Chapter 20 - Unit 4 Flashcards Preview

Nur 241 - Psych > Chapter 20 - Unit 4 > Flashcards

Flashcards in Chapter 20 - Unit 4 Deck (15)
Loading flashcards...
1

Crises - they are acute and time limited. T/F?

True!

2

Erich Lindemann - what did he do?

Early crisis theorist. Preventive interventions after an event could help reduce the distressed. Believed using bereavement techniques would help those after a serious event.

3

Gerald Caplan - what did he do/

Outlined crisis intervention strategies.

4

What did Donna Aguilera and Janice Mesnick do?

They provide a framework for nurses for crisis assessment and intervention.

5

What are the three basic types of crises?

Maturational, situation, and adventitious (disasters).

6

What is a maturational crisis?

This is when there's something that happens through the process of life. For example, it might be that a child is off to college or two parents just separated.

7

What is a situational crisis?

This is when it arises from an external rather than internal source. It is typically unanticipated. Loss of job, death, unwanted pregnancy are examples.

8

What is an adventitious crisis?

This is a disaster. It is not part of everyday life. It is horrible and terrible - like a tornado or terrorist attack.

9

What are the four distinct phases of crisis (Caplan)?

1 - Person is confronted by a conflict or problem that threatens them - anxiety is increased, to try and help them.
2 - If the usual defensive response fails, anxiety continues to rise and there is not discomfort. Trial and error happens.
3 - Panic level of anxiety happens here. Flight or flight. Compromising needs or such happen in order to help the situation.
4 - Anxiety can overwhelm the person - depression, confusion, etc.

10

For a patient assessment, should we worry about how they perceive the event?

YES

11

What is primary care for a crisis?

This is when the nurse works with the individual to recognize problems, etc.

12

What is secondary care?

This is establishing care during a crisis to prevent prolonged anxiety.

13

What is tertiary care?

This provides support for those who have experienced a severe crisis.

14

What is CISD?

This is an example of tertiary - it helps people talk through things.

15

When is the evaluation done for a person in crisis?

Usually 4-8 weeks after the initial interview.