CCHMC TCI 7 LATEST UPDATE 2024 VERSION

CCHMC TCI 7 LATEST UPDATE 2024 VERSION

82 QUESTIONS AND VERIFIED CORRECT

ANSWERS GUARANTEED A+

• ways to develop the Cultural Space - CORRECT ANSWER: culturally competent staff

& accept and celebrate cultural differences

3 basic processing regions of the triune brain - CORRECT ANSWER: Thinking

(neocortex) Emotional (limbic system/amygdala) Survival (brain stem)

• conditions have to be present to use a physical restraint - CORRECT ANSWER: 1.

Agency policies and state regulations allow it

• The child's ICSP prescribes it
• Our professional dynamic risk assessment indicates it

3 effects of anger during a stressful situation - CORRECT ANSWER: 1. Anger can

undermine objectivity

• Anger is an emotional and physical state
• Cognitive abilities are reduced

3 examples of pain-based behaviors - CORRECT ANSWER: 1. running away

• withdrawal
• overaction

• options to handle physical violence that don't include physical restraint - CORRECT

ANSWER: 1. Eliminate one of the elements of violence

• Releases/protective stance
• Leave and get assistance

3 possible outcomes of recovery? - CORRECT ANSWER: Higher, no change, lower

4 questions we ask ourselves in a crisis - CORRECT ANSWER: 1. What am I feeling

now?

2.What does the child feel, need, expect, or want?

• How is the environment affecting the situation?
• How do I best respond?

5 goals of the LSI - CORRECT ANSWER: 1. Provide a sense of emotional safety

• Help clarify the events for the child and adult
• Repair and restore the relationship
• Help the child learn to use emotional regulation skills
• Re-enter the child back into the routine
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5 nonverbal crisis co-regulation strategies - CORRECT ANSWER: 1. Take a deep

breath and exhale slowly

• Give space and time
• Use silence
• If safe, step out of the child's sight
• Assume a neutral stance and concerned facial expression

5 spaces of therapeutic milieu - CORRECT ANSWER: Physical, Social, Cultural,

Emotional, Ideological

• steps of the LSI (I. E. S. C. A. P. E.) - CORRECT ANSWER: Identify- a place and

time to talk Explore-child's point of view Summarize-the feelings and content Connect-trigger to feelings to behavior Alternative-responses to feelings discussed Plan developed/practice Enter-child back into the routine

8 Behavior Support Techniques - CORRECT ANSWER: 1. Managing the environment

• Prompting
• Caring gesture
• Hurdle help
• Redirection and distractions
• Proximity
• Directive statements
• Time away

Anger... - CORRECT ANSWER: -undermines objectivity

-reduces cognitive abilities

Connecting statement - CORRECT ANSWER: When (trigger), you become (feeling),

and you (behavior) E.g. "When someone makes fun of you, you become angry, and you hit them"

Definition of asphyxia - CORRECT ANSWER: the deprivation of oxygen to living cells

Definition of setting condition - CORRECT ANSWER: Anything that makes challenging behavior, or traumatic stress responses more or less likely to occur

Empathic response (experience) - CORRECT ANSWER: "This is really hard for you"

Four elements of a potentially violent situation - CORRECT ANSWER: Spark, Target, Weapon, Level of stress or motivation

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