Crisis, Violence, Sexual Assault, Substance
Use NURS 244 Prof Mcsweeney Exam Latest
Update
What is a crisis? - ANSWER A sudden event in one's life that disturbs homeostasis,
during which usual coping mechanisms cannot resolve the problem
-acute usually lasts 4-6 weeks
What are some negative/ positive results of a crisis? - ANSWER negative: produce acute
disequilibrium
positive: learn new ways to adapt
What are some risk factors associated with crisis? - ANSWER -accumulation of
unresolved losses
-current life stressors
-excessive fatigue
What is an adventitious crisis? - ANSWER the occurrence of natural disasters, crimes,
or national disasters
What is a situational crisis? - ANSWER unexpected loss/ change such as a job change,
motor vehicle crash, death, or severe illness .
What is a maturational crisis? - ANSWER Developmental crisis, predictable events in the
normal course of life such as leaving home for the first time
What occurs during the 1 phase of a crisis? - ANSWER -increased anxiety
-begin defense response
What occurs during the 2 phase of a crisis? - ANSWER -anxiety increased
-defense mechanisms fail
-start trail/error to resolve anxiety
What occurs during the 3 phase of a crisis? - ANSWER -trail/error fails
-anxiety escalates to panic
What occurs during the 4 phase of a crisis? - ANSWER -increased anxiety
,-leads to depersonalization, depression, confusion, violence
When should a interventions begin during a crisis? - ANSWER stage 2-3 by recognizing
s/sx of increased anxiety, to evaluate past successes, and help dissect crisis to lessen
overwhelming feelings
What is resilience? - ANSWER personal patterns, behaviors, or processes that promote
an individual's recovery from adaptation to adversity
What is optimism? - ANSWER sense of confidence and hope with regard to
positive/favorable resolution of a situation
What is self-efficacy? - ANSWER confidence in abilities to complete a task
How would a nurse assess for a pt in a crisis? - ANSWER assess for SI/HI
Assess for perception of event
cultural or religious needs
support system
coping skills
physical assessment
level of anxiety
What is some care to provide a pt. in a crisis? - ANSWER -safety
-grounding techniques
-admin meds
-I.D. problem
-coping mechanisms
-develop plan
-avoid false reassurances
What are some meds to provide a pt in a crisis? - ANSWER anti anxiety: alprazolam,
diazepam
antidepressants: paroxetine, bupropion, fluoxetine
What are the types of violence? - ANSWER -physical
-sexual
-emotional
, -neglect
-economic
What type of violence involves physical harm or pain to a individual, i.e. shaken baby
syndrome, shaking or pushing? - ANSWER physical
What type of violence involves sexual contact w/o consent? - ANSWER sexual
What type of violence involves behavior that minimizes individual feeling of self worth,
using humiliation, threats or intimidation? - ANSWER emotional
What type of violence involves a lack of physical care/ emotional care/ education/
necessary care/ dental care and can be seen with the elderly? - ANSWER Neglect
Which type of violence involves failure to provide needs of a venerable person when
funds are available, unpaid bills or taking all the money? - ANSWER economic abuse
What are some risk factors for perpetrating violence? - ANSWER -genetics (MAOA
genotype low assoc w/ antisocial behavior and aggression)
-increased stress, poverty gangs
-social learning
-being male
What are some risk factors associated with being a victim of violence? - ANSWER -age
under 4 or elderly
-pregnancy
-women
-disability
What are some common characteristics in victims of violence? - ANSWER -low self
esteem
-guilt/shame
-attempts to protect perpetrator/ takes responsibility for abuse
- denial w/ severity of situation
What are some common characteristics in perpetrators of violence? - ANSWER -poor
impulse control
-violent outbursts
Use NURS 244 Prof Mcsweeney Exam Latest
Update
What is a crisis? - ANSWER A sudden event in one's life that disturbs homeostasis,
during which usual coping mechanisms cannot resolve the problem
-acute usually lasts 4-6 weeks
What are some negative/ positive results of a crisis? - ANSWER negative: produce acute
disequilibrium
positive: learn new ways to adapt
What are some risk factors associated with crisis? - ANSWER -accumulation of
unresolved losses
-current life stressors
-excessive fatigue
What is an adventitious crisis? - ANSWER the occurrence of natural disasters, crimes,
or national disasters
What is a situational crisis? - ANSWER unexpected loss/ change such as a job change,
motor vehicle crash, death, or severe illness .
What is a maturational crisis? - ANSWER Developmental crisis, predictable events in the
normal course of life such as leaving home for the first time
What occurs during the 1 phase of a crisis? - ANSWER -increased anxiety
-begin defense response
What occurs during the 2 phase of a crisis? - ANSWER -anxiety increased
-defense mechanisms fail
-start trail/error to resolve anxiety
What occurs during the 3 phase of a crisis? - ANSWER -trail/error fails
-anxiety escalates to panic
What occurs during the 4 phase of a crisis? - ANSWER -increased anxiety
,-leads to depersonalization, depression, confusion, violence
When should a interventions begin during a crisis? - ANSWER stage 2-3 by recognizing
s/sx of increased anxiety, to evaluate past successes, and help dissect crisis to lessen
overwhelming feelings
What is resilience? - ANSWER personal patterns, behaviors, or processes that promote
an individual's recovery from adaptation to adversity
What is optimism? - ANSWER sense of confidence and hope with regard to
positive/favorable resolution of a situation
What is self-efficacy? - ANSWER confidence in abilities to complete a task
How would a nurse assess for a pt in a crisis? - ANSWER assess for SI/HI
Assess for perception of event
cultural or religious needs
support system
coping skills
physical assessment
level of anxiety
What is some care to provide a pt. in a crisis? - ANSWER -safety
-grounding techniques
-admin meds
-I.D. problem
-coping mechanisms
-develop plan
-avoid false reassurances
What are some meds to provide a pt in a crisis? - ANSWER anti anxiety: alprazolam,
diazepam
antidepressants: paroxetine, bupropion, fluoxetine
What are the types of violence? - ANSWER -physical
-sexual
-emotional
, -neglect
-economic
What type of violence involves physical harm or pain to a individual, i.e. shaken baby
syndrome, shaking or pushing? - ANSWER physical
What type of violence involves sexual contact w/o consent? - ANSWER sexual
What type of violence involves behavior that minimizes individual feeling of self worth,
using humiliation, threats or intimidation? - ANSWER emotional
What type of violence involves a lack of physical care/ emotional care/ education/
necessary care/ dental care and can be seen with the elderly? - ANSWER Neglect
Which type of violence involves failure to provide needs of a venerable person when
funds are available, unpaid bills or taking all the money? - ANSWER economic abuse
What are some risk factors for perpetrating violence? - ANSWER -genetics (MAOA
genotype low assoc w/ antisocial behavior and aggression)
-increased stress, poverty gangs
-social learning
-being male
What are some risk factors associated with being a victim of violence? - ANSWER -age
under 4 or elderly
-pregnancy
-women
-disability
What are some common characteristics in victims of violence? - ANSWER -low self
esteem
-guilt/shame
-attempts to protect perpetrator/ takes responsibility for abuse
- denial w/ severity of situation
What are some common characteristics in perpetrators of violence? - ANSWER -poor
impulse control
-violent outbursts
