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tci Flashcards

1
Q

what are the 6 factors involved in effective TCI implimentation

A

1.Leadership and programme support
2. child and family inclusion
3. clinical participation
4. supervision and post crisis response
5. training and competency standards
6. document and incident monitoring feedback.

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2
Q

What are the 9 pain based behaviours

A
  1. Impulsive outbursts
  2. overreactions to situations
  3. running away
  4. self-injury
  5. defiance
  6. inability to regulate emotions
  7. trauma re-enactment
  8. inflexibility
  9. withdrawal.
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3
Q

What are the 8 behaviour support techniques

A
  1. Manage the environment
  2. prompting
  3. caring gestures
  4. hurdle help
  5. redirection and distraction
  6. proximity
  7. directive statements
  8. time away.
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4
Q

What are the 3 strategies for Emotional first aid

A
  1. Co-regulate emotions
  2. maintain relationship and lines of communication
  3. plan and anticipate -be a coach.
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5
Q

What are the 4 methods of avoiding or ending a power struggle

A
  1. Listening and validating feelings
  2. managing the environment
  3. give choice and time to decide what to do next
  4. drop or change expectations.
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5
Q

What are the 9 situations in which restraints should be avoided or discontinued

A
  1. Adults cannot control the child safely
  2. the adult is not in control (too angry)
  3. child is threatening and is capable of harming staff
  4. sexual stimulation is the motivation
  5. in a public place
  6. child has a weapon
  7. childs medical condition prohibits it
  8. child has emotional problems risking re-traumatization
  9. child is on medication that affects their system.
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5
Q

What are the 5 crisis co-regulation strategies

A
  1. Take a deep breath and slowly exhale
  2. give the child space and time
  3. use silence,
  4. if safe step away from the child’s view,
  5. assume a neutral stance and concerned facial expression.
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6
Q

What are the 7 risk factors associated with using restraints

A
  1. Obesity
  2. under the influence of alcohol/drugs
  3. prolonged physical agitation
  4. underlying natural disease
  5. hot humid environments
  6. individuals taking certain types of medication
  7. effects of severe trauma.
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6
Q

What is the definition of a “setting condition”

A

anything that makes challenging behaviour or traumatic stress responses more or less likely to occur

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6
Q

What are the 5 spaces within the Therapeutic Milieu

A

Social,
Physical,
Ideological,
Cultural,
Emotional.

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6
Q

What are the 5 steps in the Stress model of crisis timeline

A
  1. Baseline
  2. Trigger event
  3. Escalation
  4. Outburst
  5. Recovery
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6
Q

What are 3 potential outcomes of the recovery phase

A

Higher outcome

No change

Lower outcome

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7
Q

What are the 4 questions to ask in a crisis situation

A
  1. How am I feeling right now?
  2. What is the child feeling, wanting or needing?
  3. How is the environment affecting the child?
  4. How do I best respond?
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7
Q

What are the 4 elements of a potentially violent situation

A
  1. Spark
  2. target
  3. weapon
  4. level of stress and motivation.
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7
Q

What are the 3 components of the triune brain

A

Thinking, Emotional, Survival.

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7
Q

What are the 7 steps of L.S.I

A
  1. Identify a place and time to talk
  2. Explore the child point of view
  3. Summarize feelings and content
  4. Connect trigger to feelings to behaviour
  5. Alternative responses discussed
  6. Plan practised
  7. enter child back into routine.
7
Q

What are the goals of crisis intervention

A

To provide emotional and environmental support and teach better ways to mange stressful situations.

7
Q

What 7 factors should be monitored during a restraint.

A
  1. Restraint position is correct
  2. No breathing problems
  3. Skin colour
  4. Respiration 5. Level of consciousness
  5. Level of agitation
  6. Range of motion in extremities.
8
Q

What are the 3 components of the triune brain

A

Thinking, Emotional, Survival.

8
Q

What are the goals of crisis intervention

A

To provide emotional and environmental support and teach better ways to mange stressful situations.

8
Q

What are the 7 steps of L.S.I

A
  1. Identify a place and time to talk
  2. Explore the child point of view
  3. Summarize feelings and content
  4. Connect trigger to feelings to behaviour
  5. Alternative responses discussed
  6. Plan practised
  7. enter child back into routine.
9
Q

What 7 factors should be monitored during a restraint.

A
  1. Restraint position is correct
  2. No breathing problems
  3. Skin colour
  4. Respiration 5. Level of consciousness
  5. Level of agitation
  6. Range of motion in extremities.

tci (1 decks)

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