NURSING NR326 Mental Health- Exam 2 stuyd guide Chamberlain College of Nursing
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•Crisis intervention
oAn emergency type of assistance in which the intervener becomes part of the individual’s life situation.
oThe focus is to provide guidance and support to help mobilize the resources needed to resolve the crisis and restore or generate an improvement in previous level of functioning
oUsually last no longer than 6-8 months
oAssistance with problem solving during the crisis period
preserves self-esteem and promotes growth with resolution
•Crisis
oPsychological disequilibrium in a person who confronts a hazardous circumstance that constitutes an important problem which for the time he/she can neither escape nor
solve with usual problem-solving resources
oProblem solving skills are often diminished by the level of
anxiety accompanying the disequilibrium
oCharacteristics of a Crisis
▪Occurs in all individuals at one time or another and is not necessarily equated with psychopathology
▪Precipitated by specific identifiable events
▪Personal by nature; what may be considered a crisis by one individual may not be so for another
▪Acute, NOT chronic and will be resolved in one way or another within a brief period
▪Contains the potential for psychological growth or deterioration
•Phases in the Development of a Crisis
oPhase 1: The individual is exposed to a precipitating stressor
▪Anxiety increases
▪Previous problem-solving techniques are employed
oPhase 2: when previous problem-solving techniques do not relieve the stressor, anxiety increases further
▪The individual begins to feel a great deal of discomfort
NURSING NR326 Mental Health- Exam 2 stuyd guide Chamberlain College of Nursing NURSING NR326 Mental Health- Exam 2 stuyd guide Chamberlain College of Nursing
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▪Feelings of confusion and disorganization
oPhase 3: All possible resources, both internal and external, are called on to resolve the problem and relieve discomfort
▪The individual may try to view the problem from a different perspective or even to overlook certain aspects of it
▪New problem-solving techniques may be used and
if effectual, resolution may occur at this phase, with the individual returning to higher, a lower, or
the previous level of pre-crisis functioning
oPhase 4: If resolution does not occur in previous phase, individual hits a breaking point. Major disorganization of the individual with drastic results
▪Anxiety may reach panic level
▪Cognitive functions are disordered
▪Emotions are labile
▪Behavior may reflect the presence of psychotic thinking
•Whether individuals experience a crisis in response to a stressful situation depends on 3 factors:
oThe individual’s perception of the event
▪If the event is perceived realistically, the individual is more likely to draw upon adequate resources to restore equilibrium
▪Is the event is perceived distorted, attempts at problem-solving are likely
to be ineffective and equilibrium is not restored
oThe availability of situation supports
Emphasized Topics
1.Types of Crises
a.Class 1: Dispositional Crisis
i.An acute response to an external situational stressor
ii.Example: a husband may be having difficulty with his boss at work and responds by expressing anger and physical violence towards his wife and children
b.Class 2: Crisis of Anticipated Life Transitions
i.Normal life-cycle transitions that may be NURSING NR326 Mental Health- Exam 2 stuyd guide Chamberlain College of Nursing
M
e
n
t
a
l H
e
a
l
t
h
: E
x
a
m 2 C
r
i
s
i
s I
n
t
e
r
v
e
n
t
io
n
•Crisis intervention
oAn emergency type of assistance in which the intervener becomes part of the individual’s life situation.
oThe focus is to provide guidance and support to help mobilize the resources needed to resolve the crisis and restore or generate an improvement in previous level of functioning
oUsually last no longer than 6-8 months
oAssistance with problem solving during the crisis period
preserves self-esteem and promotes growth with resolution
•Crisis
oPsychological disequilibrium in a person who confronts a hazardous circumstance that constitutes an important problem which for the time he/she can neither escape nor
solve with usual problem-solving resources
oProblem solving skills are often diminished by the level of
anxiety accompanying the disequilibrium
oCharacteristics of a Crisis
▪Occurs in all individuals at one time or another and is not necessarily equated with psychopathology
▪Precipitated by specific identifiable events
▪Personal by nature; what may be considered a crisis by one individual may not be so for another
▪Acute, NOT chronic and will be resolved in one way or another within a brief period
▪Contains the potential for psychological growth or deterioration
•Phases in the Development of a Crisis
oPhase 1: The individual is exposed to a precipitating stressor
▪Anxiety increases
▪Previous problem-solving techniques are employed
oPhase 2: when previous problem-solving techniques do not relieve the stressor, anxiety increases further
▪The individual begins to feel a great deal of discomfort
NURSING NR326 Mental Health- Exam 2 stuyd guide Chamberlain College of Nursing NURSING NR326 Mental Health- Exam 2 stuyd guide Chamberlain College of Nursing
▪Co
pin
g tec
hni
qu
es tha
t hav
e wo
rke
d in the
pas
t are
att
em
pte
d onl
y to cre
ate
fee
ling
s of
hel
ple
ssn
ess
wh
en the
y arenot successful
▪Feelings of confusion and disorganization
oPhase 3: All possible resources, both internal and external, are called on to resolve the problem and relieve discomfort
▪The individual may try to view the problem from a different perspective or even to overlook certain aspects of it
▪New problem-solving techniques may be used and
if effectual, resolution may occur at this phase, with the individual returning to higher, a lower, or
the previous level of pre-crisis functioning
oPhase 4: If resolution does not occur in previous phase, individual hits a breaking point. Major disorganization of the individual with drastic results
▪Anxiety may reach panic level
▪Cognitive functions are disordered
▪Emotions are labile
▪Behavior may reflect the presence of psychotic thinking
•Whether individuals experience a crisis in response to a stressful situation depends on 3 factors:
oThe individual’s perception of the event
▪If the event is perceived realistically, the individual is more likely to draw upon adequate resources to restore equilibrium
▪Is the event is perceived distorted, attempts at problem-solving are likely
to be ineffective and equilibrium is not restored
oThe availability of situation supports
Emphasized Topics
1.Types of Crises
a.Class 1: Dispositional Crisis
i.An acute response to an external situational stressor
ii.Example: a husband may be having difficulty with his boss at work and responds by expressing anger and physical violence towards his wife and children
b.Class 2: Crisis of Anticipated Life Transitions
i.Normal life-cycle transitions that may be NURSING NR326 Mental Health- Exam 2 stuyd guide Chamberlain College of Nursing
