Crisis management of suicidal behavior is essentially no different than crisis
intervention.
Individual experience, family systems, the community, peers, and society all are
mediating variables for domestic violence under what theory?
a. Sociobiology
b. Nested Ecological
c. System
d. Exchange
Getting enough food and rest is not as important for crisis workers as debriefing at the
end of every shift.
Telephone crisis centers have ready access to a variety of support systems.
With psychotic or emotionally disturbed individuals, a rational, calm, cool, and
collected problem-solving style of negotiating is best.
A smart crisis worker would attempt to enlist help and support from members of the
indigenous community.
Moving beyond the trauma means survivors need to come to understand the negative
aspects of PTSD and that the physiological responses they may have are common to the
experience
Man-made and natural disasters are equivalent in their ability to produce PTSD.
Burnout is a cross-cultural phenomenon, and has causes that are common across
cultures.
The disinhibition effect means that people tend to open up earlier with more distressing
issues over the internet than they do face-to-face.
Many times the suicidal person is also homicidal.
Expressive behavior in hostage taking has to do with weak individuals becoming
powerful by taking hostages.
There is essentially no difference country by country in the number of people per capita
that commit suicide.
According to Shneidman’s concept of situational characteristics of suicidal people, the
common stimulus in suicide is unendurable psychological pain and the common
stressor in suicide is frustrated psychological needs.
The Schneider model of grief is a comprehensive integration of physical, cognitive,
emotional, behavioral, and spiritual components of living.
“Duty to warn” should be based only on specific, concrete behaviors that demonstrate
an obvious and unequivocal danger to the client or others.
The idea of “big pink pet elephants that sit in the middle of the room and that everyone
has to walk around yet never acknowledges,” has to do with the concept of
codependency.
Motivational interviewing is designed to get the client to start contemplating what life
would be like with or without drugs.
Communicating empathically means focusing exclusively on the accurate reflection of
the content of verbal messages and not trying to guess at underlying meanings.
Occupational “culture” may be a barrier to those who don” t understand it.
Grounding means getting one’s feet on the ground and getting stable again.
The Gateway model of addiction proposes that peers lead the addict through a
“gateway” to drugs.
One way in which a crisis worker may determine whether the client fully understands a
commitment is to ask the client to summarize the action steps that he or she plans to
take.
Organizational cultures that have high power distance between bosses and subordinates
have high burnout rates.
The crisis stage of a hostage taking is the most critical because it sets the tone for the
remainder of the situation.
While important for effective intervention, consultation and supervision have little to do
with stopping burnout.
One of the techniques for dealing with severely disturbed callers is to deeply reflect
their disturbed feelings
The ADDRESSING and RESPECTFUL models both manifest the social locations
approach Brown is proposing to understand the impact of multiculturalism on trauma
Nested ecological theory proposes that no single factor effectively explains battering.
In complicated grief and mourning the person both denies or represses the loss and will
not give up the lost loved one.
Based in psychoanalytic theory, masochism has much to say about why battering
happens.
The school psychologist or social worker should always be appointed head
interventionist because he or she has the most knowledge about crisis intervention.
Learning theory proposes that battering occurs by what they have learned about
relationships from their parents.
An iron-clad rule is that any caller needs to have a medication check by the worker to
see if that may be contributing to the problem.
Burnout means that
a. the person is stressed out by the job.
b. the person doesn’t know how to handle stress.
c. there are no buffers to ease the unrelenting stress.
d. all of the above are needed for a definition of burnout.
One reason partners do not report violence in same-sex relationships is under reported
because
a. there is a fear they will be “outted” by the violent partner.
b. there is less physical but more psychological violence in these relationships.
c. same sex couples simply are less violent.
d. both a and b contribute to under reporting.
The prescriptive model of drug addiction proposes that
a. there is a prescriptive behavior that fits certain drugs.
b. genetics prescribe what and how much of a drug will be used.
c. self-prescription and physician prescription are used to relieve pain.
d. prescriptions are written to replace addictive drugs with less addictive drugs.
The stages of a hostage situation are
a. alarm, crisis, accommodation, and resolution.
b. alarm, containment, negotiation, and resolution.
c. seizure, terrorizing, control, and resolution.
d. demonstration, bargaining, and resolution.
