Question 1

Describe what is meant by "insidious trauma" and give two examples.

Accepted Answer

Insidious trauma refers to the type of trauma that is subtle, gradual, and often goes unnoticed or unrecognized for a long period of time. It can be caused by ongoing, chronic stressors or experiences that slowly erode a person's sense of safety, security, and well-being. This type of trauma can have a cumulative effect and can lead to long-term psychological and emotional distress.

Two examples of insidious trauma include:
1. Growing up in a household with constant verbal and emotional abuse. Over time, the repeated exposure to this type of abuse can have a profound impact on a person's self-esteem, mental health, and overall well-being.
2. Working in a toxic and hostile work environment where there is ongoing harassment, discrimination, or bullying. The constant exposure to these negative experiences can lead to feelings of anxiety, depression, and a sense of powerlessness.

Question 2

The traumatic response of someone to hearing about or witnessing another person's traumatic experience is called:

Accepted Answer

A) Secondary traumatic stress 
B) Hate crime 
C) Insidious trauma 
D) Microaggression 
A) Secondary traumatic stress 
B) Hate crime 
C) Insidious trauma 
D) Microaggression A

Question 3

Discuss four things clinicians should do when working with suicidal clients.

Accepted Answer

1. Take the client's suicidal thoughts seriously: It is important for clinicians to validate the client's feelings and thoughts, and to take their suicidal ideation seriously. This means actively listening to the client, acknowledging their pain, and not dismissing or minimizing their feelings.

2. Conduct a thorough risk assessment: Clinicians should conduct a comprehensive assessment of the client's risk for suicide, including evaluating their current mental state, past history of suicidal behavior, access to means, and social support. This assessment will help determine the level of risk and inform the development of a safety plan.

3. Collaborate on a safety plan: Clinicians should work with the client to develop a safety plan that includes strategies for managing suicidal thoughts, identifying triggers, and accessing support in times of crisis. This plan should be personalized to the client's specific needs and should be regularly reviewed and updated as needed.

4. Provide ongoing support and follow-up: It is crucial for clinicians to provide ongoing support to clients who are struggling with suicidal thoughts. This may include regular check-ins, therapy sessions, and connecting the client with additional resources such as support groups or crisis hotlines. Follow-up is also important to ensure that the client is adhering to their safety plan and to monitor their progress.

Question 4

What does the acronym SLAP refer to and how is it useful in working with suicidal clients?

Accepted Answer

The acronym SLAP stands for Specificity,

Question 5

The term used to describe a catastrophic event that is so sudden or uncontrollable that it overwhelms cognition and meaning making, and shatters the person's assumptions about the world is called:

Accepted Answer

A) Crisis 
B) Compound crisis 
C) Trauma 
D) Complex crisis 
A) Crisis 
B) Compound crisis 
C) Trauma 
D) Complex crisis

Question 6

Clinicians who work with clients who are in crisis:

Accepted Answer

A) Can learn from their clients about coping with adversity 
B) Can experience vicarious resilience 
C) Can find that it helps them put things in perspective 
D) All of the above 
A) Can learn from their clients about coping with adversity 
B) Can experience vicarious resilience 
C) Can find that it helps them put things in perspective 
D) All of the above

Question 7

In a crisis, all of the following are true EXCEPT:

Accepted Answer

A) The person perceives the event as a danger, loss or threat. 
B) The destabilization that occurs provides an opportunity to re-stabilize at a higher level of functioning. 
C) Customary coping mechanisms are effective. 
D) Culture influences the way the person makes meaning of the event. 
A) The person perceives the event as a danger, loss or threat. 
B) The destabilization that occurs provides an opportunity to re-stabilize at a higher level of functioning. 
C) Customary coping mechanisms are effective. 
D) Culture influences the way the person makes meaning of the event.

Question 8

Attempted suicide is also called:

Accepted Answer

A) Suicidal ideation 
B) Attention seeking 
C) Parasuicide 
D) Manipulation 
A) Suicidal ideation 
B) Attention seeking 
C) Parasuicide 
D) Manipulation

Question 9

Discuss five common features of crises.

Accepted Answer

1. Sudden onset: Crises often occur with

Question 10

Warning signs in clients contemplating suicide include all of the following EXCEPT:

Accepted Answer

A) Suicidal thinking nearly every day 
B) Withdrawal 
C) Recklessness 
D) Religious preoccupations 
A) Suicidal thinking nearly every day 
B) Withdrawal 
C) Recklessness 
D) Religious preoccupations

Question 11

When a crisis rekindles unfinished business from previous crises this is called:

Accepted Answer

A) A precipitating event 
B) A situational crisis 
C) A compound crisis 
D) A developmental crisis 
A) A precipitating event 
B) A situational crisis 
C) A compound crisis 
D) A developmental crisis

Question 12

Describe three of the very first services that crisis intervention specialists must provide to an individual in crisis.

