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About the only people who typically avail themselves of a crisis walk-in facility are the
chronic mentally ill who have nowhere else to turn.
One of the major problems in a community telephone crisis line is that workers have to
be "expert" in a large variety of areas.
Clients in long term therapy are typically immune from crises.
Intake interviews for women who are battered are best done in a hospital or police
station with the batterer present so the assaulted person can feel safe and secure in
naming the perpetrator.
It is not necessary to assess for lethality because all clients certainly do not present with
suicidal/homicidal ideation.
One of the critical issues in counseling sexually victimized children is teaching them
boundaries about sexual behavior.
Instrumental-type hostage takers are what the human service worker is likely to
encounter.
Movements such as AA, Vietnam veterans and the women's movement have had a great
deal to do with the establishment of the specialty field of crisis intervention.
Intergenerational transmission of sexual abuse is a sad but true fact.
Family members of a chemical dependent may cause further problems for the
dependent because of their attempts to keep the family in equilibrium.
Workers who experience a physical assault are best supported by giving them time off,
giving staff new safety tips based on the incident, and moving beyond the incident
compassionately but quickly .
Many school resource police officers may do a good deal of crisis counseling and have
the skills to do so through their training.
The client's past history and cultural background have little to do with the here-and-now
conditions of a crisis.
Multiculturalists in the United States are highly aware of how the competencies they
promote apply outside the United States.
One reason telephone counseling works is because clients can remain unknown or
unseen by the crisis interventionist.
If put in the role of negotiator, you will likely be able to promise that the cops won"t
storm the building.
"Railway spine" was a historical precursor of what is now known as PTSD.
Even when clients successfully work their way through a crisis there may be problems
with termination.
Terr's studies of children differentiate PTSD into two distinct types depending on
traumatic event duration.
Assessment is pretty much done at the beginning of a crisis and is a one-shot affair.
The Kubler-Ross model of loss is most probably the most well known and most utilized
model of understanding loss in the present day.
The mesosystem measures the time element across which a disaster develops.
"CIT" in police terminology stands for "Crime Intervention Officer."
Treatment 'secrets" are a way of trying to co-opt treatment and blackmail staff.
Peer deaths for adolescents can be particularly traumatic for them because the deaths
are not normative, unexpected and shouldn"t happen much like adults in handling grief.
In defining the problem in crisis intervention, the major focus is on understanding the
major personality constructs of the person.
If you are a hostage one ploy is to attempt to strike up a conversation so that the
Stockholm Syndrome can develop.
There is evidence that intense and continuous stress can cause permanent physical
changes to occur in the brain.
Because of the traumatic nature of death, young children should most generally be
shielded from it so they do not become overly traumatized.
The quickest and easiest way to get an addict clean is to go "cold turkey" and let them
suffer the consequences of physical withdrawal.
There is one clear-cut model of addiction which chemical dependency units use in
treatment programs.
There is little domestic violence in homosexual relationships.
Telephone crisis counseling is cheap, but generally ineffective due to staffing by
volunteers.
The task model is mostly passive in what it attempts to do.
There is little opportunity to carve a career out of crisis intervention because of its
minor status as a player in the mental health business. (p. 702
Psychological descriptors of alcoholics would include
a. intelligent, hard driving, obsessive.
b. primitive defenses, sociopathic, narcissistic.
c. incompetent, regressive, sadistic.
d. conforming, masochistic, fragmented.
People with strong death wishes are invariably
a. impulsive.
b. ambivalent, confused, and gasping for life.
c. venting their desire to kill themselves.
d. suicidal for as long as they live.
Open ended questions do all but the following.
a. request description c. focus on plans
b. garner specific ,concrete data d. provide for assessment
"Grounding" childhood sexual abuse survivors means they
a. are "in the wind" psychologically and literally need a place to land.
b. need a 'spot of safety" to go to.
c. are using a talisman such as a coin to touch
d. all of the above have to do with grounding.
Considering the myth that when a person has attempted suicide and pulls out of it the
danger is over, a crisis worker should remember that if such a client seemed unusually
serene and nonlethal toward self,
a. an important danger signal for that client would be a period of euphoria following the
depressed or suicidal episode.
b. then, in case the client committed suicide, it would definitely be an impulsive act.
c. then, the crisis worker would probably have misinterpreted the client's score on The
Triage Assessment Scale.
d. All three of the foregoing statements are valid.
Of the following types of hostage takers, which would be viewed as an expressive act?
a. A father who felt his son had died a wrongful death at the hands of a hospital.
b. A car jacker who wanted to take the hostage to an ATM to get money.
c. A robber of a convenience store who couldn't get away before the police
d. A religious cult that wanted their leader freed.
Which one of the following indicators should not be considered high-risk in terms of
suicide potential?
a. The suicide plan is definite.
b. There is a family history of suicide.
c. Previous "minor" suicide attempts have been made.
d. A frantic call to a crisis line to discuss depressed feelings.
Distancing is a technique the worker can employ to step back and more objectively
view the client's dilemma.
Many of the myths that engender burnout are supported by what Albert Ellis calls the
_____________ thoughts people tell themselves about their work.
a. unhealthy
b. self-actualizing
c. demeaning
d. conflicted
A satellite in orbit would be part of the
a. chronosystem
b. super macrosystem
c. primary mesosystem.
d. super mesosystem.
Chaos theory is really a theory of what?
a. evolution
b. eclecticism.
c. random events.
d. none of the above.