When doing outreach, the best place to park your car for safety’s sake would be
a. directly in front of the house.
b. in the driveway of the house.
c. just beyond the front of the house.
d. across the street and down the block.
Of the following assumptions about the potential for violence, which does not belong?
Assume that the individual
a. understands and conforms when negative contingencies are stated and used.
b. feels a number of debilitating emotions.
c. needs to have limits set and provide options that define consequences for violence.
d. is experiencing disconnectedness and rootlessness.
PTSD may be produced by uncommon stressful life events such as
a. physical or sexual assault.
b. earthquakes.
c. car accidents.
d. all of the above are stressful.
Two reasons that new drug treatment theories and methodologies have entered the
chemical dependency scene are
a. insurance providers and research evidence that the Minnesota model may be no more
valid than other models.
b. higher cure rates and greater numbers of abusers.
c. new “designer” drugs and younger addicts.
d. a greater incidence of polyusers and more mentally ill users.
Closed questions are used to do all but the following.
a. obtain a commitment c. increase focus
b. encourage expansion d. both a and c.
A common problem(s) of clients that workers in a shelter must deal with is
a. grieving over the “death” of the relationship.
b. terror attacks.
c. manipulation of the worker by dependent clients.
d. All of the above may be problems at a shelter.
When a crisis worker has a good hunch that a child is contemplating suicide, the best
thing to do is
a. express shock and amazement that such thoughts would occur and speak to the child
about what he or she has to live for.
b. become passive and accepting and let the child vent his or her feelings.
c. confront the child’s irrational thinking and counter propagandize the “crazy”
thoughts.
d. None of the above is appropriate.
In helping a client plan viable action steps, it is important for the crisis worker to
a. provide information about the course of the crisis and what is likely to happen to
most clients.
b. conduct a long term needs assessment.
c. consider what types of psychotropic medication will be needed.
d. do all of the above.
Of the three rules that govern alcoholic families which does not apply?
a. Don”t complain.
b. Don”t talk.
c. Don”t trust.
d. Don”t feel.
In gathering information, a hostage negotiator would first
a. attempt to determine who the hostage taker is so as to obtain a profile.
b. determine the reason the hostages were taken so as to know how to negotiate.
c. find out who the hostages are so the Stockholm Syndrome could be used.
d. know the physical layout of the site so as to determine the best and safest route of
attack if necessary.
An eclectic approach to crisis intervention means:
a. perceiving crisis as an internal and external state of affairs.
b. that people are viewed as products of both heredity and social learning.
c. not being locked into any theoretical approach in a dogmatic fashion.
d. dealing with the equilibrium/disequilibrium aspects of the crisis.
The behavior of the child abuser may be traced through phases of
a. secrecy, suppression, sexual interaction, and fulfillment.
b. threat, coercion, sexual interaction, and termination.
c. engagement, sexual interaction, secrecy, disclosure, and suppression.
d. invitation, acceptance, acknowledgement, sexual interaction, repression, and
termination.
With many types of disturbed callers, the focus should be on
a. reflecting feelings so that catharsis may occur.
b. bringing staff together to discuss these callers, plan strategies to handle them and
voice concerns.
c. proposing the disastrous consequences that can occur from such thinking.
d. First “a” then follow-up with “c.”
Enabling is
a. the natural and logical consequence of drug dependence.
b. not treatable to the extent that few positive outcomes may be anticipated.
c a character deficit of the co-dependent.
d. an attempt to keep the family in equilibrium.
If you had just been raped and were at the hospital you would want a _______ as a first
responder. .
a. SANE nurse
b. licensed clinical social worker
c. medical doctor
d. RAPE nurse
If you were a survivor and were moving on the Adaptive model continuum 6 months
after your partner’s death, you might be
a. at the restoration end.
c. still at the loss end
b. in between the two ends.
d. anywhere on the continuum.
Crises are time limited, usually persisting a maximum of:
a. six to eight weeks
b. six to eight months.
c. six to eight hours.
d. one to four years.
An important component of genuineness is being
a. role free.
b. non-defensive.
c. spontaneous.
d. all of the above.
Crisis workers who go to the scene of a disaster may not
a. debrief victims.
b. debrief themselves.
c. debrief other emergency personnel.
d. assist in locating relatives and survivors.
According to Freeman, a natural disaster and crisis is over when
a. FEMA declares it over.
b. everyone’s dog has come home and Aunt Nellie has been found.
c. the dead and wounded have all been found.
d. federal disaster aid impact areas are declared.
