This is BS (Behavioral Support Techniques) WTF (Stress Model of Crisis) That’s Not What I Said (trauma/brain) Lean on Me (interventions) Check Yo Self (risks)
100
What is DIRECTIVE STATEMENTS
Before using this technique, we must determine that the expectation is important enough to risk escalating the situation
100
What is BASELINE
Normal state of functioning
(Hint: squiggly line)
100
What is STUPIDIST
When we are at our angriest, we are at our ........
100
What is NONVERBAL COMMUNICATION
Consist of silence, facial expressions, eye contact, and tone of voice
(Hint: communicate without speaking)
100
What is ASPHYXIA
Fatal respiratory arrest in which the ability to breath is compromised
200
What is MANAGING THE ENVIRONMENT
Least intrusive technique
(Hint: think milieu)
200
What is TRIGGER
Stressful situation or interaction that starts this whole crisis and makes the patient pop off
200
What is THERAPEUTIC CRISIS INTERVENTION
What does TCI stand for?
(Hint: you automatically fail if you don’t know this answer)
200
What is POWER STRUGGLE
Dropping the rope by changing the expectation is one way to end a ........
(Hint: tug of war)
200
What is PROTECTIVE INTERVENTIONS
Release techniques to prevent staff from acting on instinct when attacked
(Hint: we practice these when Steve chokes you out)
300
What is TIME AWAY
Does not mean isolation or banishment
(Hint: not to be confused with seclusion)
300
What is ESCALATION
Patient is verbally aggressive and threatening physical violence in this phase
(Hint: in between trigger and outburst)
300
What is MEANING
All behavior has.........
300
What is ACTIVE LISTENING
Means to “listen for meaning” and helps a patient “talk it out rather than act it out”
(Hint: difficult to do with my attention span)
300
What is PROLONGED EXPOSURE TO TOXIC STRESS
(trauma)
Higher risk of sudden death when restrained
(Hint: related to psychological pain)
400
What is CARING GESTURE
Technique that communicates “I care about you and you are important to me")”
(Hint: our caring selves do this naturally all the time)
400
What is OUTBURST
The patient is in survival mode and may explode in a manner that could be dangerous
(Hint: top of the model)
400
What is SURVIVAL BRAIN
Part of the brain that is active during an outburst that makes us do stupid things
400
What is CRISIS CO-REGULATION
What to THINK, What to DO, What to SAY
(Hint: regulators, mount up)
400
What is SUPINE
(face up)
Position patient’s should be restrained once on the floor
(Hint: rhymes with porcupine)
500
What is REDIRECTION AND DISTRACTIONS
A method of diverting a patient’s energy and attention to a substitute activity
(Hint: squirrel)
500
What is WHAT AM I FEELING NOW?
WHAT DOES THIS PATIENT FEEL, NEED, EXPECT, OR WANT?
HOW IS THE ENVIRONMENT AFFECTING THE SITUATION?
HOW DO I BEST RESPOND?
Four questions we ask ourselves
(Hint: you’ve heard these 1000 times)
500
What is the AMYGDALA
Determines if you should fight or flight
(Hint: very hard to pronounce)
500
What is EMOTIONAL FIRST AID
A type of first aid that provides immediate support to reduce emotional intensity and keeps the patient in the activity
(Hint: The answer uses the exact words from this question just in a different order)
500
What is “I CAN’T BREATHE”
Often a patient’s last words
(Hint: ‘If you’re talking than your breathing’ is a fatal misconception)






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