SUDS is a term identified with EMDR.
Allowing clients to cathart about the issue only compounds the crisis.
Mental health workers who made the scene after Katrina were immediately plunged
into intensive therapy with victims and survivors.
A statement starting with “We” is an excellent way to collaboratively own feelings.
In initial diagnosis, crisis case handling always attempts a slow, methodical assessment
to determine the various antecedent causes of the problem.
Telephone and online counseling pose far fewer ethical dilemmas because the worker is
not face-to-face with the client and doesn’t know the client’s identity.
Most current theories of counseling do not work in a multicultural sense.
About the best one can hope for after a hard loss is, in time to get back to some
semblance of equilibrium and homeostasis.
Post incident debriefing includes giving people a warm receptions and assuring them
they acted properly and their symptoms are common.
Rape can happen to anyone and rapists come from all segments of society. .
A formal debriefing follows an introduction, facts, thoughts, reactions, symptoms,
teaching, and reentry model.
A universal view of multicultural counseling relates to “visible and racial ethnic
minorities.”
Research has established that suicide runs in families.
Psychobiolgical assessment is important for people in crisis because dramatic changes
can occur in neurotransmitters when people are traumatized.
The Master Resilience Trainer course will require thousands of psychologists, social
workers, and licensed professional counselors to implement across the whole army.
The EVJO typically has a long history of contact with juvenile authorities because of
delinquent acts.
As strange as it may seems, LEMAs may devote a lot of attention to animals following
a disaster.
Linear thinking is critical in crisis intervention.
The Maslach Burnout Inventory is an excellent tool for examining stress points and
problems in an organization.
The fundamental problem in client immobility is being stuck in a continuous non
productive loop of approach, avoidance, or static behavior.
It has been proven that Asian and Latino cultures have a much more collectivist world
view than Americans.
Rape is used by some men to control women though sexual conquests but they are
really afraid of them
About the only major difference in safety considerations between a crisis worker in an
office building and a crisis worker who makes home visits is that the worker who goes
out to homes needs to be acutely aware of her or his surroundings.
Unbelievably, a crisis may erupt at termination of what both the therapist and client
believe has been a successful long-term therapy.
In the next twenty years the number of elderly will increase significantly with the
graying of the baby boomers. As this age group is increasingly put in institutions,
violent acts by this age group will diminish.
One of the advantages of telephone counseling is that crisis workers can have back-up
consultation and quickly access needed services.
“Deadwood” is a term given to workers who have extreme burnout.
A good owning statement may mean setting limits on disruptive and demeaning client
behavior.
The Texas Grief Inventory can determine the progress of grief resolution.
The mentally ill adolescent has a high probability to commit a violent act.
Because their mission is to save lives, survivors’ guilt is one of the negative emotions
that affects emergency medical personnel.
Burnout-proofing an agency is almost impossible to do.
The collective disillusionment phase occurs about three months into the chronosystem
of a disaster’s aftermath.
Ground rules for therapy should always be used in a passive, accepting way so as to not
threaten clients.
The first step in preventing client violence in an institution is obtaining expert
consultants to teach staff to physically control agitated clients.
The Professional Quality of Life Scale (ProQOL) measures compassion satisfaction
along with compassion fatigue and burnout and is particularly designed for first
responders such as EMTs.
When a crisis worker encounters language barriers he or she should
a. move quickly into the crisis relying on nonverbal communication.
b. use sign language.
c. while not the ideal, get a translator.
d. use a family member who knows English.
Of the following approaches to gang intervention, which has been the most successful?
a. youth outreach
b. “get tough”
c. opportunities provision
d. None of the above has fared well alone.
Research indicates that the greater the number of times a person leaves an abusive
relationship the more likely the individual will
a. attempt to salvage the domestic relationship and suffer through it .
b. go to battered women’s support groups and seek individual therapy for her problems.
c. leave permanently.
d. experience increasing grief and depression over the loss of the relationship.
A similar technique for handling pranksters and silent callers is to
a. Wonder whether it is difficult to say what they really need so they make prank calls
or say nothing.
b. Hang up if they don”t respond in one minute.
c. Ask them if they are on drugs or are having a psychotic break.
d. None of the above is a good response to these two types of difficult callers.
