Mental Health Proctored Exam With Complete Questions And
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Define crisis.-ANSWER-A sudden event in one's life that
disturbs homeostasis, during which usual coping mechanisms
cannot resolve the problem.
What characteristics describe a crisis?-ANSWER-1. Crisis occurs
in all individuals at one time or another and is not necessarily
equated with psychopathology.
2. Crises are precipitated by specific identifiable events.
3. Crises are personal by nature. What may be considered a
crisis situation by one individual may not be so for another.
4. Crises are acute, not chronic, and will be resolved in one
way or another within a brief period.
5. A crisis situation contains the potential for psychological
growth or deterioration.
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,What is phase 1 in the development of a crisis?-ANSWER-Phase
1: The individual is exposed to a precipitating stressor.
Anxiety increases; previous problem–solving techniques are
employed.
What is phase 2 in the development of a crisis?-ANSWER-Phase
2: When previous problem–solving techniques do not relieve
the stressor, anxiety increases further.
The individual begins to feel a great deal of discomfort at this
point. Coping techniques that have worked in the past are
attempted, only to create feelings of helplessness when they
are not successful. Feelings of confusion and disorganization
prevail.
What is phase 3 in the development of a crisis?-ANSWER-Phase
3: All possible resources, both internal and external, are called
on to resolve the problem and relieve the discomfort.
The individual may try to view the problem from a different
perspective, or even to overlook certain aspects of it. New
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,problem–solving techniques may be used, and if effectual,
resolution may occur at this phase, with the individual
returning to a higher, a lower, or the precious level of
premorbid functioning.
What is phase 4 in the development of a crisis?-ANSWER-Phase
4: If resolution does not occur in previous phases, Claplan
states that, "the tension mounts beyond a further threshold
or its burden increases over time to a breaking point. Major
disorganization of the individual with drastic results often
occur."
Anxiety may reach panic levels. Cognitive functions are
disordered, emotions are labile, and behavior may reflect the
presence of psychotic thinking.
Aguilera's 3 balancing factors in crises-ANSWER-1. The
individual's perception of the event.
2. The availability of situational supports.
3. The availability to adequate coping mechanisms.
The Six Types of Crises-ANSWER-Class 1: Dispositional Crises
Class 2: Crises of Anticipated Life Transitions
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, Class 3: Crises Resulting From Traumatic Stress
Class 4: Maturational/Developmental Crises
Class 5: Crises Reflecting Psychopathology
Class 6: Psychiatric Emergencies
Define Class 1: Dispositional Crises-ANSWER-An acute response
to an external situational stressor.
Example: Husband gets stressed from work and beats up wife
and baby daughter.
Intervention: Wife's physical sounds are cared for in ER. The
mental health counselor provided support and guidance in
terms of presenting alternatives to her. Needs and issues were
clarified, and referrals for agency assistance were made.
Define Class 2: Crises of Anticipated Life Transitions-ANSWER-
Normal life–cycle transitions that may be anticipated but over
which the individual may feel a lack of control.
Example: College student's wife had a baby and quit her job.
He took a full–time job and his grades suffered. Complains to
NP of numerous vague physical complaints.
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