The least restrictive alternative is a continuum of options
involving judgment that includes non-physical and phys- True
ical intervention strategies.
Duration involving breathing disorders, obesity, pregnan-
cy asphyxiation, excited delirium, sickle cell trait, and os-
False
teopenia is not a risk factor during emergency safety
physical intervention.
Misbehavior provides staff with a therapeutic opportunity. True
Staff cannot be sued for what they do or for what they fail
False
to do.
Diagnosis and medications should not influence staff's
False
intervention strategies.
Trust is built through consistent application of appropriate
True
rules, expectations, and interactions with individuals.
Staff should communicate with every individual the same
False
regardless of variables influencing behavior.
An individual's experiences do not impact behaviors and
False
coping choices.
Ideally, initial behavior support plans are developed with
True
individuals prior to any behavior incident.
Staff never demonstrates disrupted motor response dur-
False
ing escalated situations.
Affect Ex: Staff's demeanor
Ex: A glance to give approval, disapproval, or acknowl-
Eye Contact
edgement of a situation.
Using hand/ arm movements indicating a message to a
Signals
group/individual.
, Lowering and/or raising the voice to gain attention, pro-
Volume
viding interruption.
Speed and cadence which directly relates to escalation
Rate
and de-escalation.
Non-verbal intervention prompts an individual to correct
True
his/her behavior without staff involving others.
Para-verbal intervention prompts an individual to correct
False
his/her behavior without staff involving others.
Interventions that support, prompt, stop, diffuse, redirect,
correct or de-escalate are referred to as de-escalation True
strategies.
Effective communication and active listening skills are not
False
needed when using de-escalation.
Understanding individuals and the reason for many of
their behaviors allow staff to focus on positive and moti- True
vating approaches.
Trauma informed care requires that staff is well informed
about the individual's history, treatment issues and diag- True
noses.
Making deals Bargaining
Refusing to comply Unwilling to follow program expectations
Blatant rule violation Directly challenging staff
Constantly questioning "Why" Questioning the rationale of rules or directions
Loopholes Complying with the letter of the law but not its spirit
It is important for staff to assist the individual in managing
his/her thoughts and feeling in order to prompt appro- True
priate actions
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