Crisis
Types of Emotional Crisis
Milieu
Inter-disciplinary Team Members
Role of the Nurse
100
A sudden event in one's life that disturbs homeostasis in which usual coping mechanisma cannot resolve the problem.
What is a crisis?
100
Job loss or divorce is classified as which type of crisis?
Situational crisis
100
A scientific structuring of the environment to effect behavioral changes & to improve the psychological health & functioning of the individual.
What is Milieu Therapy.
100
Serves as the leader of the team, responsibile for the diagnosis & treatment of mental disorders and prescribed medications.
What is a psychiatrist.
100
What is one of the first nursing interventions in establishing a foundation for trust & maintaining a therapeutic milieu?
What is orient the client to
•To the environment
•To his/her rights and responsibilities within the unit milieu
•To the structured activities designed for personal growth
•To any limits or restrictions necessary to maintain safety
200
This immediate response aims to stabilize individuals experiencing acute emotional distress.
What is crisis intervention?
200
What is a normal-life cycle transition that may be anticipated but the individual may feel no control?
What is crisis of anticipated life transitions.
200
Within the therapeutic community, the client is expected to learn what three things?
What are adaptive coping, interaction, and relationship skills.
200
This team member provides ongoing assessment of the client condition, both mentally and physically, manages the milieu on a 24-hr basis.
What is the psychiatric nurse.
200
Name 3 things a nurse- client therapeutic relationship consists of.
–Consistently focus on client’s ideas, experiences, and feelings.
–Identify and explore the client’s needs and problems.
–Discuss problem-solving alternatives.
–Help develop the client’s strengths and new coping skills.
–Encourage positive behavior change.
–Assist to develop a sense of autonomy and self-reliance
–Portray genuineness, empathy, and a positive regard.
300
Approach that an individual is more likely than not to have a history of trauma.
What is trauma informed care?
300
What crisis precipitated by an unexpected, external stressor over which the individual has little to no control?
What is a crisis resulting from a traumatic stress.
300
◦To decrease the emotional, physical and mental stress levels of a situation using verbal and non-verbal techniques
What is the goal of de-escalation?
300
This team member conducts individual, group & family therapy. They are concerned with the client's social needs.
Who is the psychiatric social worker.
300
What phase of the nursing process includes the mental status exam and suicide risk assessment?
Assessment
400
Name the 3 factors that determine if whether one experiences a crisis in response to a stressful situation.
What is the individuals's preception of the event, availability of situational supports & the availability of adeqauate coping mechanisms.
400
What crisis occurs in response to a situation that triggers emotions related to unresolved conflict's in one's life?
What is Maturational/Development Crisis?
400
Name 3 of the conditions needed to promote a therapeutic community.
What is...
1.Basic physiological needs are fulfilled.
2.The physical facilities are conducive to achievement of the goals of therapy.
3.A democratic form of self-government exists.
4.Responsibilities are assigned according to client capabilities.
5.A structured program of social and work-related activities is scheduled as part of the treatment program.
6.Community and family are included in the program of therapy in an effort to facilitate discharge from treatment.
400
This team member uses recreational activities to promote clients to redirect their thinking or rechannel destructive energy in an appropriate manner.
Who is a Recreational Therapist.
400
Name 3 ways a nurse helps to prevent a client from self-harm or harm by/to others within the milieu.
–No access to sharp or harmful objects
–Restriction of client access to restricted or locked areas
–Monitoring of visitors
–Restriction of alcohol and illegal substance access or use
–Restriction of sexual activity among clients
–Deterrence of elopement from facility
–Rapid de-escalation of disruptive and potentially violent behaviors through planned interventions
500
This basic methodology relies heavily on an orderly problem-solving techniques & structured activities focused on change.
What is Crisis intervention.
500
Which crisis situation in general functioning is severely impaired rendering the individual incompetent or unable to assume personal responsibility?
What is a Psychiatric Emergency.
500
What stage of the anger-aggression continuum includes pacing, clenched jaw, and loud speech?
Escalation Stage
•Care is directed by an interdisciplinary team.
•A comprehensive treatment plan is formulated by team.
•Team members of all disciplines sign the plan and meet regularly to update the plan as needed.
500
Which team member encourages self-expression through music.
Who is the music therapist.
500
What must be considered in room assignments of clients?
–Personalities of each roommate
–Likelihood of nighttime disruptions for a roommate if one client has difficulty sleeping
–Mental health and medical diagnosis, such as how tow clients who have severe paranoia might interact with each other