Crisis
A sudden event in one's life that disturbs homeostasis in which usual coping mechanisma cannot resolve the problem.
What is a crisis?
What is an acute response to an external situational stressor?
What is a dispostional crisis.
A scientific structuring of the environment to effect behavioral changes & to improve the psychological health & functioning of the individual.
What is Milieu Therapy.
Serves as the leader of the team, responsibile for the diagnosis & treatment of mental disorders and prescribed medications.
What is a psychiatrist.
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
Name 3 characteristics of a crisis:
1. A crisis occurs in all individuals at one time or another & is not necessarily equated with psychopathology.
2. Crises are precepitated by specific identifiable events.
3. Crises are personal by nature.
4. Crises are acute, not chronic.
5. A crisis situation contains the potential for psychological growth or deterioration.
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.
Within the therapeutic community, the client is expected to learn what three things?
What are adaptive coping, interaction, and relationship skills.
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.
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.
What are the phases in Crisis Development?
1. Exposure to precipitating stressor
2. Previous problem-solving techniques fail increasing anxiety.
3. All resources are called on to resolve the problem & relieve the discomfort.
4. If resolution does not occur, tension mounts increases to breaking point- Major disorganization occurs with drastic results
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.
Name of Skinner's Basic Assumptions of a Therapeutic Community.
What is..
1.The health in each individual is to be realized and encouraged to grow.
2.Every interaction is an opportunity for therapeutic intervention.
3.Each client owns his or her own environment.
4.Each client owns his or her own behavior.
5.Peer pressure is a useful and powerful tool.
6.Inappropriate behaviors are dealt with as they occur.
7.Restrictions and punishment are to be avoided.
This team member conducts individual, group & family therapy. They are concerned with the client's social needs.
Who is the psychiatric social worker.
What is the difference between Transference vs Counterference?
•Transference is when a client views member of the HCT as having characteristics of another person who has been significant to the client’s personal life.
•Countertransference is when a HCT member displaces characteristics of people in her past onto a client.
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.
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?
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.
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.
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
This basic methodology relies heavily on an orderly problem-solving techniques & structured activities focused on change.
What is Crisis intervention.
Which crisis situation in general functioning is severely impaired rendering the individual incompetent or unable to assume personal responsibility?
What is a Psychiatric Emergency.
What is the Program of the Therapeutic Community?
What is
•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.
Which team member encourages self-expression through music.
Who is the music therapist.
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