TX LCPAA Study Set 2 EXAM QUESTIONS And
CORRECT Answers
Transitional hold - CORRECT ANSWERS The use of a temporary restraint technique that
lasts no longer than one minute as part of the continuation of a longer personal.
Triggered review - CORRECT ANSWERS A review of a specific child's placement, treatment
plan, and orders or recommendations for intervention, because a certain number of
interventions have been made within a specified period of time.
What types of emergency behavior intervention may I administer? - CORRECT
ANSWERS 1) Short personal restraint [Medium-High]; (2) Personal restraint [Medium-
High]; and (3) Emergency medication.
What types of emergency behavior intervention may I NOT administer? - CORRECT
ANSWERS You may never administer chemical restraints, mechanical restraints, or
seclusion.
Who may administer emergency behavior intervention? - CORRECT ANSWERS Only a
caregiver qualified in emergency behavior intervention may administer any form of emergency
behavior intervention, except for the short personal restraint of a child.
What actions must a caregiver take before using a permitted type of emergency behavior
intervention? - CORRECT ANSWERS Attempt less restrictive behavior interventions that
prove to be ineffective at defusing the situation [Medium-High]; and (2) Determine that the
basis for the emergency behavior intervention is [Medium-High]: (A) An emergency situation; or
(B) A need for a personal restraint to administer intra-muscular medication or other medical
treatments prescribed by a licensed physician, such as administering insulin to a child with
diabetes.
,When can a child's active attempt to run away may be considered an emergency situation? -
CORRECT ANSWERS (1) The child is developmentally or chronologically under six years
old; (2) The child is suicidal; (3) The operation is located near a high traffic area; (4) Adverse
weather conditions pose a clear safety risk to the child; or (5) Other clear safety risks are
present.
What is the appropriate use for a short personal restraint? - CORRECT ANSWERS urgent
situations, such as: (1) To protect the child from external danger that causes imminent
significant risk to the child, such as preventing the child from running into the street or coming
into contact with a hot stove. The restraint must end immediately after the danger is averted.
(2) To intervene when a child under the age of five (chronological or developmental age)
demonstrates disruptive behavior, if other efforts to de-escalate the child's behavior have failed;
(3) When a child over five years old demonstrates behavior disruptive to the environment or
milieu, such as disrobing in public, provoking others that creates a safety risk, or to intervene to
prevent a child from physically fighting; or (4) When a child is significantly damaging property,
such as breaking car windows or putting holes into walls.
What techniques are prohibited in a short personal restraint? - CORRECT ANSWERS (1) A
prone or supine restraint [High]; (2) Restraints that impair the child's breathing by putting
pressure on the child's torso, including leaning a child forward during a seated restraint [High];
267 Revised: 1/2024 (3) Restraints that obstruct the airways of the child or impair the breathing
of the child, including procedures that place anything in, on, or over the child's mouth, nose, or
neck, or impede the child's lungs from expanding [High]; (4) Restraints that obstruct the
caregiver's view of the child's face [High]; (5) Restraints that interfere with the child's ability to
communicate or vocalize distress [High]; or (6) Restraints that twist or place the child's limb(s)
behind the child's back. [High]
In a short personal restraint, can you place a child's limbs behind their back? - CORRECT
ANSWERS no
Are written orders required to administer emergency behavior intervention, and if so, who can
write them? - CORRECT ANSWERS Only for Emergency medication. Written orders
required from a licensed physician. Only for personal restraints in the case of successive
, restraints or restraint simultaneous with emergency medication, and/or a restraint that exceeds
the maximum time limit
What are the requirements for orders on personal restraints? - CORRECT
ANSWERS originate from a licensed psychiatrist or psychologist and include the number
of times a child may be restrained in a seven-day period.
What if an order for personal restraints allows more than three restraints within a seven-day
period? - CORRECT ANSWERS the order must include a plan for reducing the need for
emergency behavior intervention.
How often must the licensed psychiatrist or psychologist review PRN orders for personal
restraint? - CORRECT ANSWERS at least every 30 days.
May PRN orders be used to restrain a child beyond the maximum length of time for personal
restraint, - CORRECT ANSWERS no
How often must the licensed physician review PRN orders for emergency medication? -
CORRECT ANSWERS at least every 30 days.
If you obtain PRN orders for certain emergency behavior interventions, how soon must you
provide the parent with a copy of the PRN order - CORRECT ANSWERS within 72 hours
If the child does not appear to understand what the child must do to be released from the
emergency behavior intervention, the caregiver must attempt to re-explain it how often? -
CORRECT ANSWERS every 15 minutes until the child understands or is released from the
intervention.
