Emergency Mental Health Services
Exam Materials
Course Introduction
Emergency Mental Health Services explores the principles and practices involved in assessing and responding to psychiatric crises in acute care settings. The course covers recognizing the signs and symptoms of mental health emergencies, risk assessment for suicide and violence, crisis intervention strategies, and the coordination of care with multidisciplinary teams. Students will examine ethical, legal, and cultural considerations, as well as the role of emergency responders, hospitals, and community resources in providing immediate support to individuals experiencing severe psychological distress. Special attention is given to developing practical skills for de-escalation, safety planning, and referral to ongoing mental health treatment.
Recommended Textbook
Crisis Intervention Strategies 8th Edition by Richard K. James
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19 Chapters
881 Verified Questions
881 Flashcards
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Chapter 1: Approaching Crisis Intervention
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) The term "crisis" refers to the perception of an event or situation as an intolerable difficulty that exceeds the person's:
A)ego strength.
B)resources and coping mechanisms.
C)ability to comprehend the crisis.
D)anxiety level following the crisis.
Answer: B
Q2) Crisis intervention in the United States started at about the time of the Revolutionary War.
A)True
B)False
Answer: False
Q3) Of the following components of basic crisis theory,which does not apply?
A)Basic crisis theory is equivalent to brief therapy.
B)Crisis is a state where ordinary behaviors can't overcome the problem.
C)The problem is viewed as intolerable.
D)Emotional disequilibrium is always experienced.
Answer: A
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3
Chapter 2: Culturally Effective Helping
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37 Verified Questions
37 Flashcards
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Sample Questions
Q1) Of the attributes that will serve crisis workers well in a multicultural crisis world,which of the following is not helpful?
A)Self-knowledge
B)Alternative intervention strategies
C)A unitary world view
D)A variety of clients
Answer: C
Q2) It has been proven that Asian and Latino cultures have a much more collectivist world view than Americans.
A)True
B)False
Answer: False
Q3) Of the following cultural barriers,which is not identified in the text?
A)geography
B)occupation
C)religion
D)sexual orientation
Answer: D
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Chapter 3: The Intervention and Assessment Models
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) In the planning phase of crisis intervention,collaboration as opposed to directive stances with clients is important because of the central issues of clients feeling a sense of:
A)control and autonomy.
B)long-term self-actualization.
C)existential completeness.
D)cognitive and affective adequacy.
Answer: A
Q2) A rating of 9 on a specific triage A,B,or C scale would indicate:
A)some overall impairment but controllable emotions.
B)a great deal of impairment but controllable thinking.
C)little impairment and no need for control of any dimension.
D)a marked impairment and barely controllable behavior that is moving toward lethality.
Answer: D
Q3) The task model is mostly passive in what it attempts to do.
A)True
B)False
Answer: False
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Page 5
Chapter 4: Tools of the Trade
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) Providing guidance:
A)is an archaic term that best describes school counseling in the 1960s and has little to do with contemporary counseling and particularly crisis intervention.
B)means clients are incapable of helping themselves.
C)means clients don't have the knowledge or resources available to get themselves out of the crisis and need an expert in providing them with the tools to do so.
D)means helping clients focus on their goals.
Q2) Communicating genuineness means talking about yourself as a way to let clients see that you understand them.
A)True
B)False
Q3) Silence as a counseling technique is best used:
A)when the worker wants to put some pressure on the client to talk.
B)when clients need time to think.
C)when there is a gap in the dialogue.
D)All of the answers are a "best use."
Q4) Compare and contrast the use of open and closed questions as they apply to crisis intervention.
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Page 6
Chapter 5: Crisis Case Handling
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39 Verified Questions
39 Flashcards
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Sample Questions
Q1) Crises may suddenly occur even when clients are successful in overcoming the crisis because they:
A)have post traumatic personality disorder (PTSD).
B)are experiencing intrapersonal problems in their own personal development along with the precipitating crisis.
