ch 8-14 Flashcards
(50 cards)
when assessing a patient for suicide, what should a nurse do?
-ask question about past suicidal attempts, plans, and ideas.
-determine their intentions (behavioral,giving away possessions, and verbal cues)
-precipitating stressor, relevant history and life stage iseus
What are the therapeutic factors?
-instillation of hope: by observing other patient gathers hope
-universality:they are not alone
-imparting of info:knowledge is gained
-altruism:helping others w/self image
-corrective recapitulation of primary family group:
-development of socializing techniques
-imitative behavior: role models for others
-interpersonal learning
-group cohesiveness
-catharsis: able to express positive and negative feelings
-existential factors: help others take direction in their life
T or F
therapeutic groups offer psychotherpay
False; that is group therapy
how many types of crises are there?
there are 6 which vary in severity and types of stressors (internal/external)
Class 1: Dispositional crisis
-its an acute response to what stressor
-to an external stressor
-ex:husband beats wife due to baby clothes being expensive
Class 2: Crises of anticipated life transitions
-patient feels ___ about what?
-patient doesnt feel ready for normal life transitions
-ex: bob had baby and picked more hours at work, leaving lesss for studies making him loss scholarship
Class 3: Crises resulting from traumatic stress
Class 4: maturational and developmental crises
-patient can’t master a task that comes with normal life transitions
-ex. norma has trouble with taking care of new born child
Class 5: crises reflecting psychopathology
-crises due to underlying psychological disorders
-personality disorder, anxiety, schizophrenia
Class 6:Psychiatric emergencies
-a patients is unable to functional normally
-patients include people with suicidal ideation, drug overdose, anger
what is the main goal of crisis intervention?
to restore pre-crises functioning and to enhance personal growth
ITS NOT TO CHANGE THEIR PERSONALITY
what should a nurse do when taking care of a person who is having a crisis?
-obtain information about the stressor and who the patient would cope
-help patient using a problem solving process
-set boundaries regarding aggression
-active listening, unconditional acceptance
recovery is characterized by continual ____ and ____
growth and improvement
what are the different models for recovery?
Tidal (focuses on the patients story and encourages them to make own life changes),Wrap (patient makes their own plan), and Psychological recovery
name the acronym for suicidal behavior
IS PATH WARM
-ideation, substance abuse, purposelessness, anger, trapped, hopelessness, withdrawal, anxiety,recklessness, mood
who is more at risk for suicide?
-someone who lost their job vs feeling hopeless
-someone who is doing social isolation vs dramatic changes in mood
-the person feeling hopeless is more at risk
-the person who is experiencing dramatic changes in mood
safety contracts , also known as ___ contract are used when?
in long term situations, where client promises to therapist to contact therapist before attempting suicide
can no suicide contracts be considered primary intervention?
NO; they show little evidence in being effective in reducing suicides
what are key things in helping suicidal people?
-active listening
-instill hope
-dont leave them alone
-remove any item they can use
-DO NOT JUDGE
how to assist survivors of suicide victims?
-encourage to tak to each other
-listen to feelings of guilt
-encourage to talk about individual relationship with person
-help identify new coping strategies and other resources
-this is a disruption in awareness and in cognition which happens over a short period of time
delirium
What disorder experiences these symptoms:
-can’t focus
-rambling speech
-disorientation to time
-vivid dreams
-tremors
-tachycardia, sweating, dilated pupil, high bp
-crying, alls for help
delirium
T or F
Patient with delirium could experience extreme ends of symptoms
ex: either hypervigilant or be in a semi coma
true
