#6-Trauma Issues Quiz

Name *

Date *

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1. Trauma experience to resolution in domestic abuse includes

1 point

Column 1

Experience of Adverse childhood experiences (ACE) and/or Intergenerational Transmission

Manifestations in Physical Health—short and long-term; Mental/Emotional Health

Resolution focus reframed to Promote Strengths & Build Resilience

All of the above

Clear selection

2. Strength based approaches start with

1 point

Column 1

what is working

where you are strong, and successful

passionate

All of the above

Clear selection

3. Resilience is defined as

1 point

Column 1

an individual's capacity to withstand stressors

an individual's capacity to not manifest psychological dysfunction

training and development of adaptive coping skills

All of the above

Clear selection

4. The 3 Types of Stress that Impact Brain Architecture are

1 point

Column 1

Positive Stress--A necessary aspect of healthy development that occurs in the context of stable, supportive relationships.

Tolerable Stress--responses that could disrupt brain architecture, but are buffered by supportive relationships.

Toxic Stress--Strong, prolonged activation of the body’s stress response systems in the absence of the buffering protection of adult support.

All of the above

Column 1

Positive Stress--A necessary aspect of healthy development that occurs in the context of stable, supportive relationships.

Tolerable Stress--responses that could disrupt brain architecture, but are buffered by supportive relationships.

Toxic Stress--Strong, prolonged activation of the body’s stress response systems in the absence of the buffering protection of adult support.

All of the above

Clear selection

5. Emily is concerned about her children’s emotional and physical development given that their father is more interested in them eating junk food and unhealthy meals to “make up for them missing out on those things with their mother”. She asks you how she can help her children manage their traumatic distress when they are unable to tell their father they want the same kind of healthy food mother provides. You help her understand how she can

1 point

Column 1

Help them communicate their distress to her because she cares about them

Respond adequately

Help them return to a state of equilibrium following a stressful event

All of the above

Clear selection

6. Psychological trauma can result from events we have long recognized as traumatic, including:

1 point

Column 1

physical assault including rape, incest, molestation, domestic abuse

hearing about violence to or sudden death of someone close

experiencing or witnessing horrific injury, carnage or fatalities

All of the above

Clear selection

7. Sources of developmental or relational trauma include the following:

1 point

Column 1

a. forced separation very early in life from primary caregiver;

b. chronic mis-attunement of caregiver to child's attachment signals ("mal-attachment") or reasons such as physical or mental illness, depression or grief.

Both 1 and 2

Neither 1 or 2

Clear selection

8. Which of these are Common Elements of Emotional Trauma

1 point

Column 1

a. It was unexpected

b. The person was unprepared

c. There was nothing the person could do to prevent it from happening.

d. All of the above

Clear selection

9. Jason and Sarah watched and listened as their father repeatedly threatened to hurt their mother if she failed to have dinner on the table every night exactly at 6:00 p.m. As an adult, Jason demanded his girlfriend get his dinner on the table at 6:00 p.m. every night. Sarah was flexible with getting dinner on the table each night. She would fit it into her daily schedule based on what happened during the day.

1 point

Column 1

Jason’s response was based on his experience of the trauma he encountered while growing up. He wanted to maintain control in all areas of his life.

Sarah’s adult response was to flow with the rhythm of the day.

Neither child’s adjustment to the experience of the dinnertime trauma was predictable.

All of the above

Clear selection

10. Traumatic events that can lead to post-traumatic stress disorder (PTSD) include:

1 point

Column 1

a. Rape, including marital rape

b. Kidnapping, Violent assault

c. Sexual or physical abuse

d. ACE (Adverse Childhood Experiences) Factors

e. All of the above

Clear selection

11. Post-traumatic Stress is defined as exposure to actual or threatened death, serious injury or sexual violation. The exposure must result from one or more of the following scenarios, in which the individual:

1 point

Column 1

directly experiences the traumatic event;

witnesses the traumatic event in person;

learns that the traumatic event occurred to a close family member or close friend (with the actual or threatened death being either violent or accidental)

All of the above

Clear selection

12. Post-traumatic Stress symptoms may include:

1 point

Column 1

Re-experiencing which covers spontaneous memories of the traumatic event, recurrent dreams related to it, flashbacks or other intense or prolonged psychological distress.

