Shared Flashcard Set

Details

Crisis Worker Training
Competency Evalutation
97
Other
Professional
07/13/2011

Additional Other Flashcards

 


 

Cards

Term

The experience of crisis

provides impetus for change.

True or False

Definition
True
Term

Crisis is by definition self limiting, intervention is not necessary to end the crisis. 

True or False

Definition
True
Term

The discomfort and anxiety of a crisis leads to immobility and resistance to change.

True or False

Definition
False
Term

Often, clients will grant a crisis intervention worker rapport because they are seen as a source for the help and support that they are looking for. 

True or False

Definition
True
Term

When intervening in a crisi it is important to maintain your professionalism and demonstrate your competence through the use of appropriate medical and psychological terminology. 

True or False

Definition
False
Term

Discussing the limitations of confidentiality should be avoided while establishing rapport.

True or False

Definition
False
Term

Matching your voice tone to the tone of the client is an effective strategy to calm a client as well as to encourage them to speak up. 

True or False

Definition
True
Term

Crisis support services are not an appropriate approach for addressing psychological issues from one's past, grief, or loneliness. 

True or False

Definition
True
Term

Persons with mental illness are

usually violent and dangerous.

True or False

Definition
False
Term

A common symptom of mental illness is fear of people, so persons with mental illness may be afraid of you. 

True or False

Definition
True
Term

Persons with mental illness are prone to crises even in the absence of clear precipitant stressors. 

True or False

Definition
True
Term

Crisis for persons with severe mental illness is most often associated with an

exacerbation of symptoms.

True or False

Definition
True
Term

Avoid talking about the feelings and specific concerns of callers who regularly use crisis call lines for support. 

True or False

Definition
False
Term

When responding to challenging calls it is appropriate to acknowledge that you are unsure of how to best help the caller at the moment. 

True or False

Definition
True
Term

Good self awareness and active listening are ways to avoid becoming defensive with angry callers. 

True or False

Definition
True
Term

Domestic violence is the leading cause of injury to women between the ages of 15 and 44 in our country. 

Myth vs Fact

Definition
Fact
Term

Domestic violence occurs only in poor, uneducated and minority communities. 

Myth vs Fact

Definition
Myth
Term

Most victims of spouse abuse are female. Men can be victims, but it is rare. 

Myth vs Fact

Definition
Fact
Term

Alcohol abuse causes domestic violence

Myth vs Fact

Definition
Myth
Term

Battering is a pattern of coercion and control that one person exerts over another. 

Myth vs Fact

Definition
Fact
Term

Many men who batter their wives also abuse their children. 

Myth vs Fact

Definition
Fact
Term

When there is violence in the family, all members of the family are participating in the dynamic, and therefore, all must change for the violence to stop. 

Myth vs Fact

Definition
Myth
Term

All crisis callers are potentially at risk for suicide. 

True or False

Definition
True
Term

Crisis workers sometimes avoid asking questions about suicidal intent as a result of their own anxiety. 

True or False

Definition
True
Term

Questions about suicide should be saved until the end of the call. 

True or False

Definition
False
Term

If a caller indicates, by self report or in response to a question, having suicidal thoughts, suicidality becomes the primary focus of assessments and crisis counseling. 

True or False

Definition
True
Term

Talking about suicide increases the likelihood that suicidal behavior will occur.

True or False

Definition
False
Term

By raising the issue of suicide, the crisis worker gives permission to discuss it. 

True or False

Definition
True
Term

The greater the number of warning signs, the greater the concern the crisis worker should have. 

True or False

Definition
True
Term

Impulsivity is an indication of risk for suicidal behavior. 

True or False

Definition
True
Term

The effectiveness of therapy following a suicide attempt has no effect on future risk. 

True or False

Definition
False
Term

Gay, lesbian, bisexual, and transgender youth are more likely to experience suicidal ideation and attempt suicide. 

True or False

Definition
True
Term

Adolescent girls (ages 16-19) are at risk for suicide. 

