TCI COMBINED SET ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS

TCI COMBINED SET ACTUAL EXAM QUESTIONS WITH CORRECT ANSWERS Directive statements -Answer- 1. child has a trusting relationship 2. expectation is important enough to risk escalating the situation 3. child has ability to meet expectation 4. still in control to understand 5. done calmly and respectfully Time away -Answer- 1. child has demonstrated ability to use this correctly 2. not too highly escalated 3. can go somewhere to relax, think and be quiet 4. purpose to help child quiet their emotions; not a punishment Emotional first aid; goals -Answer- 1. provide immediate support 2. identify and resolve the underlying concerns causing distress 3. keep the child IN the activity Emotional first aid; strategies -Answer- 1. co-regulate; calm presence 2. maintain the relationship and lines of communication 3. plan and participate, be the coach Power Struggle -Answer- Tug of war Drop the Rope What am I feeling now; Amygdala hijack -Answer- 1. anger or fear triggers fight, flight or freeze response; emotional and physical state 2. danger message sent to the survival part of the brain 3. later; what was I thinking Effects of anger -Answer- When we are at our angriest we are at our stupidest Avoid or end power struggle -Answer- 1. listen and validate feelings 2. manage the environment 3. give choices and time to decide what to do next 4. dropping or changing expectations Non-verbal messaging -Answer- 1. eye contact 2. body language 3. personal space 4. height and gender 5. sensitivity to cultural issues Elements of a potentially violent situation -Answer- 1. spark 2. target 3. weapon 4. level of stress/motivation Spark -Answer- anything that can set off violence, this could be a person, an adult trying to intervene, or a child NOT the initial triggering event that initiates the stress response but what sets off the violent behavior Remove the spark -Answer- 1. never touch an angry or potentially violent child 2. avoid aggressive moves and provocative statements 3. avoid the power struggle and counter aggression 4. remove others who might spark the situation BODY LANGUAGE IS CRUTIAL Remove the target by -Answer- 1. asking targeted person to leave 2. if you are the target remind the child of your relationship or leave/have a "neutral" staff come in Remember; target may shift during crisis Avoid the weapon -Answer- 1. discreetly removing objects 2. maneuvering away from weapons 3. staying a safe distance away Decrease the level of stress or motivation by -Answer- 1. using relationship 2. active listening; identify feelings 3. remove the audience 4. use co-regulation strategies 5. offering alternatives, non-aggressive ways to achieve goals Objective of crisis co-regulations -Answer- provide support in a way that reduces stress and risk and increases the child's sense of safety What to think; self talk -Answer- 1. ask yourself the 4 questions 2. use positive self talk What to do; non-verbal strategies -Answer- 1. take a deep breath and slowly exhale 2. give child space and time 3. use silence 4. if safe; step away from the child's sight 5. assume a neutral stance and concerned facial expression What to say; verbal strategies -Answer- 1. very little 2. speak calmly, assertively, and respectfully 3. understanding responses; affirm and validate feelings, communicate understanding before making a request, share your belief you can work through this together, and offer and apology 4. remember tone of voice is important Post Crisis Implementation includes -Answer- 1. immediate response 2. LSI with the child 3. documentation 4. incident review with the staff 5. incident review with the team Life Space Interview -Answer- verbal process that helps turn crisis events into learning experiences Goals -Answer- I - identify a place and time to talk E - Explore point of view S - Summarize feelings and content C - connect trigger to feelings to behavior A - alternative responses to feelings P - plan and practice E - enter child back to routine Potential Pain-based Responses during the LSI; no response -Answer- Convey calm support and affirm silence Ask a focused question Reschedule the LSI Potential Pain-based Responses during the LSI; off subject -Answer- Allow exploration and relate to the incident Focus on issue at hand Potential Pain-based Responses during the LSI; fix it -Answer- Don't interrupt child's thought process Don't develop the plan for the child Restraint should be avoided or discontinued when -Answer- 1. adults cannot control child safely 2. adult is not in control; anger 3. child is threatening and capable of self harm 4. sexual stimulation is the motivation 5. in a public place 6. child has weapon 7. child's medical condition prohibits it 8. child has emotional problems causing a risk for re-traumatization 9. child is on medication that affects their system Asphyxia -Answer- deprivation of oxygen to living cells Positional asphyxia -Answer- fatal respiratory arrest in which the ability to breathe is comprised by the positioned the body in relationship to its immediate surroundings Predisposing risk factors -Answer- 1. obesity 2. influence of alcohol or drugs 3. prolonged violent agitations 4. underlying natural disease (enlarged heart, asthma, sickle cell trait, high blood pressure 5. hot, humid environments 6. takes certain kinds of medications 7. effects of severe trauma history Improper restraint tecniques -Answer- 1. pressure on neck or chest 2. incorrect positioning of arms 3. obstructing the mouth or nose 4. abnormal positioning of the body Warning signs of asphyxia; neck compression -Answer- goes limp and cease to breath spontaneously Due to respiratory inferences; Options to handle physical -Answer- 1. Eliminate 2. Release and maintain safe distance 3. restrain 4. leave