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Practice CIT Exam

Total questions: 103

Worksheet time: 3hrs 26mins

Name
Class
Date
1.

This training is important because mental health calls for service are frequent. Which of the following

statements is true about crisis calls?

a)

No less than 1 in 10 calls for police service involve individuals with mental illness.

b)

Mental health calls rarely occur in most jurisdictions.

c)

EMS should handle all mental health calls.

d)

Mental health crises are only a problem for social workers.

2.

Crisis Intervention Training was designed so that law enforcement officers can:

a)

Understand mental illness.

b)

Learn successful techniques and tactics for responding to those experiencing crisis.

c)

Learn new skills to manage conflict.

d)

All of the above

3.

Texas SB 1849 includes requirements for peace officers to reduce the use of force, and make a good

faith effort to:

a)

Arrest as many people suffering from mental illness as possible.

b)

Diagnose and treat people suffering from mental illness.

c)

Divert people suffering from mental health crisis to proper treatment.

d)

Move homeless individuals with mental health problems to another jurisdiction.

4.

The primary goal of CIT involves calming persons with mental illness who are in crisis and:

a)

Ignoring officer safety concerns.

b)

Referring them to mental health care services.

c)

Disregarding law and policy.

d)

Doing social work.

5.

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.

a)

True

b)

False

6.

A correct definition of "crisis' is:

a)

An attack of pain, distress, or disordered function

b)

A really bad hair day

c)

An emotionally significant event or radical change of status in a person's life

d)

A and C

7.

The degree of severity for a mental health crisis, and what constitutes a crisis is generally the same

from individual to individual.

a)

True

b)

False

8.

Mental Illness can impact a person's

a)

Thinking

b)

Feeling or mood

c)

Ability to relate to others

d)

All of the above

9.

A mental illness can be diagnosed based on behaviors and thinking evaluated by all of the following

EXCEPT:

a)

Psychiatrist or psychologist

b)

A friend that reads a lot on the internet

c)

Licensed social worker or professional counselor

d)

Other qualified professionals

10.

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."

a)

True

b)

False

11.

If someone is believed to be "insane" in Texas, they cannot be arrested or charged for a crime that they have committed.

a)

True

b)

False

12.

'Normal' behavior is:

a)

Whatever we as individuals decide it is

b)

The center of a statistical bell curve

c)

Essentially meaningless outside of statistical and mathematical solutions for "average"

d)

All of the above

13.

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).

a)

True

b)

False

14.

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.

a)

5

b)

25

c)

100

d)

1000

15.

In 2017, statistics indicate that _____ of all people with a diagnosable mental illness do not seek treatment.

a)

1/3

b)

2/3

c)

3/4

d)

None of the above, everyone gets treatment if they can.

16.

Negative stereotypes (or stigmas) about people experiencing mental health struggles can fuel fear, mistrust and reinforce distorted perceptions.

a)

True

b)

False

17.

Stigma or labeling never causes people to refuse treatment, or feel isolated and embarrassed.

a)

True

b)

False

18.

There are numerous 'one-size-fits-all' treatments for mental illness that are inexpensive and easy to access.

a)

True

b)

False

19.

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.

a)

Athletes foot, bankruptcy, bed bugs, and change in skin pigmentation.

b)

Extreme weight gain, severe constipation, sexual dysfunction and the risk of neurological damage

c)

Gluten sensitivity, softening of fingernails, highly combustible hair, and detached retinas.

d)

None of the above.

20.

Psychotropic medication is any medication that effects your height and/or weight.

a)

True

b)

False

21.

Mental Illness is an indication of weakness or character flaws, and people can "snap out of it" if they try hard enough.

a)

Fact

b)

Myth

22.

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.

a)

Fact

b)

Myth

23.

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?

a)

Mild, Moderate, Severe

b)

Good, Better, Best

c)

Good, Bad, Ugly

d)

None of the Above

24.

Personality Disorders, Mood Disorders, Thought Disorders, and Cognitive Disorders are essentially all the same.

a)

True

b)

False

25.

Personality disorders are patterns of thinking, feeling, and behaving that are ____________ and that deviates markedly from the person's culture.

a)

Only temporary

b)

Always constant

c)

Relatively stable (inflexible)

d)

All of the above

26.

