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NURS-202 Exam 6 - Mental Health, Oncology, Pain
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NURS-202 Exam 6 - Mental Health, Oncology, Pain/NURS-202 Exam 6 - Mental Health, Oncology, Pain/NURS-202 Exam 6 - Mental Health, Oncology, Pain
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NURS-202 Exam 6 - Mental Health,Oncology, Pain
What is a crisis? - correct answer A sudden event in one's life that disturbs homeostasis, during
which usual coping mechanisms cannot resolve the problem
acute, not chronic
occurs in all individuals
personal by nature
precipitated by specific identifiable events
potential for psychologic growth or deterioration
What are the 4 phases in the development of a crisis? - correct answer Phase 1
• exposure to precipitating stressor
• anxiety increases ↑↑↑
• previous problem-solving and coping techniques are employed
Phase 2
• previous problem-solving techniques do not relieve
• increasing anxiety ↑↑↑
• helplessness can occur if coping not effective
• feelings of confusion, disorganization prevail
Phase 3
• all possible internal and external resources are used in attempt to resolve problem and
alleviate anxiety
,NURS-202 Exam 6 - Mental Health,
Oncology, Pain
• individual may try to look at problem from various angles or avoid/overlook problem
altogether
→ may be a point where they can resolve the crisis and move on, may have growth
Phase 4
• tension mounts
• major disorganization occurs
• continued increase in anxiety/panic
• emotional lability
• cognitive functions disordered
→ may move into psychosis if things continue to devolve
if someone is in stage 4 crisis and things continue to devolve, it may move into _____________
- correct answer psychosis
what are the different types of crisis? - correct answer dispositional
-something around you causing stress
-acute response to external stressor
-ex: messy house
of anticipated life transitions
-cause worry "everything is changing"
-frequently nonproductive
-can happen with good or bad changes
-ex: divorce, terminal illness diagnosis in family
from traumatic stress
-mental health deterioration after trauma
,NURS-202 Exam 6 - Mental Health,
Oncology, Pain
-ex: someone was assaulted
maturational and developmental
-life changes they can't handle
-ex: new baby or their parent needs a caregiver
reflecting psychopathology
-starting to show signs of psych dx
-ex: new dx of schizophrenia, bipolar
psychiatric emergencies
-acute psychiatric emergency
-ex: acute psychosis
What is the biggest goal of crisis intervention?
what are some others? - correct answer biggest goal: to make a safe place for our client
they are feeling very unsafe, powerless, maybe afraid to talk about what is going on - we need
to help them recognize their feelings, have an open environment
-don't make them feel shame
-make them feel it's okay to feel those feelings
-help recognize when they are angry and seek out staff to talk about feelings
, NURS-202 Exam 6 - Mental Health,
Oncology, Pain
-take responsibility for feelings of anger
-help them learn how to have self control over feelings of anger
-demonstrate ability to diffuse anger before losing control
-use tension generated by anger in a constructive manner
-use steps of problem solving process rather than becoming violent
What are the phases in crisis intervention? - correct answer Phase 1: Assessment
Phase 2: Planning of Therapeutic Intervention
Phase 3: Intervention
Phase 4: Evaluation of crisis resolution and anticipatory planning
What is the goal of crisis intervention?
what are things to remember about this? - correct answer resolution of immediate crisis
not a "life fix" but resolution to current crisis
help them with problem-solving
tap into support systems
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