CART Relaxation & De-escalation Skills 2

Question 1

Which relaxation technique involves systematically tensing and releasing muscle groups to reduce physical tension associated with anger?

Accepted Answer

Progressive muscle relaxation

Answer

Progressive muscle relaxation (PMR) targets the somatic component of anger by alternately tensing and releasing muscle groups, reducing overall physiological arousal.

Question 2

When de-escalating a client who is verbally aggressive, the therapist should prioritize which initial action?

Accepted Answer

Using a calm, low, steady voice and non-threatening posture

Answer

A calm voice and non-threatening body posture signal safety and help co-regulate the client's nervous system before cognitive interventions are attempted.

Question 3

The '4-7-8' breathing technique involves inhaling for 4 counts, holding for 7 counts, and exhaling for 8 counts. Its primary physiological effect is to:

Accepted Answer

Activate the parasympathetic nervous system

Answer

The extended exhale in 4-7-8 breathing stimulates the vagus nerve, activating the parasympathetic system and countering the fight-or-flight stress response.

Question 4

A client reports that visualization exercises make their anger worse because imagining peaceful scenes feels 'fake.' The best CART-aligned response is to:

Accepted Answer

Switch to a body-based technique like progressive muscle relaxation

Answer

When imagery-based techniques are ineffective or counterproductive, somatic approaches like PMR offer an alternative pathway to physiological de-escalation.

Question 5

In the context of anger management, 'grounding techniques' primarily serve to:

Accepted Answer

Reconnect the client with the present moment to interrupt escalating anger

Answer

Grounding techniques anchor attention to present sensory experience, interrupting the rumination and escalating thought patterns that fuel anger.

(CART) Certified Anger Resolution Therapist Practice Test

(CART) Certified Anger Resolution Therapist Practice Test

CART Relaxation & De-escalation Skills 2