Personality disorders include:

a)

Paranoid, Anti-social, Borderline, and Narcissistic

b)

Rude, Obnoxious, Loud, and Overbearing

c)

Shy, Nervous, Quiet, and Introverted

d)

Friendly, Funny, Silly, and Ridiculous

27.

Borderline Personality Disorder means someone is almost experiencing mental illness, but not quite.

a)

True

b)

False

28.

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.

a)

Matched

b)

Appropriate

c)

Inconsistent

d)

None of the above

29.

Major Depressive disorder is not just feeling sad or "blue." It is an intense level of depression that persists for at least _________________.

a)

Two days

b)

Two weeks

c)

Two months

d)

Two years

30.

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%.

a)

Anxiety and depression

b)

Schizophrenia

c)

Drug abuse

d)

Intellectual disability

31.

Psychosis is only manifested as part of a thought disorder or schizophrenia

a)

True

b)

False

32.

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).

a)

Drinking, smoking, and shooting up

b)

Eating, drinking, and snorting

c)

Mental, behavioral, and physiological

d)

All of the above

33.

Most people that are extremely intoxicated, are using only one type of drug, substance, or medication.

a)

True

b)

False

34.

Alzheimer's Disease and other forms of dementia, including Traumatic Brain Injury are considered:

a)

Age-related illnesses

b)

Cognitive Disorders

c)

Intellectual Disorders

d)

Mental Illnesses

35.

Severe Traumatic Brain Injury is usually associated with other bodily injury and is more prevalent in:

a)

The elderly

b)

Children

c)

Military personnel

d)

Football players

36.

Delirium is caused by:

a)

Drugs or medications

b)

Develops over a short period of time

c)

Can create an inability to comprehend speech, or follow instructions

d)

All of the above

37.

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.

a)

True

b)

False

38.

The presentation of symptoms of TBI vary by person but can create problems with:

a)

Learning and memory

b)

Social awareness

c)

Eye-hand coordination

d)

All of the above

39.

Alzheimer's disease is a progressive and irreversible brain disease affecting approximately _______ Million Americans (2013).

a)

1.2

b)

3.2

c)

5.2

d)

None of the above

40.

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).

a)

Wander

b)

Drive

c)

Tell rambling stories

d)

None of the above

41.

Medications assist with managing symptoms, and can cure Alzheimer's disease.

a)

True

b)

False

42.

Which of the following are proven effective communication methods for interacting with someone experiencing dementia?

a)

Make sure the person responds to demands or questions immediately

b)

Talk louder

c)

Ask simple 'yes' or 'no' questions

d)

None of the above

43.

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)

A traumatic brain injury

b)

A developmental disorder

c)

A personality disorder

d)

A mental illness

44.

Asperger's syndrome is one part of the Autism Spectrum.

a)

True

b)

False

45.

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.

a)

True

b)

False

46.

Some behaviors seen frequently with Autism Spectrum disorders include:

a)

Rocking

b)

Striking themselves

c)

Making repetitive noises

d)

All of the above

47.

Intellectual disability only becomes obvious in adulthood, and must be diagnosed over the age of 18

a)

True

b)

False

48.

Intellectual disability is a fixed mental condition, that unlike many mental illnesses, cannot be cured.

a)

True

b)

False

49.

An IQ below 20 is considered:

a)

Borderline Intellectual functioning

b)

Mild Intellectual disability

c)

Moderate Intellectual disability

d)

Profound Intellectual disability

50.

Subjects who have an intellectual disability may readily confess to criminal activity because they lack a full understanding of the circumstances.

a)

True

b)

False

51.

A performance task that might help an officer determine if someone has an intellectual disability is:

a)

Standardized Field Sobriety

b)

A spelling bee

c)

Ask them to read or write a simple statement

d)

Ask them to complete a Sudoku puzzle

52.

Post-Traumatic Stress Disorder can involve:

a)

Intrusive symptoms

b)

Negative changes in mood and thought patterns

c)

Increased arousal and reactivity

d)

All of the above

53.

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.

a)

True

b)

False

54.

