Crisis Intervention Exam Preparation: Strategies, Techniques, and Regulations, Exams of Health sciences

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CCHMC: TCI 7 Exam Questions and

Answers 100% Correct

Two goals of crisis intervention - ANSWER - Support & Teach 5 spaces of therapeutic milieu - ANSWER - 1. Social

2. Physical
3. Ideological
4. Cultural
5. Emotional Definition of setting condition - ANSWER - Anything that makes challenging behavior, or traumatic stress responses more or less likely to occur Label the stress model of crisis - ANSWER - Baseline Triggering Event (agitation) Escalation (aggression) Outburst (violence) Recovery Skills needed for successful "Intentional Use of Self" - ANSWER - self-awareness and self-care 3 basic processing regions of the triune brain - ANSWER - 1. Survival
6. Emotional
7. Thinking Strategies to avoid or end a power struggle - ANSWER - 1. Listen/validate feelings
8. Give choices/time to decide

Strategies for emotional first aide - ANSWER - Co-regulate emotions Be a calm presence Letting Go Process - ANSWER - -Is supportive of the young person -Is directed by the team leader Definition of asphyxia - ANSWER - the deprivation of oxygen to living cells Improper Restraint Techniques - ANSWER - -Pressure on neck or chest -Obstructing mouth or nose What to monitor during restraints - ANSWER - -Respiration (no breathing problems) -skin color Restraints should be avoided or discontinued when: - ANSWER - -Public place -Child has a weapon -Medical condition Predisposing risk factors that will put a child at greater risk of serious injury (asphyxia) during restraint - ANSWER - -Obesity -Influence of drugs/alcohol -Certain medications 8 Behavior Support Techniques - ANSWER - 1. Managing the environment

2. Prompting
3. Caring gesture
4. Hurdle help
5. Redirection and distractions

6. Proximity
7. Directive statements
8. Time away Four elements of a potentially violent situation - ANSWER - 1. Spark
9. Target
10. Weapon
11. Level of stress Goals of emotional first aid - ANSWER - -Provide immediate support to reduce emotional intensity -Identify and resolve the underlying concerns causing distress -Keep the child in the activity 5 nonverbal crisis strategies - ANSWER - 1. Take a deep breath
12. Give space and time
13. Use silence
14. If safe, step out of the child's sight
15. Assume a neutral stance and concerned facial expression Reflective response (feeling) - ANSWER - "You seem angry" Empathic response (experience) - ANSWER - "This is really hard for you" Connecting statement - ANSWER - When (trigger), you become (feeling), and you (behavior) E.g. "When someone makes fun of you, you become angry, and you hit them" What stage of the stress model do we complete the LSI? - ANSWER - Recovery 3 possible outcomes of recovery? - ANSWER - 1. Higher

2. No change
3. Lower 5 goals of the LSI - ANSWER - 1. Provide a sense of emotional safety
4. Help clarify the events for the child and adult
5. Repair and restore the relationship
6. Help the child learn to use emotional regulation skills
7. Re-enter the child back into the routine 7 steps of the LSI (I. E. S. C. A. P. E.) - ANSWER - Identify- a place and time to talk Explore-child's point of view Summarize-the feelings and content Connect-trigger to feelings to behavior Alternative-responses to feelings discussed Plan developed/practice Enter-child back into the routine 3 examples of pain-based behaviors - ANSWER - 1. running away
8. Self-injury
9. Impulsive outbursts 3 options to handle physical violence that don't include physical restraint - ANSWER - 1. Eliminate one of the elements of violence
10. Releases/protective stance
11. Leave and get assistance 3 effects of anger during a stressful situation - ANSWER - 1. Anger can undermine objectivity
12. Anger is an emotional and physical state
13. Cognitive abilities are reduced

2 ways to develop the Cultural Space - ANSWER - culturally competent staff & accept and celebrate cultural differences 4 questions we ask ourselves in a crisis - ANSWER - 1. What am I feeling now?

2. What does the child feel, need, expect, or want?
3. How is the environment affecting the situation?
4. How do I best respond? Physical restraint should only be used when: - ANSWER - 1. Agency policies and state regulations allow it
5. The child's ICSP prescribes it
6. Our professional dynamic risk assessment indicates it Anger... - ANSWER - -undermines objectivity -reduces cognitive abilities 2 things to know about self awareness - ANSWER - 1: Understanding our own culture values, fears and beliefs. 2: Knowing our beliefs about trauma and pain based behaviors.