The best predictor of violence is
a. motoric cues such as pitched up and rapid speech.
b. family histories of violence.
c. time frames, such as Saturday night.
d. the more of the above predictors and others are combined, the better the prediction.
In the case of Jane, the worker uses an eclectic BASIC IDS approach because
a. the Id suffers most when compassion fatigue occurs.
b. no component of Jane’s life is immune from burnout, it has become so pervasive.
c. it is psychoanalytic in nature and will get at unconscious motivators of burnout.
d. she is suicidal and her Id is erupting out of control with no superego to govern it.
A good definition of enabling would be that
a. the abuser has enough financial means to quickly increase drug use.
b. a family member practices behaviors that allow the abuser to continue drug use
without suffering consequences.
c. the therapist helps the abuser become more cognitively able to abstain from drugs.
d. use of one drug allows the abuser to move to a more powerful drug.
National crisis response teams (NCRT’s) rapidly go out and assist communities
following
a. community-wide disasters.
b. manmade disasters only.
c. failure of local crisis agencies.
d. all of the above.
One of the more puzzling aspects of therapy and one that escalates to crisis proportions
is
a. falling apart over some insignificant task after more difficult ones have been
accomplished.
b. being psychotic and then taking drugs to enhance the effect.
c. the inability to sort out complex past family dynamics because of enmeshment.
d. having an undiscovered physical ailment that is causing the presenting psychological
problem.
While crisis case handling and long term therapy models may have similarities, one
major difference in crisis intervention is the emphasis on
a. self-actualizing behavior.
b. comprehensive appraisal.
c. personality dynamics.
d. none of the above.
Adult survivors of childhood sexual abuse may have
a. been hospitalized for a variety of psychological disorders.
b. symptoms that are quite different than those of Vietnam veterans.
c. suffered increased incidence of rape, assault, and battering as adults because they
actively seek out such relationships as a way of punishing themselves for
their ‘sins” of childhood.
d. decided to become homosexuals because they can no longer stand the opposite sex.
An expanded crisis theory which is based on the view that the disequilibrium which
accompanies crisis can be understood by gaining access to the client’s
unconscious thoughts and past emotional experiences is
a. developmental theory.
b. systems theory.
c. psychoanalytic theory.
d. adaptational theory.
Enablers will
a. seek to find other addictive personalities to form a relationship with, in order to help
them.
b. attempt to keep the family in maladaptive homeostasis.
c. find other codependents to support them.
d. have few defense mechanisms to help them cope.
While assisting a client to examine alternatives, the crisis worker is advised to
a. ensure that the alternatives chosen are ones that the client can truly own and are
realistic “right here” and “right now”.
b. to accept the fact that clients may not be able to come up with alternatives and allow
clients to suffer the natural and logical consequences of their actions.
c. try to get the client to accept worker generated alternatives even if the client is
resistant.
d. adhere to all three of the above.
To motivate a chemical dependent to seek treatment, usually
a. a crisis must be created.
b. enablers must demand treatment too.
c. denial must cease.
d. the dependent should “bottom out” and be detoxified first.
Handling problem callers who become abusive is best done by
a. leaving time limits open so they finally run down.
b. terminating them after a clear warning.
c. posing close-ended questions to specify the problem.
d. both a and b.
Initial counseling for screening a potential EVJO should start with
a. open-ended leads and deep reflective responses about personal issues with peers.
b. clearly framed questions about intent to do harm.
c. nondirective approaches that let the client choose what he wants to talk about.
d. directive information about consequences of actions for violent behavior.
Closed questions typically start with
a. Have you b. When will you c. Does it d. All are closed
Which of the following is not found in complicated grief and mourning?
a. Severe separation anxiety and distressed yearning.
b. Denial, repression and avoidance of the loss.
c. Intense intrusive thoughts about the deceased.
d. Reformulation of loss in a context of growth.
