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17 Cards in this Set
- Front
- Back
Cognitive therapy
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Focus on behavior and thinking patterns
Group used to reinforce adaptive behavior |
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Groups lead by a basic level RN
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psychoeducational groups:
medication education group sexuality group Dual-diagnosis multifamily group Symptom management stress management |
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Groups lead by advanced practice RN
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psychotherapy groups
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Group Universality
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members realize that they're not alone with their problems, feelings, or thoughts
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Catharsis
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Intense feelings, as judged by the member, are shared as therapeutic in the group
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Phases of group development
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Initial Phase
Working phase Mature phase Termination Phase |
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Adventitious Crisis
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"Act of God"
Fire, flood, other natural disaster |
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Maturational Crisis
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Previous coping skills no longer effective due to growth and development into new stage of development
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Situational Crisis
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From an external rather than internal source:
loss of job death in family change in financial status |
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Phase 1 of Crisis
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Person confronted by crisis that threatens the self-concept responds with anxiety.
Stimulates use of problem solving mechanisms and defense mechanisms to solve the problem andreduce anxiety |
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Phase 2 of Crisis
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Usual defense mechanism fails, continued threat causes increased anxiety and extreme discomfort.
Functioning becomes disorganized, trial and error kicks in to attempt to solve |
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Phase 3 of Crisis
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Trial and error fails, severe anxiety or panic, person employs automatic relief behaviors (flight or withdrawal)
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Phase 4 of Crisis
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Problem not solved and new coping skills are ineffective, anxiety can overwhelm leading to serious disorganization, depression, confusion, violence, or suicidal behavior
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Crisis timeframe
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Crisis is self-limiting and usually resolved within 4-6 weeks.
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Goal of Crisis Intervention
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Return person to pre-crisis functioning status.
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First action in Crisis Management
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Reduce anxiety / danger
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Duration of Crisis intervention and focus
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1 to 6 weeks and focuses on current problem only
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