TCI 3 Flashcards

1
Q

What are two types of aggressive behavior?

A
  1. Reactive Aggression

2. Proactive Aggression

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2
Q

What is the meaning of reactive aggression?

A
  • Affective or expressive emotion
  • Loss of control and emotional flooding
  • Emotions are dominant
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3
Q

What is the meaning of proactive aggression?

A
  • Instrumental or operant aggression
  • Goal oriented
  • Cognitions are dominant
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4
Q

What are the non-verbal behaviors in non-verbal communication?

A
  • Eye contact
  • Body language
  • Personal space
  • Height differences
  • Gender differences
  • Cultural differences
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5
Q

What is the object of crisis co-regulation?

A

To provide support in a way that reduces stress and risk.

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6
Q

What are the steps of crisis co-regulation?

A
  1. What to think.
  2. What to do.
  3. What to say.
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7
Q

In crisis co-regulation what do you think?

A
  • Ask yourself the four questions.

* Use positive self-talk

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8
Q

In crisis co-regulation what do you do? (non-verbal strategies)

A
  • Take a deep breath
  • Use protective stance
  • Step back
  • Give the situation time
  • Sit down if appropriate
  • Remember the importance of body language and facial expressions
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9
Q

In crisis co-regulation what do you say?

A
  • Very little (less is more)
  • Understanding responses
  • Remembering the importance of tone of voice
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10
Q

What are some “what to say” statements?

A
  • “I can see…” (validate feelings)
  • “When you…” (encourage positive behaviors)
  • “I know we…” (emphasize desirable results)
  • “I am sorry…” (offer an apology)
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11
Q

What are the goals of a life space interview?

A
  1. R- return young person to normal function
  2. C- clarify events
  3. R- repair and restore relationships
  4. T- teach new coping skills
  5. R- reintegrate youth back into program
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12
Q

What are the steps in Life Space Interview (LSI)?

A
I- isolate the conversation
E- explore the youth's point of view
S- summarize feelings and content
C- connect feelings to behaviors
A- alternative behaviors discussed
P- plan developed/practice new behaviors
E- enter youth back into routine
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13
Q

What are options to handle physical violence?

A
  • Eliminate one of the elements of a violent situation
  • Make a directive statement that clearly communicates the violence must stop
  • Use releases and maintain safe distance with protective stance
  • Leave the situation and get assistance
  • Employ physical restraint techniques (if indicated on individual crisis management plan)
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14
Q

Physical restraints should only be used when what?

A

All 3 Criteria Must Be Met

  1. Agency policy and state regulations approve restraint.
  2. The youth’s individual crisis management plan indicates it.
  3. Our professional dynamic risk assessment indicates it.
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15
Q

When do we use not use physical restraints?

A
  • We can’t control the youth safely
  • We are not in control or too angry
  • Sexual stimulation is a motivation
  • We are in a public place
  • Youth has a weapon
  • Youth’s medical conditions prohibit it
  • Youth has emotional problems risking re-traumatization
  • Youth is on medications that affect systems
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16
Q

What are predisposing risk factors when considering a restraint?

A
  • Obesity
  • Individual is under the influence of alcohol or drugs
  • Prolonged violent physical agitation
  • Underlying natural disease (enlarged heart aka cardiomegaly, asthma, sickle cell trait, elevated blood pressure aka hypertension, diabetes)
  • Hot humid environment
  • Individuals taking certain types of medications
17
Q

What are the warning signs of asphyxia?

A
  • Due to neck compression
  • goes limp and ceases spontaneous breathing
  • Due to respiratory interference
  • states can’t breathe
  • respirations are labored, rapid, or abnormal aka dyspnea
  • may make grunting noises
  • vomiting, dusky purple color especially face aka cyanosis, goes limp and stops breathing aka apnea