TCI TRAINING CORNELL UPDATED 2026 EXAM PAPER
QUESTIONS AND ANSWERS SURE A+
✔✔Elements of a potentially violent situation - ✔✔Spark
Target
Weapon
Level of stress or motivation
✔✔Crisis Co-Regulation - ✔✔What to think
What to do
What to say
✔✔What to think - ✔✔Ask yourself the four questions
Use positive self talk
✔✔What to do (nonverbal strategies) - ✔✔- Take a deep breath and slowly exhale
- Give the child space and time
- Use silence
- If safe, step away from the child's sight
- Assume a neutral stance and concerned facial expression
✔✔What to say (verbal strategies) - ✔✔Very little
Speak calmly, assertively, respectfully
Understanding Responses
"I can see..." (validate feelings)
"When you...: (encourage positive behaviors)
"I know we..." (emphasize desirable outcomes)
"I am sorry..." (offers an apology)
Remember the importance of tone of voice
✔✔What to do when its over - ✔✔-It's over when...
-Prepare to discuss the situation in an LSI
✔✔The letting go process - ✔✔- 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
✔✔L - leader
E - Expectation
S - support
S - sets the tone
The letting go process - ✔✔Directed by leader
states what's expected of young person
Supportive of young person
, Sets the tone for recovery phase
✔✔asphyxia - ✔✔the deprivation of oxygen to living cells
✔✔positional asphyxia - ✔✔fatal respiratory arrest in which the ability to breathe is
compromised by the positioning of the body in relationship to its immediate
surroundings
✔✔Improper Restraint Techniques - ✔✔pressure on the neck or chest
incorrect positioning of arms
obstructing the mouth or nose
abnormal positioning of the body
✔✔Recommendations to reduce risk of injury or death - ✔✔-Never place weight on a
young person's chest or back
-Never put pressure on the young person's neck
-Never place the head in a position that causes the neck to be compressed
-Never allow a young person to stay in the prone or supine position once he or she is no
longer a safety risk-get the person up and in a seated position
-Never bend a child forward in the small child or seated restraint
-Never place anything over or near the young person's face, mouth or nose that can be
inhaled or conform to the contours of the face
-Never ignore any of the warning signs of pending asphyxia
-Never fail to take immediate action if there is a need for emergency medical treatment
-Never restrain a child in the prone position on a mattress or surface that can conform to
the contours of the face
-Never use these restraint techniques on children under five years of age
✔✔Documentation - ✔✔who, what, when where?
What were the antecedents?
What action did the staff take to de-escalate the situation?
describe physical contact (be specific ).
How long did the restraint last?
Was the ICSP followed? If not, why?
Staff/child injuries? Medical attention?
What plan was developed in the Life Space Interview?
When were staff debriefed?
Was follow-up needed? when was the family notified?
Statements of witnesses should be included
✔✔Restraints should be avoided or discontinued when - ✔✔- adults cannot control the
child safely
- adult is not in control — too angry
- child is threatening and is capable of harming staff
- sexual stimulation is the motivation
- in a public space
QUESTIONS AND ANSWERS SURE A+
✔✔Elements of a potentially violent situation - ✔✔Spark
Target
Weapon
Level of stress or motivation
✔✔Crisis Co-Regulation - ✔✔What to think
What to do
What to say
✔✔What to think - ✔✔Ask yourself the four questions
Use positive self talk
✔✔What to do (nonverbal strategies) - ✔✔- Take a deep breath and slowly exhale
- Give the child space and time
- Use silence
- If safe, step away from the child's sight
- Assume a neutral stance and concerned facial expression
✔✔What to say (verbal strategies) - ✔✔Very little
Speak calmly, assertively, respectfully
Understanding Responses
"I can see..." (validate feelings)
"When you...: (encourage positive behaviors)
"I know we..." (emphasize desirable outcomes)
"I am sorry..." (offers an apology)
Remember the importance of tone of voice
✔✔What to do when its over - ✔✔-It's over when...
-Prepare to discuss the situation in an LSI
✔✔The letting go process - ✔✔- 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
✔✔L - leader
E - Expectation
S - support
S - sets the tone
The letting go process - ✔✔Directed by leader
states what's expected of young person
Supportive of young person
, Sets the tone for recovery phase
✔✔asphyxia - ✔✔the deprivation of oxygen to living cells
✔✔positional asphyxia - ✔✔fatal respiratory arrest in which the ability to breathe is
compromised by the positioning of the body in relationship to its immediate
surroundings
✔✔Improper Restraint Techniques - ✔✔pressure on the neck or chest
incorrect positioning of arms
obstructing the mouth or nose
abnormal positioning of the body
✔✔Recommendations to reduce risk of injury or death - ✔✔-Never place weight on a
young person's chest or back
-Never put pressure on the young person's neck
-Never place the head in a position that causes the neck to be compressed
-Never allow a young person to stay in the prone or supine position once he or she is no
longer a safety risk-get the person up and in a seated position
-Never bend a child forward in the small child or seated restraint
-Never place anything over or near the young person's face, mouth or nose that can be
inhaled or conform to the contours of the face
-Never ignore any of the warning signs of pending asphyxia
-Never fail to take immediate action if there is a need for emergency medical treatment
-Never restrain a child in the prone position on a mattress or surface that can conform to
the contours of the face
-Never use these restraint techniques on children under five years of age
✔✔Documentation - ✔✔who, what, when where?
What were the antecedents?
What action did the staff take to de-escalate the situation?
describe physical contact (be specific ).
How long did the restraint last?
Was the ICSP followed? If not, why?
Staff/child injuries? Medical attention?
What plan was developed in the Life Space Interview?
When were staff debriefed?
Was follow-up needed? when was the family notified?
Statements of witnesses should be included
✔✔Restraints should be avoided or discontinued when - ✔✔- adults cannot control the
child safely
- adult is not in control — too angry
- child is threatening and is capable of harming staff
- sexual stimulation is the motivation
- in a public space
