NURS-202 Exam 6 - Mental Health, Oncology, Pain 2022 QUESTIONS AND ANSWERS ALL CORRECT| GRADED A

NURS-202 Exam 6 - Mental Health, Oncology, Pain 2022 What is a crisis? Correct Answer: A sudden event in one's life that disturbs homeostasis, during which usual coping mechanisms cannot resolve the problem acute, not chronic occurs in all individuals personal by nature precipitated by specific identifiable events potential for psychologic growth or deterioration What are the 4 phases in the development of a crisis? Correct Answer: Phase 1 • exposure to precipitating stressor • anxiety increases ↑↑↑ • previous problem-solving and coping techniques are employed Phase 2 • previous problem-solving techniques do not relieve • increasing anxiety ↑↑↑ • helplessness can occur if coping not effective • feelings of confusion, disorganization prevail Phase 3 • all possible internal and external resources are used in attempt to resolve problem and alleviate anxiety • individual may try to look at problem from various angles or avoid/overlook problem altogether → may be a point where they can resolve the crisis and move on, may have growth Phase 4 • tension mounts • major disorganization occurs • continued increase in anxiety/panic • emotional lability • cognitive functions disordered → may move into psychosis if things continue to devolve if someone is in stage 4 crisis and things continue to devolve, it may move into _____________ Correct Answer: psychosis what are the different types of crisis? Correct Answer: dispositional -something around you causing stress -acute response to external stressor -ex: messy house of anticipated life transitions -cause worry "everything is changing" -frequently nonproductive -can happen with good or bad changes -ex: divorce, terminal illness diagnosis in family from traumatic stress -mental health deterioration after trauma -ex: someone was assaulted maturational and developmental -life changes they can't handle -ex: new baby or their parent needs a caregiver reflecting psychopathology -starting to show signs of psych dx -ex: new dx of schizophrenia, bipolar psychiatric emergencies -acute psychiatric emergency -ex: acute psychosis What is the biggest goal of crisis intervention? what are some others? Correct Answer: biggest goal: to make a safe place for our client they are feeling very unsafe, powerless, maybe afraid to talk about what is going on - we need to help them recognize their feelings, have an open environment -don't make them feel shame -make them feel it's okay to feel those feelings -help recognize when they are angry and seek out staff to talk about feelings -take responsibility for feelings of anger -help them learn how to have self control over feelings of anger -demonstrate ability to diffuse anger before losing control -use tension generated by anger in a constructive manner -use steps of problem solving process rather than becoming violent What are the phases in crisis intervention? Correct Answer: Phase 1: Assessment Phase 2: Planning of Therapeutic Intervention Phase 3: Intervention Phase 4: Evaluation of crisis resolution and anticipatory planning What is the goal of crisis intervention? what are things to remember about this? Correct Answer: resolution of immediate crisis not a "life fix" but resolution to current crisis help them with problem-solving tap into support systems be supportive be direct be non-judgemental what kinds of resources should we know about to help patients in crisis? Correct Answer: in community suicide hotline mental health resources peer support services in facility care managers social workers psychology/psychiatry consults assessing anger vs aggression Correct Answer: things we can assess which are risk factors to aggression/violence Correct Answer: history past hx of violence pt diagnosis (psych? terminal?) current behavior hx of substance abuse currently high/substance use physical/psychosocial anxiety tension hyperactivity verbal escalation/profanity threatening pacing slamming/hitting walls What is involved in Phase 1 of crisis intervention? Correct Answer: Phase 1: Assessment •Describe what precipitated this crisis •Determine when it occurred •Assess the individual's mental and physical status •Determine if the individual has experienced this stressor before? How did they cope before? •Any SI/HI? (potential, plans, means) •Adequacy of support systems •Determine level of precrisis functioning •Individual's perception of personal strengths and limitations •Substance use What is involved in Phase 2 of crisis intervention? Correct Answer: •Phase 2: Planning of Therapeutic Intervention Select appropriate nursing actions for the identified problems Plan interventions considering: •Type of crisis •Individual's strengths •Desired choices •Available resources for support Establish goals that help patients return to or increase pre-level of functioning (help them create their goals, we can't make goals for them) What is involved in Phase 3 of crisis intervention? Correct Answer: Phase 3: Intervention •Implement planned actions •Remain with an individual who is experiencing panic/anxiety •Establish a therapeutic relationship by showing unconditional acceptance, active listening and attend to immediate needs •Promote safe atmosphere for emotional honesty •Set firm limits on aggressive/destructive behaviors