CRISIS INTERVENTION EXAM NEWEST 2024 ACTUAL EXAM 200+ COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS ALREADY GRADED A+
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CRISIS INTERVENTION
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CRISIS INTERVENTION
CRISIS INTERVENTION EXAM NEWEST 2024 ACTUAL EXAM 200+ COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS ALREADY GRADED A+
Traumatic death bereavement - Answer--The potential for complicated grief increases exponentially
-The degree of trauma is increased by:
1. The suddenness and lack of anticipa...
CRISIS INTERVENTION EXAM NEWEST 2024
ACTUAL EXAM 200+ COMPLETE
QUESTIONS AND CORRECT DETAILED
ANSWERS ALREADY GRADED A+
Traumatic death bereavement - Answer--The potential for complicated grief increases
exponentially
-The degree of trauma is increased by:
1. The suddenness and lack of anticipation
2. Violence, mutilation and destruction
3. Preventability or randomness
4. Multiple deaths
5. The mourners own confrontation with death or witnessing of violence or mutilation
-The degree of distress has more to do with situational factors such as degree of
violence, extent of maiming of the body and physical proximity to and witnessing of the
death.
-PTSD-like
Complicated/prolonged grief bereavement - Answer--When a person is unable to mourn
a loss and move on in a context of renewal and growth
-Persistent and does not tend to go away.
-Some don't have symptoms until 6 months after the loss.
-Others have acute symptoms that occur immediately and continue for a year or more.
-Tend to experience co-occuring disorders such as PTSD, major depressive disorder
and generalized anxiety.
-Higher incidence of suicide
-The person denies, represses or avoids aspect of the loss, its pain and the full
realization of its implications for the mourner.
-The individual holds onto and avoids relinquishing the lost loved one.
The dual process model - Answer--The griever sometimes confronts and sometimes
avoids the stressors of both a loss of orientation and a restoration of orientation.
-Job of the worker is to encourage this oscillation.
1. Identify and explore loss and restoration stressors and the specific avoidance and
confrontation responses the client uses.
2. Keep in mind that an initial period when the client is fixed in a loss of orientation is
normal. Identify evidence (or lack thereof) of oscillation as time moves forward.
3. Normalize and validate the dual process model by explaining how it works and why it
applies to the client's particular situation.
4. Address problematic avoidance such as excessive alcohol/drug use, extreme denial,
suppression of emotion or acting out.
5. Do not push clients toward the restoration, let the oscillation work.
,6. Psychoeducation with family and other support systems as to how this model works.
Compassion fatigue - Answer--Phenomenon of countertransference
-Used interchangeably with secondary traumatic stress disorder.
-Similar and parallel to PTSD, except that exposure is to the person relating the event
and not the event itself.
-Potential to permanently change the psychological constructs of workers who engage
in intense and long-term trauma and are an inevitable occupational hazard of trauma
work.
-Occur as a result of an accumulation of experiences across therapies and clients are
felt far beyond the transference-countertransference issues of a specific client-therapist
relationship.
Vicarious traumatization - Answer--Phenomenon of countertransference
-Transformation that occurs when an individual begins to change in a manner that
mimics a client's trauma related sumptoms.
-Constructivist model in which the individual's experience and worldview are changed as
a direct result of secondary exposure to trauma through crisis intervention.
-Occur as a result of an accumulation of experiences across therapies and clients are
felt far beyond the transference-countertransference issues of a specific client-therapist
relationship.
-Potential to permanently change the psychological constructs of workers who engage
in intense and long-term trauma and are an inevitable occupational hazard of trauma
work.
Euthanasia - Answer-someone else administers it
Assisted suicide - Answer-someone else provides the means (lethal agent), but the
person who is dying administers it.
Freudian Inward Aggression - Answer--Suicide is triggered by an intrapsychic conflict
that emerges when a person experiences great psychological stress.
-Sometimes stress emerges either as regression to a more primitive state or an
inhibition of one's hostility toward other people or toward society so that one's
aggressive feelings are turned inward toward the self.
-Freud called this the melancholic state, we now call it depression.
-In some cases, melancholy becomes so severe that self-destruction or self-punishment
is chosen over urges to lash out at others.
