Crisis, Crisis Intervention, Acute Event, Time-Limited, Anxiety, Panic,
Disorganization, Maturational Crisis, Situational Crisis, Adventitious Crisis,
Perception, Coping Skills, Supports, Resilience, Safety, Suicide Assessment,
Homicide Assessment, Rapport, Active Listening, Directive Role, Problem-
Solving, Immediate Needs, Short-Term, Flexibility, Follow-Up, Action Plan,
Community Resources, Emotional Security, Lethality Assessment, Stress,
Growth Potential, Nursing Diagnoses, Ineffective Coping, Impaired Social
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Definition of Crisis
Crises are acute, time-limited events experienced as overwhelming emotional reactions.
This encompasses a broad scope of events. A number of intervention approaches exist of which we will
only summarize
Crisis......
Results in an inability to function as usual, with disorganization and helplessness
Crisis intervention in nursing is an immediate and short term emergency response to what might be
mental, emotional, physical and behavioral distress of a severe nature
Our goal is to help restore the person's equilibrium and functioning as well as minimize any long term
trauma or distress
Interventions need to be broad, creative and flexible
Types of Crises
-Maturational (stages of life)
parenthood, marriage, adolescence, retirement
, -Situational (external source)
loss of job, loss of loved one, divorce
-Adventitious (crisis of disaster)
earthquake, act of terrorism, crime of violence, plane crash, war
Outcome of crisis will be influenced in part by
-How is it perceived by the person
-What situational supports exist
-What coping skills does the person have
Crisis Scenario
-There was a fire at an apartment building which severely damaged it.
-Apartment residents were brought to the ER for evaluation for possible smoke inhalation. Fortunately,
there were no injuries.
-Two apartment residents in their twenties spoke with the nurse in the ER . . . . . . . . . . .
Same Event: Two Individuals
Client A
-Perception: “I lost my home but I still have my health and my work.”