TSS TSS Crisis Intervention & De-escalation Questions and Answers 1 — Questions and Answers
Question 1: What is the primary goal of crisis intervention in trauma-informed care?
- Eliminate the underlying trauma permanently
- Restore the individual to at least their pre-crisis level of functioning (Correct answer)
- Provide long-term psychotherapy
- Diagnose a mental health disorder
Correct answer: Restore the individual to at least their pre-crisis level of functioning
Crisis intervention aims to stabilize the individual and restore them to at least their pre-crisis level of functioning, not to provide long-term therapy.
Question 2: Which model of crisis intervention identifies seven stages including assessment, establishing rapport, identifying problems, exploring feelings, generating alternatives, developing an action plan, and follow-up?
- Maslow's Hierarchy of Needs
- Roberts' Seven-Stage Crisis Intervention Model (Correct answer)
- The ACT Model
- Caplan's Crisis Theory
Correct answer: Roberts' Seven-Stage Crisis Intervention Model
Roberts' Seven-Stage Crisis Intervention Model is a widely used framework that outlines seven sequential stages from initial assessment through follow-up.
Question 3: During a crisis intervention, a TSS practitioner uses open-ended questions, reflects feelings, and avoids interrupting. This set of behaviors is best described as:
- Cognitive restructuring
- Active listening (Correct answer)
- Motivational interviewing closure
- Paradoxical intervention
Correct answer: Active listening
Active listening encompasses open-ended questions, reflection of feelings, and non-interruption to build rapport and gather accurate information during crisis.
Question 4: Critical Incident Stress Management (CISM) is primarily designed to:
- Replace individual psychotherapy after trauma
- Prevent and mitigate the impact of traumatic stress on responders and survivors (Correct answer)
- Provide legal documentation after a critical incident
- Conduct forensic interviews with witnesses
Correct answer: Prevent and mitigate the impact of traumatic stress on responders and survivors
CISM is a comprehensive, multi-component crisis intervention system designed to prevent and mitigate the psychological impact of traumatic stress.
Question 5: In the ABC model of crisis intervention, 'A' refers to:
- Avoiding confrontation
- Achieving rapport, developing rapport, and maintaining rapport
- Affect — exploring the individual's emotional state and distress (Correct answer)
- Action planning before assessment
Correct answer: Affect — exploring the individual's emotional state and distress
In the ABC Model, 'A' stands for Achieving contact and Affect, focusing on the individual's emotional experience and establishing initial connection.
Question 6: A comprehensive safety plan developed during crisis intervention should include all of the following EXCEPT:
- Warning signs that a crisis is developing
- Coping strategies the individual can use independently
- A formal psychiatric diagnosis (Correct answer)
- Emergency contacts and crisis hotline numbers
Correct answer: A formal psychiatric diagnosis
Safety plans focus on practical coping strategies, warning signs, and resources; they do not require a formal diagnosis to be effective.
Question 7: According to Gerald Caplan's crisis theory, a psychological crisis occurs when:
- An individual receives a formal PTSD diagnosis
- A person's usual coping mechanisms are insufficient to manage a stressful event (Correct answer)
- A community experiences a natural disaster
- A client discloses prior childhood abuse
Correct answer: A person's usual coping mechanisms are insufficient to manage a stressful event
Caplan's theory holds that a crisis arises when customary problem-solving strategies fail to adequately address an overwhelming stressor.
What is the primary goal of crisis intervention in trauma-informed care?