Hopelessness Theory - Answer--Some individuals believe that highly desired outcomes
will not occur or that highly aversive outcomes will occur and that there is nothing they
can do to change the situation. The only escape is death.
-Beck's cognitive triad of negative thoughts about self, the world and the future are at
the heart of hopelessness.
,Psychache - Answer--Refers to the hurt, anguish, soreness and aching pain of the
psyche or mind.
-Term coined by Edwin Shneidman
-His cubic model combines psychache, perturbation and press... when all three are
combined, they create the critical mass necessary to activate a suicide.
Emile Durkheim's Social Integration - Answer--Social integration and social regulation
are major determinants of suicidal behavior.
-Four types of suicide: egoistic, anomic, altruistic and fatalistic.
Egoistic suicide - Answer-Related to one's lack of integration or identification with a
group.
Anomic suicide - Answer-Arises from a perceived or real breakdown in the norms of
society such as the financial and economic run of the great depression.
Altruistic suicide - Answer-Related to perceived or real social solidarity such as the
traditional Japanese hara-kiri or to put it in a current context the suicide attacks by
members of the Middle Eastern extremist groups.
Fatalistic Suicide - Answer-Occurs when a person sees no way out of an intolerable or
oppressive situation, such as being confined in a concentration camp.
Interpersonal Theory and Suicide - Answer--"People commit suicide because they can
and because they want to kill themselves"
-Theory proposes that while many people consider committing suicide and large
numbers develop the capability, few actually do so because all three ingredients must
be present at once to create the critical mass necessary for the act to occur.
1. People acquire suicidal capability by decreasing their innate fear of death by
habituating themselves to the fear and pain of self-injury.
2. They perceive burdensomeness to others to the extent that they are so flawed or
defective they are beyond repair.
3. Failed belongingness, means that the person has no attachments or value to any
other member of society.
Existential-Constructivist Framework - Answer--Comes from Yalom's work on human
pathology
-Four corner posts of existence:
1. death (unavoidable)
2. existential isolation (we enter existence alone and leave existence alone)
3. meaninglessness (our attempt to make sense of a universe that is beyond knowing)
4. freedom (the absence of external structure, which means that each person is
responsible for making choices, taking actions and enjoying or suffering the
consequences of those decisions).
, -Constructivism views death, existential isolation and meaninglessness as the principal
ingredients that provide the motivation for meaning-making activities central to human
life.
-As individual construct their view of self, others and their relationships, they also
construct a worldview where they encounter environmental challenges to which they
have to respond.
-They have three options in response to these challenges:
1. Retain original constructions
2. Alter them to build new constructions
3. Decide that neither response is viable and consider suicide as a final construct.
Dying with dignity/rational suicide - Answer-Typified by a person's rationally choosing
death in the face of a painful, decimating and incurable illness or some other major
calamity that has no forseeable positive outcome for a reasonable person.
Parasuicde - Answer--Commissioned acts, although not directly lethal, can habituate a
person to the pain necessary to kill themselves by inflicting hesitation wounds.
-Clients may also engage in self-injurious behavior such as cutting or burning their
bodies to reconnect to reality from a dissociative state.
-Or they may indirectly set themselves up to harm themselves by abusing alcohol,
driving too fast, combining the two, daredevil behaviors, etc.
Characteristics of people who commit suicide - Answer-1. Situational characteristics
2. Motivational characteristics
3. Affective characteristics
4. Cognitive characteristics
5. Relational characteristics
6. Serial characteristics
Situational characteristics - Answer-The common stimulus in suicide is unendurable
psychological pain. The common stressor in suicide is frustrated psychological needs.
Motivational characteristics - Answer-The common purpose of suicide is to seek
solution. The common goal of suicide is cessation of consciousness.
Affective characteristics - Answer-The common emotions n suicide are hopelessness
and helplessness.
Cognitive characteristics - Answer-The common cognitive state in suicide is
ambivalence between doing it and wanting to be rescued. The common perception is of
constriction such that one's options become very narrowed and the world is seen
through tunnel vision so that no alternative thoughts can emerge.
Relational characteristics - Answer-The common interpersonal act in suicide is
communication of intention (letting another person know that one's decision makes
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