Gestalt techniques such as the "empty chair" can be used for PTSD clients to effectively
a. dispute irrational thoughts that take over thinking.
b. reduce the guilt of "unfinished business" of past traumatic events.
c. generate positive addicting behaviors.
d. interpret psychodynamic drives.
If you rated a client as a 10 on anyone individual A,B, or C triage scale you would be
saying that s/he was
a. potentially lethal.
b. needed some counseling
c. to be released on their own resources.
d. none of the above.
The recommended treatment of choice for sexually abused children is
a. Gestalt therapy.
b. psychoanalytic.
c. play therapy.
d. psycho-education about abusers.
The appeal of online crisis intervention appears to be great because of
a. people who just prefer that mode of communication.
b. being isolated from specialized psychological services not easily available.
c. have physical disabilities which prohibit travel.
d. all of the above are why online intervention has appeal.
Of the following intervention strategies, which would be least likely to help prevent
violence?
a. Threat Assessment teams.
b. management's commitment to security planning.
c. doing a work-site analysis of potential hazards and problems.
d. all of the above are necessary.
Which of the following is not a disowned statement?
a. Based on my own experience in this work I would say if you keep doing that you are
putting yourself at grave risk.
b. We believe if you keep doing that you are putting yourself at grave risk.
c. Research indicates if you keep doing that you will put yourself at grave risk.
d. Don" t you think if you keep doing that you will be putting yourself at grave risk?
IS PATH WARM is
a. an acronym for suicidal warning signs.
b. a standard warning code in a mental health clinic for a potential suicide/homicide.
c. suicidology language indicating the degree to which a person is following a path to
self-destruction.
d. an acronym of intervention steps to be taken with homicidal/suicidal clients.
In the Dutro Model, the concepts of grief and loss are purported to be more dynamic,
moving from the medical or pathological theories to more interactive models. This
model refutes many of the older theories of grief. As an example:
a. The common assumptions concerning the stages of grief are not supported.
b. Placing time limitations on grief is inappropriate.
c. Suppression of sadness being viewed as pathological is an error.
d. All three of the above are good examples.
The Benefield family's crisis may best be viewed by the crisis worker in a(n)
a. ecosystemic context
b. multicultural context
c. both a and b
d. family system context.
Call-in clients like crisis lines because
a. they can remain anonymous.
b. the crisis counselor is in control of the situation and can tell them what to do .
c. both a and b.
d. neither a nor b.
Of several techniques for handling severely disturbed callers, which is not appropriate?
a. slow them down.
b. determine if they are on any medication.
c. avoid placating or sympathizing.
d. go along with delusions, to calm them down and gain their trust.
The disaster recovery phase that is defined as "We are all in this together" is known as
the _________ phase.
a. honeymoon.
b. euphoric.
c. adaptation.
d. emergency.
De-escalation and defusing techniques for CIT officers first start with
a. keeping clients secure without cornering them
b. exploration of the emotional disturbance.
c. officer and client safety
d. how one introduces oneself.
Posttraumatic growth components include all but the following. (p. 195
a. commonality of symptoms.
b. constructive self-disclosure
c. reconciliation of pre PTSD personality dynamics
d. emotional regulation
The recovery of sexual assault victims is enhanced by
a. a comprehensive medical exam to rule out pregnancy, social diseases, or AIDS.
b. seeking criminal prosecution of the assailant.
c. as soon as possible engaging in sexual activity with a trusted and caring significant
other.
d. empathy and acceptance by the person's support system.
Support groups within the institution
a. use social events to take the stress out of work.
b. are readily available if one takes the time to find them.
c. function to provide both technical and emotional support.
d. spend an equal amount of time discussing personal and workplace problems.
A primary component of option therapy is
a. deciding what medication will be used.
b. deciding who will have control over the client's behavior.
c. that it is only used in emergencies.
d. that it is completely up to the worker as to when it will be used.
When a child learns that there is a great deal of gratification in tearing the heart out of a
villain in a video game, that child is being subjected to
a. classical conditioning
b. operant conditioning
c. social learning
d. a combination of a, b and c.
A rating of 9 on a specific triage A, B, or C scale would indicate
a. some overall impairment but controllable emotions.
b. a great deal of impairment but controllable thinking.
c. little impairment and no need for control of any dimension.
d. a great deal of impairment and barely controllable behavior that is moving toward
lethality.
Alcohol is the most abused drug because it
a. is quickly addictive.
b. has severe and immediate physical consequences.
c. is legal, relatively inexpensive, and easily obtainable.
d. is often combined with other drugs.
Assessment of cognitive processes in crisis intervention typically involves determining
a. how "hot" or irrational cognitions are.
b. whether there is a perception of transgression, threat, or loss.
c. perception of others' needs
d. all of the above.
Institutional culpability in not controlling violent behavior enough may be attributed to
a. much stronger client rights.
b. a fear of being sued.
c. too much publicity about violent events which are then "copycatted" by others.
d. monetary expenditures.
Laura Brown, a renowned expert on multiculturalism and trauma doesn"t really know
how people make sense of a trauma.
An appropriate example of providing immediate, short-term, and brief crisis
intervention with the bereaved following a sudden death would be
a. working through long buried guilt feelings.
b. planning new relationships now that the loved one is gone.
c. referral to a support group.
d. providing referral sources to make arrangements for the funeral, and information
about autopsy and donor rights.