Dealing with a sexually explicit caller may be done by
a. covert modeling by planting the idea that they have a problem.
b. flooding to extinguish their thoughts by sexual responses from the worker.
c. reflection of their feelings and thoughts so as to show empathy and understanding of
their dilemma.
d. asking if they have some physical ailment that is causing the presenting
psychological problem.
Providing guidance
a. is an archaic term that best describes school counseling in the 1960s and has little to
do with contemporary counseling and particularly crisis intervention.
b. means clients are incapable of helping themselves.
c. means clients don”t have the knowledge or resources available to get themselves out
of the crisis and need an expert in providing them with the tools to do so.
d. means helping clients focus on their goals.
Of the following rules about crisis response teams working in a disaster, which is not
true?
a. It is important to work in teams.
b. It is important to get sleep and food.
c. Debriefing should be held away from the scene.
d. Workers should debrief one another
Characteristics of effective crisis workers include
a. having had life experiences similar to the person in the crisis.
b. being of the same race, sex, religion, etc. of the person in crisis so there is some
common ground.
c. being older and having the experience of age.
d. none of the above will necessarily make a crisis worker effective
Which statement best describes the estranged hostage taker?
a. False system of beliefs with hallucinations and delusions.
b. Confused and unable to make a decision with reduced energy and affect.
c. Aggrieved by the system, bears many “crosses,” and has iron-clad belief system.
d. Conflicts with society, blames others, is concerned only for him-/herself.
In long-term therapy, one of the times that there is a major risk of a crisis occurring is
a. at the start of therapy
b. in the middle of therapy
c. at the end of therapy
d. there is no one particular period of therapy that is more likely for a crisis to occur.
The chronosystem is important because it
a. assesses how well FEMA is doing.
b. assesses what outcomes may be expected.
c. sets a disaster clock in motion that may have lethal ramifications.
d. provides benchmarks when certain phases of recovery should occur.
Burnout may be characterized by what levels?
a. person, place, and time.
b. worker, institution, and environment.
c. trait, state, and activity.
d. past, present, and future.
A DIVORCE map is a way of getting at
a. previous unseparated attachments.
b. finding and disputing the client’s irrational beliefs.
c. restoration activities.
d. none of the above.
An analysis of the Seung Hoi suicide/homicide videotape indicates that, immediately
prior to his suicide,
a. he was experiencing helplessness, hopelessness, and abandonment
b. he was experiencing unendurable psychological pain and frustrated psychological
needs.
c. he demonstrated constricted thinking in that he was apparently unable to engage in
alternative thought patterns or optional behaviors and lived in logic tight compartments.
d. All of the above were indicated in Seung’s suicide/homicide videotape.
Of the following reasons for the use of telephone crisis lines, which is not valid?
a. services isolated areas.
b. avoids dependency issues.
c. vast support and referral systems.
d. comprehensive appraisal systems.
An appropriate response to a severely agitated client might be
a. “The staff is right, you’ve got to accept their judgment. They are professionals and
know what is best for you.”
b. “I’ll see what can be done about the problem. Just calm down!”
c. “It’s clear somebody has messed up. They have no right to treat you that way. You’ve
a right to complain.”
d. “I understand how angry you must be. Before I can do anything though, I need to
hear you calmly and clearly tell me what’s bothering you so I can determine what needs
to be done.”
Reality orientation is
a. indicating what the consequences of clients’ actions will be.
b. reflecting clients’ concerns about current problems.
c. apprising clients of the rules of the institution.
d. anchoring clients as to who they are, where they are, and why they are there.
Research indicates that which of the following is generally not an antecedent to violent
behavior?
a. Distraught family members who do not believe the client’s needs are being met.
b. Certain times of day such as bedtime.
c. Release from a mental institution.
d. A history of violent behavior.
Residual effects of sexual assault may have characteristics of
a. Posttraumatic Stress Disorder.
b. an unresolved Electra or Oedipal complex.
c. hysterical conversion neurosis.
d. love addiction.
If a person received an overall score of 26, you would most likely
a. provide them with supportive counseling.
b. release them in the custody of a support person.
c. consider getting a crisis intervention police officer there to take them into protective
custody
d. do nothing until you had observed them in their ecosystem to make sure your
assessment was valid.