Interventions
what is crisis? - correct answer ✔A crisis is self-limiting and is usually
resolved within 4 to 6 weeks.• The goal of crisis intervention is to return the
individual to the pre-crisis level of functioning.
Resolution of a crisis may result in return to pre-crisis functioning, or to a
higher or lower level.
• How a crisis is resolved is unique to the specific crisis, as well as how the
individual responds and the interventions of others.
• During a crisis people are often more open to outside intervention than they
are at times of stable functioning. When their normal coping methods have
failed, the opportunity exists to learn different adaptive means of problem
solving.
• A person in a crisis situation is assumed to be mentally healthy and to have
functioned well in the past, but is presently in a state of disequilibrium.
• Crisis intervention deals with the person's present problem and resolution of
the immediate crisis only, the "here and now." Addressing issues or needs not
directly related to the crisis can take place at a later time, and referrals can be
provided.
• A nurse must be willing to take a more directive role in intervention,
especially initially, which is contrary to the usual therapeutic approach. As
anxiety decreases, the patient can assist more in problem solving and
planning.
, • Early intervention increases the chances for a good prognosis.
• A patient is encouraged to set realistic goals and plan an intervention with
the nurse that is focused on the current situation.
•Crises are acute, time-limited occurrences experienced as overwhelming
emotional reactions
what are examples of each of the 3 types of crisis that may require nursing
interventions? - correct answer ✔•Developmental event- Erikson, e.g.
Marriage, the birth of a child, and retirement, Internal adaptation to typical life
events
•Societal event-a situation occurs that is not anticipated from outside the
individual leading to a crisis, e.g. unemployment/job loss, loss by death,
unplanned pregnancy, divorce, physical or mental illness diagnosis, change in
financial status. Loss is a common theme as well a possible social .
•Adventitious event- an unplanned disaster of catastrophic proportion
impacting individuals/groups with often long lasting effects. e.g. weather
related disasters (natural), pandemics, national disaster such as terrorist
shootings, wars
•Perception of an event- reality may not match the actual threat
•More than one may apply!