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Clinical Issues in Trauma-Informed Care

Trauma-Informed Prevention and Treatment Objectives-Establish Safety

1. In the context of Trauma-Informed Care (TIC), safety has a variety of meanings, and perhaps most importantly is that the client feels:

A. Safe in their relationships

B. Safety in their daily routines

C. Some degree of safety from trauma symptoms

D. Safety in their ability to care for themselves


Provide Psychoeducation

2. Psychoeducation should focus on giving information to clients to help normalize presenting symptoms, to highlight po­tential short-term and long-term consequences of trauma and various paths to recovery, and to underscore the message that recovery is possible.

A. True

B. False


Offer Trauma-Informed Peer Support

3. Experts recommend using an established curriculum to guide the peer support process, as roles and expectations of the process can be confusing.

A. True

B. False


Advice to Counselors: Strategies To Normalize Symptoms

4. Which of the following is NOT one of the strategies endorsed to normalize trauma symptoms?

A. Provide psychoeducation on the common symptoms of traumatic stress

B. Research the client’s most preva­lent symptoms specific to trauma, and then provide education to the client

C. Have the client list his or her symptoms and then list the negative and positive consequences of the symptom

D. Help the client move toward setting desires and goals rather than focusing on trauma symptoms


Identify and Manage Trauma-Related Triggers

5. Most trauma survivors are able to draw an immediate connection between the internal or external trigger and their reac­tions, so the focus should be on learning to manage the triggers.

A. True

B. False


Teach Balance

6. In order to learn to balance traumatic experiences, survivors should be encouraged to tell each of their stories and to fully express their trauma histories.

A. True

B. False


Build Trust- Advice to Counselors: Strategies To Build Trust

7. The counselor can support the development of trust by establishing clear boundaries, being dependable, and working with the client to:

A. Define explicit treatment goals and methods

B. Resolve the issues that trouble them the most

C. Keep them safe from blame, anger or hurtful interactions

D. Nourish positive feelings of hope and self-esteem


Support Empowerment

8. A key facet of empowerment is to help clients build on their strengths, and it includes helping clients dis­cover what they “should” do and helping them take the steps they feel ready to take.

A. True

B. False


Advice to Counselors: Strategies To Acknowledge and Address Grief

9. Grieving processes can be emotionally over­whelming, but counselors can help their clients grieve by:

A. Being present

B. Normalizing the grief

C. As­sessing social supports and resources

D. All of the above


Treatment Issues-Pacing and Timing

10. Clients who enter treatment and immediately disclose past trauma are more likely to return to their follow-up sessions than those to take longer to disclose, probably because they have a greater need to process their experiences.

A. True

B. False


Length of Treatment

11. In general, longer treatment experiences should be expected for each of the following clients EXCEPT:

A. Those who have histories of multiple or early traumas

B. Those who experience am­nesia and delayed recall for trauma memories

C. Those who meet diagnostic criteria for multiple Axis I or Axis II diagnoses

D. Those who require intensive case management


Forgiveness

12. When facing the issue of forgiveness, it is key to allow survivors their feel­ings, even if they conflict with the counselor’s own responses.

A. True

B. False


Culturally and Gender Responsive Services

13. Cultural competence is a process that begins with an awareness of one’s own culture and beliefs, and it is rooted in respect, __________, and openness toward someone whose social and cultural background is differ­ent from one’s own.

A. Acceptance

B. Understanding

C. Validation

D. Tolerance


Gender

14. While women have higher rates of substance abuse and tend to experience traumatic events in public, men have higher rates of PTSD and often face trauma in a private setting.

A. True

B. False


Making Referrals to Trauma-Specific Services

15. One main factor in determining what referrals should be made to trauma-specific services is the severity of symptoms at the time of screening and assessment.

A. True

B. False


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