Q&A Hero

Q: A common practice of going through a family album after a deceased's death would be most characteristic of an intuitive type griever.

Q: There is little reason to believe that the war in Iraq will produce the same kinds of PTSD casualties among US soldiers as did the war in Vietnam.

Q: Systemic and comprehensive intervention in a large scale or mega crisis by the United States government is about how many years old? a. 30 b. 50. c. 100. d. 150.

Q: The Kubler-Ross model proposes that individuals go through common stages as they experience a loss .

Q: "True" PTSD is age-specific to adults.

Q: Which of the following describes a metastasizing crisis? a. helping survivors determine the cause of the disaster. b. before anything else, helping survivors survive. c. providing opportunities for survivors to express their feelings and emotions. d. helping survivors apply for government assistance.

Q: Restoration orientation occurs when grievers experience full blown emotional catharsis.

Q: Support groups are an important component for treating PTSD.

Q: National crisis response teams (NCRT's) rapidly go out and assist communities following a. community-wide disasters. b. manmade disasters only. c. failure of local crisis agencies. d. all of the above.

Q: About the best one can hope for after a hard loss is, in time to get back to some semblance of equilibrium and homeostasis.

Q: Which of the following statements are good netiquette for a worker to practice? . a. Don"t worry about typos. Get the message and get it out fast. This is a crisis! b. If you don"t understand an acronym, be patient. You"ll figure it out and you won"t look stupid or offend the client. c. Choose a font style that lets the client get a glimpse of your personality so you come across as more human. d. Brevity in your responses is a good thing, so use standard, clear, counseling responses.

Q: Crisis workers who go to the scene of a disaster may not a. debrief victims. b. debrief themselves. c. debrief other emergency personnel. d. assist in locating relatives and survivors.

Q: Because of the traumatic nature of death, young children should most generally be shielded from it so they do not become overly traumatized.

Q: The appeal of online crisis intervention appears to be great because of a. people who just prefer that mode of communication. b. being isolated from specialized psychological services not easily available. c. have physical disabilities which prohibit travel. d. all of the above are why online intervention has appeal.

Q: A satellite in orbit would be part of the a. chronosystem b. super macrosystem c. primary mesosystem. d. super mesosystem.

Q: Bereavement overload is real and can be extremely detrimental to workers

Q: Disinhibition effect a. means that the crisis worker disinhibits the client's suicidal/homicidal ideation. b. is a common psychological malady of sex callers. c. means that clients open up faster and with more personal information when they are on the internet. d. means the worker must immediately attempt to anchor the client in concrete reality because of the disinhibiting effects of a psychotic episode.

Q: There is little opportunity to carve a career out of crisis intervention because of its minor status as a player in the mental health business. (p. 702

Q: Cultural and social norms have a lot to do with disenfranchised grief.

Q: Which of the following is not a legal and ethical issue in internet crisis intervention? a. The technology that allows one to identify, block, and trace callers. b. Linguistic and cultural differences. c. Creation of virtual-reality environments that may be threatening. d. How emergency services are contacted over vast differences.

Q: At about one year the chronosystem predicts that individuals may be subject to the onset of transcrisis or delayed onset of PTSD even though they have done fairly well until that time.

Q: Complicated grief occurs because there are very few clues to identify it.

Q: Netiquette is important because if I MAKE A TYPO AND HIT THE CAPS KEY IT WOULD MEAN TO A SAVVY NET USER THAt I was a. shouting at them. b. deemphasizing previous statements. c. signifying I needed a time out to think things over d. all of the above.

Q: Mandatory debriefing is not necessary for all workers and in fact may be demeaning and dehumanizing.

Q: AIDS may be defined as a disease of crisis events.

Q: With many types of disturbed callers, the 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. First "a" then follow-up with "c."

Q: A formal debriefing follows an introduction, facts, thoughts, reactions, symptoms, teaching, and reentry model.

Q: 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.

Q: A similar technique for handling pranksters and silent callers is to a. Wonder whether it is difficult to say what they really need so they make prank calls or say nothing. b. Hang up if they don"t respond in one minute. c. Ask them if they are on drugs or are having a psychotic break. d. None of the above is a good response to these two types of difficult callers.

Q: The Midville tornado response typifies an integrated horizontal and vertical disaster relief approach. (p. 683 " 695)

Q: Culturally, there seem to be three general patterns of response to death: death accepting, death denying, and death defying.

Q: Of several techniques for handling severely disturbed callers, which is not appropriate? a. slow them down. b. determine if they are on any medication. c. avoid placating or sympathizing. d. go along with delusions, to calm them down and gain their trust.

Q: Mental health workers often work with disaster relief workers.

Q: The Kubler-Ross model of loss is most probably the most well known and most utilized model of understanding loss in the present day.

Q: Chronic or regular callers should be a. terminated quickly so others can use the line who are in need. b. traced and told not to call again because they jam phone lines like 911 problem callers if they keep repeating. c. both a and b d. set up with ground rules and have calls limited because they are calling for some good purpose no matter how weird or inappropriate they may seem.

Q: Mental health workers who made the scene after Katrina were immediately plunged into intensive therapy with victims and survivors.