Which answer is the best definition of a moral injury?

a)

Having hurt feelings

b)

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

c)

An injury to the 'funny bone'

d)

None of the above

55.

Which answer is the best definition of survivor's guilt?

a)

When someone survives an incident, and is left feeling that they should have died instead

b)

When someone binge-watches more than one season of survivor in one sitting

c)

All of the above

d)

None of the above

56.

Veterans and law enforcement share many commonalities. Which of these expresses one of those areas?

a)

The need to repress emotional or instinctual responses

b)

A desire recognition and attention

c)

The need for gratitude and accolades

d)

A willingness to bend the rules or skip established protocols.

57.

An officer should never ask an individual if they have a plan to kill themselves, or what method they might use.

a)

True

b)

False

58.

A suicide risk assessment includes several parts. Which of the below answers represents those parts?

a)

Gun, Knife, Poison, Rope

b)

Thinking, Planning, Action

c)

Plan, Method, Means, Intent

d)

None of the above

59.

Certain characteristics are quantifiable suicide risk factors. Which of the below answers is NOT a recognized risk factor?

a)

Ethnicity

b)

Gender

c)

Recent loss

d)

Previous suicide attempts

60.

Certain characteristics are quantifiable protective factors against suicide. Which of the below answers in NOT one of these?

a)

Effective Mental Health Care

b)

Unemployment

c)

Spiritual or Religious Beliefs

d)

Positive Coping Skills

61.

It is important to help someone who is feeling suicidal reach out to personal resources such as family, friends, church, social services, and neighbors.

a)

True

b)

False

62.

More cops die of suicide than die of shootings and traffic accidents combined.

a)

True

b)

False

63.

One way to change current police culture around mental health is:

a)

By developing 'cradle-to-grave' wellness programs for law enforcement

b)

By making sure everyone is repressing emotions and trauma, or getting rid of them

c)

Increasing peer support and access to specialized mental health

d)

A and C

64.

The Police Executive Research Forum (2016) has devised a _______________ which provides prompts for helping someone experiencing a mental health crisis.

a)

Fill-in-the-blanks form

b)

Critical Decision-Making Model

c)

Coloring Book

d)

Mandated Communication Protocol

65.

It is essential to diagnose the person you are helping as soon as possible after making contact.

a)

True

b)

False

66.

The Three Point Assessment includes consideration of what three parts of mental functioning?

a)

Walking, Talking, and Writing

b)

Level of Intoxication, Driving, and Answering Questions

c)

Arguing, Ignoring, and Answering Questions

d)

Level of Comprehension, Behavior, and Emotion

67.

Which one of the answers below is NOT one of the Five Universal Truths of Human Interaction?

a)

All people can be real jerks sometimes

b)

All people would rather be asked than told what to do

c)

All people want a second chance to make matters right

d)

All people want to know why they are asked or told to do something.

68.

Honesty and sincerity are essential for building rapport and trust.

a)

True

b)

False

69.

Rapport is easily gained by minimizing or discounting the other person's point of view.

a)

True

b)

False

70.

Which of the following is NOT a good communication or rapport building technique?

a)

Empathize with a person's position

b)

Minimize distractions, or multiple officers talking at once

c)

Interrupt often

d)

Use engaged body language

71.

The 80/20 rule is:

a)

Listen 80% of the time, talk 20% of the time

b)

Ask questions 80% of time, listen 20% of the time

c)

Write down 80% of the information, remember 20% of it

d)

Pay attention 80% of the time, ignore 20% of the information

72.

According to the Police Executive Forum (2016), non-verbal communication should be:

a)

Aggressive and hostile

b)

Ambiguous

c)

Friendly and helpful

d)

None of the above

73.

L.E.A.P.S. Communication stands for:

a)

Loud, Earful, Annoying, Personality, Superimpose

b)

Liking, Eager, Application, Politically-correct, Sycophant

c)

Lithe, Energetic, Aerobic, People, Surprise

d)

Listen, Empathize, Ask questions, Paraphrase, Summarize

74.

"I am John Doe. What would you like me to call you?" is an example of a pro-LEAPS phrase.

a)

True

b)

False

75.

