TCI TRAINING CORNELL FINAL EXAM ACTUAL
QUESTIONS AND ANSWERS SURE A+
✔✔Physical Restraint should only be used when - ✔✔ALL THREE MUST BE MET
Agency policies and state regulations approve restraint
The young person's individual crisis management plan indicates it
Our professional dynamic risk management indicates it
✔✔Physical restraint is not used to - ✔✔Demonstrate authority
Enforce compliance
Inflict pain or harm
Punish or Discipline
✔✔Basic principles of physical intervention - ✔✔Maximum caring
Minimum force
Goal - deescalating by reducing stimulation
✔✔Objective of Crisis CoRegulation - ✔✔To Provide support in a way that reduces
stress and risk
✔✔CoRegulation (NonVerbal Strategies) - ✔✔Take a deep breath (calm yourself)
Use protective stance
Step back 5-6 feet
Give situation time - slow things down
Sit down if appropriate
✔✔CoRegulation (Verbal Strategies)
Say little (ie: ignore insults) - ✔✔Understanding responses - Tone of voice important
I can see (validate feelings)
When you (encourage positive behaviors)
I know we (emphasizes desirable outcomes)
I am sorry (offer an apology)
✔✔LSI Life Space Interview - ✔✔Therapeutic, verbal strategy for intervening with young
person
"Clinical use of events"
Happens during recovery
Using event so child can learn from it
✔✔Goals of LSI - ✔✔Return young person to normal functioning
Clarify events
Repair and restore relationship
, Teach new coping skills
Reintegrate the young person back in program
✔✔Steps of LSI - ✔✔I -- Isolate donversation
E - Explore young person's point of view - child speaks most, find ways to open doors
S - Summarize the FEELINGS and CONTENT = timeline
C - Connect feelings to behavior When you feel ________ you ____(behavior)
A - Alternative behaviors discussed (young person led brainstorming)
P - Plan developed and Pratice (choice of young person)
E - Enter young person back into the routine
✔✔Do not use a physical restraint when - ✔✔When young person cannot be controlled
safely
We are not in control personally or angry
We are in public place (at times cannot be avoided)
Young person has a weapon
Likely on ICMP:
Young person's medical condition prohibits it
Young person has emotional problems risking retraumatizing
Young person is on medications that effect system
Sexual stimulation/young person desiring it
✔✔Predisposing risk factors - ✔✔Obesity
Under the influence of drugs
Prolonged violent physical agitation
Underlying natural disease (heart, asthma, sickle cell, high blood pressure, diabetes)
Hot humid environment
Individual taking certain types of meds
✔✔Warning signs of asphyxia - ✔✔Due to neck compression
Goes limp and stops breathing spontaneously
Due to respiratory interference
States he/she can't breathe
Respiration is labored, rapid or abnormal
Makes grunting noises
Vomiting or turning dusky purple, especially in face
goes limp, stops breathing
✔✔Recommendations to reduce risk of injury or death - ✔✔Never place weight on chest
or back
Never put pressure on the neck
Never place hand in position causing neck to be compressed
Never allow the young person to stay in the prone position once he or she is no longer a
safety risk, replace to seated
Never place a young person's arms behind his head or back when in a prone position
Never bend a child forward in the small child or seated restraint
QUESTIONS AND ANSWERS SURE A+
✔✔Physical Restraint should only be used when - ✔✔ALL THREE MUST BE MET
Agency policies and state regulations approve restraint
The young person's individual crisis management plan indicates it
Our professional dynamic risk management indicates it
✔✔Physical restraint is not used to - ✔✔Demonstrate authority
Enforce compliance
Inflict pain or harm
Punish or Discipline
✔✔Basic principles of physical intervention - ✔✔Maximum caring
Minimum force
Goal - deescalating by reducing stimulation
✔✔Objective of Crisis CoRegulation - ✔✔To Provide support in a way that reduces
stress and risk
✔✔CoRegulation (NonVerbal Strategies) - ✔✔Take a deep breath (calm yourself)
Use protective stance
Step back 5-6 feet
Give situation time - slow things down
Sit down if appropriate
✔✔CoRegulation (Verbal Strategies)
Say little (ie: ignore insults) - ✔✔Understanding responses - Tone of voice important
I can see (validate feelings)
When you (encourage positive behaviors)
I know we (emphasizes desirable outcomes)
I am sorry (offer an apology)
✔✔LSI Life Space Interview - ✔✔Therapeutic, verbal strategy for intervening with young
person
"Clinical use of events"
Happens during recovery
Using event so child can learn from it
✔✔Goals of LSI - ✔✔Return young person to normal functioning
Clarify events
Repair and restore relationship
, Teach new coping skills
Reintegrate the young person back in program
✔✔Steps of LSI - ✔✔I -- Isolate donversation
E - Explore young person's point of view - child speaks most, find ways to open doors
S - Summarize the FEELINGS and CONTENT = timeline
C - Connect feelings to behavior When you feel ________ you ____(behavior)
A - Alternative behaviors discussed (young person led brainstorming)
P - Plan developed and Pratice (choice of young person)
E - Enter young person back into the routine
✔✔Do not use a physical restraint when - ✔✔When young person cannot be controlled
safely
We are not in control personally or angry
We are in public place (at times cannot be avoided)
Young person has a weapon
Likely on ICMP:
Young person's medical condition prohibits it
Young person has emotional problems risking retraumatizing
Young person is on medications that effect system
Sexual stimulation/young person desiring it
✔✔Predisposing risk factors - ✔✔Obesity
Under the influence of drugs
Prolonged violent physical agitation
Underlying natural disease (heart, asthma, sickle cell, high blood pressure, diabetes)
Hot humid environment
Individual taking certain types of meds
✔✔Warning signs of asphyxia - ✔✔Due to neck compression
Goes limp and stops breathing spontaneously
Due to respiratory interference
States he/she can't breathe
Respiration is labored, rapid or abnormal
Makes grunting noises
Vomiting or turning dusky purple, especially in face
goes limp, stops breathing
✔✔Recommendations to reduce risk of injury or death - ✔✔Never place weight on chest
or back
Never put pressure on the neck
Never place hand in position causing neck to be compressed
Never allow the young person to stay in the prone position once he or she is no longer a
safety risk, replace to seated
Never place a young person's arms behind his head or back when in a prone position
Never bend a child forward in the small child or seated restraint
