Questions and Answers
What does intimidation involve?
What should be done when faced with intimidation?
Take all threats seriously and seek assistance.
What is Tension Reduction?
A decrease in physical and emotional energy.
What is the purpose of limit setting?
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What are the three keys to effective limit setting?
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Empathic listening is an active process to discern what a person is _____
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Challenging behavior is characterized by a rational question seeking a rational response.
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What is the 'If and Then' pattern of limit setting?
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What does the Verbal Escalation Continuum model demonstrate?
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Study Notes
Intimidation
- Defined as verbally and/or nonverbally threatening behavior towards staff.
- Physical intervention may increase risk of escalation.
Intimidation Interventions
- All threats must be taken seriously; seek assistance from colleagues.
- Avoid physical intervention unless absolutely necessary for safety.
Tension Reduction
- Represents a decrease in both physical and emotional energy.
Tension Reduction Interventions
- Focus on establishing therapeutic rapport to rebuild communication with the individual.
Release
- Characterized by verbal/emotional outbursts like screaming and swearing, along with loss of rationalization.
Release Interventions
- Allow individuals to vent their emotions; if possible, remove an audience.
- Use non-threatening directives while remaining understanding and reasonable.
Refusal
- Implies noncompliance and slight loss of rational thinking.
Questioning
- Information Seeking: Rational questions require rational answers.
- Challenging: Involves questioning authority and power struggle; downplay challenges and set boundaries.
Limit Setting
- Purpose: To decelerate volatile situations and guide behavior towards safety by employing specific verbal patterns.
Keys to Limit Setting
- Keep statements simple and clear for ease of understanding.
- Make requests reasonable and avoid overwhelming the individual with multiple demands.
- Ensure limits are enforceable; only set those you can uphold.
Interrupt and Redirect Pattern
- Interrupt a negative behavior and redirect towards a positive action, e.g., "Please speak quietly" instead of shouting.
When and Then Pattern
- Encourage consideration of positive behavior with immediate consequences, e.g., "When you tidy your room, then we can go to the movies."
If and Then Pattern
- Promotes reflection on one's behavior and its impact on others, motivating positive alternatives, e.g., "If you make your bed, then we can go out."
Empathic Listening
- An active process to understand and identify reasons behind challenging behavior.
5 Key Elements of Empathic Listening
- Maintain a nonjudgmental attitude and provide undivided attention.
- Focus on both feelings and factual content while listening.
- Allow silence for reflection and restate/paraphrase what’s heard.
Verbal Escalation Continuum
- A model illustrating various defensive behaviors during crisis situations, with suggested staff interventions for different behaviors.
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Description
This quiz covers the concepts of intimidation, tension reduction, and release in behavioral contexts. It includes effective interventions for dealing with intimidation and emotional outbursts, focusing on therapeutic communication and safety protocol. Test your knowledge on these critical topics essential for staff training.
