Understanding Crisis
What is Crisis?
"a period of psychological disequilibrium, experienced as a result of a hazardous event or situations that constitutes a significant problem that cannot be remedied using familiar coping strategies"
Stage II: Establish Rapport
What are some examples of how you can establish rapport with your patient?
Important to show respect and acceptance for the client
Help them understand that they came to the right place
Give comfort when appropriate
Answers may vary
Name a National Resources for crisis
Suicide Hotline, National Alliance on Mental Illness Help Line
A patient is being aggressive and combative, its best to stand your ground and confront them
True or False
False
List three examples to provoke crisis
natural disasters, sexual assault, battering, suicide attempt, family strain, sudden medical diagnosis, relationship turmoil
Stage IV: Deal With Feelings and Emotions
What is one way to exercise active listening as reflective of this step?
ask open ended questions, show verbal and nonverbal cues to indicate listening, withhold judgement
Name a local resources for crisis
Benton Franklin Crisis, Lourdes Crisis, Kadlec Health Clinic
A friend approaches you and expresses "I don't want to love anymore, no one understands me", what do you do
provide resources, be supportive
Name three physiologic effects of crisis
Difficulty thinking clearly, Dwelling on meaningless activities, Expressing hostility to numbness, Impulsiveness, Dependence, Feeling incompetent, anxiety, despair, hopelessness, guilt, intense fears, grief over sudden losses, confusion, difficulty concentrating, powerlessness, irritability, flashbacks, shame, disoriented, loss of appetite, binge drinking, sleep disturbances, loss or lapse of religious beliefs
Stage V: Generate and Explore Alternatives
What is one way to help a patient reflect on past crisis?
reflect in a letter, draw on positive experiences, work with patient strengths
Name two nursing interventions for crisis management
Identify patient in crisis
Assess potential for violence to themselves or others, use safety precautions if indicated
Engagement of family members and support system in care for patient in crisis
Encourage to employ stress management
Maintain medication regimen
Educate on individual and group therapy and need for follow up care
You are working with a child who is experiencing a crisis situation, knowing the coping styles of different generations what communication style may be appropriate?
self-esteem, sense of mastery, and humor
Provide a nursing diagnosis for for crisis situations
Multiple answers accepted
What is the first stage of Robert's Seven Stages?
Determine if person is in imminent danger to themselves or others
Rapid risk assessment is performed
Police or medical intervention can be called
Name a tips to give family members dealing with a loved one in crisis
Take it seriously, don’t be afraid to ask someone how they are doing
Do not accept aggressive, do not argue or confront someone who is angry
Write down specific observations and give them to crisis staff
Stay in touch with staff working with your loved one
Call 911 if you feel unsafe
A patient says to you "I joined a book club to help cope with my current crisis situation!" you, as the nurse recognize this as what portion of the resiliency wheel?
Prosocial bonding
What is crisis NOT?
It is not the situation itself, rather how one perceives it and their response
Stage III: Identify Major Problems Including Crisis Precipitant
What piece of information is crucial to uncover during this stage?
"the last straw"
What generation is more likely to develop trauma from other family members?
Parents
Your patient was diagnosed with cancer one hour ago, is it appropriate to begin teaching education? Why or why not?
Depends on the specific person and their ability to cope