CPI Instructor Training Exam Latest 2022/2023

1. Anxiety 2. Defensive 3. Risk Behavior 4. Tension Reduction Crisis Development/Behavior Levels 1. Supportive 2. Directive 3. Physical Intervention 4. Therapeutic Rapport Staff Attitudes/Approaches Anxiety A change in behavior Supportive An empathic, nonjudgmental approach Defensive Beginning to lose rationality Directive Decelerating an escalating behavior Risk Behavior Behaviors that may present a risk to self or others Physical Intervention Disengagement and/or holding skills to manage risk behavior Tension Reduction Decrease in physical and emotional energy Therapeutic Rapport Re-establish communication Proxemics Personal Space Three Zones of Personal Space 1. Intimate 2. Personal 3. Social Kinesics Body Language Haptics Communication through touch Supportive Stance Maintained by keeping a distance of one leg-length from the from person and by remaining at an angle. Reasons for a supportive stance 1. Helps us manage our nonverbal behavior, supports our attempts to decelerate the situation, and reinforces Therapeutic Rapport. 2. Communicates Respect, is Nonthreatening, Maintains Safety Position Where we are in relation to others -- our orientation Posture How we hold and move our body Proximity Distance between individuals What are the 3 Ps Position, Posture, Proximity Paraverbal Communication The vocal part of speech, excluding the actual words one uses. Three key components of paraverbal communication Tone, Volume, Cadence Tone Inflection of voice Volume How loud or soft we speak Cadence The rate or rhythm of speech Verbal Escalation Continuum Intimidation, Tension Reduction, Release, Refusal, Questioning Intimidation The individual is verbally and/or nonverbally threatening staff Intimidation Interventions 1. Take all threats seriously 2. Seek assistance 3. Try to avoid individual intervention Tension Reduction Interventions Establish Therapeutic Rapport Release Verbal and emotional outburst Release Interventions 1. Allow venting (remove audience) 2. State directives that are nonthreatening 3. Use an understanding, reasonable approach 4. Be prepared to enforce any limits you set Refusal Noncompliance Refusal Interventions Set limits; redirect focus Questioning Interventions 1. Information-seeking: A rational question seeking a rational response (give a rational response) 2. Challenging: Questioning authority; attempting to draw staff into a power struggle (downplay the challenge. stick to the topic. set limits) Keys to Limit Setting 1. Simple/clear 2. Reasonable 3. Enforceable Approaches for Limit Setting 1. Interrupt and redirect pattern 2. When and then pattern 3. If and Then Pattern Empathic Listening An Active process to discern what a person is saying Key elements to Empathic Listening 1. Nonjudgmental 2. Undivided attention 3. Listen carefully (focus on feelings and facts) 4. Allows silence for reflection 5. Restate and paraphrase Precipitating Factors Factors that influence behavior Understanding precipitating factors can help staff to: 1. Depersonalize crisis situations by recognizing that we are seldom the sole cause of the risk behavior. 2. Address factors that lead to crisis situations 3. Avoid becoming a precipitating factor ourselves Rational Detachment The ability to manage your own behavior and attitude