NSG-322 Crisis Nursing- Understanding Crisis and Crisis
Management || Graded A+.
What is a Crisis? correct answers - Any difficult time in life where a decision must be made
- Acute, time-limited occurrences experienced as overwhelming emotional reactions to a stressful
situational event, developmental event, or the person's perception of an event
Client outcomes are impacted by: correct answers - Individual, family, and community
perception of & response to the crisis
- Coping abilities, resiliency
- Availability of outside supporters
Factors that limit coping/problem-solving abilities: correct answers - Mental illness
- Substance abuse
- History of poor coping
- Diminished cognitive abilities
- Preexisting physical health problems
- Limited social support
- Developmental or physical challenges
Patients with the best outcomes: correct answers - Feel safe, connected, calm, and hopeful
- Have access to social, physical, and emotional supports
- Find ways to help themselves
3 basic types of crisis: correct answers 1. Maturational
2. Situational
3. Adventitious
,Maturational Crisis: correct answers - Related to predictable transitions of human development
- Often occur when adapting to a new life role
Situational Crisis: correct answers - Unexpected threats to physical, social, or psychological
integrity.
- Caused by an external source
- Frequently involves grief or loss
Adventitious (Social) Crisis: correct answers - Rare, unexpected events that are not apart of
everyday life.
- Includes events of disaster and acts of interpersonal violence
ex:
•Natural disasters, such as floods, fires, and earthquakes
•National disasters, such as airplane crashes, riots, and wars
•Interpersonal disasters, such as assault and rape
•Acts of terrorism
4 Phases of Psychological Crisis: correct answers Phase 1:
- Person is confronted by conflict and responds with increased anxiety.
Phase 2:
- If usual defensive responses fail & threat persists, anxiety continues to increase.
- Trial and error begins
Phase 3:
- If trial and error attempts also fail, anxiety can escalate to severe or panic levels
, Phase 4:
- If the problem is not solved & new coping skills are ineffective, anxiety can overwhelm the
person and result in serious illness.
- ASSESS FOR SUICIDAL THOUGHTS AND PLANS!
Three levels of Nursing Care for Crisis Intervention: correct answers Primary
Secondary
Tertiary
Primary Crisis Intervention: correct answers Strategies:
- Promote mental health BEFORE CRISIS STRIKES
- Provide education, information & resource listings
Goals:
- Improve clients coping ability & decrease incidence of crisis
Secondary Crisis Intervention: correct answers Strategies:
- Prevent prolonged anxiety DURING ACUTE CRISIS
Goals:
- Ensure patient safety & shorten duration of client stress
Tertiary Crisis Intervention: correct answers Strategies:
- Provide support DURING RECOVERY FROM CRISIS
Example:
Management || Graded A+.
What is a Crisis? correct answers - Any difficult time in life where a decision must be made
- Acute, time-limited occurrences experienced as overwhelming emotional reactions to a stressful
situational event, developmental event, or the person's perception of an event
Client outcomes are impacted by: correct answers - Individual, family, and community
perception of & response to the crisis
- Coping abilities, resiliency
- Availability of outside supporters
Factors that limit coping/problem-solving abilities: correct answers - Mental illness
- Substance abuse
- History of poor coping
- Diminished cognitive abilities
- Preexisting physical health problems
- Limited social support
- Developmental or physical challenges
Patients with the best outcomes: correct answers - Feel safe, connected, calm, and hopeful
- Have access to social, physical, and emotional supports
- Find ways to help themselves
3 basic types of crisis: correct answers 1. Maturational
2. Situational
3. Adventitious
,Maturational Crisis: correct answers - Related to predictable transitions of human development
- Often occur when adapting to a new life role
Situational Crisis: correct answers - Unexpected threats to physical, social, or psychological
integrity.
- Caused by an external source
- Frequently involves grief or loss
Adventitious (Social) Crisis: correct answers - Rare, unexpected events that are not apart of
everyday life.
- Includes events of disaster and acts of interpersonal violence
ex:
•Natural disasters, such as floods, fires, and earthquakes
•National disasters, such as airplane crashes, riots, and wars
•Interpersonal disasters, such as assault and rape
•Acts of terrorism
4 Phases of Psychological Crisis: correct answers Phase 1:
- Person is confronted by conflict and responds with increased anxiety.
Phase 2:
- If usual defensive responses fail & threat persists, anxiety continues to increase.
- Trial and error begins
Phase 3:
- If trial and error attempts also fail, anxiety can escalate to severe or panic levels
, Phase 4:
- If the problem is not solved & new coping skills are ineffective, anxiety can overwhelm the
person and result in serious illness.
- ASSESS FOR SUICIDAL THOUGHTS AND PLANS!
Three levels of Nursing Care for Crisis Intervention: correct answers Primary
Secondary
Tertiary
Primary Crisis Intervention: correct answers Strategies:
- Promote mental health BEFORE CRISIS STRIKES
- Provide education, information & resource listings
Goals:
- Improve clients coping ability & decrease incidence of crisis
Secondary Crisis Intervention: correct answers Strategies:
- Prevent prolonged anxiety DURING ACUTE CRISIS
Goals:
- Ensure patient safety & shorten duration of client stress
Tertiary Crisis Intervention: correct answers Strategies:
- Provide support DURING RECOVERY FROM CRISIS
Example:
