TTC Crisis Intervention and Management 2 — Questions and Answers
Question 1: Which principle of crisis intervention emphasizes restoring a client to at least their pre-crisis level of functioning?
- Catharsis
- Equilibrium restoration (Correct answer)
- Cognitive restructuring
- Behavioral activation
Correct answer: Equilibrium restoration
Equilibrium restoration is a core goal of crisis intervention, aiming to return the individual to their baseline level of functioning.
Question 2: A clinician using the Triage Assessment Form (TAF) in a crisis situation would assess which three domains?
- Mood, cognition, and behavior
- Affect, behavior, and cognition (Correct answer)
- Suicidality, homicidality, and impulsivity
- Trauma history, support network, and coping skills
Correct answer: Affect, behavior, and cognition
The TAF evaluates Affect, Behavior, and Cognition (the ABC domains) to determine crisis severity.
Question 3: During a mobile crisis response, a client refuses to engage and begins to escalate. The FIRST recommended de-escalation step is to:
- Call for law enforcement backup immediately
- Maintain a calm, non-threatening posture and lower your voice (Correct answer)
- Offer the client a written consent form
- Physically distance yourself without saying anything
Correct answer: Maintain a calm, non-threatening posture and lower your voice
Non-threatening body language and a calm, quiet voice are the first-line de-escalation strategies before other interventions.
Question 4: Which crisis model views crisis as resulting from a person's perception that an event exceeds their available coping resources?
- Equilibrium model
- Cognitive model (Correct answer)
- Psychosocial transition model
- Eco-systemic model
Correct answer: Cognitive model
The cognitive model of crisis posits that it is the individual's appraisal of the event—not the event itself—that determines crisis onset.
Question 5: A trauma-informed crisis responder who practices 'universal precautions' assumes that:
- All clients are at imminent risk of suicide
- Any client may have a trauma history that influences their crisis presentation (Correct answer)
- Standard protocols apply regardless of culture or identity
- Pharmacological intervention is always necessary in crisis
Correct answer: Any client may have a trauma history that influences their crisis presentation
Universal precautions in trauma-informed care means treating all clients as if they may have trauma histories, avoiding re-traumatization.
Question 6: In the ACT model of crisis intervention, what does the 'C' stand for?
- Collaboration
- Containment (Correct answer)
- Connection
- Coping
Correct answer: Containment
The ACT model stands for Assessment, Crisis Intervention, and Trauma-Informed Care, where the 'C' represents Crisis Intervention.
Question 7: Which of the following best describes 'psychological first aid' (PFA) as used in trauma crisis response?
- A structured psychotherapy protocol delivered in 12 weekly sessions
- An evidence-informed modular approach to help people in immediate aftermath of disaster or trauma (Correct answer)
- A medication management protocol for acute stress reactions
- A forensic interview technique for trauma disclosure
Correct answer: An evidence-informed modular approach to help people in immediate aftermath of disaster or trauma
PFA is an evidence-informed approach designed to reduce initial distress and support adaptive functioning in survivors of trauma and disaster.
Which principle of crisis intervention emphasizes restoring a client to at least their pre-crisis level of functioning?