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WorksheetsPractice CIT Exam
Total questions: 103
Worksheet time: 3hrs 26mins
This training is important because mental health calls for service are frequent. Which of the following
statements is true about crisis calls?
No less than 1 in 10 calls for police service involve individuals with mental illness.
Mental health calls rarely occur in most jurisdictions.
EMS should handle all mental health calls.
Mental health crises are only a problem for social workers.
Crisis Intervention Training was designed so that law enforcement officers can:
Understand mental illness.
Learn successful techniques and tactics for responding to those experiencing crisis.
Learn new skills to manage conflict.
All of the above
Texas SB 1849 includes requirements for peace officers to reduce the use of force, and make a good
faith effort to:
Arrest as many people suffering from mental illness as possible.
Diagnose and treat people suffering from mental illness.
Divert people suffering from mental health crisis to proper treatment.
Move homeless individuals with mental health problems to another jurisdiction.
The primary goal of CIT involves calming persons with mental illness who are in crisis and:
Ignoring officer safety concerns.
Referring them to mental health care services.
Disregarding law and policy.
Doing social work.
CIT has been shown to positively impact officer perceptions, decrease the need for higher level of
police intervention, decrease officer injuries, and re-direct those in crisis from the criminal justice
system to the health care system.
True
False
A correct definition of "crisis' is:
An attack of pain, distress, or disordered function
A really bad hair day
An emotionally significant event or radical change of status in a person's life
A and C
The degree of severity for a mental health crisis, and what constitutes a crisis is generally the same
from individual to individual.
True
False
Mental Illness can impact a person's
Thinking
Feeling or mood
Ability to relate to others
All of the above
A mental illness can be diagnosed based on behaviors and thinking evaluated by all of the following
EXCEPT:
Psychiatrist or psychologist
A friend that reads a lot on the internet
Licensed social worker or professional counselor
Other qualified professionals
The State of Texas defines "insanity" in the Penal Code, section 8.01, as "An affirmative defense to prosecution, that at the time of the conduct charged, the actor, as a result of severe mental disease or defect, did not know that his conduct was wrong."
True
False
If someone is believed to be "insane" in Texas, they cannot be arrested or charged for a crime that they have committed.
True
False
'Normal' behavior is:
Whatever we as individuals decide it is
The center of a statistical bell curve
Essentially meaningless outside of statistical and mathematical solutions for "average"
All of the above
The majority of individuals with mental illness live productive lives, but some individuals suffer severe mental illness with means severe impairments and limits in one or more life activities (financial, occupational, social).
True
False
In 2017, Approximately, 1 in ____ adults in the U.S. experience a serious mental illness in a given year that substantially interferes with one or more life activities.
5
25
100
1000
In 2017, statistics indicate that _____ of all people with a diagnosable mental illness do not seek treatment.
1/3
2/3
3/4
None of the above, everyone gets treatment if they can.
Negative stereotypes (or stigmas) about people experiencing mental health struggles can fuel fear, mistrust and reinforce distorted perceptions.
True
False
Stigma or labeling never causes people to refuse treatment, or feel isolated and embarrassed.
True
False
There are numerous 'one-size-fits-all' treatments for mental illness that are inexpensive and easy to access.
True
False
Medications used to control the symptoms of many mental illnesses have unpleasant side effects. Select the answer that most accurately describes some of those effects.
Athletes foot, bankruptcy, bed bugs, and change in skin pigmentation.
Extreme weight gain, severe constipation, sexual dysfunction and the risk of neurological damage
Gluten sensitivity, softening of fingernails, highly combustible hair, and detached retinas.
None of the above.
Psychotropic medication is any medication that effects your height and/or weight.
True
False
Mental Illness is an indication of weakness or character flaws, and people can "snap out of it" if they try hard enough.
Fact
Myth
Most people who have a disabling illness need treatment to return to optimal functioning. Physician oversight and physical therapy fills this role for a physical illness, just as therapeutic intervention is needed for those experiencing mental illness.
Fact
Myth
Mental health conditions fall along a continuum. The severity of each condition varies from person to person. What are the terms used to describe this continuum?
Mild, Moderate, Severe
Good, Better, Best
Good, Bad, Ugly
None of the Above
Personality Disorders, Mood Disorders, Thought Disorders, and Cognitive Disorders are essentially all the same.
