Emergency Mental Health Services
Chapter Exam Questions
Course Introduction
Emergency Mental Health Services focuses on the immediate assessment, intervention, and stabilization of individuals experiencing acute mental health crises. The course covers the identification of psychiatric emergencies such as suicidal ideation, acute psychosis, severe anxiety, and substance-induced disorders. Students learn appropriate crisis intervention strategies, triage procedures, and the legal and ethical considerations involved in emergency mental health care. Emphasis is placed on interdisciplinary collaboration, effective communication with clients and families, and connecting individuals to ongoing support and treatment resources. Practical case studies and simulated scenarios provide hands-on experience in managing real-world mental health emergencies in a variety of settings.
Recommended Textbook
Crisis Intervention Strategies 8th Edition by Richard K. James
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Chapter 1: Approaching Crisis Intervention
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Q1) Transcrisis points are frequently accompanied by transcrisis states that occur during interventions.
A)True
B)False
Answer: True
Q2) Eclectic crisis intervention involves the intentional and systematic selection and integration of valid concepts and strategies from all available therapeutic approaches.
A)True
B)False
Answer: True
Q3) Transcrisis points tend to occur in:
A)regular intervals.
B)response to unconditioned aversive stimuli.
C)unpredictable intervals.
D)progressively increasing incidents.
Answer: C
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Chapter 2: Culturally Effective Helping
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Q1) A universal view of multicultural counseling looks at racial and ethnic minorities in the broadest possible sense.
A)True
B)False
Answer: False
Q2) Laura Brown,a renowned expert on multiculturalism and trauma doesn't really know how people make sense of a trauma.
A)True
B)False
Answer: True
Q3) It is of utmost importance that the recruitment,screening,orientation,training,evaluation,and retention of crisis workers deal with the reality of:
A)learning the basic communication skills of the residents of the areas they are serving.
B)a multicultural clientele.
C)transcrisis states and points.
D)having coursework in high/low context communication tactics.
Answer: B
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Chapter 3: The Intervention and Assessment Models
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Q1) Anger,fear,and sadness along with frustration are the typical emotional states assessed in crisis intervention.
A)True
B)False
Answer: True
Q2) While assisting a client to examine alternatives,the crisis worker is advised to:
A)ensure that the alternatives chosen are ones that the client can truly own and are realistic "right here" and "right now."
B)to accept the fact that clients may not be able to come up with alternatives and allow clients to suffer the natural and logical consequences of their actions.
C)try to get the client to accept worker generated alternatives even if the client is resistant.
D)involve random observers in problem-solving.
Answer: A
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Chapter 4: Tools of the Trade
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Q1) Which of the following is not a disowned statement?
A)Based on my own experience in this work I would say if you keep doing that you are putting yourself at grave risk.
B)We believe if you keep doing that you are putting yourself at grave risk.
C)Research indicates if you keep doing that you will put yourself at grave risk.
D)Don't you think if you keep doing that you will be putting yourself at grave risk?
Q2) Relational markers:
A)are stop signs for reflective statements.
B)are points to remember to make restatements.
C)shorten the psychological distance between the worker and the client.
D)are owning statements that help bond the relationship.
Q3) Communicating empathically means focusing exclusively on the accurate restatement of the content of verbal messages and not trying to guess at underlying meanings.
A)True
B)False
Q4) Allowing clients to cathart about the issue only compounds the crisis.
A)True
B)False
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Chapter 5: Crisis Case Handling
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Q1) People with personality disorders such as a borderline personality can usually overcome a crisis rather quickly if the worker assumes a compliant,accepting,and nondirective approach.
A)True
B)False
Q2) Mobile crisis teams have now been replaced by CIT officers.
A)True
B)False
Q3) While crisis case handling and long-term therapy models may have similarities,one major difference in crisis intervention is the emphasis on:
A)self-actualizing behavior.
B)comprehensive appraisal.
C)personality dynamics.
D)the timeline of the client-worker relationship.
Q4) A new client has just arrived at the community mental health clinic where you function as the crisis worker.She tells you about all of her problems,including a history of mental health treatment and homelessness.What will you tell her about the process of how your clinic will help her?
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Chapter 6: Telephone and Online Crisis Counseling
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Q1) With many types of disturbed callers,the center's focus should be on:
A)reflecting feelings so that catharsis may occur.
B)bringing staff together to discuss these callers,plan strategies to handle them and voice concerns.
C)proposing the disastrous consequences that can occur from such thinking.
D)engaging callers so that they continue to make inappropriate calls and improve the center's numbers reported to funders.
Q2) A person who was identified as schizotypal would typically need to:
A)have an immediate call to 911 for a call out for a mobile crisis team.
B)have a police CIT member go to the residence because of the danger s/he could be to others.
C)have the worker focus on reality checks in a slow paced supportive manner.
