TX LCPAA EXAM STUDY SET 2 (LATEST) 2025
QUESTIONS WITH COMPLETE SOLUTIONS!!
Transitional hold Answer - 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 Answer - 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? Answer - 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? Answer
- You may never administer chemical restraints, mechanical restraints, or
seclusion.
Who may administer emergency behavior intervention? Answer - 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? Answer - 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? Answer - (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? Answer - 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? Answer - (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?
Answer - no
Are written orders required to administer emergency behavior intervention,
and if so, who can write them? Answer - 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? Answer -
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? Answer - 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? Answer - at least every 30 days.
May PRN orders be used to restrain a child beyond the maximum length of
time for personal restraint, Answer - no
How often must the licensed physician review PRN orders for emergency
medication? Answer - 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 Answer -
within 72 hours
QUESTIONS WITH COMPLETE SOLUTIONS!!
Transitional hold Answer - 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 Answer - 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? Answer - 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? Answer
- You may never administer chemical restraints, mechanical restraints, or
seclusion.
Who may administer emergency behavior intervention? Answer - 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? Answer - 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? Answer - (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? Answer - 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? Answer - (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?
Answer - no
Are written orders required to administer emergency behavior intervention,
and if so, who can write them? Answer - 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? Answer -
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? Answer - 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? Answer - at least every 30 days.
May PRN orders be used to restrain a child beyond the maximum length of
time for personal restraint, Answer - no
How often must the licensed physician review PRN orders for emergency
medication? Answer - 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 Answer -
within 72 hours
