The major reason to conduct a security analysis is to determine what kind of alarm
systems will be needed.
Mobile crisis teams have now been replaced by CIT officers.
Sympathy and empathy are essentially the same thing except sympathy uses more
worker owning statements to convey feelings.
Short-term grief work is more concerned with support in terms of “being there” rather
than “doing things” for the bereaved’s psychological well-being.
The birth of disaster mental health delivery systems can be traced to 9/11.
Disasters have their worst effects on people who are poor, old, sick, and otherwise
disenfranchised from societal benefits.
The Federal Emergency Management Agency’s Emergency Management Institute is so
comprehensive it even includes mortuary services and hazardous materials courses.
There appear to be at least four major causes of rape. They are: gender inequality,
pornography, social disorganization, and legitimatization of violence.
There are people in the world who see the western world’s mental-health-type disaster
mitigation as useless and contrived.
Organizations should be assessed for burnout along with individuals.
The microsystem encompasses the individual and his or her family only.
When threatening conditions occur, at times doing nothing may be the best approach.
In assessing for suicidal risk, a history of previous attempts is high on the list of factors
to consider.
Natural support systems are often more important than formal counseling systems in
providing relief.
Police departments who use mental health professionals as consultants have more
hostage situations end by negotiated surrender rather than tactical assault.
On the behavioral rating scale approach, avoidance, and immobile can be both good and
bad.
Restoration orientation occurs when grievers experience full blown emotional catharsis.
Burnout and stress are synonymous.
Children who suffer a traumatic experience are likely to have problems with “narrative
coherence,” which is the ability to organize material into a beginning, middle, and end.
The Midville tornado response typifies an integrated horizontal and vertical disaster
relief approach. (p. 683 ” 695)
Contagious suicide by adolescents is a reality.
EMDR should not be used with children because it is very intrusive and may reignite
the trauma
The landmark Tarasoff decision makes it legally mandatory for crisis workers to keep
client confidence unless there is child abuse involved.
Flooding works well as a therapeutic intervention with children because it allows them
to expunge intrusive thoughts.
Child rapists are different than other child molesters in that they typically use threat of
harm either to the child or a significant other .
There is abundant evidence indicating that crises resulting from sexual abuse are no
different in nature, intensity, and extent than other forms of crisis.
The Triage Assessment Scale looks at affective, behavioral, and cognitive processes.
A universal view of multicultural counseling looks at racial and ethnic minorities in the
broadest possible sense.
Crisis intervention in the United States started at about the time of the Revolutionary
War.
In childhood Type II traumas, children rarely misperceive or distort the trauma once
brought to awareness.
Support groups are an important component for treating PTSD.
Each crisis encapsulates a process leading to the potential for constructive change for
the client.
Community mental health clinics must provide 24 hour service, as mandated by the
Community Mental Health Act of 1963.
Once a woman decides to leave the battering relationship, comes to an abuse shelter,
and regains some psychological equilibrium, the crisis worker’s first job is to provide
immediate practical advice on such issues as finding a place to live, child care, financial
aid, etc.
“Borderline Personality Disorder” is so called because people who have it are not really
psychotic, but just emotionally distraught.
Political terrorists account for the largest majority of hostage situations in the United
States.
One of the best and simplest questions to determine if the client may be violent is to
ask, “Have you ever lost your temper in a violent manner?”
Only children suffer serious feelings of loss when a pet dies.
The Crisis Response Coordinator in a school CRT should have considerable counseling
skills in crisis intervention.
A critical component in treating burnout is
a. satiation.
b. substitution.
c. revitalization.
d. positive reinforcement.
Family treatment involves the worker
a. initially being quiet and letting the pathology emerge
b. teaching the family to openly express feelings.
c. teaching family members to carry messages to one another.
d. both a and b are important worker techniques.
Follow-up is an important task because
a. clients may have little or no support system.
b. success in maintaining precrisis equilibrium is critical.
c. keeping track of the client’s long term needs and re-establishing broken relationships
is important in moving beyond the crisis and putting it in the past.
d. both a and b.
Private practitioners suffer burnout
a. for some of the same reasons agency workers do.
b. because of extreme isolation.
c. from dealing with more difficult cases.
d. Both a and b
Complicating effects that have contributed to an increase in rape are
a. acceptance of violence in the media.
b. genetic regression.
c. the sexual revolution.
d. None of the above have to do with an increase in rape.