D)express themselves to someone supportive of their odd behaviors and thoughts.
Q3) Call-in clients like crisis lines because:
A)they can remain anonymous.
B)the crisis counselor is in control of the situation and can tell them what to do.
C)crisis lines are usually staffed by professional counselors.
D)callers can build on-going relationships with one worker.
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Chapter 7: Posttraumatic Stress Disorder
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Q1) Terr (1995)proposed a division of childhood trauma into two categories that she called Type I and Type II traumas.What is the difference?
A)Type I targets very young children and Type II targets adolescents.
B)Type I results from natural causes and Type II results from man-made causes.
C)Type I derives from sudden,distinct,traumatic experiences and Type II derives from long standing,repeated ordeals.
D)Type I stems from childhood sexual or physical abuse and Type II stems from environmental catastrophes.
Q2) Man-made and natural disasters are equivalent in their ability to produce PTSD.
A)True B)False
Q3) What are the behavioral differences between Terr's Type I and Type II childhood trauma?
Q4) In the outcry phase,the focus of treatment should be on finding support groups whose members have responses associated with the trauma.
A)True
B)False
Q5) Wage an argument for or against EMDR.
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Chapter 8: Crisis of Lethality
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Q1) In crisis intervention,the possibility of dealing with suicidal or homicidal clients is:
A)really pretty rare.
B)ever present.
C)specific to certain groups.
D)dependent on the interventionist.
Q2) What is the purpose of the psychological autopsy? Why can it be helpful to survivors?
Q3) Suicide is almost always an impulsive act.
A)True
B)False
Q4) Each suicide is idiosyncratic,and there are no absolute or universal characteristics which portray all suicides.
A)True
B)False
Q5) Research has established that suicide runs in families.
A)True
B)False
Q6) What goes into a "Stay Alive" contract?
Q7) What are some of the "Don'ts" in managing suicidal clients?
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Chapter 9: Sexual Assault
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Q1) Crisis workers should encourage rape victims to change jobs or places of residence to distance themselves from the trauma.
A)True
B)False
Q2) Inappropriate and persistent sex play with peers is a good indication that a child has been sexually abused.
A)True
B)False
Q3) Date rape survivors are more likely to have experienced sexual abuse and negative home environments during childhood.
A)True
B)False
Q4) Some men use rape to "punish" women who have done them "wrong."
A)True
B)False
Q5) Discuss the societal myths regarding rape and sexual assault and how they are so detrimental?
Q6) What are the reasons men commit rape and some ways that society supports rape?
Q7) Discuss the clinical indicators that a child may have been sexually abused.
Page 11
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Chapter 10: Partner Violence
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Q1) Once a woman decides to leave the battering relationship,comes to an abuse shelter,and regains some psychological equilibrium,the crisis worker's first job is to provide immediate practical advice on such issues as finding a place to live,child care,financial aid,etc.
A)True
B)False
Q2) Learned helplessness proposes that women stay in abusive relationships because they have been conditioned to believe they cannot predict their own safety and nothing they do will change the situation.
A)True
B)False
Q3) Choose one of the domestic violence models discussed in the book.Wage an argument as to why it is the BEST model.
Q4) One of the major components of treatment program for batterers is to start understanding they have choices.
A)True
B)False
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Page 12
Chapter 11: Family Crisis Intervention
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Q1) Which is generally the most visible change in family characteristics when a crisis occurs?
A)Roles
B)Boundaries
C)Goals
D)Rules
Q2) In a crisis which of the following is not tested in families:
A)structural integrity and relationships.
B)problems solving skills and communication.
C)resilience and support systems.
D)economic necessity.
Q3) Perpetual crises for families are the same as metastasizing crises.
A)True
B)False
Q4) You are working with a family that recently learned the father has been living a double life with a parallel family in another city.Discuss ways the family will be challenged as they are confronted with this situation.
Q5) Family crises always cause alliances in families to strengthen.
A)True
B)False
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Chapter 12: Personal Loss
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Q1) Disputing negative self-talk a bereaved divorced person has about the break-up of a marriage may be effective because emotional energy can then be directed toward dealing constructively with real,contemporary issues.
A)True
B)False
Q2) Discuss the case of Ann Marie and what purpose the suggestion to go to the cemetery and talk to her dead mother served?
Q3) In Bowlby's attachment model it is important to emotionally "attach" to the loss so as to integrate it into one's personality and move forward.
A)True
B)False
Q4) Assessment tools such as the Texas Revised Inventory of Grief generally look for:
A)how much the person lost and what it meant.
B)what the person lost and what it meant.
C)where the person lost and what it meant.
D)what the course of the grief is and how it is progressing.
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Page 14
Chapter 13: Crisis in Schools
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Q1) The Crisis Response Coordinator in a school CRT does not need to have considerable in crisis intervention skills or techniques.