CORRECT Answers
Transitional hold - CORRECT ANSWERS The use of a temporary restraint technique that
lasts no longer than one minute as part of the continuation of a longer personal.
Triggered review - CORRECT ANSWERS A review of a specific child's placement, treatment
plan, and orders or recommendations for intervention, because a certain number of
interventions have been made within a specified period of time.
What types of emergency behavior intervention may I administer? - CORRECT
ANSWERS 1) Short personal restraint [Medium-High]; (2) Personal restraint [Medium-
High]; and (3) Emergency medication.
What types of emergency behavior intervention may I NOT administer? - CORRECT
ANSWERS You may never administer chemical restraints, mechanical restraints, or
seclusion.
Who may administer emergency behavior intervention? - CORRECT ANSWERS Only a
caregiver qualified in emergency behavior intervention may administer any form of emergency
behavior intervention, except for the short personal restraint of a child.
What actions must a caregiver take before using a permitted type of emergency behavior
intervention? - CORRECT ANSWERS Attempt less restrictive behavior interventions that
prove to be ineffective at defusing the situation [Medium-High]; and (2) Determine that the
basis for the emergency behavior intervention is [Medium-High]: (A) An emergency situation; or
(B) A need for a personal restraint to administer intra-muscular medication or other medical
treatments prescribed by a licensed physician, such as administering insulin to a child with
diabetes.
,When can a child's active attempt to run away may be considered an emergency situation? -
CORRECT ANSWERS (1) The child is developmentally or chronologically under six years
old; (2) The child is suicidal; (3) The operation is located near a high traffic area; (4) Adverse
weather conditions pose a clear safety risk to the child; or (5) Other clear safety risks are
present.
What is the appropriate use for a short personal restraint? - CORRECT ANSWERS urgent
situations, such as: (1) To protect the child from external danger that causes imminent
significant risk to the child, such as preventing the child from running into the street or coming
into contact with a hot stove. The restraint must end immediately after the danger is averted.
(2) To intervene when a child under the age of five (chronological or developmental age)
demonstrates disruptive behavior, if other efforts to de-escalate the child's behavior have failed;
(3) When a child over five years old demonstrates behavior disruptive to the environment or
milieu, such as disrobing in public, provoking others that creates a safety risk, or to intervene to
prevent a child from physically fighting; or (4) When a child is significantly damaging property,
such as breaking car windows or putting holes into walls.
What techniques are prohibited in a short personal restraint? - CORRECT ANSWERS (1) A
prone or supine restraint [High]; (2) Restraints that impair the child's breathing by putting
pressure on the child's torso, including leaning a child forward during a seated restraint [High];
267 Revised: 1/2024 (3) Restraints that obstruct the airways of the child or impair the breathing
of the child, including procedures that place anything in, on, or over the child's mouth, nose, or
neck, or impede the child's lungs from expanding [High]; (4) Restraints that obstruct the
caregiver's view of the child's face [High]; (5) Restraints that interfere with the child's ability to
communicate or vocalize distress [High]; or (6) Restraints that twist or place the child's limb(s)
behind the child's back. [High]
In a short personal restraint, can you place a child's limbs behind their back? - CORRECT
ANSWERS no
Are written orders required to administer emergency behavior intervention, and if so, who can
write them? - CORRECT ANSWERS Only for Emergency medication. Written orders
required from a licensed physician. Only for personal restraints in the case of successive
, restraints or restraint simultaneous with emergency medication, and/or a restraint that exceeds
the maximum time limit
What are the requirements for orders on personal restraints? - CORRECT
ANSWERS originate from a licensed psychiatrist or psychologist and include the number
of times a child may be restrained in a seven-day period.
What if an order for personal restraints allows more than three restraints within a seven-day
period? - CORRECT ANSWERS the order must include a plan for reducing the need for
emergency behavior intervention.
How often must the licensed psychiatrist or psychologist review PRN orders for personal
restraint? - CORRECT ANSWERS at least every 30 days.
May PRN orders be used to restrain a child beyond the maximum length of time for personal
restraint, - CORRECT ANSWERS no
How often must the licensed physician review PRN orders for emergency medication? -
CORRECT ANSWERS at least every 30 days.
If you obtain PRN orders for certain emergency behavior interventions, how soon must you
provide the parent with a copy of the PRN order - CORRECT ANSWERS within 72 hours
If the child does not appear to understand what the child must do to be released from the
emergency behavior intervention, the caregiver must attempt to re-explain it how often? -
CORRECT ANSWERS every 15 minutes until the child understands or is released from the
intervention.
