NSG 322 Topic 9: Abuse, Neglect, & Violence
Nursing Care Questions With 100% Correct
Answers Grade A Certified
what is a crisis? - correct answersacute, time-limited occurrences experienced as overwhelming
emotional reactions to a stressful situational event, developmental event, or the person's
perception of an event
what are the two ways a crisis can result in? - correct answers1. fall apart and decompensated
or
2. problem-solve and grow through the process
client outcomes are impacted by... - correct answers-Individual, family, and community
perception of & response to the crisis
-Coping abilities, resiliency
-Availability of outside supports
clients with the best outcomes... - correct answers-Feel safe, connected, calm & hopeful
-Have access to social, physical & emotional supports
-Find ways to help themselves
developmental/maturational crisis - correct answers•Related to predictable transitions of human
development
•Often occur when adapting to a new life role
situational crisis - correct answers•Unexpected threats to physical, social, or psychological
integrity
•Caused by an EXTERNAL source
•Frequently involve grief, loss
existential crisis - correct answersone of questioning life purpose or spirituality
adventitious (social) crisis (crisis of disaster) - correct answers•Rare, unexpected events that are
not part of everyday life
•Include events of disaster and acts of interpersonal violence
ex: war, natural disaster, interpersonal violence such as rape, battery, and assault
phase 1 of psychological crisis - correct answers•Person is confronted by conflict & responds
with increased anxiety.
phase 2 of psychological crisis - correct answers•If usual defensive responses fail & threat
persists, anxiety continues to increase.
•Trial-and-error begins.
phase 3 of psychological crisis - correct answers•If trial-and-error attempts also fail, anxiety can
escalate to severe or panic levels.
phase 4 of psychological crisis - correct answers•If the problem is not solved & new coping
skills are ineffective, anxiety can overwhelm the person and result in serious illness.
•Assess for suicidal thoughts, plans.
what is the goal of crisis intervention - correct answersto return to the individual back to pre
crisis functioning
crisis intervention: primary care strategies - correct answersPromote mental health BEFORE
crisis strikes
Provide education, information & resource listings
crisis intervention: primary care goals - correct answersImprove clients' coping ability &
Decrease incidence of crises
crisis intervention: secondary care strategies - correct answersestablish interventions during an
acute crisis to PREVENT PROLONGED ANXIETY
crisis intervention: secondary care goals - correct answersEnsure client safety & Shorten duration
of client distress
crisis intervention: tertiary care strategies - correct answersProvide support for those who have
experienced severe crisis and are now recovering
Example: Critical Incident Stress Debriefing (CISD)
crisis intervention: tertiary care goals - correct answersFacilitate optimal client functioning &
prevent further emotional disruption
Critical Incident Stress Debriefing (CISD) - correct answersA system of psychological support
designed to reduce stress on emergency personnel after a major stress-producing incident
-The primary emphasis is to inform and empower a homogeneous group after a threatening or
overwhelming traumatic situation.
Primary objectives of CISD: - correct answers1.Lessen the impact of the traumatic event
2.Facilitate recovery process & restore adaptive functioning in psychologically healthy people in
distress by the crisis event
3.Screen for & identify community members who might benefit from additional support services
& provide referrals for professional care
CISD phase 1: introductory phase - correct answersthe purpose and overview of the debriefing
process id presented
-confidentiality is assured
-team members identified