TCI Recertification/CCHMC Exam 2026
Questions and Answers
Two goal of crisis intervention - Correct answer-support and teach
5 spaces of therapeutic milieu - Correct answer-physical: makes good use of space
for personal/public (letting child decorate room)
emotional: takes trauma into consideration, development of coregulation/self-
regulation skills
ideological: supports developmentally appropriate practice, (involves parents, kids
in decisions)
cultural: culturally competent staff (diversity in staff)
social: values attachment and individual relationships, (groups for kids)
How is a setting condition defined - Correct answer-anything that makes a
challenging behavior or traumatic stress response more or less likely to happen
4 ways TCI teaches intentional use of self - Correct answer-self awareness
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, self care
self regulation
relationship skills/attunement
4 questions in order - Correct answer-1. What am I feeling?
2. What does the child feel, need, expect, want?
3. How is the environment affecting this situation?
4. How do I best respond?
Stress Model - Correct answer-1. Baseline
2. Triggering (agitation)
3. Escalation (aggression)
4. Outburst (violence)
5. Recovery
Difference between reflective/empathetic responses - Correct answer-Reflective:
connects child with a feeling, "You look angry"
Empathetic: connects child with an experience, "This is really hard for you, isn't
it?"
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Questions and Answers
Two goal of crisis intervention - Correct answer-support and teach
5 spaces of therapeutic milieu - Correct answer-physical: makes good use of space
for personal/public (letting child decorate room)
emotional: takes trauma into consideration, development of coregulation/self-
regulation skills
ideological: supports developmentally appropriate practice, (involves parents, kids
in decisions)
cultural: culturally competent staff (diversity in staff)
social: values attachment and individual relationships, (groups for kids)
How is a setting condition defined - Correct answer-anything that makes a
challenging behavior or traumatic stress response more or less likely to happen
4 ways TCI teaches intentional use of self - Correct answer-self awareness
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
, self care
self regulation
relationship skills/attunement
4 questions in order - Correct answer-1. What am I feeling?
2. What does the child feel, need, expect, want?
3. How is the environment affecting this situation?
4. How do I best respond?
Stress Model - Correct answer-1. Baseline
2. Triggering (agitation)
3. Escalation (aggression)
4. Outburst (violence)
5. Recovery
Difference between reflective/empathetic responses - Correct answer-Reflective:
connects child with a feeling, "You look angry"
Empathetic: connects child with an experience, "This is really hard for you, isn't
it?"
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
