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crisis assessment > Test # 1 > Flashcards

Test # 1 Flashcards

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0
Q

What is james (2008) view of a crisis?

A

A perception of an event as an intolerable difficulty that exceeds the person’s current resources and coping mechanisms

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1
Q

What is the definition of a crisis?

A

A precipitating event, a perception of the event that leads to subjective distress, and troubles functioning if the event does not resolve

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2
Q

What is Slaikeu (1990) view of a crisis?

A

Temporary state of upset and disorganization, because of an individuals inability to cope with a situation using methods of problem-solving

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3
Q

When did crisis intervention begin?

A

It began during WW2 in response to family reactions when loved ones left home to participate in the war

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4
Q

When is the full impact of trauma felt?

A

After the crisis event during the “disillusionment” period of adjustment

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5
Q

Stressors?

A

May lead to crisis may be normal, or developmental phenomena

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6
Q

What is a tangible resource?

A

Those that are available and used to mediate the initial stressor

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7
Q

What is an intangible resource?

A

Those that are acquired, developed, or strengthened subsequently to a crisis situation

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8
Q

What do people who experience traumatic events respond with?

A

Fear and helplessness

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9
Q

What are coping strategies?

A

Behavioural or cognitive action that is taken in an effort to manage stress

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10
Q

What is adaption?

A

The degree to which functioning has changed over an extended period of time following a stressor or crisis event

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11
Q

What does paraprofessionals provide?

A

Within a mental health community can provide an outlet for clients to talk and feel less isolated

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12
Q

What is the first step when working with clients in a crisis?

A

Assessment

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13
Q

What are the critical needs that should be addressed first in a crisis?

A

Food and shelter

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14
Q

Issues with buildings of culture?

A

Can be hindered by distrust of government agencies

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15
Q

Factors involving male outpatients?

A

Stalking possibilities

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16
Q

What is self-assessment?

A

Process whereby counsellors monitor their reactions, behaviours, and feelings

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17
Q

What is important for counsellors to do?

A

Debrief with colleagues as a form of self-checkin

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18
Q

What can crisis intervention lead to?

A

Stress and burnout due to the emotionally charged environment

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19
Q

What should counsellors do if they become aware of unresolved issues?

A

Should seek consultation, supervision, and personal counselling

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20
Q

When do burnouts occur?

A

When one is exhaust themselves both physically and emotionally

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21
Q

What should those working with trauma clients need to do?

A

Need to be especially intentional about self-care to prevent burnout

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22
Q

What does vicarious trauma include?

A

Involves a changed worldview and sense of self as a result of work with trauma clients

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23
Q

Different between trauma and burnout?

A

While burnout is a response to occupational stress, vicarious trauma involves a personal cognitive reaction to a client’s experience

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24
When does vicarious resiliency occur?
Occurs when a counsellors experience affirming thoughts, feelings, and beliefs after hearing about a client's adaptation to difficulties
25
What do prevention considerations include?
It includes wellness, continuing education, peer supervision, and consultation
26
Case of Tarasoff v. Regents of university of California...
Established a mental health professional's duty to warn. When considering breaking confidentiality due to a duty to warn, it is highly recommended that a counsellor should foremost seek consultation or supervision
27
What does duty to protect involve?
It involves taking action to actually reduce the danger to a person
28
What are the 4 D's of malpractice?
Dereliction (breach) of a duty (of care) that directly (proximately causes) damages (a compensable injury)
29
Crisis workers are expected to obtain consent through the following...
Introducing self and explain role, describe the general limitations of confidentiality, or ask permission to speak/help person. Written consent us not required in emergencies
30
What do you do in order to avoid therapeutic abandonment in a disaster circumstance?
Provide the client with a referral to local counselling services
31
In disaster counselling what is the client allowed to do?
Bring up religious or spiritual issues should be allowed to explore the disaster's spiritual meaning in their life
32
In a disaster situation...
Marginalized populations will discover disaster is not social leveller
33
What is rapport?
When counsellors develop a strong sense of accord and amity with their clients. Also refers to a harmonious relationship that starts with the initial contact and continues throughout the counselling process
34
Microskills hierarchy?
Present these skills as a hierarchy that is organized within a systematic framework, at the bottom are the basic attending skills such as a patterns of eye contact, body position, vocal tone, and silence
35
Body positions?
Demonstrates interest and create comfort for the client
36
What is verbal underlining?
Emphasizing certain words or phrases to show understanding
37
What types of questions to ask?
Open questions do not limit a client's answers | Closed questions are used to obtain concrete and factual information
38
"Why" questions...
Do not usually allow clients to explore their issues and emotions at a deeper level
39
What is a leading question?
Is a question with an answer that is already embedded in it
40
When using questions in the counselling relationship what is best?
It is best to move from general (open) to specific (closed)
41
What are reflective skills?
Is a form of active listening, a way to display genuineness, and a way to prompt deeper examination of a client's problems
42
What is paraphrasing?
Reflecting back to a client the essence of something they have shared.
43
What is one of the best predictors of counselling outcomes?
The therapeutic relationship
44
When is a focusing summary most commonly used?
At the start of a counselling session
45
What is a signal summary used for?
To help the client transition from one topic to another and provide direction
46
What are attending behaviours?
Microskills such as appropriate eye contact, tone of voice, and body position
47
What can reflecting feelings do?
Can help the client become aware of the emotions experienced in relation to the issue at hand, brings the client to a higher level of self-awareness, and has a positive impact
48
What is parroting?
A common mistake when attempting to paraphrase - it is simply restating the client's exact words
49
Reflecting feeling can help...
The client become aware of the emotions experienced in relation to the issue at hand
50
Rate?
Rate is always associated with 100,000. Suicide rates of 8 out of 100,000 means 8 people out of 100,000 people commit suicide
51
What does a suicide attempt gone awry mean?
The person wanted to live, but died
52
Who is someone considered high risk for suicide?
Someone with little ambivalence (against death) and who has access to a gun
53
Acute risk for suicide?
Risk is immediate within 24 hours or so
54
What is chronic risk for suicide?
History, not immediate, more lethal
55
Treatment options to prevent suicide?
Least valid treatment option is using having a paper signed by the client that he or she will not hurt oneself
56
Most common means by which homicide is carried out?
Firearms (guns)
57
What is the primary motive for school shootings?
Appears to be interpersonal rejection
58
Work place homicides?
Involve primarily robberies
59
What are the levels of threat?
Low, medium, and high
60
The highest risk of violent and homicidal behaviour has been found...
In individuals with a dual diagnosis of substance abuse and anti- social personality disorder
61
What must be emphasized when working with homicidal clients?
Compliance with medications
62
What is secondary victimization?
A lack of community support that further complicates the grief process for homicide survivors
63
What is the most commonly used illicit substance?
Marijuana
64
What is the primary difference between substance abuse and dependance?
Evidence of tolerance and symptoms of withdrawal
65
What is the drunk with the highest dependance potential?
Heroin by intravenous
66
The disease model of addiction holds...
That clients who develop chronic alcohol dependance and continue drinking or ever return to heavy drinking will likely die
67
What is the highest contributing factor to initial substance abuse for adolescents?
Availability of substance
68
What is the proper treatment sequence when addressing substances?
Screening, assessment, testing, diagnosis, and treatment planning
69
Why is an assessment done?
For gathering clinical data to get an accurate picture of the client's issues
70
Multi cultural competencies?
Being aware of own culture, values and biases, awareness of client's worldview, and intervention strategies that are culturally appropriate

crisis assessment (1 decks)

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