True or False

Definition
False 
Term

Previous suicide attempt is the most potent risk factor for adolescent boys. 

True or False

Definition
True
Term

In adolescent girls the most significant risk factor is the presence of major depression. 

True or False

Definition
True
Term

Individuals make calls to crisis lines based upon ambivalence between their will to live and wish to die.

True or False 

 

Definition
True
Term

An acute suicide risk is considered to be high when characterized by suicide ideation with intent, plan and high lethality of plan in the context of one or more other acute risk factors. 

True or False

Definition
True
Term

Protective factors do not counteract acute risk. Protective factors due counteract chronic risk. 

True or False

Definition
True 
Term

When considering acute risk for suicidality the anticipation of a significant loss is not as powerful as an actual loss. 

True or False

Definition
True 
Term

Firearms are the leading method of suicide in the US. 

True or False

Definition
True 
Term

The female suicide is 4.2% greater than the male rate. 

True or False

Definition
False
Term

Individuals ages 70 and older have a 2.4 times higher suicide rate than adolescents age 15-19. 

True or False

Definition
True
Term

If half of the undetermined intent poisonings deaths were determined to be self-inflicted that suicide rate in this country would rise 7-8%. 

True or False

Definition
True 
Term

Tribal spiritual orientation is a strong protective factor for American Indians. Individuals with a strong tribal spiritual orientation were half as likely to report a suicide attempt in their lifetime. 

True or False

Definition
True 
Term

Asian American/Pacific Islanders are more likely to access and use mental health services and avoid mentioning mental health problems to family members because of stigma and shame. 

True or False

Definition
False 
Term

When compared to white women, black women have greater social support, larger extended families, more religious views against suicide, and stronger mothering philosophies, all of which may act as protective factors. 

True or False

Definition
True
Term

Surviving the loss of a family member to suicide is very different than loosing someone to another cause of violent sudden death. 

True or False

Definition
True
Term

Appropriate action following a suicide can lead to prevention of future suicide. 

True or False

Definition
True
Term

When vulnerable youth experience grief together the emotions they express are usually stabilized. 

True or False

Definition
False
Term

It is not normal for people to experience emotional aftershocks following a tragedy. 

True or False

Definition
False
Term

Proper debriefing following a traumatic event can prevent post traumatic stress disorder. 

True or False

Definition
True 
Term

Helpers on crisis intervention teams do all but:

a) provide info and resources

b) develop insight into thoughts, feelings, and behv

c) provide support

d) assess immediate issues 

Definition

b) Helpers do not develop insight into the thoughts that determine feelings and behaviors

 

Term
Effective helpers have these four characteristics
Definition

1) Genuine

2) Empathic

3) Non-judgmental

4) Empowering

Term
List 3 ways that crisis may be resolved
Definition

1) Equilibrium is regained at the pre-crisis level of functioning (same as before)

2) Equilibrium is regained and a process of growth is begun (better than before)

3) New equilibrium is at a lower level of functioning and vulnerable to recurring crisis (worse than before)

Term

Describe the goal of crisis intervention. 

What is the minimal expected outcome, what is the optimal outcome?

Definition
Minimally that the person returns to the pre-crisis level of functioning. Optimally, that equilibrium is regained and a process of growth begins. 
Term

Match these steps with the interventions skills.

Crisis management steps:

Engagement, Assessment, Planning,

Evaluation, Follow-up

 

Interventions skills:

Problem solving, Closure, Establish rapport, Assess and review, Define the crisis 

Definition

Engagement- Establish rapport

Assessment- Define the crisis

Planning- Problem solving

Evaluation- Closure

Follow-up- Assess and review

 

Term

Defining a crisis includes:

a) validation and understanding

b) genuiness and honesty

c) draw out the facts and don't make assumptions

d) all of the above

e) both a and c

 

Definition
d) all of the above
Term
What are the 4 steps to use in identifying alternatives?
Definition
  1. Prior coping
  2. Solicit new ideas
  3. Offer suggestions
  4. Discuss the alternative of waiting
Term

Techniques for closure:

 Summarize the conversation to show the _____ that has been made. 