C)are about to be terminated from therapy.
D)experience a psychotic break caused by termination.
Q2) Of the following strategies,which would work best with a person with borderline personality disorder?
A)Debating with them until they are exhausted
B)Focusing on their talents and stressing how they sabotage themselves
C)Being firm,with clear cut rules and boundaries
D)Confronting their manipulative plans
Q3) Even when clients successfully work their way through a crisis there may be problems with termination.
A)True
B)False
Q4) In outline form,indicate the differences between long term therapy and crisis intervention.
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Chapter 6: Telephone and Online Crisis Counseling
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) Pranksters should be hung up on immediately to clear the lines for legitimate calls.
A)True
B)False
Q2) Dealing with a sexually explicit caller may be done by:
A)covert modeling by planting the idea that they have a problem.
B)flooding to extinguish their thoughts by sexual responses from the worker.
C)reflection of their feelings and thoughts so as to show empathy and understanding of their dilemma.
D)asking if they have some physical ailment that is causing the presenting psychological problem.
Q3) In telephone crisis intervention,providing support to the client is critical because:
A)the client typically has no support system and needs to establish psychological contact with someone.
B)it does little good to attempt any behavioral change early on.
C)volunteers are not trained to do much more than that.
D)the worker will need to buy time to cool the crisis off.
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Chapter 7: Posttraumatic Stress Disorder
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) Treatment for PTSD can best be described as:
A)multimodal/multiphasic.
B)atheoretical.
C)stress inoculation.
D)eclectic.
Q2) Terr's studies of children differentiate PTSD into two distinct types depending on traumatic event duration.
A)True
B)False
Q3) An inappropriate technique for therapeutic intervention with children who suffer from PTSD involves:
A)EMDR.
B)therapeutic play with sand trays and puppets.
C)flooding.
D)emotional catharsis through music,computer art,painting.
Q4) Because their mission is to save lives,survivors' guilt is one of the negative emotions that affects emergency medical personnel.
A)True
B)False
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Chapter 8: Crisis of Lethality
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) People with strong death wishes are invariably:
A)impulsive.
B)ambivalent,confused,and gasping for life.
C)venting their desire to kill themselves.
D)suicidal for as long as they live.
Q2) A postvention method of helping people to either gain a better understanding of why a suicide happened or to feel less guilt and responsibility for the deceased's death is:
A)debunking the myths about suicide.
B)assessing for survivor lethality via the Triage Assessment Form.
C)establishing a crisis response team.
D)the psychological autopsy.
Q3) There is essentially no difference country by country in the number of people per capita that commit suicide.
A)True
B)False
Q4) Why does a crisis worker need to have a thorough knowledge of the risk factors that suicidal/homicidal clients might portray? In your response,list several of the risk factors that are considered most serious in times of the client's vulnerability to lethality.
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Chapter 9: Sexual Assault
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48 Verified Questions
48 Flashcards
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Sample Questions
Q1) Researchers have found that adult male survivors of child sexual abuse who were abused by men fair no better and report the same or similar symptoms as adult women survivors.In addition,they often:
A)have unfounded paranoid fears of male or transgendered sexual assault.
B)abuse alcohol and drugs.
C)are homophobic,have body image disturbances,and sexual orientation ambiguity.
D)act aggressively towards women in order to prove themselves.
Q2) In the immediate aftermath of an assault and rape of an adult,the crisis worker's response to the survivor should be:
A)providing core facilitative conditions of trust,empathy,and unconditional positive regard.
B)providing factual information about disease,pregnancy,and other health issues.
C)preparing the survivor to make a police report.
D)assessing the victim's sexual history.
Q3) Research data clearly dispels the notion that most women are raped by strangers.
A)True
B)False
Q4) What are the reasons men commit rape and some ways that society supports rape?
Q5) Discuss the clinical indicators that a child may have been sexually abused.
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Chapter 10: Partner Violence
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) Nested ecological theory proposes that no single factor effectively explains battering.
