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Women and Trauma

Definition of Trauma

1. Trauma occurs when an external threat overwhelms a person’s coping resources.

A. True

B. False


2. To meet the DSM definition, trauma must also involve which of the following?

A. Intense fear

B. Helplessness or horror

C. Disorganized or agitated behavior in children

D. All of the above


Violence against Women and Girls

3. Due to violent television programming, how many murders will the typical child see by the time they have completed elementary school?

A. 1,000

B. 5,000

C. 8,000

D. 10,000


4. All of the following statements in regard to violence and gender are true, except for:

A. Men are most likely to experience violence from strangers.

B. Adolescent girls are most likely hurt by a superior such as a teacher or counselor.

C. Women and girls are most likely to be hurt by people they know intimately.

D. The greatest risk of harm for women in the military is from fellow soldiers.


Violence as a Public Health Epidemic: The ACE Study

5. Adverse Childhood Experiences scores are significantly correlated with depression, attempted suicide, hallucinations, the use of antipsychotic medications, the abuse of substances, multiple sex partners, and increased likelihood of becoming a victim of sexual assault or domestic violence.

A. True

B. False


6. High ACE scores are significantly related to which of the following health conditions?

A. Liver disease

B. Heart disease

C. Autoimmune disease

D. All of the above


7. Twenty-four percent of depression in women can be attributed to childhood abuse.

A. True

B. False


8. Adverse experiences in childhood affect the health and behavior of adults by increasing conventional risk factors such as smoking, excessive drinking, overeating, and engaging in risky sex - behaviors that are often used to cope with the pain of the trauma.

A. True

B. False


From Trauma to Trauma-Informed Care

9. People can be “re-traumatized” by helping professionals who fail to recognize their clients’ trauma histories and unintentionally recreate the dynamics of the original abuse.

A. True

B. False


10. In a trauma-informed program, which of the following is educated about trauma and its consequences?

A. Clinical staff

B. Support staff

C. Clients

D. All of the above


11. When someone has been traumatized, regaining control over their environment is the number one priority, therefore the emphasis is put on safety, choice, trustworthiness, collaboration, and empowerment.

A. True

B. False


U.S. Department of Defense (DOD)

12. All of the following are true with regard to the Family Advocacy Program, except:

A. FAP programs and services are available to service members only.

B. The FAP is managed by the Office of the Secretary of Defense and implemented by the military services.

C. The FAP provides resources for those experiencing child abuse and domestic abuse, including prevention services, early identification and intervention, support for victims, and treatment for offenders.

D. FAP is responsible for ensuring victim safety and access to support and advocacy services as well as ensuring that offenders receive appropriate intervention and treatment services.


Violence against Girls in Schools

13. Title IX is the law that prohibits discrimination against girls in athletics only.

A. True

B. False


ED - Office for Civil Rights (OCR)

14. Reporting school districts are not required to submit information regarding harassment, whether it has sexual harassment or bullying policies, school-level data on reported allegations of harassment or bullying based on sex, or school-level data on students disciplined for harassment or bullying based on sex.

A. True

B. False


15. OPE administers the Jeanne Clery Disclosure of Campus Security Policy and Campus Crime Statistics Act, which requires all colleges and universities that participate in federal financial assistance programs to do each of the following, except:

A. Collect statistics of crimes that occur on or around campus.

B. Issue timely warning to the campus community about crimes that may threaten the safety of students or employees, including the names of all persons involved in said crimes.

C. Prepare and disseminate an annual report that contains the crime statistics and the institution’s campus security policies.

D. Maintain a daily log of crimes that occurred on or around campus.


DHHS - Agency for Healthcare Research and Quality (AHRQ)

16. ACE study researchers believe that women’s significantly higher rates of childhood abuse may explain their proneness to all of the following ill-defined health problems, except:

A. Osteoporosis

B. Fibromyalgia

C. Chronic fatigue syndrome

D. Obesity


17. The majority of physicians, nurses, physician assistants, and medical assistants believe they have strategies that could assist victims of domestic abuse.

A. True

B. False


DHHS - Center for Disease Control and Prevention (CDC)

18. Compared to men, women fall under which of the following criteria?

A. Women experience significantly higher rates of abuse in all ACE categories except physical abuse and physical neglect.

