TCI Training Cornell Exam Questions and Answers (Verified 100%

TCI Training Cornell Exam Questions and Answers (Verified 100%) Stress model of crisis - ANSWER -Pre-crisis State (Baseline) Triggering Event - Agitation Escalation Phase - Aggression Outburst CRISIS - Violence Recovery FOUR questions to ask ourselves in a crisis situation - ANSWER -What am I feeling now? What does this young person feel need want How is the environment affecting the young person? How do I respond? How do I best respond? - ANSWER -Provide environmental support by managing the environment to neutralize potential triggers Provide emotional support by engaging the young person Exercise self-control over your own feelings What am I feeling now? - ANSWER -Anger can undermine objectivity Anger is an emotional and physical response Cognitive abilities are reduced Pain based behavior includes - ANSWER -Impulsive outbursts Aggression Running away Self Injury Defiance Inability to regulate emotions Trauma reenactment Substance Abuse Managing environment - ANSWER -Possible weapons Stimulating lights or noise Crowding Chaotic, messy, disorganized messages Behavior Support Techniques - ANSWER -*More effective in warning phase Managing the Environment Prompting Caring gesture Hurdle help Redirection and Distraction Proximity Directive statements Time away Goals of Emotional First Aid - ANSWER -1. Provide immediate help and support to reduce emotional intensity (co-regulation) 2. Resolve the immediate crisis 3. Keep the child in the program/activity Emotional First Aid - ANSWER -Quick intervention to get back to baseline behavior Crisis is a good time to teach Conflict Cycle - ANSWER -Stressful situation/incident Young person's Feelings Young Person's Behavior Adult's response Ways to avoid the conflict Cycle - ANSWER -Using positive self talk Listening and validating feelings Managing the environment - ie removing others Giving choices and the time to decide Redirecting the young person to another positive activity Appealing to the young person's self-interest Dropping or changing the expectation Understanding Aggressive Behaviors - Types - ANSWER -Reactive Aggression Proactive Aggression Reactive Aggression - - ANSWER -no planning, reaction, may not even remember, it's over Affective or expressive aggression Loss of control and emotional flooding Emotions are dominant Proactive Aggression - ANSWER -involves planning, remembers, may take time to carry out Instrumental or operant Goal oriented Cognitions are dominant Immediate response priorities - REACTIVE Aggression - ANSWER -SAFETY Understanding and support Remove or reduce stimulus Immediate response priorities - PROACTIVE - ANSWER -SAFETY Containment and negotiation Engagement and reasoning Ongoing response priorities - REACTIVE Aggression - ANSWER -Teach coping skills Teach self regulation skills Anger management Ongoing response priorities - PROACTIVE Aggression - ANSWER -Teach appropriate thinking, values and social skills Responds to Reward socially appropriate behavior, not anti-social behavior ICMP - ANSWER -Functional analysis of high-risk behavior Strategy for intervening tailored for the young Periodic review and update Elements of a potentially violent situation - ANSWER -A potential trigger to violence A target A weapon Level of stressor motivation - we can help deal with motivation *looking for a way to relieve stress, some feel it is the only way Remove the potential trigger to violence by - ANSWER -Never touching an angry and potentially violent person Avoiding any aggressive moves and provocative statements Avoiding the conflict cycle and counter aggression Removing others who might trigger the violence -Body languageOptions to handle physical violence Eliminate one of the elements of a violent situation Make a directive statement that clearly communicates (clear concise) that the violence must stop Use releases and maintain a safe distance with a protective stance Leave the situation and get assistance Employ physical restraint Goal of physical intervention - ANSWER -SAFETY Definition of Physical Restraint - ANSWER -The use of trained staff members to hold a young person in order to contain ACUTE PHYSICAL BEHAVIOR Acute physical behavior - ANSWER -Behavior likely to result in physical injury The young person, other clients, staff members, or others are at imminent risk of physical harm.