Of the following statements about burnout, which is not true?
a. It is event rather than process-oriented.
b. It varies in severity and duration.
c. It is infectious.
d. It has no known specific personality traits.
The impact of having failed to save a person who was a client or victim of the client’s
can be overwhelming and can cause the crisis worker to experience what is called
a. vicarious traumatization.
b. PTSD.
c. traumatic reminiscence episodes.
d. countertransference.
Of the following, which member of a school CRT is most responsible for the general
control and decision making?
a. crisis intervention coordinator
b. crisis response coordinator
c. the superintendent of schools
d. the principal of the affected school
Shifting away from angry feelings to less threatening topics is
a. validation.
b. reminiscence.
c. deflection.
d. both a and b.
The mesosystem is a
a. rapid response system
b. national response system.
c. communications system.
d. All of the above contribute to the mesosystem
Transcrisis points tend to occur in
a. regular intervals.
b. response to unconditioned aversive stimuli.
c. unpredictable intervals.
d. progressively increasing incidents.
Legal liability for the consequences of a violent act by an institutionalized client
a. may be commenced against a human service worker even if the worker was the one
hurt.
b. cannot be commenced if “Informed Consent” is issued and acknowledged.
c. is generally only against the institution and seldom against the worker.
d. may happen only when the behavior is viewed as potentially lethal.
If a client is found to be seriously thinking of killing or gravely harming some specific
other person who can be identified by the crisis worker, the worker is required to
consider the duty to warn implications
a. as specifically indicated in the client’s scores on the Triage Assessment Scale.
b. according to rules found in Schneidman’s Serial Characteristics formulation.
c. as dictated by case law in the Tarasoff case.
d. because it is morally and ethically right to do so.
Geographic locale is a cultural barrier in a crisis because
a. people may be suspicious of outsiders.
b. outsiders will seek out local community leaders to gather their opinions.
c. outsiders will go overboard in trying to understand community beliefs.
d. people in the setting are too dependent on outside support.
Almost all suicidal persons reveal
a. the same characteristics.
b. some kind of clues.
c. some kind of pathological behaviors.
d. all of the above
Which of the following is a common reaction to traumatic stress?
a. Psychotic breaks.
b. Numbing.
c. Catharsis of emotions.
d. None of the above.
The Hybrid model of crisis intervention epitomizes a stage or linear model .
Schools should consider holding large-scale memorials to honor the deceased and help
resolve grief.
Culturally, there seem to be three general patterns of response to death: death accepting,
death denying, and death defying.
Clients who threaten suicide may well do it.
In working with suicidal clients, even when they admit their lethal thoughts,
confidentiality and privileged information make it legally, ethically, and morally
difficult for the crisis interventionist to break confidence
Unbelievably, adult children of alcoholics (ACOAs) tend to marry other alcoholics.
One way of deescalating severely disturbed callers is to humor them by “going along”
with their hallucinations as a calming technique. ( p.136)
The ACT Model of crisis intervention seems most appropriate for long term
transcrisis intervention when the person cannot seem to get out of thecrisis after a long
period of time.
The Army Comprehensive Fitness program does not include a component to help
families
In the disequilibrium that accompanies crisis, anxiety is always present, and the
discomfort of anxiety provides an impetus for change.
Font type has little to do with what is going on with a client.
Currently there is a great deal of research on how multicultural values impact a crisis.
Workers who have experienced the crisis a client is experiencing will undoubtedly be
better able to handle it because they have overcome the crisis.
The Triage Assessment system is an in-depth rapid but systematic technique for use by
crisis workers in determining the severity of a client’s past and present dilemmas.
One of the major disadvantages to telephone counseling is that the worker may have to
refer to ready-made lists of feeling words, questions on the topic, and worst of all, keep
reference notes, which can all be distracting to the intervention process.
While gay and lesbian partners report domestic violence, statistically it is a good deal
less than what heterosexual partners report.
Psychological first aid is a first-order intervention in crisis.
The Community Reinforcement Approach is a very eclectic approach that crosscuts all
of the ecosystems of the individual, even to the point of using Antabuse.
Most people who are suicidal feel a high level of ambivalence or inner conflict.
Inappropriate and persistent sex play with peers is a good indication that a child has
been sexually abused.