1. Chapter 22 Crisis
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2. Phases in the process of crisis versus stabilization of a potential crisis event
22-2
(Fig. 22-1) B
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3. The effects of balancing factors in a stressful event
22-3
(Fig. 22-2)
Redrawn from Aguilera, D. C. (1998), Crisis Intervention: Theory and Methodology (8th ed.). St Louis: C. V. Mosby. B
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4. Crisis Intervention Foundations
Crisis is self-limiting (4-6 weeks)
Goal of crisis intervention: return to pre-crisis level of function
During crisis, people are more open to outside intervention
Person is assumed to be mentally healthy but in disequilibrium
Focus on the immediate crisis only
Nurse will be active, even directive
Early intervention increases changes for a good outcome
Goals should be realistic and mutual B
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5. Guidelines for Nursing Intervention
Assess for suicidal and homicidal thoughts
Help client feel safe; lower anxiety level
Listen carefully
Use direct creative approach
Identify needed social supports
Identify needed coping skills
Plan mutually acceptable interventions
Plan regular follow-up B
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