A)True
B)False
Q2) Of the following approaches to gang intervention,which has been the most successful?
A)Peer counseling and mediation
B)"Get tough"
C)Individual and group counseling
D)Intervention programs have low rates of effectiveness
Q3) Of the following,which member of a school CRT is most responsible for the general control and decision making?
A)Crisis intervention coordinator
B)Crisis response coordinator
C)The superintendent of schools
D)The principal of the affected school
Q4) Modeling is not a very effective way to teach violent behavior.
A)True
B)False
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Chapter 14: Violent Behavior in Institutions
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Q1) Of the following assumptions about the potential for violence,which does not belong? Assume that the individual:
A)understands and conforms when negative contingencies are stated and used.
B)feels a number of debilitating emotions.
C)needs to have limits set and provide options that define consequences for violence. D)is experiencing disconnectedness and rootlessness.
Q2) When making a home visit where a potentially violent client may reside,once the door is opened it is best to stride purposively into the room stating clearly who you are and why you are there.
A)True
B)False
Q3) Workplace violence has become so bad that the National Center for Disease Control views it as a national health problem.
A)True
B)False
Q4) Drug use has not been found to be associated with violent behavior.
A)True
B)False
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Chapter 15: Legal and Ethical Issues
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Q1) Ethical codes or guidelines are developed proactively.
A)True
B)False
Q2) The terms ethics and law are synonymous.
A)True
B)False
Q3) An ethical dilemma exists when two more ethical principles conflict.
A)True
B)False
Q4) There is one single appropriate way to ethically handle crisis or disaster situations.
A)True
B)False
Q5) One difference between ethics and law is that:
A)laws are proactive while ethics are reactive.
B)ethical codes are often aspirational while laws are mandatory.
C)ethical codes are mandatory while laws offer guidance.
D)laws are reactive while ethics are proactive.
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Chapter 16: Burnout, vicarious Traumatization, and Compassion Fatigue
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Q1) Organizational cultures that have high power distance between bosses and subordinates have high burnout rates.
A)True
B)False
Q2) One of the critical issues of intervention with a burned-out worker is the ethical issue of keeping the worker's clients from harm.
A)True
B)False
Q3) Stress occurs when there is a substantial imbalance between the demands of the environment and the capabilities of the worker and is always negative in its outcome.
A)True
B)False
Q4) The Maslach Burnout Inventory is an excellent tool for examining stress points and problems in an organization.
A)True
B)False
Q5) Why does compassion satisfaction appear to be a buffer against burnout?
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Chapter 17: Disaster Response
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Q1) The National Organization for Victim Assistance (NOVA)evolved on a national level in order to respond to the needs of:
A)isolated rural communities.
B)deinstitutionalized mental patients.
C)victims of violent crime.
D)victims of natural or manmade disasters.
Q2) Describe how disaster mental health started in the United States.
Q3) The decision stage in a LEMA plan is the point in time in which the decision is of whether to declare an emergency is made.
A)True
B)False
Q4) Professional organizations such as the National Association of School Psychologists' NEAT Teams deal mainly with school disasters such as Columbine.
A)True
B)False
Q5) The birth of disaster mental health delivery systems can be traced to 9/11.
A)True
B)False
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Chapter 18: Chemical Dependency
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Q1) Family members of a chemical dependent may cause further problems for the dependent because of their attempts to keep the family in equilibrium.
A)True
B)False
Q2) Two reasons that new drug treatment theories and methodologies have entered the chemical dependency scene are:
A)insurance providers and research evidence that the Minnesota model may be no more valid than other models.
B)higher cure rates and greater numbers of abusers.
C)new "designer" drugs and younger addicts.
D)a greater incidence of polyusers and more mentally ill users.
Q3) The Community Reinforcement Approach is a very eclectic approach that crosscuts all of the ecosystems of the individual,even to the point of using Antabuse.
A)True
B)False
Q4) People who have a blood alcohol level of 0.15% will all act in a similar manner.
A)True
B)False
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Chapter 19: Crisishostage Negotiation
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Q1) In a hostage situation,the first thing that needs to be done is to determine who the hostage taker is and obtain a profile.
A)True
B)False
Q2) REACT is a hostage negotiation task model that starts with the recognition of the conditions needed to make an incident negotiable and ends with what will happen after a surrender is made.
A)True
B)False
Q3) The hostage can make use of the dynamics of the Stockholm syndrome to improve their survival odds by:
A)appearing to agree with the hostage taker's beliefs.
B)sharing the more personal aspects of one's life and eliciting the same from the hostage taker.
C)currying favor with the hostage taker by complimenting him or her.
D)ignoring the hostage taker's personal queries and thus making him or her more subservient.
Q4) Compare and contrast hostage negotiation with persons from a low-context and high-context culture.
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