Psychiatric Medications Q 55
The outcome that is unrelated to a crisis state is:
A. Learning more constructive coping skills.
B. Decompensation to a lower level of functioning.
C. Adaptation and a return to a prior level of functioning.
D. A higher level of anxiety continuing for more than 3 months.
Correct Answer: D. A higher level of anxiety continuing for more than 3 months.
This is not an expected outcome of a crisis because by definition a crisis would be resolved in 6 weeks. 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. A successful intervention involves obtaining background information on the patient, establishing a positive relationship, discussing the events, and providing emotional support.
Option A: Crisis intervention is a short-term management technique designed to reduce potential permanent damage to an individual affected by a crisis. 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. The use of humor, emotional support, planning, and acceptance also correlate with superior mental health outcomes compared to substance abuse and denial. Positive coping mechanisms, such as the ones listed above, are reported to be effective in crisis management, and with crisis intervention services in place, people will be better equipped to handle unexpected events.
Option B: SAFER-R can be used in conjunction with the Assessment Crisis Intervention Trauma Treatment (ACT), which is a seven-stage crisis intervention model. It consists of assessing the affected person, establishing a relationship, understanding the problem, confronting emotions, exploring coping strategies, implementing a plan, and following up. If left unmanaged, a person with a severe crisis can undergo a significant amount of psychological stress, which carries links to major depressive disorder and other mental health conditions. Not only is crisis intervention effective in preventing the development of mental illness, but it can also be used in a clinical setting to treat patients currently suffering from one.
Option C: Psychological crisis intervention is necessary to prevent traumatized victims from developing illnesses. It also alleviates stress upon healthcare workers so that they can continue helping others. Another major concern is what coping strategies are most effective. Social support and problem-solving planning are effective coping mechanisms that are frequently used by school staff following a crisis.