CASE STUDY: CLIENTS IN CRISIS: FLIPPING THE

CASE STUDY: CLIENTS IN CRISIS: FLIPPING THE CLASSROOM Objectives: Time: 30 minutes Recognize the genetic, biologic, sociologic, and psychological factors believed to precipitate crisis behavior Identify those clients or groups of individuals considered to be at risk for crisis Interpret the goals of crisis intervention Analyze the role of the mental-health nurse in crisis intervention Apply the steps of crisis intervention Class: NUR120 Lecture Case Study #1 You are assigned to a school. You have been contacted by a student running down the hall who states that the teacher is crying and Debra is out of control in the classroom. You respond to the classroom and find the teacher sobbing at her desk while Debra, a 13-year-old student, is standing on the chair at her desk screaming that the teacher was involved in a violent movie and that the students are all actors. Debra screams that no one is real and they must all stop talking. Someone has broken the cubbies in the room and papers, boots, and backpacks are strewn about the area. The kids in the classroom have mixed reactions: some are fearful, some are laughing, and some are quietly watching. Two girls are trying to get out of the room by sliding along the wall while Debra’s back is turned. Useful Information Debra is known to be on some kind of medication. Debra has been transferred twice in the district due to disruptive behavior. The teacher has a history of depression which she shared with you during a disturbance in her class last year. The principal has been notified and is expected to respond, however she has not arrived yet. The former School Resource Office (SRO) was criticized in the past by school staff and parents for being “too aggressive” in a crisis situation which was investigated and founded. You are newly assigned to this school. General Questions What is your first priority? How do you approach the room? What kind of communication will be most effective with each of the identified parties? What kind of resources might you offer?

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