Chapter 3: De-escalation In Stevenson’s (1991) definition of de-escalation, a patient is? Left alone to calm down Offered medication Given anger management therapy Provided with a physical intervention Directed to a calmer space Which of the following are basic components for effective face-to-face de-escalation? Communication Active listening Assessment Problem solving Facial expressions Which of the following are modules that were included in the conflict resolution programme, developed by the NHS Security Management Service (SMS, 2004)? Control and restraint Problem solving and risk assessment Personality and sense of self Impact of social and physical environment Legal and ethical issues Which of the following are verbal communication principles that should be used during the early phase of de-escalation? Be specific about what you want the patient to do Use the correct technical and scientific terms If the patient raises uncomfortable issues, use techniques such as distraction to postpone the discussion Remind the patient that you are there to ensure that ward rules are followed Which of the following are situations in a Psychiatric Intensive Care Unit or Low Secure Unit that are common precipitants of aggressive escalation? Offering medication Taking the patient’s history Occupational therapy activities Visiting times Boundary setting What percentage of inpatient assaults were precipitated by interactions with staff according to Cheung et al (1997)? 10% 30% 50% 70% 90% Frude’s (1989) model of situational analysis includes situation, aggression and which other factors? Judgement Evaluation Inhibitions Environment Appraisal Resentment Anger What was measured in the rating scale devised by Lanza and Campbell (1991)? Pain Aggression Behavioural problems Perceived violence Assaultive behaviour Emotional content Which of the following de-escalation tactics is the most difficult to develop? Win-lose equation Attitude-behaviour cycle Debunking Aligning goals Transactional analysis Loading …
