TCI (Therapeutic Crisis Intervention) Exam Questions And Answers

TCI (Therapeutic Crisis Intervention) Exam Questions And Answers Stress Model of Crisis - ANSWER -1. Baseline 2. Triggering Event 3. Escalation Phase 4. Outburst Crisis 5. Recovery What are the four questions that we ask ourselves before intervening in a potential crisis? - ANSWER -1. What am I feeling now? 2. What does this child feel, need, or want? 3. How is the environment affecting the child? 4. How do I best respond? Behavior Support Techniques (need to know 4) - ANSWER -1. Managing the environment 2. Prompting 3. Caring gesture 4. Hurdle help 5. Redirection and distractions 6. Proximity 7. Directive statements 8. Time away What are the three goals of emotional first aid? **Be able to write these out - ANSWER -1. Co-regulation (provide immediate help and support to reduce emotional intensity) 2. Resolve the immediate crisis 3. Re-enter the child back into the program Strategies for Emotional First Aid **Need to know terms and be able to write them out - ANSWER -1. Drain off emotions 2. Clarify events 3. Maintain the relationship and lines of communication 4. Remind the child of expectations and mediate the situation if necessary Conflict Cycle - ANSWER -1. Stressful situation/incident 2. Young person's feelings 3. Young person's behavior 4. Adult's response Avoid the conflict cycle by: **Know at least four of these and be able to write them out! - ANSWER -1. Listen and validate the child's feelings 2. Manage the environment 3. Give the young person choices and the time to decide what to do next. 4. Redirect the young person to another positive activity 5. Appeal to the young person's self interest 6. Drop or change the expectation 7. Use positive self-talk Reactive vs. Proactive Aggression - ANSWER -Reactive Aggression -emotions are dominant -loss of control and emotional flooding -eg. impulsive, angry, loud, highly aroused emotions Proactive Aggression -cognitions are dominant -goal oriented -eg. impassive, staring, smiling/smirking, firm, calm What are the four elements of a potentially violent situation? - ANSWER -1. Trigger 2. Target 3. Level of Stress 4. Weapon True or False The goal in crisis intervention is to lower the stress and risk by providing emotional and environmental support? - ANSWER -TRUE Nonverbal crisis co-regulation Help Me Help Myself strategies to help a potentially violent child. (NEED TO KNOW 4) - ANSWER -1. Deep breath 2. Protective stance 3. Step back 4. Give the situation time 5. Sit down (if appropriate) 6. Remember importance of body language and facial expression What are the five goals of the LSI? - ANSWER -1. return the young person to baseline (normal functioning) 2. clarify the events 3. repair and restore the relationship with the adult 4. teach new coping skills 5. reintegrate the young person back into the program What are the steps of the LSI? **Know these word for word - ANSWER -I --- Isolate the conversation E ---Explore the young person's point of view S ---Summarize the feelings and content C ---Connect feelings to behavior A ---Alternative behaviors discussed P ---Plan developed/practice new behavior E ---Enter the young person back into the routine What does LSI stand for? - ANSWER -Life Space Interview What are the options to manage physical violence that do not involve a physical restraint? - ANSWER -1. eliminate one of the elements of the violent situation 2. make a directive statement 3. use releases or prospective interventions 4. leave the situation and get assistance If a child is exhibiting acute physical behavior, what three conditions must be present to use physical restraint? ALL of these criteria must be met in order to use a physical restraint. - ANSWER -1. agency policies and state regulations allow it 2. the young person's ICMP prescribes it 3. the worker's professional judgement What are the situations in which restraint--while indicated--should be avoided? NEED TO KNOW 3 - ANSWER -1. we cannot control the young person safely through restraint techniques 2. we are not in control or are too angry 3. the young person is threatening us with bodily injury and appears capable of inflicting it 4. sexual stimulation is the motivation 5. young person begins to act out in public 6. young person has a weapon 7. young person's medical condition prohibits it 8. young person has emotional problems which risks re-traumatization 9. young person is on medication that affects his/her system Predisposing risk factors that will put the young person at risk for serious injury during a restraint NEED TO KNOW 3 - ANSWER -1. obesity 2. influence of alcohol or drugs 3. prolonged violent physical agitation 4. underlying natural disease (enlarged heart, diabetes,etc.) 5. hot humid environment 6. individual taking certain types of medication True or False In a prone restraint the child should be on a soft surface. - ANSWER -FALSE