)?
When a tornado results in the loss of homes, businesses, and life, the town residents are likely to experience a(n)?
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A crisis is so acutely uncomfortable to the individual that it is likely to self-resolve in?
A crisis is so acutely uncomfortable to the individual that it is likely to self-resolve in?
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The expected outcome at the conclusion of crisis intervention therapy is that the client will function?
The expected outcome at the conclusion of crisis intervention therapy is that the client will function?
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In the event of an adventitious crisis, which age group would be least in need of crisis intervention?
In the event of an adventitious crisis, which age group would be least in need of crisis intervention?
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The nurse caring for a client in crisis shows signs of a problematic nurse-client relationship by?
The nurse caring for a client in crisis shows signs of a problematic nurse-client relationship by?
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When a stressful event occurs and the individual is unable to resolve the situation by using his or her usual coping strategies, the individual?
When a stressful event occurs and the individual is unable to resolve the situation by using his or her usual coping strategies, the individual?
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A client is treated in the emergency department for injuries sustained while vacationing hundreds of miles away from home. To best meet the client's emotional needs, the nurse should?
A client is treated in the emergency department for injuries sustained while vacationing hundreds of miles away from home. To best meet the client's emotional needs, the nurse should?
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Which statement would suggest to the crisis intervention nurse the need to arrange for hospitalization of a client?
Which statement would suggest to the crisis intervention nurse the need to arrange for hospitalization of a client?
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To assess the client's perception of the event precipitating a crisis, the nurse would initially ask?
To assess the client's perception of the event precipitating a crisis, the nurse would initially ask?
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Which assumption serves as a foundation for the use of crisis intervention?
Which assumption serves as a foundation for the use of crisis intervention?
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The priority concern of the crisis intervention nurse is?
The priority concern of the crisis intervention nurse is?
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Which situation has the potential for early crisis intervention to occur?
Which situation has the potential for early crisis intervention to occur?
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A 12-year-old finds herself feeling anxious and overwhelmed and seeks out the school nurse to report that 'Everything is changing...my body, the way the boys who were my friends are treating me, everything is so different.' It is likely the child is?
A 12-year-old finds herself feeling anxious and overwhelmed and seeks out the school nurse to report that 'Everything is changing...my body, the way the boys who were my friends are treating me, everything is so different.' It is likely the child is?
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The nurse working with a client in crisis must initially assess for the client's?
The nurse working with a client in crisis must initially assess for the client's?
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A woman comes to the crisis intervention clinic and reports that her 16-year-old son uses drugs in the home and often assaults her. The nurse tells the client?
A woman comes to the crisis intervention clinic and reports that her 16-year-old son uses drugs in the home and often assaults her. The nurse tells the client?
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A woman comes to the crisis intervention clinic expressing concern that her 16-year-old is using illegal drugs in their home. The nurse will?
A woman comes to the crisis intervention clinic expressing concern that her 16-year-old is using illegal drugs in their home. The nurse will?
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A client comes to the crisis intervention clinic and tearfully tells the nurse, 'It is so painful! I have thought about it, and I cannot see how I can go on without my partner.' The nurse states, 'You have resilience and will look back on this as a crisis you were able to manage.' Analysis of this interaction reveals that the nurse?
A client comes to the crisis intervention clinic and tearfully tells the nurse, 'It is so painful! I have thought about it, and I cannot see how I can go on without my partner.' The nurse states, 'You have resilience and will look back on this as a crisis you were able to manage.' Analysis of this interaction reveals that the nurse?
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When the client begins to sob uncontrollably and her speech becomes so incoherent that she is unable to give the nurse any information, the immediate interventions will focus on?
When the client begins to sob uncontrollably and her speech becomes so incoherent that she is unable to give the nurse any information, the immediate interventions will focus on?
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Mason and Charlie, both 16 years old, were involved in a bad car accident in which they were both passengers. The difference in the way the accident affected both boys may be explained by?
Mason and Charlie, both 16 years old, were involved in a bad car accident in which they were both passengers. The difference in the way the accident affected both boys may be explained by?
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Carter, aged 36 years, comes to the crisis clinic for his first visit with complaints of not sleeping, anxiety, and excessive crying. He recently was fired suddenly from his job and 3 days later lost his home to a tornado that devastated the town he lives in. Which of the following statements regarding crisis accurately describes Carter's situation?
Carter, aged 36 years, comes to the crisis clinic for his first visit with complaints of not sleeping, anxiety, and excessive crying. He recently was fired suddenly from his job and 3 days later lost his home to a tornado that devastated the town he lives in. Which of the following statements regarding crisis accurately describes Carter's situation?
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Tori is the nurse working with Carter and other members of the community after the tornado. As the weeks go by, she begins to feel anxious and distressed. She speaks to her nurse mentor about her feelings. Which of the following may Tori be experiencing?
Tori is the nurse working with Carter and other members of the community after the tornado. As the weeks go by, she begins to feel anxious and distressed. She speaks to her nurse mentor about her feelings. Which of the following may Tori be experiencing?
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Tori knows that Carter needs assistance with many aspects of getting through the crisis. Tori's highest priority in Carter's care is?
Tori knows that Carter needs assistance with many aspects of getting through the crisis. Tori's highest priority in Carter's care is?