Going on hunches or suspicions that a student is suicidal is generally not a good idea.
Women who stay in a battering relationship
a. have a self-concept that is dependent on the relationship.
b. attempt to exert a great deal of subtle control over the relationship.
c. become socially and emotionally isolated.
d. both a and c are valid reasons.
When an assessment of the client indicates he or she is burned out, the worker should
a. find out what has happened in the past that caused the problem.
b. take a directive approach until the client has some equilibrium restored.
c. use an assessment device to see if burnout really is present or if something else is
wrong.
d. take a passive-accepting approach and let the client cathart.
Of the following basic strategies for crisis intervention which one seeks to deal with
warded off, shunted, and denied feelings.
a. allowing catharsis
c. creating awareness
b. providing support
d. promoting mobilization
One of the best ways to assess for violent behavior when face-to-face with a client is to
a. monitor motoric cues.
b. obtain a family history of violent acts.
c. find out about drug use.
d. determine if he or she is mentally ill.
Typical feelings of most clients who are “first timers” in a residential treatment facility
might be
a. angry, but feeling that they are in control of the situation because they are tough.
b. angry, frightened, and feeling that they are out of control.
c. frightened, but compliant to treatment if dealt with fairly.
d. psychotic, out of touch with reality, and out of control.
Lauren Brown’s social locations concept of multiculturalism as it applies to trauma and
crisis is best depicted by an ____ model
a. emic
b. etic
c. individualist
d. collective
A number of researchers have attempted to create typologies of batterers. Which of the
following is not one of those types?
a. Antisocial types that are narcissistic and care little for the consequences of their
actions and are generally violent to everyone a great deal of the time. Extremely
dangerous with no conscience.
b. Estranged types who are socially isolated and violent only to family when rules are
disobeyed. Very rigid militaristic bearing. Do not suffer insubordination
from anyone considered inferior in rank to them which includes all of the family.
c. Borderline types who come from dysfunctional families. May be very volatile and
alternately depressed. Batter family members when they feel unloved or
abandoned, which may be often. Low remorse and may batter outside the family.
d. Family batterer. Typical batterer with poor communication skills and high
dependency needs. Situational stressors spark an angry confrontation. Most
representative of Walker’s cycle.
Whenever a suicidal person, who is not previously known by the crisis worker, is
emotionally overwhelmed and immobile, one effective way to break through that
immobility is to
a. shock the person into reality through shame and guilt or threat of punishment.
b. personalize the communication by establishing a first-name basis if possible.
c. create a diversion.
d. gather enough information so as to establish a close and friendly relationship.
Of the following strategies, which would work best with a person with borderline
personality disorder?
a. Debating with them until they are exhausted.
b. Focusing on their talents and stressing how they sabotage themselves.
c. Being firm, with clear cut rules and boundaries.
d. Confronting their manipulative plans.
Changing mental sets is important in treating chemical dependence because
a. beliefs about the events can be critical to staying “dry.”
b. recognizing cues can help the client learn how to avoid potential problems.
c. ‘should,” “ought,” and “must” statements may lead the client to drink again.
d. All of the above are reasons.
While assisting a client to examine alternatives, the crisis worker is advised to
a. look for situational supports.
b. ensure that the alternatives are workable and realistic in terms of the action steps.
c. weigh alternatives chosen against future problems and goals.
d. both a and b.
Social support systems can provide
a. instrumental support such as enhanced telecommunications systems.
b. expressive support to provide a sense of belonging and caring
c. both a and b.
d. maximum support if they have a home based component.
Walker’s schema for a battering relationship is
a. calmness, tension, violence, crisis.
b. stress, violence, reconciliation, violence.
c. violence, crisis, intervention, reconciliation.
d. love, stress, anger, violence.
Human services workers who serve as consultants to hostage negotiators should
a. constantly assess the mental status of the hostage taker as well as the negotiator.
b. not become directly involved in the negotiations so as to remain objective.
c. step in when the primary negotiator becomes fatigued.
d. Both a and b are accurate.
The S.A.F.E. is a communications model that can be interfaced with the REACT task
model of crisis negotiation.
