Cant get away from the medications
Goal of crisis intervention
Patient will return to pre crisis level of functioning
A patient is treated in the emergency department for injuries sustained while vacationing hundreds of miles away from home. To best meet the patient's emotional needs, the nurse should do which of the following?
A.)Arrange to hospitalize the patient.
B.)Refer the patient for traditional psychotherapy for post-traumatic stress disorder.
C.)Provide temporary support by arranging shelter and contacting the patient's friends.
D.)Suggest that contacting a victim support group would be more appropriate than crisis intervention.
C
What are the three criteria's that must be met for a crisis
1. Personal perception of event as significantly distressing
2. Unable to be resolved with normal coping mechanism
3. Acute time limited 4-6 weeks
Any manual method that immobilizes or reduces abillity of patient to move arms, legs, body freely
Restraint
adventitious crisis
Which class may reduce the amount of antipsychotic that is needed to control agitation
Antianxiety benzodiazepines
After the bomb explosions at the Boston Marathon in 2013, members of the community donned t-shirts that said, "Boston Strong." Which phase of the disaster management continuum is evident by this behavior?
A.)Recovery
B.)Mitigation
C.)Evaluation
D.)Preparedness
A
The two goals for crisis and disaster
patient safety
anxiety reduction
emotional response to frustration of desires, a threat to ones needs, or challenge
anger
Sarah is preparing for the birth of her first child
Maturational crisis
Name 4 1st generation antipsychotics
Haloperidol (Haldol)
Perphenazine
Chlorpromazine (Thorazine)
Loxapine( Adasuve)
Which event is most likely to contribute to a client's escalating anger?
A. Watching violence on television
B. Another client's depressed mood
C. A staff member challenging them
D. A staff member asking them to help another client
C
the three frequent areas that anger occurs in
psychiatric unit
ER's
Geriatric unit
objectionable act that involves intentional use of force that results in or has the potential to result in injury to another person
violence
Tina was assaulted last night
Adventitious crisis
Name three benzodiazepines
Lorazepam (Ativan)
Alprazolam (Xanax)
Diazepam(Valium)
Which nursing diagnosis is the priority when planning care for a client who displays considerable anger and occasional aggression?
A. Social isolation
B. Risk for other-directed violence
C. Ineffective coping: overwhelmed
D. Ineffective coping: maladaptive
B
Name 4 de-escalation techniques
maintain self esteem and dignity
maintain calmness
Respond as early as possible
remain honest
avoid arguing
give several clear options
be assertive
identify goals
do not take chances
use calm clear tone voice
an action or behavior that results in a verbal or physical attack
aggression
Robert lost his job at pizza hut last week
Situational crisis
Name three 2nd generation antipsychotics
Risperidone (Risperdal)
Olanzapine (Zyprexa, Zydis)
Ziprasidone(Geodon)
Which neurotransmitter imbalance has been shown to be related to impulsive aggression?
A. Low levels of ã-aminobutyric acid
B. Low levels of serotonin
C. High levels of norepinephrine
D. High levels of acetylcholine
B
Greatest predictor of violence is
past violence
Profound disruption of a persons normal psychological homeostasis
Crisis
Leo is going through a brutal divorce with his ex wife
Situational crisis