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crisis assessment > Test # 1 > Flashcards

Test # 1 Flashcards

0
Q

What is james (2008) view of a crisis?

A

A perception of an event as an intolerable difficulty that exceeds the person’s current resources and coping mechanisms

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1
Q

What is the definition of a crisis?

A

A precipitating event, a perception of the event that leads to subjective distress, and troubles functioning if the event does not resolve

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2
Q

What is Slaikeu (1990) view of a crisis?

A

Temporary state of upset and disorganization, because of an individuals inability to cope with a situation using methods of problem-solving

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3
Q

When did crisis intervention begin?

A

It began during WW2 in response to family reactions when loved ones left home to participate in the war

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4
Q

When is the full impact of trauma felt?

A

After the crisis event during the “disillusionment” period of adjustment

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5
Q

Stressors?

A

May lead to crisis may be normal, or developmental phenomena

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6
Q

What is a tangible resource?

A

Those that are available and used to mediate the initial stressor

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7
Q

What is an intangible resource?

A

Those that are acquired, developed, or strengthened subsequently to a crisis situation

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8
Q

What do people who experience traumatic events respond with?

A

Fear and helplessness

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9
Q

What are coping strategies?

A

Behavioural or cognitive action that is taken in an effort to manage stress

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10
Q

What is adaption?

A

The degree to which functioning has changed over an extended period of time following a stressor or crisis event

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11
Q

What does paraprofessionals provide?

A

Within a mental health community can provide an outlet for clients to talk and feel less isolated

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12
Q

What is the first step when working with clients in a crisis?

A

Assessment

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13
Q

What are the critical needs that should be addressed first in a crisis?

A

Food and shelter

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14
Q

Issues with buildings of culture?

A

Can be hindered by distrust of government agencies

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15
Q

Factors involving male outpatients?

A

Stalking possibilities

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16
Q

What is self-assessment?

A

Process whereby counsellors monitor their reactions, behaviours, and feelings

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17
Q

What is important for counsellors to do?

A

Debrief with colleagues as a form of self-checkin

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18
Q

What can crisis intervention lead to?

A

Stress and burnout due to the emotionally charged environment

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19
Q

What should counsellors do if they become aware of unresolved issues?

A

Should seek consultation, supervision, and personal counselling

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20
Q

When do burnouts occur?

A

When one is exhaust themselves both physically and emotionally

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21
Q

What should those working with trauma clients need to do?

A

Need to be especially intentional about self-care to prevent burnout

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22
Q

What does vicarious trauma include?

A

Involves a changed worldview and sense of self as a result of work with trauma clients

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23
Q

Different between trauma and burnout?

A

While burnout is a response to occupational stress, vicarious trauma involves a personal cognitive reaction to a client’s experience

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24
Q

When does vicarious resiliency occur?

A

Occurs when a counsellors experience affirming thoughts, feelings, and beliefs after hearing about a client’s adaptation to difficulties

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25
Q

What do prevention considerations include?

A

It includes wellness, continuing education, peer supervision, and consultation

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26
Q

Case of Tarasoff v. Regents of university of California…

A

Established a mental health professional’s duty to warn. When considering breaking confidentiality due to a duty to warn, it is highly recommended that a counsellor should foremost seek consultation or supervision

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27
Q

What does duty to protect involve?

A

It involves taking action to actually reduce the danger to a person

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28
Q

What are the 4 D’s of malpractice?

A

Dereliction (breach) of a duty (of care) that directly (proximately causes) damages (a compensable injury)

29
Q

Crisis workers are expected to obtain consent through the following…

A

Introducing self and explain role, describe the general limitations of confidentiality, or ask permission to speak/help person. Written consent us not required in emergencies

30
Q

What do you do in order to avoid therapeutic abandonment in a disaster circumstance?

A

Provide the client with a referral to local counselling services

31
Q

In disaster counselling what is the client allowed to do?

A

Bring up religious or spiritual issues should be allowed to explore the disaster’s spiritual meaning in their life

32
Q

In a disaster situation…

A

Marginalized populations will discover disaster is not social leveller

33
Q

What is rapport?

