TCI WRITTEN TEST 2022 FINAL TEST 2026
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
◍ a crisis occurs when.
Answer: A child's fight, flight or freeze response is activated and they are
unable to regulate their emotions and behaviors
◍ the letting go process.
Answer: - States what is expected of the young person- Is directed by the
team leader- Is supportive of the young person-sets the tone for the recovery
phase
◍ What are 3 ways to manage physical violence that does not include using a
physical restraint?.
Answer: eliminate one of the elements of a violent situationmake a directive
statement that clearly communicates that the violence must stopuse releases
and maintain a safe distance with a protective stanceleave the situation and
get assistancelast resort:employ physical restraint techniques (if indicated on
the individual crisis management plan)
◍ True or False: Safety is the number 1 priority for reactive and proactive
aggression.
Answer: True
◍ What are the 4 elements to a potentially violent situation?.
Answer: potential trigger to violence (spark)targetweaponlevel of stress or
motivation
◍ what am I feeling now? an amygdala hijack.
Answer: -anger of fear triggers fight, flight, or freeze response -the
amygdala sends a danger message straight to the survival brain
,◍ a trauma informed organization ensures that staff.
Answer: -understands what trauma is and how it impacts everyone within
the system-recognizes behaviors and patterns that reflect past or present
trauma -respond in a way that avoids re-traumatization
◍ restraints should be avoided or discontinued when.
Answer: -adults cannot control the child safely-adults are not in control (too
angry)-child is threatening and is capable of harming staff-sexual
stimulation is the motivation-you are in a private place -child has a
weapon-child's medical condition prohibits it-child has emotional problems
risking traumatization -child is on medication that affects their system
◍ What are 3 situations that a restraint MIGHT be indicated but we should
NOT do one?.
Answer: underlying medical conditionyounger than 5yothey have a weapon
◍ What are the 2 goals of crisis intervention?.
Answer: support both environmentally and emotionally to reduce stress and
riskteach children better ways to cope with stress
◍ Goals of Crisis Intervention.
Answer: -support: providing immediate emotional and environmental
support to reduce stress and risk and increase the child's sense of safety
-teach: help children learn and practice ways to regulate their emotions and
behaviors
◍ Name 4 instances that a physical restraint is NOT used for?.
Answer: to enforce compliance to punish or discipline to inflict pain or harm
to demonstrate authority
◍ Proactive or Reactive: A patient is smiling or smirking..
Answer: Proactive
◍ True or False: Time away is a good behavioral support technique to use with
children who have poor self-regulation skills..
Answer: False
, ◍ criteria for using directive statements.
Answer: -the child has a trusting relationship with the adult -the expectation
is important enough to risk escalating the situation-the child has the ability
to meet the expectation and has demonstrated this ability in the past when
they were at the same level of arousal -the child is still in control enough to
hear and understand the statement and respond positively to the request -the
request is made respectfully and calmly
◍ Proactive or Reactive: A patient appears to be highly aroused..
Answer: Reactive
◍ criteria for using time away.
Answer: -The child has demonstrated an ability to self-regulate-The child is
not too highly escalated-The child can go somewhere to relax, be quiet and
think-The purpose is to help the child quiet their emotions, not to punish
◍ Through what does a trauma informed organization facilitate care?.
Answer: policies practices procedures
◍ what to do when it's over.
Answer: prepare to discuss the situation in an LSI (Life Space Interview)
◍ Anything that makes challenging behavior more or less likely to occur is
called a _____________..
Answer: setting condition
◍ What are the 3 R's of emotional first aid?.
Answer: reduceresolve remain
◍ What are 3 predisposing risk factors that would put a young person at
greater risk of serious injury during a physical restraint?.
Answer: obesityunder the influence of drugs or alcoholsuffered from
prolonged violence and risk re-traumatizationunderlying natural diseasehot
and humid environmentsindividuals taking certain types of medication
◍ List the immediate and ongoing response priorities for proactive aggression..