Avoidance refers to distressing memo¬ries, thoughts, feelings or external reminders of the event.

Negative cognitions and mood represents myriad feelings, from a persistent and distorted sense of blame of self or others, to estrangement from others or markedly diminished interest in activities, to an inability to remember key aspects of the event.

All of the above

Column 1

Re-experiencing which covers spontaneous memories of the traumatic event, recurrent dreams related to it, flashbacks or other intense or prolonged psychological distress.

Avoidance refers to distressing memo¬ries, thoughts, feelings or external reminders of the event.

Negative cognitions and mood represents myriad feelings, from a persistent and distorted sense of blame of self or others, to estrangement from others or markedly diminished interest in activities, to an inability to remember key aspects of the event.

All of the above

Clear selection

13. Other Post-traumatic Stress symptoms may include:

1 point

Column 1

Arousal marked by aggressive, reckless or self-destructive behavior, sleep disturbances, hyper-vigilance or related problems.

The current manual emphasizes the “flight” aspect associated with PTSD; the criteria of DSM-5 also account for the “fight” reaction often seen.

Both A and B

Neither A nor B

Clear selection

14. Sally calls you to help her with her custody case. She tells you she keeps remembering how her husband would yell at her while being all puffed up and red in the face. He would put her down about her parenting even though he ignored the children. As she tells you this, she starts to cry, says her heart is pounding, and tells you she is shaking. Which of the following is she re-experiencing of the traumatic events of her marriage.

1 point

Column 1

Intrusive, upsetting memories of the event

Flashbacks (acting or feeling like the event is happening again)

Feelings of intense distress when reminded of the trauma

Intense physical reactions to reminders of the event (e.g. pounding heart, rapid breathing, nausea, muscle tension, sweating)

All of the above

Clear selection

15. Sally continues to describe how she doesn’t like to drive by their old house and hates having to do child exchanges there. After the exchanges, she tells you she goes back home, closes all her curtains, sits in the dark and drinks several glasses of wine. She feels like she lost all her friends from her church community. Which of these PTSD symptoms of avoidance and emotional numbing is Sally describing when she describes what is happening with her currently?

1 point

Column 1

Avoiding activities, places, thoughts, or feelings that remind her of the trauma

Loss of interest in activities and life in general

Feeling detached from others and emotionally numb

All of the above

Clear selection

16. Sally tells you she tosses and turns at night, lying awake for hours with her mind racing, and awakens exhausted. She finds herself being short with her children and apologizing for her outbursts. When she tries to concentrate on court documents her attorney wants, she gets distracted and keeps falling behind. She startles at every unfamiliar noise and is constantly thinking she has to watch every move she makes for fear it will come back on her in court. Which of these PTSD symptoms of increased arousal does Sally describe?

1 point

Column 1

Difficulty falling or staying asleep

Irritability or outbursts of anger; Difficulty concentrating

Hypervigilance (on constant “red alert”); Feeling jumpy and easily startled

All of the above

Clear selection

17. Other common symptoms of post-traumatic stress disorder you want to check out with Sally include:

1 point

Column 1

a. Guilt, shame, or self-blame: Depression and hopelessness

b. Suicidal thoughts and feelings; Feeling alienated and alone

c. Feelings of mistrust and betrayal

d. All of the above

Clear selection

18. The Process of Trauma includes:

1 point

Column 1

Traumatic Event

Sensitized Nervous System

Changes In Brain

Current Stress

All of the above

Clear selection

19. Trauma, PTSD, and Relationship Violence requires the advocate to

1 point

Column 1

Separate from PTSD, a connection has been found between the experience of certain traumatic events and relationship violence.

Determine if women they are supporting have experienced physical abuse, sexual abuse, or emotional neglect in childhood.

Help her understand she may be more likely to be in an abusive intimate relationship as compared to people without a history of childhood trauma.

All of the above

Column 1

Separate from PTSD, a connection has been found between the experience of certain traumatic events and relationship violence.

