NR606 Week 7 EXAM LATEST
QUESTIONS AND VERIFIED
CORRECT ANSWERS
-How trauma can affect it: Trauma can change patterns of procedural memory. For example, a
person might tense up and unconsciously alter their posture, which could lead to pain or even
numbness.
-Related brain area: The striatum is associated with producing procedural memory and creating
new habits.
Four Key Ways Collapse/Submit response to trauma Can Present in a Client. - correct answer 1.
Compliance / Obedience:
-going through the motions of life on autopilot
-feel detached from bodily experiences
-feelings no longer guide their actions
• Ex: domestic violence pt may no longer be aware of fear, which keeps the person in the
situation.
2. Treatment-Resistant Depression:
-ongoing, inescapable traumatic stress can lead to treatment-resistant depression.
• defining feature: learned helplessness.
3. Interpersonal Conflict:
-difficulty engaging with others &/or setting boundaries.
,4. Social Avoidance / Desire to Isolate: C
-difficult to engage in basic daily activities
• making meals or personal hygiene
-may withdraw socially.
Brain-based approaches to help clients after trauma - correct answer -Top-down approaches
• Encourage different ways of thinking
• Cognitive-Behavioral Therapy (CBT)
• Dialectical-Behavior Therapy (DBT)
• Mindfulness-based Cognitive Therapy (MBCT)
-Bottom-up approaches
• Ways to cope with emotions and defenses
• Eye Movement Desensitization and Reprocessing (EMDR)
• Yoga
• Trauma Resiliency Model (TRM)®
greater risk of experiencing four or more ACEs. - correct answer Females and racial/ethnic
minority groups
ACEs statistics - correct answer -almost half U.S. children (about 35 million) have had 1+ ACEs
-over 1/4 of child abuse/neglect is children <3
• victimization most common for children under a year
Tips when working with traumatized children - correct answer -establish a daily routine
, • predictability can be calming
-concentrate on support
-help build self-regulation
• schedule regular brain breaks to help children stay focused
-lead with empathy
-provide encouragement
-see what you can do to help
• ask children directly what you can do to help them make it through the day.
Challenging behaviors that result from toxic stress: - correct answer -Suffer anxiety in unfamiliar
situations
-Difficult to soothe
-Aggressive or impulsive
-Prone to bedwetting
-Become withdrawn
-Tend to lose recently acquired skills
The Adverse Childhood Experiences (ACE) Study - correct answer -assessing, retrospectively &
prospectively, the long-term impact of abuse & household dysfunction during childhood on the
following outcomes in adults:
• disease risk factors & incidence, quality of life, health care utilization, & mortality.
-Largest investigation between childhood adversities and adult wellbeing
• conducted at a Kaiser Permanente Facility in California from 1995-1997
-Study looked at 10 ACEs (3 categories)
• Abuse
• Neglect
• Household Challenges
QUESTIONS AND VERIFIED
CORRECT ANSWERS
-How trauma can affect it: Trauma can change patterns of procedural memory. For example, a
person might tense up and unconsciously alter their posture, which could lead to pain or even
numbness.
-Related brain area: The striatum is associated with producing procedural memory and creating
new habits.
Four Key Ways Collapse/Submit response to trauma Can Present in a Client. - correct answer 1.
Compliance / Obedience:
-going through the motions of life on autopilot
-feel detached from bodily experiences
-feelings no longer guide their actions
• Ex: domestic violence pt may no longer be aware of fear, which keeps the person in the
situation.
2. Treatment-Resistant Depression:
-ongoing, inescapable traumatic stress can lead to treatment-resistant depression.
• defining feature: learned helplessness.
3. Interpersonal Conflict:
-difficulty engaging with others &/or setting boundaries.
,4. Social Avoidance / Desire to Isolate: C
-difficult to engage in basic daily activities
• making meals or personal hygiene
-may withdraw socially.
Brain-based approaches to help clients after trauma - correct answer -Top-down approaches
• Encourage different ways of thinking
• Cognitive-Behavioral Therapy (CBT)
• Dialectical-Behavior Therapy (DBT)
• Mindfulness-based Cognitive Therapy (MBCT)
-Bottom-up approaches
• Ways to cope with emotions and defenses
• Eye Movement Desensitization and Reprocessing (EMDR)
• Yoga
• Trauma Resiliency Model (TRM)®
greater risk of experiencing four or more ACEs. - correct answer Females and racial/ethnic
minority groups
ACEs statistics - correct answer -almost half U.S. children (about 35 million) have had 1+ ACEs
-over 1/4 of child abuse/neglect is children <3
• victimization most common for children under a year
Tips when working with traumatized children - correct answer -establish a daily routine
, • predictability can be calming
-concentrate on support
-help build self-regulation
• schedule regular brain breaks to help children stay focused
-lead with empathy
-provide encouragement
-see what you can do to help
• ask children directly what you can do to help them make it through the day.
Challenging behaviors that result from toxic stress: - correct answer -Suffer anxiety in unfamiliar
situations
-Difficult to soothe
-Aggressive or impulsive
-Prone to bedwetting
-Become withdrawn
-Tend to lose recently acquired skills
The Adverse Childhood Experiences (ACE) Study - correct answer -assessing, retrospectively &
prospectively, the long-term impact of abuse & household dysfunction during childhood on the
following outcomes in adults:
• disease risk factors & incidence, quality of life, health care utilization, & mortality.
-Largest investigation between childhood adversities and adult wellbeing
• conducted at a Kaiser Permanente Facility in California from 1995-1997
-Study looked at 10 ACEs (3 categories)
• Abuse
• Neglect
• Household Challenges