Answer: immediate- safety- containment and regulation- engagement and
QUESTIONS WITH CORRECT ANSWERS
GRADED A+
◍ a crisis occurs when.
Answer: A child's fight, flight or freeze response is activated and they are
unable to regulate their emotions and behaviors
◍ the letting go process.
Answer: - States what is expected of the young person- Is directed by the
team leader- Is supportive of the young person-sets the tone for the recovery
phase
◍ What are 3 ways to manage physical violence that does not include using a
physical restraint?.
Answer: eliminate one of the elements of a violent situationmake a directive
statement that clearly communicates that the violence must stopuse releases
and maintain a safe distance with a protective stanceleave the situation and
get assistancelast resort:employ physical restraint techniques (if indicated on
the individual crisis management plan)
◍ True or False: Safety is the number 1 priority for reactive and proactive
aggression.
Answer: True
◍ What are the 4 elements to a potentially violent situation?.
Answer: potential trigger to violence (spark)targetweaponlevel of stress or
motivation
◍ what am I feeling now? an amygdala hijack.
Answer: -anger of fear triggers fight, flight, or freeze response -the
amygdala sends a danger message straight to the survival brain
,◍ a trauma informed organization ensures that staff.
Answer: -understands what trauma is and how it impacts everyone within
the system-recognizes behaviors and patterns that reflect past or present
trauma -respond in a way that avoids re-traumatization
◍ restraints should be avoided or discontinued when.
Answer: -adults cannot control the child safely-adults are not in control (too
angry)-child is threatening and is capable of harming staff-sexual
stimulation is the motivation-you are in a private place -child has a
weapon-child's medical condition prohibits it-child has emotional problems
risking traumatization -child is on medication that affects their system
◍ What are 3 situations that a restraint MIGHT be indicated but we should
NOT do one?.
Answer: underlying medical conditionyounger than 5yothey have a weapon
◍ What are the 2 goals of crisis intervention?.
Answer: support both environmentally and emotionally to reduce stress and
riskteach children better ways to cope with stress
◍ Goals of Crisis Intervention.
Answer: -support: providing immediate emotional and environmental
support to reduce stress and risk and increase the child's sense of safety
-teach: help children learn and practice ways to regulate their emotions and
behaviors
◍ Name 4 instances that a physical restraint is NOT used for?.
Answer: to enforce compliance to punish or discipline to inflict pain or harm
to demonstrate authority
◍ Proactive or Reactive: A patient is smiling or smirking..
Answer: Proactive
◍ True or False: Time away is a good behavioral support technique to use with
children who have poor self-regulation skills..
Answer: False
, ◍ criteria for using directive statements.
Answer: -the child has a trusting relationship with the adult -the expectation
is important enough to risk escalating the situation-the child has the ability
to meet the expectation and has demonstrated this ability in the past when
they were at the same level of arousal -the child is still in control enough to
hear and understand the statement and respond positively to the request -the
request is made respectfully and calmly
◍ Proactive or Reactive: A patient appears to be highly aroused..
Answer: Reactive
◍ criteria for using time away.
Answer: -The child has demonstrated an ability to self-regulate-The child is
not too highly escalated-The child can go somewhere to relax, be quiet and
think-The purpose is to help the child quiet their emotions, not to punish
◍ Through what does a trauma informed organization facilitate care?.
Answer: policies practices procedures
◍ what to do when it's over.
Answer: prepare to discuss the situation in an LSI (Life Space Interview)
◍ Anything that makes challenging behavior more or less likely to occur is
called a _____________..
Answer: setting condition
◍ What are the 3 R's of emotional first aid?.
Answer: reduceresolve remain
◍ What are 3 predisposing risk factors that would put a young person at
greater risk of serious injury during a physical restraint?.
Answer: obesityunder the influence of drugs or alcoholsuffered from
prolonged violence and risk re-traumatizationunderlying natural diseasehot
and humid environmentsindividuals taking certain types of medication
◍ List the immediate and ongoing response priorities for proactive aggression..
Answer: immediate- safety- containment and regulation- engagement and