Determine if women they are supporting have experienced physical abuse, sexual abuse, or emotional neglect in childhood.

Help her understand she may be more likely to be in an abusive intimate relationship as compared to people without a history of childhood trauma.

All of the above

Clear selection

20. Betrayal Trauma

1 point

Column 1

Occurs when the people or institutions on which a person depends for survival significantly violate that person’s trust or well-being.

Includes childhood physical, emotional, or sexual abuse perpetrated by a caregiver.

Involves coercive controlling relationships which have the same elements of betrayal trauma as childhood trauma.

All of the above

Clear selection

21. Brain Architecture and emotional or psychological trauma can show impacts in the following parts of the brain on autopsy:

1 point

Column 1

the cortex (the outer surface, where higher thinking skills arise; includes the frontal cortex, the most recently evolved portion of the brain)

the limbic system (the center of the brain, where emotions evolve)

the brain stem (the reptilian brain that controls basic survival functions)

All of the above

Clear selection

22. ACE Study (Adverse Childhood Experiences) is important for advocates to understand because experiences that represent health or social problems are important when supporting safe parents to find the best options for preventing their children from developing ACE factors. Some ACE Factors are:

1 point

Column 1

childhood abuse and neglect

growing up with domestic violence,

substance abuse or mental illness in the home

parental discord or crime

All of the above

Clear selection

23. Male Involvement in Teen Pregnancy studies found

1 point

Column 1

19% of men had impregnated a teenage girl

the mean age of the males at the time of the impregnation was 20.7 years

60% of males were 20 years or older at the time of impregnation

All of the above

Clear selection

24. Children’s exposure to domestic violence impacted

1 point

Column 1

Social, Emotional, and Behavioral functioning

Cognitive and General health functioning

Co-occurrence of child abuse increased the level of emotional and behavioral problems above and beyond exposure alone

All of the above

Clear selection

25. Trauma-Informed Services take into account

1 point

Column 1

Avoid triggering trauma reactions and/or traumatizing the individual.

Adjust the behavior of advocates, counselors, other staff and the organization to support the individual’s coping capacity.

Allow survivors to manage their trauma symptoms successfully so that they are able to access, retain, and benefit from the services.

All of the above

Clear selection

26. Core Principles of Trauma-Informed Care include

1 point

Column 1

Safety (physical and emotional); Trustworthiness

Choice; Collaboration

Empowerment

All of the above

Clear selection

27. Brain Development--Key Points include

1 point

Column 1

The brain develops from the most primitive functions to the most complex

Normal development of systems and functions they mediate requires specific signals at specific times

These critical periods are times of sensitivity to environmental input—including traumatic experience

Different functions (regulation of anxiety, mood, abstract thought) develop or mature at different times in the life of a child

All of the above

Column 1

The brain develops from the most primitive functions to the most complex

Normal development of systems and functions they mediate requires specific signals at specific times

These critical periods are times of sensitivity to environmental input—including traumatic experience

Different functions (regulation of anxiety, mood, abstract thought) develop or mature at different times in the life of a child

All of the above

Clear selection

28. Individual and Family Resiliency Factors include

1 point

Column 1

Good physical and mental health

Positive attachments and relationships

Emotional and Cognitive competence

Self-esteem/self-worth

All of the above

Clear selection

29. Community and Structural Resiliency Factors include:

1 point

Column 1

Community networks and leadership

Financial resources

Empowerment and decision-making avenues

Community facilities; Health, education, and social systems

All of the above

Clear selection

30. Well-being has five measurable elements (PERMA) that count toward it:

1 point

Column 1

Positive emotion (of which happiness and life satisfaction are all aspects)

Engagement

Relationships

Meaning and purpose

Accomplishment

All of the above

Clear selection

31. How are you better prepared to be a trauma-informed advocate as a result of this course? *

1 point

32. Traumatic stressors have a wide range of causes including domestic abuse/coercive control without physical violence. *

Disagree

1

2

3

4

5

Agree

33. Previously, domestic abuse advocates missed asking about strangulation injuries that could result in TBI. *

Disagree

1

2

3

4

5

Agree