Crisis Interventions
Crisis - correct answer ✔Acute time limited, usually lasting 4-6 weeks
associated with events that are experienced with overwhelming tension,
stress, helplessness, and disorganization
Maturational Crisis - correct answer ✔In each developmental stage there is a
critical period of increased vulnerability and heightened potential; a turning
point. Example: adolescence, parenthood, midlife, retirement
Situational Crisis - correct answer ✔Arises from events that are
extraordinary, external rather than internal, and often unanticipated.
Examples: losses, death, job, health, car accident
Adventitious Crisis - correct answer ✔not apart of everyday life, they maybe
unplanned and may be accidental, caused by nature, or human made.
Ex: natural disasters, national disasters, and crime of violence
What is the goal of crisis interventions - correct answer ✔Return the patient
to at least the pre-crisis level of functioning. Promote a sense of safety first.
Roberts 7 stages of crisis intervention. - correct answer ✔1. Plan and
conduct crisis assessment
2. Establish rapport and rapidly establish a reason
3. Identify major problems
4. Deal with feelings and emotions
5. Generate and explore alternatives
6. Develop and formulate a plan
, 7. Follow up plan and assignment
Caplan's four phases: PHASE ONE - correct answer ✔person is confronted
by a conflict or problem that threatens the self-concept responds with
increased feelings of anxiety = problem solving skills and defense
mechanisms in order to solve the problem/ decrease anxiety
Caplan's four phases: PHASE TWO - correct answer ✔If defense
mechanisms fail and threat is still present: anxiety continues to rise and
produce feelings of extreme discomfort = dysfunctional and trial by error
attempts to solve the problem.
Caplan's four phases: PHASE THREE - correct answer ✔If trial by error
attempts fail: anxiety escalates to severe panic levels. Automatic relief
measures are initiated. (compromising or redefining)
Caplan's four phases: PHASE FOUR - correct answer ✔If the problem still
exist and coping is ineffective, anxiety is overwhelmed leading to a personality
disorganization, depression, confusion, violence against others, or suicidal
behaviors.
The general assessment: the nurse's initial task is to: - correct answer
✔promote a sense of safety by assessing the patient's potential for suicide or
homicide.
Some questions to ask to establish a patient's safety: - correct answer ✔Do
you feel you can keep yourself safe?
Have you thought of killing yourself or someone else? If yes: have you thought
of a way you would do this?
Crisis - correct answer ✔Acute time limited, usually lasting 4-6 weeks
associated with events that are experienced with overwhelming tension,
stress, helplessness, and disorganization
Maturational Crisis - correct answer ✔In each developmental stage there is a
critical period of increased vulnerability and heightened potential; a turning
point. Example: adolescence, parenthood, midlife, retirement
Situational Crisis - correct answer ✔Arises from events that are
extraordinary, external rather than internal, and often unanticipated.
Examples: losses, death, job, health, car accident
Adventitious Crisis - correct answer ✔not apart of everyday life, they maybe
unplanned and may be accidental, caused by nature, or human made.
Ex: natural disasters, national disasters, and crime of violence
What is the goal of crisis interventions - correct answer ✔Return the patient
to at least the pre-crisis level of functioning. Promote a sense of safety first.
Roberts 7 stages of crisis intervention. - correct answer ✔1. Plan and
conduct crisis assessment
2. Establish rapport and rapidly establish a reason
3. Identify major problems
4. Deal with feelings and emotions
5. Generate and explore alternatives
6. Develop and formulate a plan
, 7. Follow up plan and assignment
Caplan's four phases: PHASE ONE - correct answer ✔person is confronted
by a conflict or problem that threatens the self-concept responds with
increased feelings of anxiety = problem solving skills and defense
mechanisms in order to solve the problem/ decrease anxiety
Caplan's four phases: PHASE TWO - correct answer ✔If defense
mechanisms fail and threat is still present: anxiety continues to rise and
produce feelings of extreme discomfort = dysfunctional and trial by error
attempts to solve the problem.
Caplan's four phases: PHASE THREE - correct answer ✔If trial by error
attempts fail: anxiety escalates to severe panic levels. Automatic relief
measures are initiated. (compromising or redefining)
Caplan's four phases: PHASE FOUR - correct answer ✔If the problem still
exist and coping is ineffective, anxiety is overwhelmed leading to a personality
disorganization, depression, confusion, violence against others, or suicidal
behaviors.
The general assessment: the nurse's initial task is to: - correct answer
✔promote a sense of safety by assessing the patient's potential for suicide or
homicide.
Some questions to ask to establish a patient's safety: - correct answer ✔Do
you feel you can keep yourself safe?
Have you thought of killing yourself or someone else? If yes: have you thought
of a way you would do this?