Researchers have found that adult male survivors of child sexual abuse who were
abused by men fair no better and report the same or similar symptoms as adult women
survivors. In addition, they often
a. have unfounded paranoid fears of male or transgendered sexual assault.
b. abuse alcohol and drugs.
c. are homophobic, have body image disturbances, and sexual orientation ambiguity.
d. act aggressively towards women in order to prove themselves.
One of the most effective means of worldwide suicide prevention appears to be
a. getting crisis workers to use the Triage Assessment Form regularly and correctly.
b. analyzing the suicide/homicide notes left behind.
c. tempering the sensationalism of press reports on it.
d. educating the general public, mental health professionals, and other agency and
institutional personnel regarding the characteristic thinking and behaving of
suicidal/homicidal persons.
Attempts to determine alcoholic personalities through the use of tests have been
problematic because
a. alcoholics have a variety of different problems, and their personalities resemble those
of schizophrenics.
b. the medical model and AA do not believe in alcoholic personalities, only the disease
of alcoholism.
c. the alcoholic may have very different personality profiles pre- and
post-detoxification.
d. all of the above are problematic.
Which of the following negotiator statements would seem best for a depressed hostage
taker?
a. It’s time for you to come out, because it won’t get you your job back in there. What
you really want is your job back, or one just like it, so come out right now and let’s
work on that.
b. You really seem kind of down at the moment.
c. Have you been on anti-depressants?
d. None of the above would be good negotiator responses.
An assertion statement such as “I need for you to take a deep breath, exhale slowly, and
put the gun down!” is a/an ____________statement.
a. owning b. closing c. genuine d. reflective
PTSD has a two-generation treatment approach. The first generation is accessing and
working through the trauma and its symptoms. The second is
a. detoxifying from substance addiction.
b. absolving oneself from guilt and making amends to wronged others.
c. readjusting to contemporary society.
d. gaining insight into guilt dynamics and resolving them.
Above all else, the worker’s therapeutic style, choices, and strategy must reflect
continuous consideration for the client’s
a. safety.
b. ego integrity.
c. personhood.
d. cultural identity.
Countertransference is the
a. attributing traits and behaviors of significant others and events in the worker’s past to
the client.
b. attributing traits and behaviors of significant others and events in the client’s past to
the worker.
c. instigating agent of acute traumatic stress disorder.
d. displacement and externalization of negative feelings onto significant others in the
life of the crisis worker.
An owning statement does which of the following
a. Puts responsibility directly on the client to respond.
b. Allows the worker to safely cathart about his or her own issues.
c. Uses positive reinforcement to approximate a client towards a larger goal.
d. none of the above define what an owning statement is.
The SVJO can be characterized by his/her ______
a. loner status.
b. need for instant gratification.
c. Both a and b are characteristics.
d. Neither a nor b is a characteristic.
Volunteers who work crisis hotlines are actually pretty effective in helping people.
Societal norms have a great deal to do with the behavioral outcomes of drug
consumption.
Learned helplessness proposes that women stay in abusive relationships because they
have been conditioned to believe they cannot predict their own safety and nothing they
do will change the situation.
One of the major problems of crisis intervention in rural communities may be the local
population’s fear and suspicion of outsiders.
Communicating genuineness means letting clients see who you are by sharing
components of yourself through self-disclosure.
Disputing negative self-talk a bereaved divorced person has about the break-up of a
marriage may be effective because emotional energy can then be directed toward
dealing constructively with real, contemporary issues.
The first stage of burnout is Enthusiasm.
A common practice of going through a family album after a deceased’s death would be
most characteristic of an intuitive type griever.
Because the telephone worker is not on the scene, exploring alternatives and making
plans need to be simple and clear-cut, and slowly and carefully mapped out.
Staying physically close, within an arm’s length of a client is safer because it
psychologically anchors the client to the worker.
A local emergency management agency’s response in such disasters as a hurricane
largely hinges on a “wait and see” approach.
False memories can be planted through mental health professional who themselves have
experienced abuse.
Mandatory debriefing is not necessary for all workers and in fact may be demeaning
and dehumanizing.
Post-incident interviews and CISD are essentially the same procedure.
Taking “control over women” is one of the myths of rape.
One of the critical issues of intervention with a burned-out worker is the ethical issue of
keeping the worker’s clients from harm.
Eye movement desensitization/reprocessing (EMDR) works because the strobe light or
finger movement interrupts abnormal neural activity.