B. Women report being victimized by family member significantly more often.

C. Women experience significantly higher levels of depression across all ACE scores.

D. All of the above.


DHHS - Substance Abuse and Mental Health Services Administration (SAMHSA) Center for Mental Health Services (CMHS)

19. Large-scale general population studies indicate that more severe abuse does not lead to higher symptomatology.

A. True

B. False


DHHS - SAMHSA Center for Substance Abuse Treatment (CSAT)

20. When women are separated from their children during an initial assessment, they may become extremely fearful for the safety of the child - especially if they see the child being led away by a male staff person.

A. True

B. False


DHHS - National Institutes of Health (NIH), Office of the Director, Division of Program Coordination, Planning and Strategic Initiatives, Office of Research on Women’s Health

21. Women are at a lower risk for violence when they are pregnant or post-partum.

A. True

B. False


DHHS - Administration for Children and Families, Office of Refugee Resettlement (ORR)

22. All of the following are true with regard to women and girl refugees, except:

A. Women refugees have higher levels of PTSD severity and more mental health symptoms than men.

B. Women and girls are at higher risk for torture due to their small size and in order to retaliate or intimidate family members.

C. Women and children comprise 30 percent of international war casualties and increasingly serve as combatants.

D. Women refugees without employment are at higher risk for sexual exploitation and abuse.


DHHS - Office on Women’s Health (OWH)

23. Current healthcare training requires _____ hour(s) on trauma for medicine and focuses primarily on mandated reporting.

A. 1

B. 2

C. 4

D. 6


24. Healthcare providers working in school systems or other child-serving agencies who are not trauma-informed can easily misinterpret trauma symptoms for which of the following?

A. Developmental problems

B. Nutrient deficiencies

C. Behavioral problems

D. All of the above


U.S. Department of Justice (DOJ) National Institute of Corrections (NIC)

25. All of the following are true, except:

A. Female inmates in federal and state prisons and in jails have a lower rate of mental health problems than male inmates.

B. Women are often introduced to drugs and crime by a partner and frequently use substances to mask the pain of abuse.

C. Trauma affects women’s re-entry into the community and can contribute to their risk of re-offending.

D. Women under correctional supervision are more likely to experience physical and sexual abuse than either male offenders or women in the general population.


DOJ - Office of Juvenile Justice and Delinquency Prevention (OJJDP)

26. Since traditional practices may backfire with girls who have trauma histories, it is critical for the juvenile justice system to become trauma-informed and to involve families whenever possible.

A. True

B. False


DOJ - Office for Victims of Crime (OVC)

27. Of female rape or sexual assault victims in 2009, the largest percentage were assaulted by which of the following?

A. A stranger

B. A friend or acquaintance

C. An intimate partner

D. A family member


28. Rape survivors who had the assistance of an advocate fell into which of the following groups?

A. Those more likely to have police reports taken.

B. Those less likely to be treated negatively by police officers.

C. Those less distressed after their contact with the legal system.

D. All of the above.


DOJ - Office on Violence against Women

29. According to a 2004 study by the Bureau of Justice statistics, which race of women were twice as likely to experience sexual assault crimes when compared to all other races?

A. African Americans

B. American Indians

C. Hispanics

D. Caucasians


U.S. Department of Labor

30. Pitney Bowes, Inc. developed a highly innovative personalized program to facilitate the timely, efficient return to work for employees on leave due to mental health issues.  The program is based on all of the following tenets, except:

A. If work is causing stress in a person’s life, they should look into unemployment or disability benefits.

B. Work has inherent therapeutic value.

C. An individual must suffer a significant amount of distress to reach the point where he or she cannot function adequately at work.

D. Absence from work longer than necessary is not beneficial and may be potentially harmful.


U.S. Department of Veterans Affairs (DVA)

31. All VA facilities screen Veterans for a history of military sexual trauma and provide free treatment for all military sexual trauma-related mental and physical health conditions.

A. True

B. False


New Partners and Next Steps

32. Victims of domestic violence are often isolated from support networks and financial resources by their abusers.  As a result, they may lack steady income, employment, credit history, or landlord references, making affordable housing options difficult to find.

A. True

B. False


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