Alzheimer’s Delirium and Dementia Q 17



Nurse Trish suggests a crisis intervention group to a client experiencing a developmental crisis. These groups are successful because the:
  
     A. Crisis intervention worker is a psychologist and understands behavior patterns.
     B. Crisis group supplies a workable solution to the client’s problem.
     C. Clients are encouraged to talk about personal problems.
     D. Client is assisted to investigate alternative approaches to solving the identified problem.
    
    

Correct Answer: D. Client is assisted to investigate alternative approaches to solving the identified problem

Crisis intervention groups help clients reestablish psychologic equilibrium by assisting them to explore new alternatives for coping. It considers realistic situations using rational and flexible problem-solving methods. Crisis intervention is a short-term management technique designed to reduce potential permanent damage to an individual affected by a crisis. A crisis is defined as an overwhelming event, which can include divorce, violence, the passing of a loved one, or the discovery of a serious illness.

Option A: There are many approaches to integrating crisis intervention, and a member of the healthcare team can complete each step. First responders can triage and assess the situation and administer psychological first aid as needed to victims of a traumatic event to prevent any long-term mental health problems. This approach allows immediate access to crisis intervention, which will facilitate care and lead to improved outcomes. In a hospital setting, the needs of a patient in crisis should be well communicated throughout the management team. As one study suggests, in times of crisis intervention, health professionals should discuss in advance and agree on a plan of care to better facilitate the recovery of the patient.
Option B: A successful intervention involves obtaining background information on the patient, establishing a positive relationship, discussing the events, and providing emotional support. SAFER-R is a common intervention model used, which consists of stabilization, acknowledgment, facilitate understanding, encouragement, recovery, and referral. SAFER-R helps patients return to their mental baseline following a crisis.
Option C: Based on prior studies, it is evident that crisis intervention plays a significant role in enhancing outcomes in psychiatric cases. Community Mental Health Centers and local government agencies often have crisis intervention teams that provide support to the local community at times of mental health crisis. These teams can also be helpful at times of natural or man-made emergencies. Crisis intervention teams often assess and triage the situation and can diffuse the situation and triage for urgent attention of medical or mental health personnel in emergency or community care settings.