TCI WRITTEN TEST 2022 CERTIFICATION
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ How do I best respond when assessing and responding?.
Answer: Stay in control, provide emotional support, provide environmental
support, decrease level of stress
◍ Spaces within the therapeutic milieu.
Answer: S.P.I.C.E. (social, physical, ideological, cultural, emotional)
◍ What is positional asphyxia?.
Answer: Ability to breath compromised by the position of the body
◍ List 3 predisposing risk factors of asphyxia during a restraint.
Answer: -Obesity -Influence of alcohol or drugs -Severe trauma
history-Medications
◍ Name 4 nonverbal techniques of Active listening.
Answer: 1. Silence 2. Facial Expression 3. Eye contact 4. Tone of Voice
◍ What are the 7 steps to the LSI?.
Answer: IESCAPE: Identify a time and place to talk 2. Explore child's point
of view 3. Summarize feelings and content 4. Connect trigger to feelings to
behavior 5. Alternative responses to feelings discussed 6. Plan developed/
practiced (roleplay)7. Enter the child back into the routine
◍ What are four improper restraint techniques?.
Answer: Pressure on neck/chest, incorrect arm positioning, obstructing
nose/mouth, abnormal positioning
◍ Give an example of a reflective response.
Answer: "You sound angry"
, ◍ Basic principle of physical intervention.
Answer: A maximum amount of caring and a minimum amount of force
with the goal of de-escalating the situation by reducing stimulation
◍ What are the five goals of the LSI?.
Answer: Provide emotional safety, help clarify events, repair relationship,
help child learn to regulate, re-enter child back into routine
◍ What is a summarization of feelings?.
Answer: Sum up the feelings and content.
◍ What are the 3 times when physical restraint should be used?.
Answer: OAT 1. Our professional dynamic risk assessment indicates it 2.
Agency policies and state regulations allow it 3. The child's ICMP
prescribes it
◍ What are the four questions we ask ourselves in a crisis situation?.
Answer: What am I feeling, What does the child feel/need/expect/want, how
is the environment affecting the situation, how do i best respond?
◍ What is the objective of crisis co-regulation?.
Answer: Provide support in way that reduces stress and increases child's
sense of safety
◍ recommendations to reduce risk of injury or death.
Answer: -Never place weight on a young person's chest or back-Never put
pressure on the young person's neck-Never place the head in a position that
causes the neck to be compressed-Never allow a young person to stay in the
prone or supine position once he or she is no longer a safety risk-get the
person up and in a seated position-Never bend a child forward in the small
child or seated restraint-Never place anything over or near the young
person's face, mouth or nose that can be inhaled or conform to the contours
of the face-Never ignore any of the warning signs of pending
asphyxia-Never fail to take immediate action if there is a need for
emergency medical treatment-Never restrain a child in the prone position on
a mattress or surface that can conform to the contours of the face-Never use
SCRIPT 2026 QUESTIONS WITH SOLUTIONS
GRADED A+
◍ How do I best respond when assessing and responding?.
Answer: Stay in control, provide emotional support, provide environmental
support, decrease level of stress
◍ Spaces within the therapeutic milieu.
Answer: S.P.I.C.E. (social, physical, ideological, cultural, emotional)
◍ What is positional asphyxia?.
Answer: Ability to breath compromised by the position of the body
◍ List 3 predisposing risk factors of asphyxia during a restraint.
Answer: -Obesity -Influence of alcohol or drugs -Severe trauma
history-Medications
◍ Name 4 nonverbal techniques of Active listening.
Answer: 1. Silence 2. Facial Expression 3. Eye contact 4. Tone of Voice
◍ What are the 7 steps to the LSI?.
Answer: IESCAPE: Identify a time and place to talk 2. Explore child's point
of view 3. Summarize feelings and content 4. Connect trigger to feelings to
behavior 5. Alternative responses to feelings discussed 6. Plan developed/
practiced (roleplay)7. Enter the child back into the routine
◍ What are four improper restraint techniques?.
Answer: Pressure on neck/chest, incorrect arm positioning, obstructing
nose/mouth, abnormal positioning
◍ Give an example of a reflective response.
Answer: "You sound angry"
, ◍ Basic principle of physical intervention.
Answer: A maximum amount of caring and a minimum amount of force
with the goal of de-escalating the situation by reducing stimulation
◍ What are the five goals of the LSI?.
Answer: Provide emotional safety, help clarify events, repair relationship,
help child learn to regulate, re-enter child back into routine
◍ What is a summarization of feelings?.
Answer: Sum up the feelings and content.
◍ What are the 3 times when physical restraint should be used?.
Answer: OAT 1. Our professional dynamic risk assessment indicates it 2.
Agency policies and state regulations allow it 3. The child's ICMP
prescribes it
◍ What are the four questions we ask ourselves in a crisis situation?.
Answer: What am I feeling, What does the child feel/need/expect/want, how
is the environment affecting the situation, how do i best respond?
◍ What is the objective of crisis co-regulation?.
Answer: Provide support in way that reduces stress and increases child's
sense of safety
◍ recommendations to reduce risk of injury or death.
Answer: -Never place weight on a young person's chest or back-Never put
pressure on the young person's neck-Never place the head in a position that
causes the neck to be compressed-Never allow a young person to stay in the
prone or supine position once he or she is no longer a safety risk-get the
person up and in a seated position-Never bend a child forward in the small
child or seated restraint-Never place anything over or near the young
person's face, mouth or nose that can be inhaled or conform to the contours
of the face-Never ignore any of the warning signs of pending
asphyxia-Never fail to take immediate action if there is a need for
emergency medical treatment-Never restrain a child in the prone position on
a mattress or surface that can conform to the contours of the face-Never use
