The caregiving team may also need support to process traumatic ...

[captainjonesify]

The caregiving team may also need support to process traumatic events in the community or in the care setting. Critical Incident Stress Debriefing (CISD) is a model of effective group crisis intervention.
 
  This group intervention: Standard Text: Select all that apply. 1. Includes a several-phase group discussion.
  2. Includes psychological and psychoeducational elements.
  3. Includes guidelines similar to AA.
  4. Is most effective in emergency settings.

Question 2

The nurse is working with a client who has a history of impulsive and self-harming behavior. The nurse will need to address which of the following in the plan of care?
 
  1. Boundary setting
  2. Confidentiality
  3. Safety
  4. Appropriate self-disclosure

[alexisweber49]

Answer to Question 1

1,2
Rationale: CISD was originally formulated in the 1980s in response to an air disaster in Washington, DC. The original approach, known as critical incident stress debriefing, was intended to include four major elementson-scene crisis intervention; post-incident small group discussion (known as defusing); a more formalized several-phase group discussion, which included debriefing; and follow-up support services. In practice, however, only one element, the group discussion, often to the exclusion of the others, became the focus of disaster mental health intervention. Its ease of use and the perception that it prevented PTSD led to its popularity. Although the small group meeting has both psychologic and psychoeducation elements, it should not by itself be considered psychotherapy.

Answer to Question 2

3
Rationale: Impulsive clients act before thinking about the potential consequences of their actions. Safety maintenance becomes a priority for a client with a history of impulsiveness and self-harm. Confidentiality is maintained for all clients at all times. Boundary setting and appropriate self-disclosure are measures incorporated for clients who display manipulative behavior.