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Details Title: Nursing Psycholgy Description: Assault cycle Total Flash Cards: 12 Created: 09/17/2007 10:56:46	To study from this set of flash cards, or to create your own your own study flash cards, register HERE. If you are already a registered user, CLICK HERE.
Cards Term 5 stages of the Assault cycle Definition Triggering Phase Escalation Phase Crisis Phase Recovery Depression phase Term Triggering Phase +1 +2 Level of anxiety Behaviors Definition Muscle tension Change in voice quality Tapping of fingers and pacing Repeated verbalization Noncompliance Restlessness Suspiciousness, glaring Irritability and anxiety Perspiration Tremors Change in breathing Term Triggering Phase +1 +2 Level of anxiety Behaviors Definition Muscle tension Change in voice quality Tapping of fingers and pacing Repeated verbalization Noncompliance Restlessness Suspiciousness, glaring Irritability and anxiety Perspiration Tremors Change in breathing Term Triggering Phase +1 +2 Level of anxiety Nursing Intervention Definition Convey empathy and support. Encourage ventilation Ask clear, calm, simple statements Facilitate problem solving by discussing alternative solutions Ask client to move to a quite area, Move client to quiet area Offer safe tension reduction methods Offer oral PRN meds, if needed ” Term Escalation Phase +2 +3 Level of anxiety Behavior Definition Loss of reasoning ability Pale flushed face Anger swearing and agitation Hypersensitivity, threats, demand Ready to retaliate and tautness Provocative Behavior clinched fist Term Escalation Phase +2 +3 Level of anxiety Nursing Intervention Definition Take charge calmly but firmly Take client to quite room for “time Out” Give! oral PRN meds if ordered Have staff on standby (at a distance) prepared for a “show of determination” or “show of Force Term Crisis Phase +3 +4 Level of anxiety Behaviors Definition Loss of self-control, rage Fighting, Hitting Kicking Scratching Throwing things Term Crisis Phase +3 +4 Level of anxiety Nursing Interventions Definition Use involuntary seclusion, restraints, IM meds if ordered Initiate intensive nursing care Continue intensive Nursing care Term Recovery Phase +2 +3 Level of anxiety Behaviors Definition Lowering of voice Decrease body tension Change in conversation content. More normal response to stimuli Relaxed Term Recovery Phase +2 +3 Level of anxiety Nursing interventions Definition Process the incident with the staff and other patients Access patient and staff injuries, if any Access patient progress towards self-control Term Post crisis depression Phase +2 +1 Behaviors Definition Crying Apologies Reconciliatory interactions Repression of assaultive feelings Term Post crisis depression Phase +2 +1 Nursing Intervention Definition Process incident with client Offer alternative solutions to the situation and feeling Progressively reduce the level of restraint and seclusion Facilitate return to the unit.