True
False
Personality disorders are patterns of thinking, feeling, and behaving that are ____________ and that deviates markedly from the person's culture.
Only temporary
Always constant
Relatively stable (inflexible)
All of the above
Personality disorders include:
Paranoid, Anti-social, Borderline, and Narcissistic
Rude, Obnoxious, Loud, and Overbearing
Shy, Nervous, Quiet, and Introverted
Friendly, Funny, Silly, and Ridiculous
Borderline Personality Disorder means someone is almost experiencing mental illness, but not quite.
True
False
Mood disorders are demonstrated by disturbances in emotional reactions and feelings. In other words, one's emotional experience (mood) is ____________ with his or her circumstances.
Matched
Appropriate
Inconsistent
None of the above
Major Depressive disorder is not just feeling sad or "blue." It is an intense level of depression that persists for at least _________________.
Two days
Two weeks
Two months
Two years
Bipolar Disorder is a mental illness involving cycle between extreme activity (mania) and depression. The strongest predictors of Bipolar disorder appear to be baseline ______________, which increases the risk from 2% to 49%.
Anxiety and depression
Schizophrenia
Drug abuse
Intellectual disability
Psychosis is only manifested as part of a thought disorder or schizophrenia
True
False
The essential feature of a substance use disorder is a cluster of ________, ___________, ____________, symptoms indicating that the individual continues using the substance despite significant substance-related problems (DSM-V, 2015).
Drinking, smoking, and shooting up
Eating, drinking, and snorting
Mental, behavioral, and physiological
All of the above
Most people that are extremely intoxicated, are using only one type of drug, substance, or medication.
True
False
Alzheimer's Disease and other forms of dementia, including Traumatic Brain Injury are considered:
Age-related illnesses
Cognitive Disorders
Intellectual Disorders
Mental Illnesses
Severe Traumatic Brain Injury is usually associated with other bodily injury and is more prevalent in:
The elderly
Children
Military personnel
Football players
Delirium is caused by:
Drugs or medications
Develops over a short period of time
Can create an inability to comprehend speech, or follow instructions
All of the above
Traumatic brain injury can occur from proximity to a blast, blunt force trauma, penetrating injuries, or other mechanisms of rapid movement or displacement of the brain within the skull.
True
False
The presentation of symptoms of TBI vary by person but can create problems with:
Learning and memory
Social awareness
Eye-hand coordination
All of the above
Alzheimer's disease is a progressive and irreversible brain disease affecting approximately _______ Million Americans (2013).
1.2
3.2
5.2
None of the above
6 out of 10 people with Alzheimer's will ____________. If not found within 24 hours up to half of those who do risk serious injury or death (2017).
Wander
Drive
Tell rambling stories
None of the above
Medications assist with managing symptoms, and can cure Alzheimer's disease.
True
False
Which of the following are proven effective communication methods for interacting with someone experiencing dementia?
Make sure the person responds to demands or questions immediately
Talk louder
Ask simple 'yes' or 'no' questions
None of the above
A condition that an individual may have had since birth or childhood which has prevented them from full social or vocational independence in adulthood, and which continues through their life span is:
A traumatic brain injury
A developmental disorder
A personality disorder
A mental illness
Asperger's syndrome is one part of the Autism Spectrum.
True
False
Officers should touch, get in close proximity to, and speak as loudly as possible to someone who they believe to be on the Autism Spectrum.
True
False
Some behaviors seen frequently with Autism Spectrum disorders include:
Rocking
Striking themselves
Making repetitive noises
All of the above
Intellectual disability only becomes obvious in adulthood, and must be diagnosed over the age of 18
True
False
Intellectual disability is a fixed mental condition, that unlike many mental illnesses, cannot be cured.
True
False
An IQ below 20 is considered:
Borderline Intellectual functioning
Mild Intellectual disability
Moderate Intellectual disability
Profound Intellectual disability
Subjects who have an intellectual disability may readily confess to criminal activity because they lack a full understanding of the circumstances.
True
False
A performance task that might help an officer determine if someone has an intellectual disability is:
Standardized Field Sobriety
A spelling bee
Ask them to read or write a simple statement
Ask them to complete a Sudoku puzzle
Post-Traumatic Stress Disorder can involve:
Intrusive symptoms
Negative changes in mood and thought patterns
Increased arousal and reactivity
All of the above
One of the most common symptoms of PTSD is called hyper-vigilance, and when confronted with ambiguous information a person is more likely to attribute dangerousness to the situation.
