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Quantum Units Education

Trauma Informed Care for Displaced Populations

Understanding the Needs of Displaced Populations

1. Among the most significant challenges for immigrant populations are high rates of violence and associated stressors.

A. True

B. False

2. Which of the following groups is most at-risk for social and cultural isolation, poverty, and homelessness, and struggle to fully integrate into the U.S. society?

A. Children that live in households with no English speaking parents.

B. Children that live in bi-lingual households.

C. Children who live with one foreign-born parent and one native-born parent.

D. All of the above.

3. Which of the following makes an experience traumatic?

A. It is overwhelming.

B. It results in intense feelings of fear and lack of control.

C. It leaves people feeling helpless.

D. All of the above.

4. Family separation, loss of loved ones, and lack of food are stressors relating to which stage of migration?

A. Pre-migration

B. Migration

C. Resettlement

D. Post-migration

5. Acute symptoms following a traumatic experience may include all of the following, except:

A. Self-harm or suicidal behaviors

B. Agitation, irritability, and anxiety

C. Trouble concentrating

D. Feeling numb or disconnected

6. In teens, post-traumatic stress disorder symptoms may include all of the following, except:

A. Aggressive or impulsive behaviors.

B. Out of place sexual behavior.

C. Low self-worth.

D. Self-harm.

7. Current criteria for diagnosing post-traumatic stress disorder capture all cultural variations and without awareness of these cultural variations, providers may miss critical information that helps them to make an accurate diagnosis.

A. True

B. False

8. People who have experienced on-going trauma are no more likely than the general population to view the world and other people as unsafe.

A. True

B. False

9. Which of the following stressors in service settings may be triggering and lead to heightened and seemingly extreme responses that may be misunderstood by providers as purposefully offensive, rude, or aggressive?

A. Completing paperwork

B. Being asked personal questions

C. Demands from staff

D. All of the above

10. Survivors who are further traumatized within service systems by unrealistic demands and harsh responses by staff become increasingly wary of and triggered by all people’s efforts to help and may drop out of services altogether.

A. True

B. False

11. To adapt to prolonged traumatic experiences, trauma survivors may develop symptoms that mimic all of the following, except:

A. Anxiety disorders

B. Obsessive-compulsive disorder

C. Bipolar disorder

D. Borderline personality disorder

Providing Trauma-Informed Care

12. Adopting a trauma-informed approach means viewing survivors’ behaviors, responses, attitudes, and emotions as a collection of survival skills developed in response to traumatic experiences.

A. True

B. False

13. Preliminary outcomes of trauma-informed care include:

A. Improved functioning and decreased emotional symptoms.

B. Decreased use of crisis-based services.

C. Enhanced self-identity, skills, and safety among survivors.

D. All of the above.

Developing and Piloting: Trauma-Informed Organizational Self-Assessment for Displaced Populations

14. All of the following are key components of a trauma-informed organization, except for:

A. Training and education on trauma.

B. Supervision that includes discussions about trauma.

C. Volunteer opportunities to work with trauma survivors.

D. A focus on self-care for the provider.

15. Staff education should include a focus on how working with trauma survivors can impact staff, such as vicarious traumatization or compassion fatigue, to raise staff awareness about their own triggers and level of burnout, and how these issues can impact their work with their clients.

A. True

B. False

16. Skills and strategies for working with trauma survivors include all of the following, except:

A. Using motivational interviewing techniques.

B. Learning how to develop safety and crisis-prevention plans.

C. Integrating consumer voice in treatment.

D. Creating connections with other community-based service providers.

17. The program can support staff over the long-term by creating a culture of self-care that includes encouraging staff members to:

A. Take breaks

B. Eat Lunch

C. Use vacation time

D. All of the above

18. Specific areas within a building, such as bathrooms, can be particularly triggering for those who have abuse histories.

A. True

B. False

19. Open communication with consumers involves using all of the following active listening skills, except for:

A. Eschewing emotion

B. Open-ended questions

C. Affirmations

D. Reflective listening

20. Potential triggers for children include all of the following, except:

A. Authority figures

B. Loud noises

C. Changes in routine

D. Physical touch

21. Conducting the intake assessment in a trauma-informed manner includes which practice?

A. Conducting the intake in a private space.

B. Offering people options about where to sit and who to have in the room with them.

C. Offering water and breaks.

D. All of the above.

22. For trauma survivors, developing goals and plans for obtaining housing, employment, and other types of services may seem intimidating and overwhelming.  In these situations, it is easy for the consumer to “freeze,” so providers should be ready to take over.

A. True

B. False

23. People who have experienced trauma sometimes disconnect from emotions and physical sensations in an attempt to cope.  Body-oriented, non-verbal activities serve as a way for trauma survivors to reconnect to their bodies, manage their feelings, and communicate in non-traditional ways.

A. True

B. False

Implementing: Trauma-Informed Organizational Self-Assessment for Displaced Populations

24. It is helpful to have co-leaders to facilitate the change process of being trauma-informed so that one person is not the sole champion of the entire process.

A. True

B. False

25. The point to becoming trauma-informed is increasing individual trauma knowledge.

A. True

B. False

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