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Carter experiences each of the following during his crisis. Which of the following describes phase IV of Caplan's phases of crisis?
Carter experiences each of the following during his crisis. Which of the following describes phase IV of Caplan's phases of crisis?
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Which patient statement indicates the helpfulness of the nurse-patient relationship?
Which patient statement indicates the helpfulness of the nurse-patient relationship?
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A female nurse had been sexually assaulted as a teenager. She finds it difficult to work with patients who have undergone the same trauma. What is the most helpful response?
A female nurse had been sexually assaulted as a teenager. She finds it difficult to work with patients who have undergone the same trauma. What is the most helpful response?
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A patient whose history includes experiences with abusive partners is being treated for major depressive disorder. The patient's care plan includes rape-trauma syndrome among its nursing diagnoses. What goal is directly associated with this diagnosis?
A patient whose history includes experiences with abusive partners is being treated for major depressive disorder. The patient's care plan includes rape-trauma syndrome among its nursing diagnoses. What goal is directly associated with this diagnosis?
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The nurse is engaged in crisis intervention with a patient reporting, 'I have no reason to keep on living.' What is the nurse's initial intervention?
The nurse is engaged in crisis intervention with a patient reporting, 'I have no reason to keep on living.' What is the nurse's initial intervention?
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Which statement concerning a crisis experience is true and should be used as a guideline for crisis management care?
Which statement concerning a crisis experience is true and should be used as a guideline for crisis management care?
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Study Notes
Types of Crises
- Maturational Crises: Occur during significant developmental changes, requiring adaptation to new life tasks when old coping mechanisms fail.
- Situational Crises: Result from external events (e.g., unemployment, death), leading to an inability to manage normal coping strategies.
- Adventitious Crises: Unexpected events like natural disasters or violent crimes that disrupt normal life.
Crisis Intervention
- Crisis Duration: Most crises self-resolve within 4 to 6 weeks as individuals adjust their coping mechanisms.
- Goal of Intervention: Aim to return the individual to their precrisis level of functioning to ensure psychological stability.
- Age and Intervention: All age groups require psychological support following a crisis, highlighting the universal nature of distress.
Nurse-Client Relationship
- Signs of Unhealthy Dynamics: A nurse undermining the client’s self-reliance by offering personal reassurance or changing session times repeatedly.
- Client Support: The nurse must provide temporary support to clients lacking a support system, such as arranging shelter during crises.
Assessing Client Needs
- Perception of Crisis: The client’s understanding of what led to their distress is crucial for assessment and intervention planning.
- Safety Prioritization: In crisis situations, the nurse’s primary concern must be client safety and assessing potential suicidal thoughts.
Dealing with Emotional Distress
- Signs of Severe Distress: Including incoherence and uncontrollable crying signals the need for immediate intervention to lower anxiety levels.
- Vicarious Traumatization: Mental health care providers can experience distress from their clients' traumatic experiences, necessitating self-care and support.
Collaborative Goal Setting
- Effective intervention requires collaborative goal-setting, ensuring client involvement in the care plan for better compliance and safety.
Phases of Crisis Response
- Phase IV: Characterized by severe symptoms such as depression and suicidal ideation if coping mechanisms fail.
- Phase I Response: Is marked by increased anxiety and the emergence of problem-solving attempts.
Crisis Management Principles
- Crisis as a Time-Limited Event: Generally, crises are acute, self-limiting, and resolve within a set timeframe, facilitating prompt intervention.
- Early Intervention Benefits: The success of crisis management increases with the promptness of interventions.
Understanding Client Statements
- Positive Client Feedback: Indicates effective nurse-client relationships when clients express gratitude and improved understanding of their situation.
Special Circumstances
- Individuals with histories of trauma may struggle with patient interactions; professional support is critical to mitigate biases and maintain care standards.
- Clients experiencing multiple crises simultaneously require tailored responses recognizing the heightened difficulty in coping.
Key Takeaways for Nurses
- Mental health interventions must prioritize immediate client safety, assess realistic perceptions of crises, and maintain supportive relationships.
- Understanding the nature of different crises helps in selecting appropriate interventions and facilitating recovery for clients facing distress.### Crisis Intervention Beliefs
- Belief that a person in crisis is incapable of making decisions is least helpful for effective crisis intervention.
- Effective crisis counseling is viewed as a partnership between the nurse and the patient.
- Crisis counseling aims to help patients refocus and gain new perspectives on their situations.
- Anxiety-reduction techniques are vital for accessing a patient's inner resources during a crisis.
Priorities in Crisis Intervention
- The highest-priority goal of crisis intervention is ensuring patient safety.
- Secondary goals may include reducing anxiety, identifying situational supports, and teaching specific coping skills.
Types of Crises
- Maturational crises arise from significant life changes; example: marriage.
- Adventitious crises occur due to unexpected events; example: rape.
- Situational crises result from external factors, such as severe physical illness or job loss.
Medications for Crisis Management
- Lithium carbonate and lorazepam are medications that may be prescribed for patients experiencing a crisis.
- Lorazepam is particularly useful for managing anxiety symptoms.
Studying That Suits You
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Description
Test your knowledge about crises as discussed in Halter Chapter 26. This quiz focuses on understanding different types of crises, including maturational, situational, and others. Perfect for students studying developmental psychology or nursing.
