TCI Test

Question 1

Name 5 states of crisis.

Answer 1

1.) Baseline.
2.) Triggering Event
3.) Escalation
4.) Outburst
5.) Recover

Question 2

Name 3 situations when restraints should be avoided ( or Dcd)

Answer 2

1.) Adults is not in control of himself- to angry.
2.) Child has a weapon.
3.) Child is in a public space.

Question 3

What are behavior support techniques? Name 5 examples of behavior techniques.

Answer 3

Behavior support techniques are one of the many de- escalation techniques that help a child reduce stress and risk and help the child to self regulate. Each technique is designed to support the child’s needs and meaning of the child’s behavior.

Mismatched behavior support techniques to the patient’s needs can escalate the situation.

Question 4

Name 5 examples of behavior support technique

Answer 4

1.) Managing the environment- less demanding activity when a patient is stressed, dimming lights, lowering volume of sounds.
2.) Prompting- i.e. verbal -remember to take a deep breath when you see ( triggering person). Non verbal- a glance or nod can remind a patient of an expectation.
3.) Redirection- turning a patient away from a stressful activity to one that is calming/neutral.
4.) Directive Statements- a request or clear expectation. Guidelines: Child trusts staff, child has the ability, and the expectation is important enough to risk escalation.
5.) Caring gestures - I care about you and want you to be successful.

Question 5

Anything that makes challenging behavior or traumatic responses more or less likely to occur ________

Answer 5

Setting Conditions

Question 6

List 7 steps to LSI in order. IESCAPE

Answer 6

1.) Identity place- Does this feel like a good place to talk?
2.) Explore Childs View- lets see if we can make sense of what happened with Delano. Take me to the beginning.
3.) Summarize feelings- Lets see if I got this right…when…
4.) Connected - connect trigger to feelings to behavior
5.) Alternative responses to feelings discussed- i.e. if you see Delano again, what will help you calm yourself?
6.) Plan- create a plan and practice - ok the next time you see Delano you are going to..
7.) Enter child back into routine.

Question 7

List 3 pre-disposing risk factors that can increase risk for physical restraint. (DUO)

Answer 7

1.) Drugs and Alcohol
2.) Underlying health conditions
3.) Obesity

Question 8

What is Crisis co -regulating ?

Answer 8

Crisis co- regulating takes place during the outburst phase. It helps the the child :
1.) Reduce Stress
2.) Reduces risks
3.) Increase the Childs sense of safety.

Question 9

Name 3 Non-Verbal strategies that can be used during Crisis Co- Regulating? ( what to do).
Help me help myself.

Answer 9

1.) Breathing techniques- regulate yourself.
2.) Give the child space
3.) Keep a neutral face

Question 15

This will be question # 15 scenario question

Answer 15

Provide Emotional First Aid

Question 16

What are some elements of a potentially violent situation?

Answer 16

1.) The spark - this event that triggered
2.) The target -the person
3.) The weapon
4.) Level of stress or motivation.

Question 17

Name 3 parts of the brain. Think TES

Answer 17

1.) Thinking Brain
2.) Emotional Brain
3.) Survival Brain

Question 18

Name the 2 spaces within a therapeutic milieu. Think SPICE

Answer 18

1.) Social- relationships between child and staff. Daily activities.
2.) Physical - cleanliness, lighting
3.) Ideological - What the ACU values- i.e. ACU supports activities that fosters the child’s growth.
4.) Cultural - ACU supports and celebrates cultural differences.
5.) Emotional- milieu is safe for the child. This requires staff to be able to self regulate so that can help soothe the child though Co-regulation.

Question 19

Name 3 examples of pan based behaviors.

Answer 19

1.) Unable to self regulate.
2.) Overreaction
3.) Withdrwal

Question 20

Name 3 outcomes during the recovery phase.

Answer 20

1.) Higher-
2.) No change
3.) Low

Question 21

Describe 2 principles of letting go process (post restraint).

Answer 21

1.) States what is expected of the child.
2.) Is directed by the leader
3.) Is supportive of the young person.

Question 22

Define asphyxia

Answer 22

Is deprivation of oxygen to the cells.

Question 23

Name to two improper restraint techniques.

Answer 23

1.) Applying pressure on the neck.
2.) Obstructing airway ( mouth/nose)

Question 24

Name two things to monitor during the restraint.

Answer 24

1.) Skin color
2.) Respiration ( normal breathing)