Definition
Progress
Term

Techniques for closure:

Name the ____ that you observed in the client during the conversation. 

Definition
Strengths
Term

Techniques for closure:

Review the action plan, including how they will gauge their ____. 

Definition
Progress
Term

Techniques for closure:

Obtain ______ to work on the plan. 

Definition
Commitment
Term

Techniques for closure:

Discuss what they will do if the ___ doesn't work out or if something new happens to make things more difficult. 

Definition
Plan
Term

Techniques for closure:

Develop a ____ related to future threats if situation involve violence or suicidal thought. 

Definition
Contract
Term

Which of the following are not necessarily indications of a mental illness?

a) paranoia and suspiciousness

b) worry and anxiousness

c) sobbing and crying

d) extreme hopelessness

Definition
c) sobbing and crying
Term
List 2 positive symptoms of schizophrenia
Definition

Hallucinations

Delusions

Thought disorder

Term
List 2 negative symptoms of schizophrenia
Definition

Isolation

Withdrawal

Lack of pleasure

Flat affect

Speaking infrequently

 

Term

Which of the following conditions may lead to depression?

loneliness and rejection, physical injury, intense stress causing chronic fatigue, hopelessness, childbirth, or all of the above 

Definition
All of the above
Term
Common symptoms of depression include
Definition
increase/decrease in appetite, increase/decrease sleep, low energy, thoughts of death or suicide, feeling irritable, feelings of hopelessness/worthlessness/guilt/sad, trouble concentrating and with memory
Term
Common symptoms of mania include:
Definition
feelings of extreme happiness or excitement, feeling irritable, feeling unrealistically self confident, sleep loss, talking a lot, and impaired judgement. 
Term

The cycle of family violence includes: 

The abuser lashes out with aggressive or violent behavior. After the abusive episode, the abuser feels _____. The abuser identifies ____ or blames the victim for his abusive behavior. The abuser works to regain control and normal behavior. This peaceful ____ phase gives the victim hope that the abuser has changed. The abuser begins to focus on what the victim has done wrong and how he'll make her pay. The abuser ____ up the victim and puts his plan in motion, creating a situation where he can justify abusing her again. 

Definition

Guilty

Excuses

Honeymoon

Sets

Term

Common signs of an abusive relationship include: 

a) fear of partner/references to the partner's anger 

b) personality changes

c) excessive fear of conflict

d) isolation from friends and family

e) a and c

f) all of the above

Definition
f) all of the above
Term

Which of the following are not considerations in assessing risk for family violence?

a) the source of the family conflict

b) if there are children involved

c) the person at risk's personal resources

d) historical patterns of abuse

e) current safety and environment

f) a,c, and e

Definition
a) the source of the family conflict
Term
Safety planning includes what steps?
Definition
Reduce isolation, identify escape plan, set-up access to resources, identify a safe place to go, identify a code work with family/friends/children, consider an emergency protection order, and assure ongoing access to cell phone
Term
Identify items that might be included in a person's at risk safety package. 
Definition
Personal identification, marriage license, bank books/cards, medications, change of clothes, personal phone book, pictures of abuser and other evidence of abuse
Term
Which 2 worker factors (neutrality, empathy, warmth, and respect) are considered most important in collecting accurate information during initial contact with callers?
Definition

Empathy

Respect

Term
A call is considered to be a crisis call when...
Definition

1. the caller volunteers that they are considering suicide

2. the caller communicates emotional upset

3. the call signals an external stressor requiring a coping response from the caller

Term
What does "IS PATH WARM" mean?
Definition

Intent

Substance Abuse

 

Purposelessness

Anxiety

Trapped

Hopelessness

 

