List the four different crisis development/behavior levels Correct Ans
- 1. Anxiety
2. Defensive
3. Risk behavior
4. Tension reduction
List the staff attitude/approach that corresponds with each crisis
development/behavior level Correct Ans - 1. Anxiety --> Supportive
2. Defensive --> Directive
3. Risk behavior --> Safety interventions
4. Tension reduction --> Therapeutic rapport
Anxiety Correct Ans - = thinking
Examples: Worrying about something that doesn't exist, rapid speech,
repetitive mannerisms
Supportive Correct Ans - = reassurance
An empathic, nonjudgmental approach
Examples: Listen, acknowledge feelings, don't attempt to change their
reality
Defensive Correct Ans - = verbal, escalating
Protecting oneself from a real or perceived challenge
Directive Correct Ans - Providing clear direction or instruction.
"Here are your options."
Risk behavior Correct Ans - = physical
Behavior that presents an imminent or immediate risk to self or others
Examples: Hitting, kicking, ripping off equipment
Safety interventions Correct Ans - Non-restrictive and restrictive
strategies to maximize safety and minimize harm
NR = Bed alarm, clean out room/remove equipment, distractions
R = Sitter, restraints, security, medication
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