Essentials Of Psychiatric Mental Health Nursing

Front 1

Crisis

Back 1

A sudden event in one's life that disturbs homeostasis, during which usual coping mechanisms cannot resolve the problem

Front 2

Characteristics of a Crisis

Back 2

1. occur in all individuals at one time or another
2. precipitated by specific identifiable events
3. personal by nature (crisis by me may not be crisis for you)
4. are acute
5. contains the potential for psychological growth OR deterioration

Front 3

In Chinese....crisis is identified by the symbol for danger and opportunity

Back 3

Better off to use it as an opportunity for growth :)
If not you become maladaptive

Front 4

Phases in the Development of a Crisis (4)

Back 4

Phase 1 - exposed to a stressor and anxiety increases
Phase 2 - coping techniques are not working and anxiety increases
Phase 3 - new coping techniques are tried (if they work you may return to lower level)
Phase 4 - burden increases to a breaking point and drastic results occur

Front 5

Types of Crisis (6)

Back 5

class 1 - Dispositional Crises = acute response to an external situational stressor [husband gets angry and hits you b/c he is frustrated with work]
class 2 - Crises of Anticipated Life Transitions = normal life transitions
class 3 - Crises Resulting from Traumatic Stress = crisis from unexpected external stressors one has little or no control
class 4 - Maturational / Developmental crisis = Crisis that occurs in response to situations that trigger an emotion related to an unresolved conflict you internalized

Front 6

Crisis

Back 6

A sudden event in one's life that disturbs homeostasis, during which usual coping mechanisms cannot resolve the problem

Front 7

Characteristics of a Crisis

Back 7

1. occur in all individuals at one time or another
2. precipitated by specific identifiable events
3. personal by nature (crisis by me may not be crisis for you)
4. are acute
5. contains the potential for psychological growth OR deterioration

Front 8

In Chinese....crisis is identified by the symbol for danger and opportunity

Back 8

Better off to use it as an opportunity for growth :)
If not you become maladaptive

Front 9

Phases in the Development of a Crisis (4)

Back 9

Phase 1 - exposed to a stressor and anxiety increases
Phase 2 - coping techniques are not working and anxiety increases
Phase 3 - new coping techniques are tried (if they work you may return to lower level)
Phase 4 - burden increases to a breaking point and drastic results occur

Front 10

Types of Crisis (6)

Back 10

class 1 - Dispositional Crises = acute response to an external situational stressor [husband gets angry and hits
you b/c he is frustrated with work]
class 2 - Crises of Anticipated Life Transitions = normal life transitions
class 3 - Crises Resulting from Traumatic Stress = crisis from unexpected external stressors one has little or no control
class 4 - Maturational / Developmental crisis = Crisis that occurs in response to situations that trigger an emotion related to an unresolved conflict you internalized
class 5 - Crises Reflecting Psychopathology = having a psychopathic illness and then encountering an emotional crisis
class 6 - Psychiatric Emergencies = general functioning has been severely impaired and now you are incompetent (suicidal, drug overdose, alcohol intoxication)

Front 11

Crisis Intervention

Back 11

Resolve immediate crisis and restore to pre-crisis level of functioning

Front 12

Aggression can be at 4 levels

Back 12

*mild (sarcasm)
*moderate (slamming doors)
*severe (threats of physical violence)
*extreme (physical act against others)

Front 13

Aggression

Back 13

almost always goal directed and has aim to a specific person or object (intent)

Front 14

Risk Factors for the Potential of Violence (3)

Back 14

1. past history of violence
2. Client Diagnosis (schizophrenia, organic brain disorders, antisocial, personality disorders, substance abuse disorder
3. Current Behavior

Front 15

Prodromal Syndrome

Back 15

Escalating behaviors (rigid posture, clenched fists and jaw, grim / defiant affect, talking in a rapid / raised voice, arguing / demanding, using profanity, threatening verbalizations, agitation / pacing, pounding / slamming

Front 16

Orders for Restraints

Back 16

physician must renew order every 4 hours for adults and 1-2 hours for children / adolescents

Front 17

Observation of Client in Restraints

Back 17

Every 15 minutes