Phases of Crisis
What stage of crisis is the exposure to stressor
Stage 1
When Nicole doesn’t do good on a test and is mean to her friends
Dispositional Crisis
list at least one NANDA appropriate for a patient experiencing crisis (that we talked about)
ineffective coping, fear, anxiety, disturbed thought process, post-trauma syndrome, risk for self/other-directed violence
what are the stages of the nursing process
ADOPIE
Stage where anxiety increases further
stage 2
when the individual feels emotionally overwhelmed and defeated
traumatic
Feelings of guilt and overwhelming fear that comes from a grief process that follows traumatic event that results in losses
traumatic bereavement
how might children present following a disaster
separation anxiety, problems concentrating, nightmares
Crisis stages progress because of this
stressor isn't resolved
A pt tells the nurse that he feels unable to commit to a long-term relationship with his partner because of the abandonment he felt after his parents divorced when he was a child. Which type of crisis is the pt undergoing?
Maturational/developmental
What does a nurse do in the 4th stage of crisis intervention
reassess and establish plan for if event should reoccur
name a few planning/implementation strategies for someone experiencing anger/aggression
Remain calm; Set limits; Provide diary; Avoid touch;Provide ways to relieve tension
A pt presents with unbearable anxiety and loss of cognitive, emotional, and behavioral control.
what stage is this
4
A woman has borderline personality disorder and her therapist of 6 years says she is moving and now the woman is found wandering the streets distressed
Crisis reflecting psychopathology
the phase of crisis intervention where you would use reality-oriented approach, therapeutic relationship and set limits on behaviors
3rd (intervention)
a nurse is talking to a doctor about a pt and the doctor asks the nurse "Is the patient now able to recognize their anger?" what stage of the nursing process is this
evaluation
In this stage of crisis the person might appear lost or confused about how to solve a problem
stage 2
pt presents to psychiatric hospital with suicidal ideation and acute psychosis
Psychiatric emergency
The goal of crisis intervention
resolution of the individual’s immediate crisis and restoration to either base or higher level of functioning
a nurse see's a pt pacing and making verbal threats. what would be the nurses priority nursing diagnosis?
Risk for for self-directed or other-directed violence