Crisis Intervention and Management Flashcards
7 cards from real CAADC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Crisis Intervention and Management flashcards as text
A counselor working in a residential addiction facility notices a client displaying signs of excited delirium, including hyperthermia and combative behavior. The MOST appropriate response is to:
Answer: Immediately call 911, as this is a life-threatening medical emergency
Excited delirium is a medical emergency with high mortality risk and requires immediate emergency medical services rather than facility-level management.
In crisis negotiation with a client who is threatening self-harm, which communication technique is MOST effective during the early stage of contact?
Answer: Establishing rapport through active listening and empathic reflection
Active listening and empathic reflection build trust and reduce escalation during the early stage of crisis negotiation.
Which factor is MOST predictive of completed suicide in individuals with a substance use disorder?
Answer: Prior suicide attempt
A previous suicide attempt is the single strongest predictor of future suicide completion, especially when combined with substance use disorder.
A group of clients in a treatment facility witnessed the accidental overdose death of a peer. The counselor should FIRST:
Answer: Provide a safe space for clients to process their reactions and assess individual needs
Providing a safe, supportive space for processing reactions and assessing individual needs is the first step after a traumatic shared event.
A client experiencing methamphetamine-induced psychosis is brought to a crisis stabilization unit. Which intervention is LEAST appropriate during the acute phase?
Answer: Conducting an in-depth psychosocial history and trauma assessment
In-depth psychosocial history-taking is contraindicated during acute psychosis as it can overwhelm a dysregulated client and worsen agitation.
According to ASAM criteria, when a client presents in crisis with moderate withdrawal symptoms and active suicidal ideation with a plan, the MOST appropriate level of care is:
Answer: Level IV: Medically managed intensive inpatient
Active suicidal ideation with a plan combined with moderate withdrawal requires Level IV medically managed intensive inpatient care for both medical and psychiatric stabilization.
After a crisis has been resolved, the MOST important follow-up action a counselor should take within 24-72 hours is:
Answer: Contacting the client to assess current safety and reinforce the safety plan
Follow-up contact within 24-72 hours assesses ongoing safety, reinforces the safety plan, and maintains therapeutic connection during a vulnerable period.