Question 1
What are the four levels of individual behavior in the Crisis Development Model?
A) Anxiety, Supportive, Defensive, Directive
B) Anxiety, Defensive, Acting Out, Tension Reduction
C) Supportive, Directive, Non-Violent Crisis Intervention, Therapeutic Rapport
D) Questioning, Refusal, Release, Intimidation
E) Calm, Isolated, Enforced, Consistent
Correct Answer: B) Anxiety, Defensive, Acting Out, Tension Reduction
Rationale: The individual behavior levels in the Crisis Development Model are Anxiety,
Defensive, Acting Out, and Tension Reduction.
Question 2
What are the four corresponding staff attitudes/approaches in the Crisis Development Model?
A) Anxiety, Defensive, Acting Out, Tension Reduction
B) Supportive, Directive, Non-Violent Crisis Intervention, Therapeutic Rapport
C) Questioning, Refusal, Release, Intimidation
D) Calm, Isolated, Enforced, Consistent
E) Block, Move, Strike, Grab
Correct Answer: B) Supportive, Directive, Non-Violent Crisis Intervention, Therapeutic
Rapport
Rationale: The corresponding staff attitudes are Supportive, Directive, Non-Violent Crisis
Intervention, and Therapeutic Rapport.
Question 3
Anxiety in the Crisis Development Model is defined as:
A) A total loss of control.
B) The beginning stage of loss of rationality.
C) A noticeable increase or change in behavior.
D) A decrease in emotional and physical energy.
E) An empathic, non-judgmental approach.
Correct Answer: C) A noticeable increase or change in behavior
Rationale: Anxiety is a noticeable increase or change in behavior.
,Question 4
The Supportive staff approach is best described as:
A) Taking control of a potential escalation.
B) An empathic, non-judgmental approach attempting to alleviate anxiety.
C) Using restraint as a last resort.
D) Re-establishing communication after an incident.
E) Setting firm limits on behavior.
Correct Answer: B) An empathic, non-judgmental approach attempting to alleviate.
(Listening, take a break)
Rationale: The Supportive approach is an empathic, non-judgmental attempt to alleviate
anxiety.
Question 5
The Defensive level of behavior is characterized by:
A) A total loss of control.
B) A decrease in emotional and physical energy.
C) The beginning stage of loss of rationality, belligerence, and challenging.
D) A noticeable increase or change in behavior.
E) Apologizing and crying.
Correct Answer: C) Beginning stage of loss of rational. (Belligerent, Challenging)
Rationale: The Defensive level is the beginning stage of loss of rationality.
Question 6
The Directive staff approach involves:
A) Allowing the individual to vent.
B) Using empathic listening.
C) Staff taking control of the potential escalation.
D) Re-establishing a therapeutic rapport.
E) Observing from a distance.
Correct Answer: C) Staff takes control of the potential escalation. (Timer, Walk)
Rationale: The Directive approach involves staff taking control of a potential escalation.
,Question 7
The Acting-Out Person is defined as an individual who is experiencing:
A) A noticeable change in behavior.
B) The beginning stage of loss of rationality.
C) A total loss of control.
D) A decrease in emotional and physical energy.
E) Information-seeking questioning.
Correct Answer: C) Total loss of control.
Rationale: The Acting-Out Person is experiencing a total loss of control.
Question 8
Nonviolent Crisis Intervention is the staff approach used during which behavioral level?
A) Anxiety
B) Defensive
C) Acting Out
D) Tension Reduction
E) Questioning
Correct Answer: C) Acting Out
Rationale: Nonviolent Crisis Intervention, including physical interventions as a last resort,
is the approach for the Acting-Out level.
Question 9
Tension Reduction is the behavioral level characterized by:
A) A total loss of control.
B) A noticeable increase in behavior.
C) A decrease in emotional and physical energy and regaining of rationality.
D) Belligerence and challenging authority.
E) Information-seeking questions.
Correct Answer: C) Decreases in emotional and physical energy that occurs after a person
acts out, regaining rational.
Rationale: Tension Reduction is a decrease in emotional and physical energy after an acting-
out incident.
, Question 10
Therapeutic Rapport is the staff approach that involves:
A) Setting firm limits.
B) Using physical restraint.
C) Re-establishing communication and trust after an incident.
D) Taking control of a situation.
E) Attempting to alleviate anxiety.
Correct Answer: D) Crying, falling asleep, apologizing, hugging.
Rationale: Therapeutic Rapport is the process of re-establishing communication and
rebuilding the relationship after a crisis.
Question 11
Proxemics refers to:
A) The tone, volume, and cadence of speech.
B) The use of personal space.
C) The sequence of verbal escalation.
D) The principles of personal safety.
E) The internal causes of acting-out behavior.
Correct Answer: B) 1 1/2-3 feet space (depends on size, gender, cultural)
Rationale: Proxemics is the study of personal space, typically 1.5 to 3 feet in a professional
setting.
Question 12
Paraverbal Communication includes which of the following elements?
A) Body language and facial expressions.
B) Tone, Volume, and Cadence.
C) The literal meaning of the words used.
D) Personal space and positioning.
E) The five stages of verbal escalation.
Correct Answer: B) Tone, Volume, Candance
Rationale: Paraverbal Communication is how we say what we say, including tone, volume,
and cadence.