Download CCHMC EXAM REVISION . and more Exams Medicine in PDF only on Docsity!
CCHMC EXAM REVISION
Two goals of crisis intervention - ANSWERS-Support and Teach 5 spaces of therapeutic milieu - ANSWERS-Physical, Social, Cultural, Emotional, Ideological Definition of setting condition - ANSWERS-Anything that makes challenging behavior, or traumatic stress responses more or less likely to occur Label the stress model of crisis - ANSWERS-Baseline, Triggering Event, Escalation, Outburst, Recovery 4 skills needed for successful "Intentional Use of Self" - ANSWERS- Self-awareness, self-regulation, relationship skills and attunement, self-care 3 basic processing regions of the triune brain - ANSWERS-Thinking (neocortex), Emotional (limbic system/amygdala), Survival (brain stem) Principles of the Letting Go Process - ANSWERS-States what is expected of the young person, Is directed by the team leader, Is supportive of the young person, Sets the tone for the recovery process Definition of asphyxia - ANSWERS-Deprivation of oxygen to living cells Improper Restraint Techniques - ANSWERS-Pressure on neck or chest, Incorrect positioning of the arms, Obstructing mouth or nose, Abnormal positioning of the body What to monitor during restraints - ANSWERS-Make sure position is correct, Assure there are no breathing problems, Observe and assess skin color
Respiration, Level of consciousness, Level of agitation, Range of motion in extremities Situations a restraint would be indicated, but should be avoided - ANSWERS-Staff is not in control or is too angry, Child is threatening staff and is capable of inflicting harm, Sexual stimulation is motivation, Public place Child has a weapon, Medical condition, Restraint would result in serious emotional trauma, Child is on medications that affect their system Predisposing risk factors that will put a child at greater risk of serious injury (asphyxia) during restraint - ANSWERS-Obesity, Influence of drugs/alcohol, Prolonged violent physical agitation, Underlying natural disease hot/humid environment, Certain medications, Effects of severe trauma history 8 Behavior Support Techniques - ANSWERS-Manage the environment, Prompting, Caring gesture Hurdle help, Redirection/distraction, Proximity, Directive statements, Time away Four elements of a potentially violent situation - ANSWERS-Spark, Target, Weapon, Level of stress or motivation Goals of emotional first aid - ANSWERS-Provide immediate support to reduce emotional intensity, Identify and resolve the underlying concerns causing distress, Keep the child in the activity Strategies to avoid or end a power struggle - ANSWERS-Listen/validate feelings, Manage the environment (by removing others), Give choices/time to decide, Drop/change expectations
3 options to handle physical violence that don't include physical restraint - ANSWERS-Eliminate one of the elements of violence, Releases/protective stance, Leave and get assistance 3 effects of anger during a stressful situation - ANSWERS-Anger can undermine objectivity, Anger is an emotional and physical state, Cognitive abilities are reduced 4 ways to develop the Cultural Space in an organization to decrease the likelihood of a challenging behavior or traumatic stress response - ANSWERS-Develop culturally competent staff, Accept and celebrate cultural differences, Support family connections and involvement, Allow for diverse staff and child interactions 3 conditions have to be present to use a physical restraint - ANSWERS-Agency policies and state regulations allow it, The child's ICSP prescribes it, Our professional dynamic risk assessment indicates it 4 questions we ask ourselves in a crisis - ANSWERS-What am I feeling now? What does the child feel, need, expect, or want? How is the environment affecting the situation? How do I best respond?
