Chapter 1
#1 Create a positive and (Fill in Blank) and an enriched physical and social environment
Supportive
Give an example of how we create a supportive social environment
*Staff who are friendly and helpful
*Access to meaningful choices
*Access to preferred friends and family
*Meaningful learning and work opportunities
*Minimal Coercion
Name 2 Common Triggers
Loud Noise, Staff Request, Teasing from a peer, Standing too close, not being able to find something, overheard conversation, being asked to wait, boredom
C you under
C you over
C you later
What procedure is this used in
Stripping a grab
A debriefing session should be a discussion not this
Lecture
The interventions we use should be the least _______
Restrictive
Name one schedule of reinforcement
Frequent
Random
Structured
Name 2 signals
Pacing, verbal threats, Angry facial expressions, fidgeting, avoiding eye contact, staring, balled up fists
The five "P's" for the front hair pull include: position, pocket, push, protective shuffle and this "P" which is where you gain your stability in this procedure
Plunge
When the team is debriefing they should always ask "What went right, what could we have done ______
Better
These type of behaviors interfere with learning and functioning without being directly harmful
Disruptive
As professionals we must communicate respect and promote
Dignity
How many people should talk with the agitated person
One, the leader
NAPS stands for and is used for which procedure
Narrow, anchor, pull, shuffle used for wrist release
It is important after staff debriefing to inform who of any changes made to the clients programming or interventions
Everyone
Name one way to identify reinforcers
Possible answers include: Ask the person, Offer Choice, Observe
Why do we use a closed cup "Barbie" hand in many of the procedures used in safety care
To decrease the chance of injury, pain or agitation
Yes or No: While using the wait strategy you should speak calmly and respectfully to the person about their concerns
No!!!!!!
Remember the acronym Why am I Talking
When releasing from a choke you should move the arms from your neck in this way to ensure your safety
Quickly
If you are involved in an incident and either you or the client is injured what document should you complete and where is the document located
Incident report via Central Reach
When we find ourselves reinforcing behavior to get it to stop quickly this is known as
The behavior Trap
One important part of safe positioning is to avoid reaching or leaning into the person's
Midline
What should you do with potentially dangerous objects once you see any signs of agitation
Remove them
If bitten you should resist the urge to do this to get out of the bite
yank away
If not effective or above clients cognitive ability a debriefing session with client may be skipped - Yes or No
Yes
We should still debrief as staff to come up with a plan