TSS TSS Crisis Intervention & De-escalation Questions and Answers 3

Question 1

Psychological First Aid (PFA) is best described as:

Accepted Answer

An evidence-informed modular approach to assist people in the immediate aftermath of disaster or trauma

Answer

A formal psychotherapy protocol for PTSD delivered in the first 48 hours

Answer

A pharmacological intervention to reduce acute stress symptoms

Answer

A structured debriefing technique for first responders only

Question 2

Critical Incident Stress Debriefing (CISD) is considered most appropriate when:

Accepted Answer

Provided to a group shortly after a shared traumatic event to process reactions and provide psychoeducation

Answer

Conducted 6 months after a traumatic event

Answer

Used as the sole treatment for PTSD

Answer

Applied individually during ongoing therapy for complex trauma

Question 3

When providing crisis intervention to an individual from a culture that emphasizes collectivism and family honor, a TSS specialist should FIRST:

Accepted Answer

Explore the individual's cultural values and how they shape the perception of the crisis and acceptable help

Answer

Disregard cultural factors to ensure standardized care

Answer

Involve family members immediately without the client's consent

Answer

Apply Western individualistic frameworks without modification

Question 4

After a crisis intervention encounter, documentation should MINIMALLY include:

Accepted Answer

The nature of the crisis, risk assessment findings, interventions provided, and the follow-up plan

Answer

The client's full childhood history and trauma narrative

Answer

Only the safety plan if one was created

Answer

A billing code and session duration only

Question 5

Acute Stress Disorder (ASD) is distinguished from Post-Traumatic Stress Disorder (PTSD) primarily by:

Accepted Answer

ASD symptoms occurring within 3 days to 4 weeks of trauma exposure, while PTSD persists beyond 30 days

Answer

The type of traumatic event that caused it

Answer

ASD requiring hospitalization while PTSD does not

Answer

The presence of dissociation, which only occurs in PTSD

Question 6

When conducting crisis intervention via telephone or telehealth, which adaptation is MOST critical compared to in-person intervention?

Accepted Answer

Relying heavily on verbal cues and explicit check-ins because non-verbal information is limited or absent

Answer

Using more clinical jargon to maintain professional authority

Answer

Keeping the call under 10 minutes to avoid escalation

Answer

Avoiding open-ended questions to reduce session length

Question 7

When a client engages in non-suicidal self-injury (NSSI) during a crisis, the TSS specialist's immediate priority should be:

Accepted Answer

Ensuring physical safety and conducting a thorough risk assessment to distinguish NSSI from suicidal intent

Answer

Expressing disapproval to discourage the behavior

Answer

Immediately arranging involuntary hospitalization

Answer

Ignoring the behavior to avoid reinforcing it with attention