Triage Assessment Form Week 3 ALL ANSWERS 100% CORRECT GUARANTEED GRADE A+

Crisis Event Identify and describe briefly the crisis situation: Jordan arrives with a friend reporting her husband, Jake departed home with a rifle this morning. Jordan reports she and Jake argued the previous evening over Jake’s excessive drinking and he backed her up against the kitchen counter. While he did not directly threaten Jordan with violence, Jordan is still very fearful for her safety as well as Jake’s safety. Affective Domain Identify and describe briefly the affect that is present. (If more than one affect is experienced, rate with number 1 being primary, number 2 secondary, number 3 tertiary.) Anger/Hostility Anxiety/Fear 1. Jordan states three times throughout the scenario that she is afraid for her safety as well as Jake’s safety. She does not understand why he took his rifle with him this morning without saying a word to her and she has no knowledge of a planned hunting trip. Even though they argued the night prior and Jake backed her up into the kitchen counter and verbally assaulted her, Jordan discusses her situation in tears and repeatedly looking at the door as if she expects Jake to come through it at any moment. Sadness/Melancholy Affective Severity Scale Highlight the number that most closely corresponds with client’s reaction to crisis. 1 2 3 4 5 6 7 8 9 10 No Impairment Minimal Impairment Low Impairment Moderate Impairment Marked Impairment Severe Impairment Stable mood Affect Affect Affect may be Negative affect Decompensation with normal appropriate appropriate to incongruent experienced at or variation of to situation. situation but with situation. markedly higher depersonalization affect Brief periods increasingly Extended level than evident. appropriate during which longer periods periods of situation to daily negative during which intense warrants. Affects functioning. mood is negative mood negative may be obviously experienced is experienced moods. Mood incongruent with slightly more slightly more is experienced situation. Mood intensely intensely than noticeably swings, if than situation more intensely occurring, are situation warrants. than situation pronounced. warrants. Client warrants. Onset of negative Emotions perceives Liability of moods are are emotions as affect may be perceived by substantially being present. Effort client as not under client substantially required to being under control. under control. control volitional control. emotions. Behavioral Domain