"I am not going to tell you again." Is an example of a pro-LEAPS phrase.

a)

True

b)

False

76.

Reflecting statements (or gestures) are neutral responses to statements made by the subject to encourage him or her to continue talking.

a)

True

b)

False

77.

Select the statement below that is NOT a reflective statement.

a)

"I see."

b)

"What is your problem?"

c)

"Tell me more about that."

d)

"That might be an option."

78.

An 'I' statement gives the speaker responsibility for their part of the interaction, helps build rapport, and eases communication.

a)

True

b)

False

79.

'You' statements are often interpreted as accusatory, and are helpful when dealing with someone in crisis.

a)

True

b)

False

80.

A deflecting or redirecting statement is often the best technique when facing verbal abuse.

a)

True

b)

False

81.

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.

a)

True

b)

False

82.

Deinstitutionalization is a term used to describe:

a)

The release of those suffering severe mental illness from in-patient mental health facilities.

b)

A reduction in treatment options for those who need medication, stabilization, or therapy.

c)

A reduction of referrals into mental health treatment, and an increase in incarceration in jails and prisons.

d)

All of the above

83.

Mental Health Courts are:

a)

A diversion from the traditional court system for those meeting certain criteria

b)

An easy out for felons and violent offenders who also have mental health issues

c)

A way for people to 'get away with' committing crimes with no consequences

d)

None of the above

84.

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.

a)

True

b)

False

85.

A study of the U.S. Homeless population in 2015 indicated that at minimum, ______ were seriously mentally ill at any given point in time.

a)

5%

b)

15%

c)

25%

d)

75%

86.

In addition to a higher risk of suffering severe mental illness, homeless individuals are at higher risk for:

a)

Infectious diseases

b)

Diabetes

c)

Heart Disease

d)

All of the above

87.

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).

a)

1% and 10%

b)

4% and 40%

c)

7% and 70%

d)

9% and 90%

88.

People with serious mental illness have been victims of crime at a rate 11 times higher than the general population.

a)

True

b)

False

89.

The authority for an Emergency Detention order (also called a Police Officer Emergency Commitment) comes from the Penal Code.

a)

True

b)

False

90.

The standard for determining a warrantless apprehension affidavit for mental health purposes is the same as the standard for a criminal affidavit.

a)

True

b)

False

91.

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.

a)

Nearest

b)

Nicest

c)

Insurance approved

d)

None of the above

92.

A person being transported for treatment (voluntary or involuntary), or evaluation, should be always be transported in handcuffs or in a caged unit.

a)

True

b)

False

93.

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.

a)

True

b)

False

94.

__________ Diversion is shifting someone away from the criminal justice system (no arrest or charges made), and guiding them to another form of intervention.

a)

Pre-crime

b)

Pre-arrest

c)

Post-arrest

d)

Jail

95.

Jail Diversion goals include:

a)

Reduction of inappropriate incarceration of persons with mental illness

b)

Reduce violence and victimization

c)

Cost savings as compared to incarceration and/or hospitalization

d)

All of the above

96.

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:

a)

District Court

b)

County Court

c)

Mental Health Court

d)

Appellate Court

97.

Offenders who are arrested and complete the mental health court program have a much lower recidivism rate than their peers; ______ percent versus 72 percent.

a)

10

b)

20

c)

40

d)

80

98.

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.

a)

True

b)

False

99.

One of the best online resources for finding State (and county) mental health services in Texas is provided by:

a)

The Texas Secretary of State

b)

Texas Department of Transportation

c)

Texas Department of Health and Human Services

d)

The Tax Assessor Collector's Office

100.

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?

a)

The Suicide Prevention hotline 1-800-273-TALK

b)

Alzheimer's Association hotline 1-888-572-8566

c)

Mental Health Texas hotline 211

d)

All of the above

101.

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?

a)

Google

b)

Mental Health Texas 211 or www.211texas.org

c)

Phone a friend

d)

Siri

102.

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?

a)

Ask Alexa

b)

Google

c)

Veterans Crisis Line (phone or website)

d)

None of the above

103.

There are multiple free phone applications that provide assistance and support for people that are experiencing a variety of mental health related problems.

a)

True

b)

False