True
False
Which answer is the best definition of a moral injury?
Having hurt feelings
Damage done to one's conscience when the person perpetrates, witnesses, or fails to prevent acts that violate that person's morals, ethics, or codes of conduct
An injury to the 'funny bone'
None of the above
Which answer is the best definition of survivor's guilt?
When someone survives an incident, and is left feeling that they should have died instead
When someone binge-watches more than one season of survivor in one sitting
All of the above
None of the above
Veterans and law enforcement share many commonalities. Which of these expresses one of those areas?
The need to repress emotional or instinctual responses
A desire recognition and attention
The need for gratitude and accolades
A willingness to bend the rules or skip established protocols.
An officer should never ask an individual if they have a plan to kill themselves, or what method they might use.
True
False
A suicide risk assessment includes several parts. Which of the below answers represents those parts?
Gun, Knife, Poison, Rope
Thinking, Planning, Action
Plan, Method, Means, Intent
None of the above
Certain characteristics are quantifiable suicide risk factors. Which of the below answers is NOT a recognized risk factor?
Ethnicity
Gender
Recent loss
Previous suicide attempts
Certain characteristics are quantifiable protective factors against suicide. Which of the below answers in NOT one of these?
Effective Mental Health Care
Unemployment
Spiritual or Religious Beliefs
Positive Coping Skills
It is important to help someone who is feeling suicidal reach out to personal resources such as family, friends, church, social services, and neighbors.
True
False
More cops die of suicide than die of shootings and traffic accidents combined.
True
False
One way to change current police culture around mental health is:
By developing 'cradle-to-grave' wellness programs for law enforcement
By making sure everyone is repressing emotions and trauma, or getting rid of them
Increasing peer support and access to specialized mental health
A and C
The Police Executive Research Forum (2016) has devised a _______________ which provides prompts for helping someone experiencing a mental health crisis.
Fill-in-the-blanks form
Critical Decision-Making Model
Coloring Book
Mandated Communication Protocol
It is essential to diagnose the person you are helping as soon as possible after making contact.
True
False
The Three Point Assessment includes consideration of what three parts of mental functioning?
Walking, Talking, and Writing
Level of Intoxication, Driving, and Answering Questions
Arguing, Ignoring, and Answering Questions
Level of Comprehension, Behavior, and Emotion
Which one of the answers below is NOT one of the Five Universal Truths of Human Interaction?
All people can be real jerks sometimes
All people would rather be asked than told what to do
All people want a second chance to make matters right
All people want to know why they are asked or told to do something.
Honesty and sincerity are essential for building rapport and trust.
True
False
Rapport is easily gained by minimizing or discounting the other person's point of view.
True
False
Which of the following is NOT a good communication or rapport building technique?
Empathize with a person's position
Minimize distractions, or multiple officers talking at once
Interrupt often
Use engaged body language
The 80/20 rule is:
Listen 80% of the time, talk 20% of the time
Ask questions 80% of time, listen 20% of the time
Write down 80% of the information, remember 20% of it
Pay attention 80% of the time, ignore 20% of the information
According to the Police Executive Forum (2016), non-verbal communication should be:
Aggressive and hostile
Ambiguous
Friendly and helpful
None of the above
L.E.A.P.S. Communication stands for:
Loud, Earful, Annoying, Personality, Superimpose
Liking, Eager, Application, Politically-correct, Sycophant
Lithe, Energetic, Aerobic, People, Surprise
Listen, Empathize, Ask questions, Paraphrase, Summarize
"I am John Doe. What would you like me to call you?" is an example of a pro-LEAPS phrase.
True
False
"I am not going to tell you again." Is an example of a pro-LEAPS phrase.
True
False
Reflecting statements (or gestures) are neutral responses to statements made by the subject to encourage him or her to continue talking.
True
False
Select the statement below that is NOT a reflective statement.
"I see."
"What is your problem?"
"Tell me more about that."
"That might be an option."
An 'I' statement gives the speaker responsibility for their part of the interaction, helps build rapport, and eases communication.