A)True
B)False
Q2) When women finally decide to end the relationship and leave they will have:
A)to find ways to support their abuser.
B)grief reactions to the loss of their relationship dreams.
C)achieved the promise of the relationship.
D)an indifferent attitude toward the relationship.
Q3) Choose one of the domestic violence models discussed in the book.Wage an argument as to why it is the BEST model.
Q4) All of the following are myths associated with battering,except:
A)alcohol abuse is a prime reason for battering.
B)"problem" families are mainly involved in battering.
C)battering relationships are more prominent in the lower socio-economic classes.
D)older couples have violent relationships,which include high risk for lethality.
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12
Chapter 11: Family Crisis Intervention
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33 Verified Questions
33 Flashcards
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Sample Questions
Q1) Crisis intervention with families involves:
A)using structured family therapy since that is most often effected.
B)using a genogram to understand the family.
C)assessing a family's functioning prior to the crisis.
D)understanding a family from a perspective that allows a flexible approach.
Q2) Which of the following is not true for family crisis intervention?
A)Family goals will not be examined following a crisis.
B)Family roles remain relatively stable following a crisis.
C)The morale of a family may change following a crisis because what is important may be questioned.
D)The exchange of information among family members can be effected by a crisis.
Q3) Pile up crises for families occur when stressors accumulate over many months.
A)True B)False
Q4) Culture influences the ways families communicate about crises and recovery. A)True B)False
Q5) Families may disagree with ways to handle crises. A)True B)False
Page 13
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Chapter 12: Personal Loss
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Sample Questions
Q1) Complicated grief occurs because there are very few clues to identify it.
A)True
B)False
Q2) In the Schneider Model of Grief,the stage called gaining perspective on the loss is described as the griever reaching the point of accepting the loss,which is characterized by:
A)reaching a point of accepting that "what is done is done."
B)providing time to make peace with the past.
C)both a and b above are characterized by this particular stage of grief.
D)neither a or b above are characterized by this particular grief stage.
Q3) Assume that you have been retained as a paid consultant with an agency that is in the process of establishing an AIDS/HIV-positive crisis intervention center.Make a list of the initial start-up services and components that you will recommend in order to best serve this unique and special clientele.
Q4) 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
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Page 14
Chapter 13: Crisis in Schools
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45 Verified Questions
45 Flashcards
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Sample Questions
Q1) In responding to a crisis in a school,the order of action is:
A)get the facts,assess the impact,conduct triage,administer psychological first aid,do crisis intervention.
B)issue an alert,coordinate staff,inform significant others,do crisis intervention,provide for follow-up.
C)respond to crisis,link resources,implement crisis plan,get feedback.
D)initiate action plan,integrate internal and external resources,monitor and coordinate resources,do psychological autopsy,assess for transcrisis states.
Q2) Modeling is not a very effective way to teach violent behavior.
A)True
B)False
Q3) Seung-Hui Cho fits the characteristics of a SVJO.
A)True
B)False
Q4) The EVJO is most characterized by his/her:
A)affiliation with other youth who band together for mutual protection.
B)poor grades and truancy.
C)bullying behavior.
D)isolation (they have no allegiances).
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Chapter 14: Violent Behavior in Institutions
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51 Verified Questions
51 Flashcards
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Sample Questions
Q1) One of the best ways to assess for violent behavior when face-to-face with a client is to:
A)monitor motoric cues.
B)obtain a family history of violent acts.
C)find out about drug use.
D)determine if he or she is mentally ill.
Q2) Legal liability for the consequences of a violent act by an institutionalized client: A)may be commenced against a human service worker even if the worker was the one hurt.
B)cannot be commenced if "Informed Consent" is issued and acknowledged.
C)is generally only against the institution and seldom against the worker.
D)may happen only when the behavior is viewed as potentially lethal.
Q3) Reminiscence therapy allows clients to reflect on their lives and restore credibility to them.