A

When counsellors develop a strong sense of accord and amity with their clients. Also refers to a harmonious relationship that starts with the initial contact and continues throughout the counselling process

34
Q

Microskills hierarchy?

A

Present these skills as a hierarchy that is organized within a systematic framework, at the bottom are the basic attending skills such as a patterns of eye contact, body position, vocal tone, and silence

35
Q

Body positions?

A

Demonstrates interest and create comfort for the client

36
Q

What is verbal underlining?

A

Emphasizing certain words or phrases to show understanding

37
Q

What types of questions to ask?

A

Open questions do not limit a client’s answers

Closed questions are used to obtain concrete and factual information

38
Q

“Why” questions…

A

Do not usually allow clients to explore their issues and emotions at a deeper level

39
Q

What is a leading question?

A

Is a question with an answer that is already embedded in it

40
Q

When using questions in the counselling relationship what is best?

A

It is best to move from general (open) to specific (closed)

41
Q

What are reflective skills?

A

Is a form of active listening, a way to display genuineness, and a way to prompt deeper examination of a client’s problems

42
Q

What is paraphrasing?

A

Reflecting back to a client the essence of something they have shared.

43
Q

What is one of the best predictors of counselling outcomes?

A

The therapeutic relationship

44
Q

When is a focusing summary most commonly used?

A

At the start of a counselling session

45
Q

What is a signal summary used for?

A

To help the client transition from one topic to another and provide direction

46
Q

What are attending behaviours?

A

Microskills such as appropriate eye contact, tone of voice, and body position

47
Q

What can reflecting feelings do?

A

Can help the client become aware of the emotions experienced in relation to the issue at hand, brings the client to a higher level of self-awareness, and has a positive impact

48
Q

What is parroting?

A

A common mistake when attempting to paraphrase - it is simply restating the client’s exact words

49
Q

Reflecting feeling can help…

A

The client become aware of the emotions experienced in relation to the issue at hand

50
Q

Rate?

A

Rate is always associated with 100,000. Suicide rates of 8 out of 100,000 means 8 people out of 100,000 people commit suicide

51
Q

What does a suicide attempt gone awry mean?

A

The person wanted to live, but died

52
Q

Who is someone considered high risk for suicide?

A

Someone with little ambivalence (against death) and who has access to a gun

53
Q

Acute risk for suicide?

A

Risk is immediate within 24 hours or so

54
Q

What is chronic risk for suicide?

A

History, not immediate, more lethal

55
Q

Treatment options to prevent suicide?

A

Least valid treatment option is using having a paper signed by the client that he or she will not hurt oneself

56
Q

Most common means by which homicide is carried out?

A

Firearms (guns)

57
Q

What is the primary motive for school shootings?

A

Appears to be interpersonal rejection

58
Q

Work place homicides?

A

Involve primarily robberies

59
Q

What are the levels of threat?

A

Low, medium, and high

60
Q

The highest risk of violent and homicidal behaviour has been found…

A

In individuals with a dual diagnosis of substance abuse and anti- social personality disorder

61
Q

What must be emphasized when working with homicidal clients?

A

Compliance with medications

62
Q

What is secondary victimization?

A

A lack of community support that further complicates the grief process for homicide survivors

63
Q

What is the most commonly used illicit substance?

A

Marijuana

64
Q

What is the primary difference between substance abuse and dependance?

A

Evidence of tolerance and symptoms of withdrawal

65
Q

What is the drunk with the highest dependance potential?

A

Heroin by intravenous

66
Q

The disease model of addiction holds…

A

That clients who develop chronic alcohol dependance and continue drinking or ever return to heavy drinking will likely die

67
Q

What is the highest contributing factor to initial substance abuse for adolescents?

A

Availability of substance

68
Q

What is the proper treatment sequence when addressing substances?

A

Screening, assessment, testing, diagnosis, and treatment planning

69
Q

Why is an assessment done?

A

For gathering clinical data to get an accurate picture of the client’s issues

70
Q

Multi cultural competencies?

A

Being aware of own culture, values and biases, awareness of client’s worldview, and intervention strategies that are culturally appropriate

crisis assessment (1 decks)

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