Accepted Answer

1. Assessment: The first service that cr

Question 13

When working with actively suicidal clients:

Accepted Answer

A) Clinicians should focus on the positive things that are going on in the clients' life and distract clients from talking about the negatives and hardships they face. 
B) Clinicians should not ask clients directly about possible suicidal intention because it could trigger suicidal behaviors by bringing up the topic. 
C) Clinicians should use empirically supported assessment tools to assess for risk factors, warning signs and protective factors. 
D) Clinicians should leave the client in the room and immediately get the advice of a supervisor or consultant. 
A) Clinicians should focus on the positive things that are going on in the clients' life and distract clients from talking about the negatives and hardships they face. 
B) Clinicians should not ask clients directly about possible suicidal intention because it could trigger suicidal behaviors by bringing up the topic. 
C) Clinicians should use empirically supported assessment tools to assess for risk factors, warning signs and protective factors. 
D) Clinicians should leave the client in the room and immediately get the advice of a supervisor or consultant.

Question 14

When working with a client in crisis:

Accepted Answer

A) The clinician should be prepared to work with the person for a long time because crisis work is long-term work. 
B) The clinician may need to meet with the client more frequently and for varying durations. 
C) The clinician should be willing to explore many areas with the client. 
D) The clinician should be nondirective and let the client organize the story. 
A) The clinician should be prepared to work with the person for a long time because crisis work is long-term work. 
B) The clinician may need to meet with the client more frequently and for varying durations. 
C) The clinician should be willing to explore many areas with the client. 
D) The clinician should be nondirective and let the client organize the story.

Question 15

Gail has been working with a client who was a victim of a home invasion and rape. Gail is now having dreams in which she is being attacked and she reports that she often feels anxious. Gail is experiencing:

Accepted Answer

A) Over-identification with the client 
B) Insidious trauma. 
C) Vicarious trauma 
D) Identification with the aggressor 
A) Over-identification with the client 
B) Insidious trauma. 
C) Vicarious trauma 
D) Identification with the aggressor

Describe what is meant by "insidious trauma" and give two examples.

The traumatic response of someone to hearing about or witnessing another person's traumatic experience is called:

Discuss four things clinicians should do when working with suicidal clients.

What does the acronym SLAP refer to and how is it useful in working with suicidal clients?

The term used to describe a catastrophic event that is so sudden or uncontrollable that it overwhelms cognition and meaning making, and shatters the person's assumptions about the world is called:

Clinicians who work with clients who are in crisis:

In a crisis, all of the following are true EXCEPT:

Attempted suicide is also called:

Discuss five common features of crises.

Warning signs in clients contemplating suicide include all of the following EXCEPT:

When a crisis rekindles unfinished business from previous crises this is called:

Describe three of the very first services that crisis intervention specialists must provide to an individual in crisis.

When working with actively suicidal clients:

When working with a client in crisis:

Gail has been working with a client who was a victim of a home invasion and rape. Gail is now having dreams in which she is being attacked and she reports that she often feels anxious. Gail is experiencing:

Becoming a Professional

The Clinical Relationship, Multicultural Practice and Ethics

Getting Started

Attending and Listening

Support and Empathy: a Sustaining Presence

Exploration and Elaboration

Assessment, Formulation and Goal Setting

Building Motivation, Formulating Plans, and Evaluating Change

Helping Clients Feel and See Things Differently

Helping Clients Do Things Differently

Directly Addressing Relationship Issues and Dynamics in the Clinical Relationship

Addressing Self-Disclosure and Other Boundary Issues

Endings and Transitions

Self-Care, Supervision, and Professional Development

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Exam 13: Working With People in Crisis

Describe what is meant by "insidious trauma" and give two examples.

The traumatic response of someone to hearing about or witnessing another person's traumatic experience is called:

Discuss four things clinicians should do when working with suicidal clients.

What does the acronym SLAP refer to and how is it useful in working with suicidal clients?

The term used to describe a catastrophic event that is so sudden or uncontrollable that it overwhelms cognition and meaning making, and shatters the person's assumptions about the world is called:

Clinicians who work with clients who are in crisis:

In a crisis, all of the following are true EXCEPT:

Attempted suicide is also called:

Discuss five common features of crises.

Warning signs in clients contemplating suicide include all of the following EXCEPT:

When a crisis rekindles unfinished business from previous crises this is called:

Describe three of the very first services that crisis intervention specialists must provide to an individual in crisis.

When working with actively suicidal clients:

When working with a client in crisis:

Gail has been working with a client who was a victim of a home invasion and rape. Gail is now having dreams in which she is being attacked and she reports that she often feels anxious. Gail is experiencing:

Becoming a Professional

The Clinical Relationship, Multicultural Practice and Ethics

Getting Started

Attending and Listening

Support and Empathy: a Sustaining Presence

Exploration and Elaboration

Assessment, Formulation and Goal Setting

Building Motivation, Formulating Plans, and Evaluating Change

Helping Clients Feel and See Things Differently

Helping Clients Do Things Differently

Directly Addressing Relationship Issues and Dynamics in the Clinical Relationship

Addressing Self-Disclosure and Other Boundary Issues

Endings and Transitions

Self-Care, Supervision, and Professional Development

Filters