TCI

Question 1

Developmental relationships are characterized by (4)

Answer 1

1) Attachment
2) Reciprocity
3) Progressive Complexity
4) Balance of power

Question 2

Spaces within the therapeutic milieu (5)

Answer 2

1) Social
2) Physical
3) Ideological
4) Cultural
5) Emotional

Question 3

Setting condition

Answer 3

Anything that makes challenging behaviors more or less likely to occur

Question 4

Foundations for the intentional use of self (4)

Answer 4

1) Self-awareness
2) Self-regulation
3) Relationship skills and attunement
4) Self-care

Question 5

Pain-based behaviors include (9)

Answer 5

1) Inability to regulate emotions
2) Overreaction to situations
3) Impulsive outbursts
4) Trauma-re-enactment
5) Defiance
6) Inflexibility
7) Running away through anger or fear
8) self-injury
9) withdrawal

Question 6

The goals of crisis intervention are (2)

Answer 6

SUPPORT and TEACH

Question 7

The four questions we ask ourselves in a crisis situation are

Answer 7

1) What am I feeling right now?
2) What does this child feel, need, expect, or want?
3) How is the environment affecting the situation?
4) How do I best respond?

Question 8

Non-verbal techniques of active listening: (4)

Answer 8

1) Silence
2) Facial expression
3) Eye contact
4) Tone of voice

Question 9

Encouraging and eliciting techniques of active listening (4)

Answer 9

1) Minimal encouragements
2) Door openers
3) Closed questions
4) Open questions

Question 10

8 behavior support techniques

Answer 10

1) Managing the environment
2) Prompting
3) Caring gestures
4) Hurdle help
5) Redirection and distractions
6) Proximity
7) Directive Statements
8) Time Away

Question 11

Criteria for directive statements (5)

Answer 11

1) The child has a trusting relationship with the adult
2) The expectation is important enough to risk escalating the situation
3) The child has the ability to meet the expectation
4) The child is still in control enough o hear and understand the statement and respond positively to the request
5) the request is made respectfully and calmly

Question 12

Criteria for time away (4)

Answer 12

1) the child has demonstrated an ability to self-regulate
2) the child is not too highly escalated
3) the child can of somewhere to relax, be quiet, and think
4) the purpose is to help quiet their emotions, not to punish

Question 13

The goals of emotional first aid (4)

Answer 13

1) Provide immediate support to reduce emotional intensity
2) Identify and resolve the underlying concerns causing distress
3) Keep the child in the activity

Question 14

The strategies for emotional first aid include (3)

Answer 14

1) Co-regulate emotions
2) Maintain the relationship and lines of communication
3) Plan and anticipate

Question 15

We can avoid the power struggle by (4)

Answer 15

1) Listening and validating feelings
2) Managing the environment
3) Five choices and the time to decide what to do next
4) Dropping or changing the expectation

Question 16

Non-verbal messaging in crisis situations includes (5)

Answer 16

1) Eye-contact
2) Body language
3) Personal space
4) Height and gender
5) Sensitivity to cultural issues

Question 17

The four elements of a potentially violent situation include

Answer 17

1) the SPARK
2) the TARGET
3) the WEAPON
4) LEVEL OF STRESS OR MOTIVATION

Question 18

What to think in a crisis situation (2)

Answer 18

1) ask yourself the four questions
2) Use positive self-talk

Question 19

What to do in a crisis situation (5)

Answer 19

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 sight
5) Assume a neutral stance and concerned facial expression

Question 20

What to say (3)

Answer 20

1) Say very little
2) Speak calmly, assertively, and respectfully
3) Understanding responses

Question 21

The goals of a LSI are (5)

Answer 21

1) SECURE - provide a sense of emotional safety
2) CLARIFY - help clarify events for the child and adult
3) REPAIR AND SECURE - repair and restore the relationship between the child and the adult
4) TEACH - help the child learn to regulate emotions
5) RE-ENTER - re-enter the child back into the routine

Question 22

The steps of the LSI are (7)

Answer 22

I: Identify a time and place to talk
E: Explore the child’s point of view
S: Summarize the feelings and content
C: Connect trigger to feelings to behavior
A: Alternative responses to feelings discussed
P: Plan developed/practice
E: Enter child back into the routine

Question 23

Options to handle physical violence (4)

Answer 23

ELIMINATE one of the elements of a violent situation
RELEASE use releases and maintain a safe distance
RESTRAIN employ physical restraint techniques
LEAVE the situation and get assistance

Question 24

Physical restraints should not be used to (4)

Answer 24

1) Demonstrate authority
2) Enforce compliance
3) Inflict pain or harm
4) Punish or discipline

Question 25

High-consequence decisions require (8)

Answer 25

1) Training and competence
2) Dynamic risk assessment skills
3) Knowledge of child’s medical condition and trauma history
4) Informed consent
5) Safety plans and ICSPs
6) Staff and team debriefing
7) LSIs between child and staff
8) Organizational monitoring

Question 26

The letting go process:

Answer 26

1) States what is expected of the young person
2) Is directed by the leader
3) Is supportive of the young person
Sets the tone for the recovery phase

Question 27

Predisposing risk factors to asphyxia (7)

Answer 27

1) Obesity
2) Substance use
3) Prolonged agitation
4) Underlying disease
5) Hot, humid environment
6) Medication side effects
7) Trauma history

Question 28

Improper restraint techniques include (4)

Answer 28

1) Pressure on the neck or chest
2) Incorrect positioning of arms
3) Obstructing the nose or mouth
4) Abnormal positioning of the body

Question 29

Monitor during restraints (7)

Answer 29

1) correct restraint position
2) assure there are no breathing problems
3) skin color
4) Respiration
5) Level of consciousness
6) Level of agitation
7) Range of motion in the extremities

Question 30

Recommendations to reduce the risk of injury or death (11)

Answer 30

1) never place weight on chest
2) never put anything over their face
3) Never put pressure on their neck
4) never compress their neck
5) never place arm behind their back
6) never bend them forward
7) correctly position their body
8) never ignore warning signs
9) never fail to take emergency medical action
10) never allow them to lie on the floor after the restraint
11) Never use these restraint techniques on someone younger than five