A)True
B)False
Q4) One of the best predictors of violence is past violence.
A)True
B)False
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Chapter 15: Legal and Ethical Issues
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Sample Questions
Q1) An ethical dilemma exists when two more ethical principles conflict.
A)True
B)False
Q2) In those states that allow privileged communication,the right to privilege belongs to the client.
A)True
B)False
Q3) Privacy is a difficult concept to put into practice during a disaster response,while confidentiality:
A)does not have to be respected in a crisis situation.
B)does not have a place in the crisis workers' toolkit.
C)does have to be maintained regardless of the setting.
D)does have to be established as a legal and ethical issue in crisis response.
Q4) Crisis workers who review their interactions with clients and consider the impact of their interventions on themselves,their clients,and the ecology of the intervention are engaging in:
A)self-care.
B)ethical decision-making.
C)affect heuristic.
D)reflective practice.
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Chapter 16: Burnout, vicarious Traumatization, and Compassion Fatigue
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53 Verified Questions
53 Flashcards
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Sample Questions
Q1) In the case of Jane,the worker uses an eclectic BASIC IDS approach because:
A)the ID suffers most when compassion fatigue occurs.
B)no component of Jane's life is immune from burnout,it has become so pervasive.
C)it is psychoanalytic in nature and will get at unconscious motivators of burnout.
D)she is suicidal and her Id is erupting out of control with no superego to govern it.
Q2) An effective way of counteracting burnout would be to:
A)promote devotion to more leisure time activities.
B)confront the problem with specific work tasks.
C)teach better coping skills.
D)shift jobs.
Q3) Burnout may have which of the following consequences,except ____________ .
A)behavioral
B)interpersonal
C)financial
D)spiritual
Q4) The first stage of burnout is Enthusiasm.
A)True
B)False
Page 18
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Chapter 17: Disaster Response
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Sample Questions
Q1) It is believed that CISD:
A)is absolutely helpful.
B)is absolutely awful.
C)is somewhere in the middle.
D)has ardent believers on both sides of the issue.
Q2) The birth of disaster mental health delivery systems can be traced to 9/11.
A)True
B)False
Q3) The super mesosystem links the macrosystem with all interior systems.
A)True
B)False
Q4) The Benefield family's crisis may best be viewed by the crisis worker in a(n):
A)ecosystemic context.
B)mesosystem context.
C)transcrisis context.
D)family system context.
Q5) Describe how disaster mental health started in the United States.
Q6) At about one year the chronosystem predicts that a pathogenic shift will occur.
A)True
B)False
Page 19
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Chapter 18: Chemical Dependency
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Sample Questions
Q1) An enabler makes this statement: "Marriage is forever,for richer for poorer,in sickness and in health,and that's why I stay with her.I've just got to pray harder that a miracle will happen." These statements indicate the person is using what as a defense mechanism?
A)Displacement
B)Dissociation
C)Intellectualization
D)Suppression
Q2) The term "drug" is an artifact constructed by society.
A)True
B)False
Q3) Of the following,which does not apply in making a diagnosis for treatment of a chemical dependent?
A)Personality profile
B)Support system
C)Willpower
D)Drug choice
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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Sample Questions
Q1) Police departments who use mental health professionals as consultants have more hostage situations end by negotiated surrender rather than tactical assault.
A)True
B)False
Q2) The stages of a hostage situation are:
A)alarm,crisis,accommodation,and resolution.
B)alarm,containment,negotiation,and resolution.
C)seizure,terrorizing,control,and resolution.
D)demonstration,bargaining,and resolution.
Q3) Of the following types of hostage-taking,which would be viewed as an instrumental act?
A)A bank robber to aid an escape
B)A suicidal person who wants the police to kill her
C)A person who was fired from a job of twenty years
D)A jilted lover who wants a reconciliation
Q4) Political terrorists account for the largest majority of hostage situations in the United States.
A)True
B)False
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