An ecosystemic crisis can create victims far away from the actual event.
One of the very first things the CIT officer does to get Deborah off the bridge is to
simply tell her in a kind but authoritative voice to climb down.
At times the telephone worker may have to provide sexual information and resources
regarding sexual behavior to a caller.
A good owning statement may mean making a value judgment about a client’s behavior.
MAST, ALCADD, and SASSI are acronyms for new, innovative addiction treatment
programs.
Lots of times complaining callers who question the callers’ credentials are really
wondering whether they can trust the worker.
Being over-involved in client problems may cause crisis workers to attempt dramatic
cures on impossible cases and become panic stricken when plans go awry.
Treatment in crisis intervention is concerned mainly with the immediate, traumatized
component of the person.
Aggrieved or wronged hostage takers are typically the type the human service worker is
most likely to run into.
Node link mapping is an actual map that links points that the alcoholic will need to
follow to attain and retain sobriety.
Research data clearly dispels the notion that most women are raped by strangers.
An adolescent suicide of impulsivity may be derailed by using aversive imagery.
The alarm stage of a hostage taking is usually the calmest because the hostage takers
wish to keep the hostages under control.
As odd and paradoxical as it may seem, expansion and focusing strategies may both be
helpful in crisis intervention.
Alerting people of the role that alcohol has in date rape is a primary educational goal to
combat this problem.
Suicide is almost always an impulsive act.
Directive counseling is culturally judgmental and demeaning and should not be used in
crisis intervention.
Verbal de-escalation and defusing techniques are one of the major components to teach
when training CIT officers.
Volunteers who work in an agency where there are licensed professionals are covered
by the legal standards of the professionals.
Some men use rape to “punish” women who have done them “wrong”.
Instrumental behavior in hostage taking has some recognizable goal such as escape
from a crime scene.
Morality and spirituality are assessed with the TAF.
In Bowlby’s attachment model it is important to emotionally “attach” to the loss so as to
integrate it into one’s personality and move forward.
Sun-up syndrome is so called because people become violent as they wake up in
institutions, are not sure of their surroundings, and become confused and agitated.
The dual process model is an approach avoidance model that includes restoration and
loss orientation.
Seung-Hui Cho’s egoistic murder/suicidal rampage at Virginia Tech is characteristically
marked with unendurable psyche ache.
Crisis intervention techniques are at the core of hostage negotiation.
On a worldwide basis, about a million people kill themselves each year.
While both validation and reminiscence therapy are used extensively with the elderly,
they are actually two very different approaches.
Seung-hui Cho’s rampage really does not fit Shneidman’s characteristics of suicidal
people.
Workers who use validation therapy with the elderly believe that its use may resolve
past issues and reduce stress even though the client may not make sense.
Which statement best describes the depressed hostage taker?
a. Has a false system of beliefs with hallucinations and delusions.
b. Confused and unable to make a decision, with generally reduced energy and affect.
c. Narcissistic, attention-seeking.
d. Conflicts with society, blames others, is concerned only for him-/herself.
Of the following, which is not a reason that human service workers should have their
own loss issues resolved?
a. Over-investment in the client.
b. Transference of one’s own unresolved feelings to the client.
c. Burning out on the subject.
d. All of the above are equally important.
Crisis clients that use walk”in facilities usually have problems that are
a. existential in nature.
b. chronic mental illness.
c. acute interpersonal problems in their social environment.
d. both b and c are reasons.
The EVJO is most characterized by his/her ___________
a. affiliation with other youth who band together for mutual protection.
b. poor grades and truancy.
c. bullying behavior.
d. isolation (they have no allegiances).
The Contextual-Ecological Model of crisis is
a. really a disequilibrium model as well.
b. contextual elements are layered and reciprocal impact occurs between the individual
and the system.
c. focused on social environments and social influences.
d. Both a and b are correct.
Mental health unit time frames for delivery of services in a disaster may be divided into
a. pre-, during, and post-crisis event.
b. trans-disaster and post-disaster.
c. standard chronosystem time frames.
d. no known time frame exists for mental health disaster recovery
In a CISD facts are first discussed because
a. they need to be determined to fix the causes.
b. they are easiest to discuss.
c. they are less conflicted than feelings and thoughts.
d. everyone has about the same view of the events, so it is the easiest place to start.
The therapeutic modality for most programs for batterers relies on
a. an empathic listening and responding approach to assure clients they are heard and
cared for.
b. a confrontational approach to catch minimizing and projecting of inadequate and
insecure behaviors onto significant others.
c. a cognitive-behavioral approach that changes irrational thinking, self-sabotaging,
selective forgetting, setting oneself up for violence, and other maladaptive cognitions.
d. a dynamic approach that helps achieve insight into present behaviors by interpreting
and understanding past behaviors from childhood.
A critical aspect to working with the Benefield family in MIdville is
a. knowing that they will have to come to grips with reality after the honeymoon period.
b. keeping them from becoming disillusioned by the bureaucracies that control disaster
relief.
c. being culturally sensitive to their accents and deep spiritual beliefs.
d. stopping ASD from turning into PTSD.
Lindemann’s basic crisis theory was important because his work negated the prevailing
perception that clients manifesting crisis responses should be treated as:
a. abnormal or pathological.
b. permanently immobile.
c. mentally incompetent.
d. stuck in a state of disequilibrium.
