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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
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
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
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
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
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
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
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
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
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
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
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
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
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
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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