NURS 345 EXAM 2 QUESTIONS AND ANSWERS
ELABORATIONS STUDY GUIDE!!
crisis intervention therapy
Answers :-short term, from 1 to 6 weeks, and focuses on the present problem only
-usually aimed at the mentally healthy patient who generally is functioning well
but is temporarily overwhelmed and unable to function
23- hour crisis stabilization
Answers :-goal is to quickly deescalate crisis situations
-patients are provided with specific referrals for outpatient care such as residential
substance treatment or partial hospitalization programs
short-term crisis residential services
Answers :-continuous 24-hour observation and supervision for people who do not
require inpatient services
-goal is to eliminate or reduce acute symptoms of psychiatric disorders
-community-based resources and a safe environment for care and recovery
24/7 crisis hotlines
Answers :-telephone hotlines are an essential first-line intervention for people in
acute crises
-provide immediate responses from a variety of people-from professionals and
trained volunteers
warm lines
Answers :-similar to crisis hotlines, provide confidential telephone support
-not designed for crisis situations, but to prevent escalation of distress
,mobile crisis service
Answers :-provide acute crisis stabilization and psychiatric assessment services to
people within their own homes and in other sites outside of traditional clinical
settings
-the goal is to provide rapid response, resolve crisis situations, and prevent
hospitalizations
peer crisis services
Answers :-provided by people who have had experience with living with a
psychiatric disorder
-peers provide a calming environment, support, and links to psychiatric support
psychiatric advance directive plan
Answers :-proactive method of addressing a crisis situation before it occurs
-usually, advance directives are used in end-of-life situations
-used in crisis situations where the consumer is unable to make decisions
-stipulates wishes like treatment choices, treatment facilities, providers, and
designates a support person who can be involved in decision making
maturational
Answers :-when moving on to a new developmental stage in life, there may be no
defenses or experience regarding the next stage which can lead to anxiety and
tension
-crises are resolved when a person successfully moves to the next stage
,ex: leaving home for the first time, marriage, the birth of a child, retirement, and
the death of a parent
situational
Answers :arises from events that are extraordinary, external rather than internal,
and often unanticipated
ex: loss of change of a job, the death of a loved one, an abortion, a change in
financial status, divorce, and severe physical or mental illness
adventitious
Answers :not part of everyday life and caused by unplanned events
ex: natural disaster, national disaster, crime of violence
FEMA
Answers :considering the unique forms of devastation connected with any disaster,
reducing risk within local communities should be expedient, eventually extending
into networking communities then to larger societal and national programs
panic disorders
Answers :characterized by panic attacks
panic attack
Answers :sudden onset of extreme apprehension or fear, usually associated with
feelings of impending doom
, -people experiencing panic attacks may believe they are losing their minds or
having a heart attack
-unpredictable, "out of the blue" and extremely intense
-only last a matter of minutes and then subside
-people with this disorder are avoidant of situations where help is not available,
may develop feelings of hopelessness in controlling these attacks, and may become
depressed
resilience
Answers :ability and capacity for people to secure the resources they need to
support their well-being
malingering
Answers :-consciously motivated act of fabricating an illness or exaggerating
symptoms
-reported pains are vague and hard to disprove
-done for secondary gain to become eligible for things like disability
compensation, committing fraud against insurance companies, obtaining
prescription medications, evading military service, or receiving a reduced prison
sentence
-associated with antisocial, narcissistic, and borderline personality disorders
APN scope of practice
Answers :medication prescription and treatment
psychotherapy
consultation
Role of RN
ELABORATIONS STUDY GUIDE!!
crisis intervention therapy
Answers :-short term, from 1 to 6 weeks, and focuses on the present problem only
-usually aimed at the mentally healthy patient who generally is functioning well
but is temporarily overwhelmed and unable to function
23- hour crisis stabilization
Answers :-goal is to quickly deescalate crisis situations
-patients are provided with specific referrals for outpatient care such as residential
substance treatment or partial hospitalization programs
short-term crisis residential services
Answers :-continuous 24-hour observation and supervision for people who do not
require inpatient services
-goal is to eliminate or reduce acute symptoms of psychiatric disorders
-community-based resources and a safe environment for care and recovery
24/7 crisis hotlines
Answers :-telephone hotlines are an essential first-line intervention for people in
acute crises
-provide immediate responses from a variety of people-from professionals and
trained volunteers
warm lines
Answers :-similar to crisis hotlines, provide confidential telephone support
-not designed for crisis situations, but to prevent escalation of distress
,mobile crisis service
Answers :-provide acute crisis stabilization and psychiatric assessment services to
people within their own homes and in other sites outside of traditional clinical
settings
-the goal is to provide rapid response, resolve crisis situations, and prevent
hospitalizations
peer crisis services
Answers :-provided by people who have had experience with living with a
psychiatric disorder
-peers provide a calming environment, support, and links to psychiatric support
psychiatric advance directive plan
Answers :-proactive method of addressing a crisis situation before it occurs
-usually, advance directives are used in end-of-life situations
-used in crisis situations where the consumer is unable to make decisions
-stipulates wishes like treatment choices, treatment facilities, providers, and
designates a support person who can be involved in decision making
maturational
Answers :-when moving on to a new developmental stage in life, there may be no
defenses or experience regarding the next stage which can lead to anxiety and
tension
-crises are resolved when a person successfully moves to the next stage
,ex: leaving home for the first time, marriage, the birth of a child, retirement, and
the death of a parent
situational
Answers :arises from events that are extraordinary, external rather than internal,
and often unanticipated
ex: loss of change of a job, the death of a loved one, an abortion, a change in
financial status, divorce, and severe physical or mental illness
adventitious
Answers :not part of everyday life and caused by unplanned events
ex: natural disaster, national disaster, crime of violence
FEMA
Answers :considering the unique forms of devastation connected with any disaster,
reducing risk within local communities should be expedient, eventually extending
into networking communities then to larger societal and national programs
panic disorders
Answers :characterized by panic attacks
panic attack
Answers :sudden onset of extreme apprehension or fear, usually associated with
feelings of impending doom
, -people experiencing panic attacks may believe they are losing their minds or
having a heart attack
-unpredictable, "out of the blue" and extremely intense
-only last a matter of minutes and then subside
-people with this disorder are avoidant of situations where help is not available,
may develop feelings of hopelessness in controlling these attacks, and may become
depressed
resilience
Answers :ability and capacity for people to secure the resources they need to
support their well-being
malingering
Answers :-consciously motivated act of fabricating an illness or exaggerating
symptoms
-reported pains are vague and hard to disprove
-done for secondary gain to become eligible for things like disability
compensation, committing fraud against insurance companies, obtaining
prescription medications, evading military service, or receiving a reduced prison
sentence
-associated with antisocial, narcissistic, and borderline personality disorders
APN scope of practice
Answers :medication prescription and treatment
psychotherapy
consultation
Role of RN
