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Quantum Units Education®

Trauma Informed Care for Homeless Women Veterans

Introduction

1. Among homeless female veterans, the experience of trauma prior to enlistment coupled with trauma experienced while in uniform is a common denominator.

A. True

B. False


2. Which of the following is NOT an accurate statement about the use of VA services by women?  

A. Women who have experienced combat may be likely to feel that services provided at the Veterans Health Administration (VHA) are too male-centered

B. One study found that many providers lacked a complete understanding of the increased likelihood of a female patient being in a caregiver role and its implications for her health, which may inhibit desire to seek services

C. Despite acknowledging some discomfort with using VA services, there is evidence that female veterans are more likely to use the VA than male veterans

D. Woman who use VA services at higher rates have certain characteristics including being older, unmarried, not having children, and having lower socioeconomic status tan less frequent users


Homelessness

3. Service needs for female veterans who are homeless or at risk of homelessness include therapy to address the impact of trauma, supportive services that create community among veterans, transitional employment and job training, safe living environments and options for substance abuse treatment.

A. True

B. False


4. Hyperarousal is a symptom of Post-Traumatic Stress Disorder that involves re-experiencing the traumatic event in the form of flashbacks, nightmares, intrusive thoughts, images, and so on.

A. True

B. False


Findings From The California Woman Veterans Who Are Homeless Listening Sessions

5. A common theme among female veterans involves the stress associated with being a female service member in a predominately male-orientated military culture where ___________, harassment, and sexual assault are prevalent.  

A. Machismo

B. Dominance

C. Misogyny

D. Power Imbalances


Exposure To Trauma Impacts All Aspects Of Daily Functioning

6. For females veterans, repeated experiences of trauma both within and outside of the military environment contribute to a high prevalence of substance abuse, mental health issues, difficulty accessing and maintaining employment, and difficulty accessing services and supports.

A. True

B. False


7. Most women who have served in the military readily identify with their veteran status and therefore find it increasingly frustrating that services for them are inadequate.

A. True

B. False


8. For woman veterans, the transition out of the military into civilian life is often difficult, and resources to assist them are often inferior, non-existent, or are kept secret.

A. True

B. False


National Center Key Issues

9. Based on the results of the listening sessions with female veterans, The National Center designed a strategy to address each of the following key issues EXCEPT:

A. Homeless female veterans have experienced traumatic stress

B. Responses to traumatic stress are maladaptive

C. Trauma impacts how female veterans access services

D. Homeless female veterans require specific, tailored interventions


Section 2: Defining Trauma-Informed Care

10. A traumatic experience is one that involves a threat to one’s physical or emotional well-being, results in intense feelings of fear and lack of control, leaves people feeling helpless, and:

A. Is overwhelming

B. Changes the way a person functions

C. Molds roles and relationships

D. Impacts all biological, cognitive and emotional responses


Foundational Principles

11. Helping consumers regain a sense of control over their daily lives and build competencies that will strengthen their ability to successfully interact with others is one of fundamental principles that represents the core values of trauma-informed care.

A. True

B. False


Outcomes of Trauma-Informed Service Provision

12. Preliminary outcomes of trauma-informed care include improved functioning and a decrease in psychiatric symptoms and substance use in adults, and enhanced self-identity and coping skills among children.

A. True

B. False


Section 3: Domain 1: Supporting Staff Development

13. Key components of staff development for a trauma informed organization include training and education on trauma, supervision that incudes discussions about trauma, and a focus on:  

A. Self-care for the provider

B. Strategies to enhance peer to peer support

C. Integrating culturally or contextually centered models

D. Tools for implementing evidence-based practices


Training and Education

14. Large group trainings are not recommended for initial staff training about trauma, as these settings make it difficult to promote open communication and peer support.

A. True

B. False


Figure 1: Tips for Sustaining Education and Awareness

15. In order to support organizational change to sustain trauma education and awareness, experts recommend:

A. Creating a “trauma workgroup”

B. Incorporating trauma language and maintaining military specific knowledge

C. Establishing external networks of support

D. All of the above


Domain 2: Creating a Safe and Supportive Environment

16. Traumatic experiences violate the fundamental belief that the world is a safe place and people can be trusted, so creating a safe supportive, welcoming, and respectful environment is essential in any services setting.

A. True

B. False


Establishing a Supportive Environment

17. Establishing a safe and welcoming emotional environment requires programs to create a culture of open communication, tolerance, respect, and:

A. Trust

B. Community

C. Stability

D. Hope


Information Sharing

18. During intake procedures, it is particularly important to ask female participants their veteran status in order to address their specific experiences and needs.

