FINAL

Question 1

a critical turning point perceived as intolerable difficulty that overwhelms an individual’s coping mechanism

Answer 1

crisis

Question 2

personal, family, cultural

Answer 2

levels of crisis

Question 3

stressful, disorganized, potential for positive/negative outcomes

Answer 3

characteristics of crisis

Question 4

developmental, traumatic, psychiatric

Answer 4

types of crisis

Question 5

a deeply distressing or disturbing experience with long-term effects such as flashbacks and emotional dysregulation

Answer 5

trauma

Question 6

interpersonal, relational, cultural

Answer 6

types of trauma

Question 7

shame, guilt, loss of self, compulsive repetition

Answer 7

common impacts of trauma

Question 8

re-experiencing traumatic events as disturbing present experiences, not just memories.

Answer 8

PTSD

Question 9

reliving, avoidance, hyperarousal, cognitive changes

Answer 9

symptoms of PTSD

Question 10

a formal intervention process to help individuals cope with traumatic events

Answer 10

critical incident stress management (CISM)

Question 11

listen, assess, plan, commit

Answer 11

LAPC model

Question 12

what is the purpose of the LAPC model?

Answer 12

used to guide immediate crisis intervention

Question 13

caplan’s intervention model

Answer 13

primary, secondary, tertiary

Question 14

primary

Answer 14

prevention

Question 15

secondary

Answer 15

minimizing impact

Question 16

tertiary

Answer 16

addressing long-term effects

Question 17

zone of optimal arousal where emotional regulation is possible

Answer 17

window of tolerance

Question 18

who is associated with window of tolerance?

Answer 18

dan siegel

Question 19

techniques to stay in window of tolerance

Answer 19

mindfulness, grounding, deep breathing

Question 20

what does emotional response to trauma include?

Answer 20

anxiety, panic, despair, shame… emotional dysregulation and avoidance behaviors

Question 21

what does physical response to trauma include?

Answer 21

hyperarousal (increased heart rate, pupil dilation)
tonic immobility (freeze response)
long-term effects: stress hormones, altered brain function

Question 22

characteristics of effective crisis counselors

Answer 22

tolerance for ambiguity, optimism, flexibility and positive regard

Question 23

grounding techniques

Answer 23

teach clients to stay in the present
tools: deep breathing and mindfulness exercises

Question 24

psychological first aid

Answer 24

eight core actions: stabilization, safety & comfort, information gathering, connection with social supports

Question 25

healing modalities

Answer 25

EMDR, trauma-sensitive yoga, internal family systems (IFS)

Question 26

- explains how the autonomic nervous system detects safety or danger - involves the dorsal vagus, sympathetic system and ventral vagus

Answer 26

polyvagal theory

Question 27

- safety and stabilization - processing traumatic memories - reconnecting with the present and building relationships

Answer 27

trauma recovery stages (herman)

Question 28

- allows non verbal expression of memories and emotions - effective in facilitating grief and trauma and healing

Answer 28

art therapy

Question 29

risk factors of addition

Answer 29

- genetics, trauma history, attachment issues - tolerance as a diagnostic criterion

Question 30

suicide indicators

Answer 30

- personality traits, social stressors, family history

Question 31

categories of suicide risk

Answer 31

ideation (no plan or intent), ideation (with plan and intent), ideation (with plan no intent)

Question 32

cognitive, emotional, and physical reactions of grief/loss

Answer 32

- confusion, guilt, loneliness, fatigue - common physical systems: headache, muscle pain

Question 33

complicated grief

Answer 33

persistent, intense preoccupation with the loss that interferes with daily functioning

Question 34

guidelines for crisis intervention

Answer 34

helping clients identify and express feelings, understanding the loss's meaning

Question 35

indicator of child abuse/neglect

Answer 35

- bruises, irritability, withdrawal, absenteeism - child's response influences by age, type/severity and family environment

Question 36

reporting guidelines of child abuse

Answer 36

- provide identifying information and descriptions of injuries - assess observable impairments in functioning

Question 37

burnout

Answer 37

fatigue, detachment, hopelessness

Question 38

compassion fatigue

Answer 38

cumulative trauma impact

Question 39

how to do self-care as a counselor

Answer 39

exercise, balanced workload, supervision, work-life boundaries

Question 40

how long does it take on average to overcome crisis?

Answer 40

6-8 weeks