chapter 12

  1. whether or not an individual experiences a crisis in response to a stressful situation depends on the 3 factors:
    • 1.the indivduals perception of the event
    • 2.the avaliability of situational supports
    • 3.the avaliability of adequate coping mechanisms
  2. what are the 6 classes of emtional cires
    • 1.dispositional cries
    • 2.cries of antipated life transitions
    • 3.cries resulting from traumatic stress
    • 4.maturation development cries
    • 5.cries reflecting psychology
  3. assault cycle (in an instituational setting) phase 1
    • activated
    • ex. "i want to go to the library" "no courtyard today" "no hot water"
  4. assault cycle (in institutional setting) phase 2
    • 1.anger facial expression
    • 2.labor breathing
    • 3.redness face
    • 4.refusing medication and treatment "not complying"
    • 5.pacing
    • 6.yelling "rising voice"
  5. assault cycle (institutional setting) phase 3
    crisis "chemical or mechenical restraint"
  6. assault cycle (institutional setting) phase 4
  7. assault cycle (institutional setting) phase 5
    • stabilizing
    • -back to baseline
  8. the phases of crisis intervention "note from mr.d
    a) develop an alliance
    • a1. build trust
    • a2. validate the client
    • begin where the client wants to begin
  9. three phases of crisis intervention
    b)gather information
    • b1.ask how he or she cop from the past
    • b2.ask how you experience similar stressor from the past
    • b3.ask why are you so suspeptible to this right now
    • b4.what your previous level of symptoms from the past
    • b5.have there been similar symptoms from the past
    • b6.what are your resources "support group"
  10. three phases of crisis intervention
    c)problem solving
    • c1.avoid giving advices
    • c2.focus on the client positive
    • approach
    • c4.set realistic goal with the client
    • c5.ask client "what is there, what you want"
    • c6.get some basic problem solving
  11. approximately what % of all persons who commit of attempt suicide have diagnosed mental disorder
  12. suicide is not a diagnosis or a disorder, it is a what
  13. suicide risk may increase early during treatment with
  14. as the return of energy brings about an increased ability to act out
    self-destructive wishes
  15. the suicide rate for a single person is
    twice of married persons
  16. what is it for divorced, separated and widowed persons
    4 to 5 times greather
  17. white males over the age of what are the greather risk of all gender/race groups
    age 80
  18. women attempt suicide
  19. men succeed more
  20. individuals with mood disorders (major depression and bipolar disorder) are far more likely to
    commit suicide than those in any other psychiatric group
  21. nursing dx- suicide
    • 1.high risk for self directed violence related to feeling of helplessness and desperation
    • 2.hoplessness related to absence of support systems and perception of worthlessness
  22. outcomes for suicide
    • harm to self
    • 2.set realistic gol for self
    • optimism and hope for the future (pt at ASH)
  23. analysis of the suicidal crisis
    • 1.always be aware of a client's support system
    • 2.precipating stressor:adverse life events in combination with other risk factors such as depression may lead to suicide
    • 3.relevant history: has individual experienced numerous failures or rejections that wouls increase his or her vulerability for a dyfunctional response to the current situation
    • stage issues: the ability to tolerate losses and diappointmens is often compromised if those loose occur during various stages of life in which the individual struggles (adolescences,midlife)
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chapter 12
theory chapter 12