True
False
'You' statements are often interpreted as accusatory, and are helpful when dealing with someone in crisis.
True
False
A deflecting or redirecting statement is often the best technique when facing verbal abuse.
True
False
Calling a requested friend or family member to help someone in crisis, experiencing dementia, with an Autism Spectrum disorder, or with an intellectual disability is dangerous, and usually makes the situation worse.
True
False
Deinstitutionalization is a term used to describe:
The release of those suffering severe mental illness from in-patient mental health facilities.
A reduction in treatment options for those who need medication, stabilization, or therapy.
A reduction of referrals into mental health treatment, and an increase in incarceration in jails and prisons.
All of the above
Mental Health Courts are:
A diversion from the traditional court system for those meeting certain criteria
An easy out for felons and violent offenders who also have mental health issues
A way for people to 'get away with' committing crimes with no consequences
None of the above
Many mentally ill persons who seek treatment do not receive it. Mental hospital beds per capita in the U.S. are lower than they have been since 1850.
True
False
A study of the U.S. Homeless population in 2015 indicated that at minimum, ______ were seriously mentally ill at any given point in time.
5%
15%
25%
75%
In addition to a higher risk of suffering severe mental illness, homeless individuals are at higher risk for:
Infectious diseases
Diabetes
Heart Disease
All of the above
Only ______ of interpersonal violence in the United States can be attributed to mental illness yet nearly ______ of news stories about mental illness connect it to violent behavior that harms other people (2016).
1% and 10%
4% and 40%
7% and 70%
9% and 90%
People with serious mental illness have been victims of crime at a rate 11 times higher than the general population.
True
False
The authority for an Emergency Detention order (also called a Police Officer Emergency Commitment) comes from the Penal Code.
True
False
The standard for determining a warrantless apprehension affidavit for mental health purposes is the same as the standard for a criminal affidavit.
True
False
When an officer takes a person into custody for mental health issues the person shall be immediately transported to the ____________ appropriate inpatient mental health facility.
Nearest
Nicest
Insurance approved
None of the above
A person being transported for treatment (voluntary or involuntary), or evaluation, should be always be transported in handcuffs or in a caged unit.
True
False
Senate Bill 1849 requires that each local mental health authority incorporate jail diversion strategies...for managing adults with schizophrenia and bi-polar disorder to reduce the involvement of those clients with the criminal justice system.
True
False
__________ Diversion is shifting someone away from the criminal justice system (no arrest or charges made), and guiding them to another form of intervention.
Pre-crime
Pre-arrest
Post-arrest
Jail
Jail Diversion goals include:
Reduction of inappropriate incarceration of persons with mental illness
Reduce violence and victimization
Cost savings as compared to incarceration and/or hospitalization
All of the above
A court that combines judicial supervision with community mental health treatment and support services in an effort to reduce criminal recidivism; improve quality of life of people with mental illnesses and increase their participation in effective treatment; and to reduce court and corrections related costs is called:
District Court
County Court
Mental Health Court
Appellate Court
Offenders who are arrested and complete the mental health court program have a much lower recidivism rate than their peers; ______ percent versus 72 percent.
10
20
40
80
Due to patient confidentiality rules also known as HIPPA, even when you are trying to help someone experiencing a crisis, staff at a hospital, clinic, or mental health facility may not be able to share information with you.
True
False
One of the best online resources for finding State (and county) mental health services in Texas is provided by:
The Texas Secretary of State
Texas Department of Transportation
Texas Department of Health and Human Services
The Tax Assessor Collector's Office
A recent study indicated that up to 40% of rural communities don't have adequate internet access. What is a resource you could give someone to help someone in crisis that doesn't have internet access?
The Suicide Prevention hotline 1-800-273-TALK
Alzheimer's Association hotline 1-888-572-8566
Mental Health Texas hotline 211
All of the above
When someone comes to you for assistance, and you aren't sure what resources are available, what is the best, easiest, most comprehensive resource for you to use?
Mental Health Texas 211 or www.211texas.org
Phone a friend
Siri
A veteran from out of state calls you, in crisis, and you don't know about their local resources. What is the best referral you can make for them?
Ask Alexa
Veterans Crisis Line (phone or website)
None of the above
There are multiple free phone applications that provide assistance and support for people that are experiencing a variety of mental health related problems.
True
False