Dr Branthoover’s overriding comment when interviewed about her post-Katrina work in
Louisana was that
a. you need to have comprehensive therapy skills.
b. listening skills are the most important component of doing therapy.
c. expect to sweat and get dirty while doing anything but therapy.
d. debriefing every night is critical.
The National Organization for Victim Assistance (NOVA) evolved on a national level in
order to respond to the needs of
a. isolated rural communities.
b. deinstitutionalized mental patients.
c. victims of violent crime.
d. victims of natural or manmade disasters.
Of the following which is not a common dynamic pattern of PTSD?
a. exaggerated social interaction.
b. survivor’s guilt.
c. death imprint.
d. emotional enmeshment.
If taken hostage, which of the following should you do?
a. engage in fantasy and daydreaming to make time pass.
b. interject some humor into the situation to lighten the mood.
c. be assertive so as not to lose face with the captors.
d. both b and c.
Affective State Dependent Retention is important to PTSD because it theorizes that
a. a calm, tranquil state is needed to treat PTSD.
b. no one is immune from PTSD given the right circumstances.
c. traumatic memories are stored under different physiological states.
d. a preexisting maladjusted personality pattern is retained in memory.
“I want you to stop swearing or I will end this session.” Is
a. a disowned statement.
c. a limit setting statement.
b. a distancing statement.
d. an intolerant statement.
In the immediate aftermath of an assault and rape of an adult, the crisis worker’s
response to the survivor should be
a. providing core facilitative conditions of trust, empathy, and unconditional positive
regard.
b. providing factual information about disease, pregnancy, and other health issues.
c. preparing the survivor to make a police report.
d. all of the above should be incorporated in the immediate aftermath
Alcoholism is often called the disease of what?
a. minimizing
b. rationalization
c. intellectualization
d. denial
A modern, full-service community mental health clinic has several options to handle
crisis clients. Such options may be
a. mobile crisis teams.
b. short-term, in-house therapeutic treatment facilities that include drug and
electro-convulsive therapy.
c. fast, direct referral into managed care facilities or state hospitals for long-term
commitment.
d. a and c above.
In the planning phase of crisis intervention, collaboration as opposed to directive
stances with clients is important because of the central issues of clients feeling a sense
of
a. control and autonomy.
b. long-term self-actualization.
c. existential completeness.
d. cognitive and affective adequacy.
The REACT model acronym is
a. Recognition of the conditions needed to make an incident negotiable.
b. Engagement that builds rapport.
c. Contracting/Controlling in facilitating an agreement on how to resolve the incident.
d. a, b, and c plus assessment of physical risks and terminating after surrender has
occurred.
Which of the following is not a legal and ethical issue in internet crisis intervention?
a. The technology that allows one to identify, block, and trace callers.
b. Linguistic and cultural differences.
c. Creation of virtual-reality environments that may be threatening.
d. How emergency services are contacted over vast differences.
Assessment in crisis intervention
a. is best done under controlled conditions using Triage Assessment and other paper and
pencil tests that adequately depict intellectual and personality functioning.
b. is generally continuous throughout the intervention.
c. generally attempts to adhere to Diagnostic and Statistical Manual-IV guidelines.
d. stops the moment the client regains equilibrium.
Professional organizations such as the American School Counseling Association
provide
a. counseling assistance after disasters.
b. information and psycho-educational materials for the public.
c. formats for discussion of theory and practice of crisis intervention.
d. all of the above.
One of the major issues with behavioral telehealth and specifically crisis lines over the
internet is a. accessibility.
b. confidentiality.
c. cost.
d. all of the above are problems.
When women finally decide to end the relationship and leave they will have
a. sorrow and regret.
b. difficulty making decisions due to depression.
c. guilt and self-blame.
d. All of the above may be involved in grieving loss of the relationship.
Of the following, which is not a myth about rape?
a. Only promiscuous women get raped.
b. Men who rape are weird, psychotic loners.
c. Women cry rape to exact revenge.
d. All of the above are myths.
Minimizing the physical and psychological danger to self and others is a simple way of
defining
a. the Hybrid model.
b. providing client support.
c. short term plans.
d. client safety.
Which of the following represents Walker’s cycle of violence?
a. tranquility, tension, violence, crisis.
b. jealousy, crisis, violence, peace.
c. anger, violence, withdrawal, crisis.
d. tranquility, violence, crisis, peace.
The ACT model is an acronym for what?
a. Action, Cognition, Trauma
b. Activation, Confluence, Transcrisis
c. Assessment, Connecting, Traumatic
d. None of the above
In the example of post intervention in the chapter, bank employees received (pp. 607 &
608)
a. CISD
b. psycho-education, CISD components, support group, positive reinforcement,
follow-up.
c. thought-behavior-feeling processing, stress reduction exercises, sick leave, bonuses,
appointments with behavioral health management organizations, good supervisor
consults and stress reduction coaching.
d. psychological autopsies, EMDR, and CISD.
Statistics on suicide show that it is
a. Native Americans kill themselves about 1.5 times more than other Americans.
b. the second leading cause of death among children and teens (behind accidents).
c. a serious problem in men over age 65 because that segment of the population kills
themselves at a rate four times the national norm.
d. all of the above.
The term “crisis” refers to the perception of an event or situation as an intolerable
difficulty that exceeds the person’s:
a. ego strength.
b. resources and coping mechanisms.
c. ability to comprehend the crisis.
d. anxiety level following the crisis.