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