Psychiatric Emergencies

Question 1

crisis

Answer 1

an acute and time limited event that exceeds normal coping mechanisms

Question 2

crisis intervention

Answer 2

focuses only on the present problem

generally short term

Question 3

crisis resolution

Answer 3

regaining pre-crisis/baseline level of functioning

Question 4

maturational crisis

Answer 4

personal crisis that relates to a developmental stage

ex: getting marries, retirement, childbirth

Question 5

situational crisis

Answer 5

critical life problems - not sought out by person

ex: divorce, loss of job, death of loved one

Question 6

adventitious crisis

Answer 6

unexpected disaster and is not a part of every day life

ex: natural disasters, wars, violence

Question 7

phase 1 of a crisis:

Answer 7

initiation of a crisis event

problem solving begins and defense mechanisms are in use

Question 8

phase 2 of a crisis

Answer 8

anxiety escalates r/t defense mechanism failure

trial and error problem solving

Question 9

phase 3 of a crisis

Answer 9

anxiety turns to severe and panic levels r/t failure of problem solving

fight/flight begins

Question 10

phase 4 of a crisis

Answer 10

anxiety becomes overwhelming and violent

suicidal ideation and dissociative symptoms may occur

Question 11

abuse

Answer 11

wrongful use and maltreatment of another person

Question 12

social isolation

Answer 12

victims may be threatened with violence if they reveal the abuse to others

Question 13

abuse of power

Answer 13

usually the abuser holds power over the victim, may be financial or physical

Question 14

traits of abuse perpetrators

Answer 14

low self esteem

poor problem solving

impulsive behavior

narcissism

immaturity

Question 15

characteristics of a child abuser

Answer 15

expectation that a child will provide love and support

hx of abuse or neglect as a child

has unrealistic expectations of childhood behaviors

poor parenting skills

may believe child is evil

Question 16

cycle of IPV abuse

Answer 16

tension building phase

battering phase

honey-moon phase

Question 17

characteristics of IPV perpetrator

Answer 17

denies and blames

controls through isolation

controls through economic abuse

controls through power

Question 18

traits of IPV victim

Answer 18

dependent nature

fearful of leaving

defines self by relationship

may believe they are to blame

Question 19

school violence examples

Answer 19

bullying/school shootings

Question 20

community violence examples

Answer 20

gang/drug activity and homlessness

Question 21

world violence example

Answer 21

terrorism

Question 22

anger

Answer 22

unplanned reaction to a stressor

Question 23

catharsis

Answer 23

expression of anger in aggressive but safe activities

Question 24

suppression

Answer 24

holding anger in and not expressing it verbally or productively

Question 25

violence

Answer 25

intent to cause harm that may or may not include emotion of anger

Question 26

preassaultive stage:

Answer 26

triggering and escalation intervention: de-escalation

Question 27

assaultive stage

Answer 27

crisis and recovery intervention: medication, restraints, seclusion

Question 28

post-assaultive stage

Answer 28

post crisis intervention" debriefing

Question 29

X3 meds for aggression

Answer 29

olanzapine ziprasidone haloperidol

Question 30

stages of grieving

Answer 30

``` denial anger bargaining depression acceptance ```

Question 31

worden grieving

Answer 31

1: accepting reality 2: using coping skills to process emotional pain of loss 3: adjusting to world without deceased 4: finding an enduring connection with deceased while moving forward and embracing lfie

Question 32

how long is "normal" grief

Answer 32

about 1 year