A. True

B. False


Cultural Competence

19. While traumatic events happen to people from all racial and ethnic backgrounds, culture plays a significant role in the types of trauma that may be experienced, the risk for continued trauma, how survivors manage and express their experiences, and:

A. How the community validates and respects the trauma survivor

B. How fundamental beliefs, values, and attitudes govern recovery

C. Which supports and interventions are most effective

D. How trauma responses are viewed and judged


Open and Respectful Communication

20. Since female trauma survivors often enter service settings with a sense of secrecy and distrust, it is helpful to ask specific questions that don’t require open-ended answers, as such questions may be intrusive or overwhelming.

A. True

B. False


Figure 4: Creating Consumer Crisis Prevention Plans

21. A written, individualized consumer self-care or crisis-prevention plan should include each of the following EXCEPT:

A. A list of situations that the consumer finds stressful or overwhelming and remind her of past traumatic experiences

B. Ways that the consumer shows that she is stressed or overwhelmed

C. Staff responses that are helpful when the consumer is feeling upset or overwhelmed as well as those that are not helpful

D. A no self-harm/safety contract signed by the client


Domain 3: Assessing and Planning Services

22. Given the risk for post-traumatic brain injury among female veterans, screening tools should be used to diagnose these issues during the intake process.

A. True

B. False


Figure 6: Essentials for Assessing and Planning Services with Female Veterans Who Are Homeless

23. When providing services for female veterans who are homeless, treatment plans should include goals that are generated by the trauma specialist, with input from the female veterans themselves.

A. True

B. False


Offering Services and Supports to Female Veterans Experiencing Homelessness

24. In addition to emotional supports, female veterans who are homeless identify a number of practical or instrumental supports that are necessary to achieve stability, including legal services, educational advocacy, job skills-building, housing services, transportation, and childcare.

A. True

B. False


Domain 4: Involving Consumers

25. Organizations can facilitate empowerment by giving female veterans a voice in what happens on a daily basis in the program and providing opportunities for them to be directly involved in developing program activities and evaluating program practices.

A. True

B. False


Domain 5: Adapting Policies-Establishing Written Polices

26. When establishing written trauma-informed policies, agencies should focus first on:

A. Creating polices that address issues of safety

B. Outlining the program’s response to a consumer crisis

C. Having a written commitment to understanding the needs of this population and tailoring services to meet these needs

D. Developing a formal commitment to hiring staff with similar life experiences to those being served


Domain 6: Working With Children

27. When working with children or homeless veterans, questions about traumatic experiences, achievement of developmental tasks, and the quality of the parent/child relationship should be addressed during intake.

A. True

B. False


A Word About Children

28. Traumatized children may behave in ways that are consistent with a diagnosis of attention deficit hyperactivity disorder, bipolar disorder, oppositional-defiant disorder or:

A. Anxiety disorders

B. Reactive-attachment disorder

C. Impulse control disorder

D. PTSD


Section #4-Implementing the Self-Assessment-Becoming Trauma Informed

29. Creating a trauma-informed organization requires a system-wide commitment to changing the practice, policies, and _______ of the entire organization.

A. Customs

B. Protocols

C. Culture

D. Priorities


Section #4-Building Knowledge and Gaining Buy-In- Step 3

30. When providing education on trauma-informed services, it is helpful to have experts who can also provide ongoing consultation and can be called on for additional help and support during other steps in the change process.

A. True

B. False


Step 4:

31. If a staff members exhibit overreaching negativity abut change, program leaders may want to think about how to begin the process more slowly and on a smaller scale.

A. True

B. False


Completing The Self-Assessment

32. When completing the self-assessment, staff members should answer the questions openly and honestly, as their responses will be used to evaluate their individual performances as well as the practices of the organization as a whole.

A. True

B. False


Developing a Strategic Plan

33. A strategic plan for the program includes the following EXCEPT:

A. Identified and agreed upon goals and specific steps to reach each goal

B. Resources needed to achieve each goal

C. A realistic timeframe or achievement of each goal

D. A means to evaluate and modify each goal


34. Change within an organization is most effective when identified goals reflect the needs of service providers in varying roles, at all levels of the organization.

A. True

B. False


What Does Becoming Trauma-Informed Look Like?

35. Organizations who have a better understanding of trauma tend to be more collaborative, less punitive with consumers, and more ______________ in their approach.

A. Open-minded

B. Adaptive

C. Solutions-based

D. Gender-specific


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