Instructions: Print this exam worksheet. Return to the course page using the link below. Read the course material. Enter your answers on this worksheet. Return to the course page and click the link 'Take Test.' Transfer your answers.
https://www.quantumunitsed.com/go/2364
1. Which of the following is NOT likely one of the factors that impact survivors’ immediate reactions in the aftermath of trauma?
A. The availability of natural supports and healers
B. Their coping and life skills and those of immediate family
C. The responses of the larger community in which they live
D. Their willingness to express emotions and process the trauma
2. In general, trauma survivors are highly resilient and develop appropriate coping strategies, and while most of them exhibit immediate reactions, these typically resolve without severe long-term consequences.
A. True
B. False
3. Immediate emotional reactions to trauma include shame, feelings of fragility, sleep disturbances, depersonalization, and grief responses.
A. True
B. False
4. Exposure to trauma leads to a cascade of biological changes and stress responses including:
A. Changes in limbic system functioning
B. Hypothalamic–pituitary–adrenal axis activity changes with variable cortisol levels
C. Neurotransmitter-related dysregulation of arousal and endogenous opioid systems
D. All of the above
5. One of cognitive or thought-process changes that can occur in response to traumatic stress is demonstrating inaccurate rationalizations or justifications of the perpetrator’s behavior, particularly if he or she is a caregiver, which is known as glorification.
A. True
B. False
6. Each of the following is an accurate statement about triggers and flashbacks related to trauma EXCEPT:
A. A trigger is a stimulus that sets off a memory of a trauma or a specific portion of a traumatic experience
B. A flashback is reexperiencing a previous traumatic experience as if it were actually happening in that moment, and includes reactions that often resemble the client’s responses during the trauma
C. Flashback experiences are always initiated by a trigger, and typically last several seconds
D. Some triggers can be identified and anticipated easily, but many are subtle and inconspicuous, often surprising the individual or catching him or her off guard
7. Experiences associated with dissociation include derealization, or psychologically “leaving one’s body,” as if watching oneself from a distance, or through depersonalization, which leads to a sense that what is taking place is unfamiliar or is not actually happening.
A. True
B. False
8. Self-destructive behaviors differ from self-harming behaviors in that there may be no immediate negative impact of the behavior on the individual, and they differ from suicidal behavior in that there is no intent to cause death in the short term.
A. True
B. False
9. Each age group is vulnerable in unique ways to the stresses of a disaster, with adolescents likely to exhibit symptoms such as rebellion, increased risky activities such as sexual acting out, wish for revenge and action-oriented responses to trauma, sleep and eating disturbances, and:
A. Depression and social withdrawal
B. Loss of ability to concentrate
C. Increased agitation and hypervigilance
D. Regression to child-like behavior
10. Acute stress disorder represents a normal response to stress and includes which of the following characteristics:
A. Symptoms develop within 2 weeks of the trauma and can cause significant levels of distress
B. Acute stress disorder is highly associated with the experience of long-term exposure to chronic traumatic stress
C. The primary presentation of an individual with an acute stress reaction is often withdrawal and refusal to discuss the traumatic event, acting as if everything is fine
D. People with ASD symptoms sometimes seek assurance from others that the event happened in the way they remember, that they are not “going crazy” or “losing it,” and that they could not have prevented the event
11. The important feature of PTSD is that the disorder becomes an orienting feature of the individual’s life, and impacts how well the person can work, with whom he or she associates, the nature of close and intimate relationships, the ability to have fun and rejuvenate, and how the person confronts and solves problems in life.
A. True
B. False
12. While PTSD may exacerbate anxiety disorder symptoms, it is also likely that preexisting anxiety symptoms and anxiety disorders increase vulnerability to PTSD.
A. True
B. False
13. The “susceptibility” hypothesis attempts to explain the relationship between PTSD and substance abuse by suggesting that clients with PTSD are likely to use substances in an attempt to relieve or numb emotional pain or to forget the event.
A. True
B. False
14. People with alcohol dependence report multiple types of sleep disturbances over time, including an increase in the amount of time it takes before sleep occurs, decreased overall sleep time, more nightmares, and:
A. Disruptive sleep-related events involving inappropriate actions during sleep
B. Reduced sleep efficiency
C. REM sleep disorder
D. A dread/fear of falling asleep or going to bed
15. Clinicians must recognize and help clients understand that becoming abstinent from substances does not resolve PTSD, and some that some PTSD symptoms become worse with abstinence, while also emphasizing that both disorders must be addressed in treatment.
A. True
B. False
Copyright © 2024 Quantum Units Education
Visit us at QuantumUnitsEd.com!