Practice Test

Question 1

What is the term that can make challenging behavior less likely to occur?

Answer 1

Setting Conditions

Question 2

5 things that can make challenging behavior less likely to occur:

Answer 2

Organizations
Environment
Program Related
Personal
Relationship

Question 3

Name the 2 goals of crisis intervention:

Answer 3

Support and Teach

Question 4

List the 5 stages of the stress model of crisis in order:

Answer 4

Pre-crisis
Triggering event
Escalation
Outburst crisis
Recovery

Question 5

List the 3 outcomes of the recovery phase

Answer 5

Higher
No change
Lower

Question 6

Name the 4 questions we ask ourselves in crisis

Answer 6

What am I feeling
What is the child feeling, need, want
How is the environment affecting the young person
How do I best respond

Question 7

List 5 pain based behaviors

Answer 7

Impulsive outbursts
Running
Self injury
Aggression
Defiance

Question 8

List 5 nonverbal active listening techniques

Answer 8

Facial expression
Eye contact
Body language
Use of silence
Head nods

Question 9

List 5 verbal active listening responses

Answer 9

Tone of voice
Minimal encouragements
Open questions
Reflective responses
Summarization

Question 10

List 5 behavior support techniques

Answer 10

Caring gesture
Proximity
Time away
Hurdle help
Redirection/distraction

Question 11

3 goals of emotional first aid

Answer 11

Provide immediate help and support to reduce emotional intensity
Resolve the immediate crisis
Keep the child in the program/activity

Question 12

List the 4 parts of the conflict cycle

Answer 12

Stressful situation
Child’s feelings
Child’s behavior
Adults response

Question 13

Name the 2 types of aggressions and what guides them

Answer 13

Proactive - goal oriented

Reactive - loss of control

Question 14

List the 4 elements of a potentially violent situation

Answer 14

A potential trigger to violence
A target
A weapon
Level of stress or motivation

Question 15

What is the first step to crisis co regulation?

Answer 15

Ask yourself the 4 questions

Question 16

List 5 nonverbal techniques to use in crisis co regulation

Answer 16

Take a deep breath
Use protective stance
Step back
Provide time
Body language and facial expression

Question 17

List out IESCAPE

Answer 17

Isolate the conversation
Explore young persona point of view
Summarize the feelings and content
Connect feelings to behavior
Alternative behaviors discussed
Plan developed/practice new behavior
Enter young person back into the routine

Question 18

List 5 strategies to avoid the conflict cycle

Answer 18

Positive self talk
Listening and validating feelings
Managing the environment
Giving choices and the time to decide
Redirecting or dropping the expectation

Question 19

Verbal strategies in crisis co regulation

Answer 19

I can see you’re upset… (validate feelings)
When you use this coping skill… (encourage positive behaviors)
I know you’re looking forward to… (emphasize desirable outcome)
I am sorry that this happened… (offer an apology)

Question 20

List 4 options to manage physical violence without engaging in a restraint

Answer 20

Eliminate one of the elements of a violent situation
Make a directive statement that clearly communicates that the violence must stop
Maintain a safe distance
Leave the situation and get assistance

Question 21

Physical restraint should only be used when:

Answer 21

Agency policies and state regulations approve restraint
The young persons individual crisis management plan indicates it
Our professional dynamic risk assessment indicates it

Question 22

The goal of physical intervention

Answer 22

To ensure safety

Question 23

Define acute physical behavior

Answer 23

Behavior likely to result in physical injury

The young person, other clients, staff members, or others are at imminent risk of physical harm

Question 24

Physical restraint is not used to

Answer 24

Demonstrate authority
Enforce compliance
Inflict pain or harm
Punish or discipline

Question 25

Define asphyxia

Answer 25

The deprivation of oxygen to living cells

Question 26

Define positional asphyxia

Answer 26

Fatal respiratory arrest in which the ability to breath is compromised by the positioning of the body

Question 27

Predisposing risk factors to asphyxia

Answer 27

``` Obesity Under the influence of alcohol or drugs Underlying natural disease Hot, humid environments Certain medications ```

Question 28

Warning signs of asphyxia

Answer 28

``` Goes limp and ceases to breath spontaneously States they cannot breathe Breathing is rapid or abnormal Grunting noises Vomiting ```

Question 29

Errors to avoid when using TCI that could increase risk

Answer 29

Hands on the wrist Dropping child Pressure on head neck or back Hyper extending joints

Question 30

During restraints monitor these 6 things

Answer 30

``` Position of child and staff Skin color Respiration Level of consciousness Level of agitation Range of motion and/or swelling in extremities ```