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TCI Therapeutic Crisis Intervention Test Review Questions With Complete Solutions
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TCI Therapeutic Crisis Intervention Test Review Questions With Complete Solutions
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TCI Therapeutic Crisis Intervention Test Review QuestionsWith Complete Solutions
"what am I feeling now?" (power struggles) Correct Answers -
an amygdala hijack - anger or fear triggers fight, flight or freeze
response (an emotional and physical state)
- the amygdala sends a danger message straight to the survival
brain (objectively is undermined)
- later we ask ourselves "what was I thinking?"
3 techniques of co-regulation Correct Answers "help me help
myself"
- 1.) what to think (self talk) - ask yourself the 4 questions
(how/what am I feeling, what does the child need/want, how is
the environment affecting the situation, and how do i best
respond), use positive self talk
2.) what to do (nonverbal strategies) - take a deep breath and
slowly exhale, give the child space and time, use silence, if safe
- step away from the child's sight, assume a neutral stance and
concerned facial expression
3.) what to say - (verbal strategies) - say very little, speak
calmly/assertively/respectfully, understanding responses (affirm
and validate the child's feelings - " that's really frustrating" or "I
get why you're upset" - communicate understanding before
making a request "you are very angry, let's take a walk so you
can tell me what's happening" and share your belief that you can
work through the situation together - offer an apology - "I'm
sorry that happened") - remember the importance of tone of
voice
- what to do when it's over - it's over when... you do the LSI
(Life space interview)
,a crisis occurs when Correct Answers a child's fight, flight or
freeze response is activated and they are unable to regulate their
emotions/behaviors
- consistent and caring - what staff needs to be for youth
- move into pain based behaviors (fight, flight or freeze)
a trauma informed organization ensures that staff: Correct
Answers - understand - understand what trauma is/how it
impacts everyone within the system
- recognize - recognize behaviors and patterns that reflect
trauma (past or present)
- respond - respond in ways that avoid bringing up trauma
a trauma informed organization: Correct Answers - supports
and facilitates trauma-informed care through:
- policies
- procedures
- practice
active listening Correct Answers - helps children express
thoughts/feelings
- reduces defensiveness/opposition
- promotes change
- communicates we understand/desire to help
- self-soothe behaviors
- talk out rather than act out
- use more summary - hand it back into their court
- as we model ways to respond
, adults can be a source of strength for children by: Correct
Answers - seeing the situation from the child's point of view
(empathetic response)
- supportive (emotional/environmental)
- celebrate child's efforts/success
assessing behavior Correct Answers all behavior has meaning
- behavior reflects emotions/needs
- trauma affects children's ability to manage feelings and
behaviors
("there's a bear in the room")
avoid the weapon by Correct Answers - discretely removing
objects
- maneuvering away the weapons
- staying a safe distance away
basic principles of physical intervention Correct Answers - a
maximum amount of care with a minimum amount of force and
the goal of de-escalating the situation by reducing stimulation
behavioral support techniques Correct Answers - managing the
environment (placement of self/others)(staying within sight and
sound, relaxed activities, dividing groups, etc.)
- prompting (implying thought of their own - nonverbal cues)
- caring gesture (expressing you care for someone)
- hurdle help (lower stress - help youth with hurdles/problems)
- redirections and distractions - (be specific with redirections -
youth given options/choices - be specific)
- proximity (trusted adult close by calms youth - co-regulation)
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