Withdrawing

Anger

Recklessness

Mood disturbance

Term
Identify mood and affect observations that indicate an increased risk for suicide:
Definition
Anger, guilt, shame, humiliation, tension, restlessness, panic, burdensomeness, intolerable loneliness
Term
Identify cognition observations that would indicate an increased risk for suicide:
Definition
Hopelessness about self/future/others, suicidal ideation with plan and/or intent, ideation with impulsivity, ideation that is intense/persistent/uncontrollable, suspiciousness, paranoia
Term
Identify behavioral observations that are indicators of increased risk for suicide:
Definition
Agitation, intense recklessness, insomnia, panic, impaired attention/concentration, rage or aggressive behavior, binge drinking, excessive intoxication, impulsivity 
Term

Are the following methods considered

low or high lethality:

wrist cutting, firearms, suffocation, jumping before a train, some drug overdoses (such as SSRI), hanging, carbon monoxide asphyxiation 

Definition

Low: wrist cutting and some drug overdoses

 

High: firearms, suffocation, jumping before a train, hanging, carbon monoxide asphyxiation 

Term

A triggering event:

a) external stimuli, actions, behaviors, circumstances, or stressors to which the caller is or may be reactive in a suicidal manner

b) an event that leads to intolerable emotions

c) depletion of sense of self or ego

d) emotions that trigger a sense of hopelessness and an unwilling ness to accept change

e) all of the above

Definition
e) all of the above
Term

Which of the following is not a chronic risk factor?

Multiple prior attempts, history of previous hospitalizations, current mental disorders, social isolation, sense of purpose, family history of suicidal behavior, history of being bullied, feelings of worthlessness/self hate, significant medical illness

Definition
Sense of purpose is not a chronic risk factor
Term

Crisis workers do...

integrate and prioritize information being collected, assess acute suicidality, assess chronic suicidality, and assign a risk rating. Crisis workers do not...

Definition
Predict future behavior
Term
Define active intervention:
Definition
Crisis workers must act to protect life, if a worker cannot deescalate a caller he must use whatever means necessary to intervene. 
Term

Which of the following are not considered to be associated with an increased capability of action related to suicidal behavior and the need for active intervention? 

intoxication, agitation, insomnia, absence of social support, rage, or available means

Definition
Absence of social support
Term
Poor educational and vocational performance can or cannot be considered as long term risk factors.
Definition
False, education and vocation are not considered chronic risk factors. 
Term
An African American male is or is not considered to be part of a high risk demographic group. 
Definition
African American males are not considered high risk, although those who are GLBT, elderly, unemployed, white male, or young Native American. 
Term
A moderate risk rating (or higher) must be made if...- name 4 indicators
Definition

1. history of multiple prior suicide attempts

2. current mental disorder with prior suicide ideation 

3. previous psychiatric hospitalization with prior suicide ideation

4. social isolation

Term
Grief education should include...
Definition

1. acknowledgement of the loss

2. explain that everyone experiences loss in their own time and in their own way

3. There is no right or wrong way to experience grief

4. one hour of intense grief is comparable to eight hours of physical labor

5. Grief is often like a roller coaster

Term

Identify questions to be used when asking about past loss:

 

Definition

1. How did the person find out?

2. What was their reaction? How did they cope?

3. What did the loss mean?

Term
Identify questions to be used when asking about present loss:
Definition

1. How have things changed?

2. How are they feeling now?

3. What is bringing these feelings up?

4. How are they coping now?

 

Term

Identify questions to be used when asking about future loss:

Definition

1. How has their loss changed them as a person?

2. What are their fears for the future?

3. How would you like to deal with the loss?

What do you need in your life to deal with the loss?

Term
Mental health and suicide stigma may result in...
Definition
Secrecy about the death, isolation and guilt for survivors, blame for the death, lack of support from others 
Term
Grief reactions in children often result in...
Definition
fear of the dark, temper tantrums, fear of separation from family, concern that they are to blame, lack of understanding of the permanency of it, may be sad one moment and playing the next
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