Crisis Intervention

Question 1

Phases of crisis: phase 1

Answer 1

The individual is exposed to a precipitating stressor

Question 2

Phases of crisis: phase 2

Answer 2

When previous problem-solving techniques do not relieve the stressor, anxiety increases further

Question 3

Phases of crisis: phase 3

Answer 3

All possible resources, both internal and external, are called on to resolve the problem and relieve the discomfort

Question 4

Phases of crisis: phase 4

Answer 4

If resolution does not occur in previous phases, “the tension mounts beyond a further threshold or its burden increases over time to a breaking point. Major disorganization of the individual with drastic results often occurs.”

Question 5

Role of nurses in crisis intervention

Answer 5

• nurses respond to crises on a daily basis as they occur in all settings
• nurses may be called on to function as crisis helpers

Question 6

Phases of crisis intervention: assessment

Answer 6

The RN gathers info regarding the precipitating stressor and the resulting crisis that prompted the individual to seek professional help

Question 7

Phases of crisis intervention: planning of the therapeutic intervention

Answer 7

• the RN selects the appropriate nursing actions for the identified nursing diagnoses
• in planning the interventions the type of crisis, as well as the individuals strengths, desired choices and available resources for support are taken into consideration
• goals are established for crisis resolution and a return to, or increase in, level of precrisis functioning

Question 8

Phases of crisis intervention: intervention

Answer 8

The actions identified in phase 2 implemented

Question 9

Phases of crisis intervention: evaluation of crisis resolution and anticipatory planning

Answer 9

• the RN and client summarize what has occurred during the intervention
• they review what the individual has learned and “anticipate” how he/she will respond in the future
• follow-up therapy has been established, if appropriate

Question 10

Aggression

Answer 10

• can rise from a number of feeling states, including anger, anxiety, guilt, frustration or suspicion
• aggressive behaviors can be mild, moderate, severe or extreme

Question 11

Defining characteristics of aggression

Answer 11

• pacing
• restlessness
• threatening body language
• verbal or physical threats
• loud voice
• shouting
• use of obscenities
• argumentativeness
• threats of homicide or suicide
• increase in agitation
• panic anxiety
• suspiciousness and defensive posturing
• angry mood
• destruction of property
• acts of physical harm toward others

Question 12

Risk factors for aggression

Answer 12

• past hx of violence
• client diagnosis
• current behavior