CCHMC: TCI 7 Exam Questions and
Answers 100% Correct
Two goals of crisis intervention - ANSWER - Support & Teach
5 spaces of therapeutic milieu - ANSWER - Physical, Social, Cultural, Emotional, Ideological
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 - Thinking (neocortex)
Emotional (limbic system/amygdala)
Survival (brain stem)
Letting Go Process - ANSWER - -States what is expected 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
, 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
Strategies to avoid or end a power struggle - ANSWER - -Listen/validate feelings
-Manage the environment (by removing others)
-Give choices/time to decide
-Drop/change expectations
5 nonverbal crisis co-regulation strategies - ANSWER - 1. Take a deep breath and exhale slowly
2. Give space and time
3. Use silence
4. If safe, step out of the child's sight
5. Assume a neutral stance and concerned facial expression
What to monitor during restraints - ANSWER - -Make sure position is correct
-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
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