TCI Recertification/CCHMC EXAM
100% CORRECT.
Two goal of crisis intervention - ANSWERsupport and teach
5 spaces of therapeutic milieu - ANSWERphysical: 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 - ANSWERanything that makes a challenging
behavior or traumatic stress response more or less likely to happen
4 ways TCI teaches intentional use of self - ANSWERself awareness
self care
self regulation
relationship skills/attunement
4 questions in order - ANSWER1. 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 - ANSWER1. Baseline
2. Triggering (agitation)
3. Escalation (aggression)
4. Outburst (violence)
5. Recovery
Difference between reflective/empathetic responses - ANSWERReflective: connects
child with a feeling, "You look angry"
Empathetic: connects child with an experience, "This is really hard for you, isn't it?"
"3 brains" of Triune Model and how it influences behavior - ANSWER1. Thinking:
reasoning, language, creativity, abstract thought
2. Emotional: emotions, emotional behavior, motivation
3. Survival: survival functions that happen involuntary
Situation where emotional first aid can be used - ANSWERbefore pt is aggressive
Goals of emotional first aid - ANSWER1. provide immediate support to reduce
emotional intensity
2. identify and resolve the underlying concerns causing distress
100% CORRECT.
Two goal of crisis intervention - ANSWERsupport and teach
5 spaces of therapeutic milieu - ANSWERphysical: 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 - ANSWERanything that makes a challenging
behavior or traumatic stress response more or less likely to happen
4 ways TCI teaches intentional use of self - ANSWERself awareness
self care
self regulation
relationship skills/attunement
4 questions in order - ANSWER1. 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 - ANSWER1. Baseline
2. Triggering (agitation)
3. Escalation (aggression)
4. Outburst (violence)
5. Recovery
Difference between reflective/empathetic responses - ANSWERReflective: connects
child with a feeling, "You look angry"
Empathetic: connects child with an experience, "This is really hard for you, isn't it?"
"3 brains" of Triune Model and how it influences behavior - ANSWER1. Thinking:
reasoning, language, creativity, abstract thought
2. Emotional: emotions, emotional behavior, motivation
3. Survival: survival functions that happen involuntary
Situation where emotional first aid can be used - ANSWERbefore pt is aggressive
Goals of emotional first aid - ANSWER1. provide immediate support to reduce
emotional intensity
2. identify and resolve the underlying concerns causing distress
