Free TCI The Stress Model of Crisis Questions and Answers 1 — Questions and Answers
Question 1: In the TCI Stress Model of Crisis, what is the primary goal for staff during the Outburst (Crisis) phase?
- To teach the young person a new coping skill.
- To ensure the safety of everyone involved. (Correct answer)
- To discuss the consequences of the behavior.
- To explore the reasons for the young person's anger.
Correct answer: To ensure the safety of everyone involved.
During the Outburst phase, the young person's behavior is characterized by a loss of control. The immediate and primary goal for staff is to ensure the safety of the young person, other individuals, and themselves, as rational discussion is not possible at this stage.
Question 2: A young person is beginning to show signs of agitation, such as pacing and muttering. Which phase of the Stress Model of Crisis are they most likely in?
- Precrisis State (Baseline)
- Triggering Event
- Escalation Phase (Correct answer)
- Recovery Phase
Correct answer: Escalation Phase
The Escalation phase is characterized by a noticeable increase in agitation and emotional arousal. Behaviors like pacing, muttering, and clenched fists are classic indicators that the young person is moving from the triggering event towards a potential outburst.
Question 3: What are the three possible outcomes of the Recovery phase in the Stress Model of Crisis?
- Educateur, No Change, or Lower
- Higher, No Change, or Lower (Correct answer)
- Agitation, Aggression, or Violence
- Trigger, Escalation, or Outburst
Correct answer: Higher, No Change, or Lower
Following a crisis, the young person's functioning can return to their previous baseline (No Change), improve due to learning from the experience (Higher), or worsen if the situation was handled poorly (Lower). TCI aims for the 'Higher' outcome through therapeutic intervention like the LSI.
Question 4: The 'Precrisis State' or 'Baseline' in the Stress Model of Crisis represents:
- The peak of the emotional outburst.
- The period immediately following a crisis.
- A young person's normal state of functioning. (Correct answer)
- The external event that causes stress.
Correct answer: A young person's normal state of functioning.
The Precrisis State is the young person's typical day-to-day level of functioning. Understanding this baseline is crucial for staff to recognize when a young person is deviating from their normal behavior, which may indicate they have been triggered.
Question 5: According to TCI, what is the primary goal of intervention at the Triggering Event phase?
- To apply a physical restraint to ensure safety.
- To help the young person de-escalate and avoid further escalation. (Correct answer)
- To immediately begin the Life Space Interview.
- To ignore the behavior until it becomes more serious.
Correct answer: To help the young person de-escalate and avoid further escalation.
When a triggering event occurs, the goal is to intervene early to de-escalate the situation and prevent it from moving into the escalation and outburst phases. This is often achieved by using co-regulation strategies and removing or managing the trigger if possible.
Question 6: Which of the following best describes a 'setting condition' in the context of the Stress Model of Crisis?
- The specific event that initiates the crisis.
- The physical restraint technique used by staff.
- Anything that makes challenging behavior more or less likely to occur. (Correct answer)
- The de-escalation strategy used during the recovery phase.
Correct answer: Anything that makes challenging behavior more or less likely to occur.
Setting conditions are the underlying factors that increase the likelihood of a crisis, such as a complex trauma history, a stressful home environment, or a medical issue. They are not the immediate trigger but make the young person more vulnerable to triggers.
In the TCI Stress Model of Crisis, what is the primary goal for staff during the Outburst (Crisis) phase?