Q: The more contemporary Dutro model of grieving is a fixed, linear stage model that proposes that people all grieve in about the same way.

Q: One of the first things a crisis line worker does is a. make psychological contact b. ensure safety c. define the problem d. provide support

Q: Psychological First Aid delivered on a massive scale in large scale disasters is sufficient to deal with most mental health issues.

Q: Research has shown that because of a lack of cognitive development, young children grieve little, if any.

Q: Which of the following strategies would be recommended for an abusive, sexually explicit caller? a. Termination b. Covert modeling c. Switching d. All of the above are good strategies.

Q: Disasters have their worst effects on people who are poor, old, sick, and otherwise disenfranchised from societal benefits.

Q: In complicated grief and mourning the person both denies or represses the loss and will not give up the lost loved one.

Q: Of the following strategies, which would work best with manic depressive callers? a. Debating with them until they are exhausted. b. Focusing on their talents and stressing how they sabotage themselves c. Slowing them down and pacing with them. d. Confronting their grandiose plans.

Q: The birth of disaster mental health delivery systems can be traced to 9/11.

Q: Narrative therapy is particularly important in grief work because it involves the thematic meaning of the loss

Q: 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 he could be c. have the worker focus on reality checks in a slow paced supportive manner d. do all of the above.

Q: 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.

Q: 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.

Q: In dealing with dependent callers the worker would a. indicate that a time limit has been set and will be adhered to. b. immediately terminate the call because of transference issues. c. let the caller cathart until he or she is exhausted. d. reinforce strengths, support concerns, and promote taking responsibility for themselves.

Q: As strange as it may seems, LEMAs may devote a lot of attention to animals following a disaster.

Q: Short-term grief work is more concerned with support in terms of "being there" rather than "doing things" for the bereaved's psychological well-being.

Q: Which of the following is appropriate in dealing with a self"defeating personality? a. Getting expert help for immediate consultation with such tough customers. b. Caringly confront their rejected attempts to help them. c. Stress their talents and the behavioral consequences of sabotaging themselves d. Interpret their defense mechanisms and caringly break through their denial.

Q: Professional organizations such as the National Association of School Psychologists' NEAT Teams deal mainly with school disasters such as Columbine.

Q: Only children suffer serious feelings of loss when a pet dies.

Q: 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.

Q: Successful disaster systems relief must be multitheoretical.

Q: Peer deaths for adolescents can be particularly traumatic for them because the deaths are not normative, unexpected and shouldn"t happen much like adults in handling grief.

Q: Crisis lines work because they a. are cheap and convenient. b. provide easy assessment of client functioning. c. inhibit dependency. d. Both a and c are reasons crisis lines work.

Q: Directors of local emergency management agencies are a new breed of government technocrat.

Q: The dual process model is an approach avoidance model that includes restoration and loss orientation.

Q: Of the following reasons for the use of telephone crisis lines, which is not valid? a. services isolated areas. b. avoids dependency issues. c. vast support and referral systems. d. comprehensive appraisal systems.

Q: The collective disillusionment phase occurs about three months into the chronosystem of a disaster's aftermath.

Q: The Schneider model of grief is a comprehensive integration of physical, cognitive, emotional, behavioral, and spiritual components of living.

Q: Volunteers are effective crisis line workers because they a. don"t have preconceived notions about what to do. b. are seen as having more credibility because they do it out of the goodness of their hearts. c. are highly trained in one particular modality of counseling. d. all of the above are reason volunteers are effective.

Q: At about one year the chronosystem predicts that a pathogenic shift will occur.

Q: The Texas Grief Inventory can determine the progress of grief resolution.

Q: One of the major issues with behavioral telehealth and specifically crisis lines over the internet is a. accessibility. b. confidentiality. c. cost. d. all of the above are problems.

Q: The super mesosystem links the macrosystem with all interior systems.

Q: The Adaptive model of grieving is about how one copes.

Q: Hotlines may be a. time limited such as Katrina call-ins for specific problems. b. local and deal with all kinds of issues. c. continuous such as national runaway numbers. d. all of the above.

Q: The microsystem encompasses the individual and his or her family only.

Q: The death of a spouse, although traumatic has no effect on the surviving spouse's mortality rate.

Q: 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.

Q: A local emergency management agency's response in such disasters as a hurricane largely hinges on a "wait and see" approach.

Q: 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

Q: Handling problem callers who become abusive is best done by a. leaving time limits open so they finally run down. b. terminating them after a clear warning. c. posing close-ended questions to specify the problem. d. both a and b.

Q: The mesosystem measures the time element across which a disaster develops.

Q: What model describes an addiction that is attributed to first starting with cigarettes and then moving on to alcohol and then cocaine? a. gateway b. lifestyle c. prescriptive d. peer cluster

Q: Of the following statements, which does not apply to the disturbed caller? a. Behavior is always purposeful and serves conscious or unconscious motives. b. Behavior is comprehensible and has meaning even though the language may not. c. Behavior needs to be differentiated as to whether it is biochemically or psychologically based. d. Behavior is used to keep a person safe and free of anxiety.