NR607 Week 7 2025/2026 Exam
Questions with Detailed Verified
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What happens in the brain during a potentially traumatic event - 🧠 ANSWER ✔✔-
brain stem is critical in fast, defensive responses. It's directly connected with the
retina
• retina sends visual info to the brain stem immediately, before higher levels of
brain are even aware of threat.
-If predator moves closer, periaqueductal gray initiates a fight or flight response.
• periaqueductal gray activates the sympathetic nervous system
➣HR goes up, Blood flow to muscles increases, BP increases, Pupils dilate.
-Not always safe or possible to fight or escape.
• may enter the freeze response, or feigned death.
• periaqueductal gray activates the parasympathetic nervous system as well.
1
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,➣Muscles get tight & freeze, Both gaze & breath may freeze, not cognitive choice
-"decisions" made at the level of the brain stem & nervous system
-Predator doesn't move away, the person may shutdown completely
• Hr drops. RR drops. Some people stop breathing. Muscles become limp.
Metabolism shuts down. Endorphins released.
• person enters state of "no pain", no longer aware of their surroundings.
• During inescapable trauma, this is a very adaptive way for the brain and body to
respond.
Four Key Ways Collapse/Submit Can Present in a Client - 🧠 ANSWER ✔✔1.
Compliance / Obedience
2. Treatment-Resistant Depression
3. Interpersonal Conflict
4. Social Avoidance / Desire to Isolate
Brain-based approaches to trauma - 🧠 ANSWER ✔✔-Top-down approaches
• Encourage different ways of thinking
• Cognitive-Behavioral Therapy (CBT)
2
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,• Dialectical-Behavior Therapy (DBT)
• Mindfulness-based Cognitive Therapy (MBCT)
-Bottom-up approaches
• Ways to cope with emotions & defenses
• Eye Movement Desensitization and Reprocessing (EMDR)
• Yoga
• Trauma Resiliency Model (TRM)
CDC has declared violence in the United States: - 🧠 ANSWER ✔✔an urgent
public health concern affecting people in all stages of life
Violence - 🧠 ANSWER ✔✔-extreme form of aggression
• can lead to trauma & lifetime of psychological, physical, & economic burdens for
individuals, families, & communities
What Happens When People Experience Violence or Trauma - 🧠 ANSWER
✔✔polyvagal theory
-nervous system attempts to regulate a traumatic event by activating the social
engagement system using relational cues
3
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, • facial expressions, vocalizations, & language
-social engagement system can only be activated when ind is within their window
of tolerance & views the threat as manageable given their skills and resources.
• when client perceives trauma or threat as unmanageable, they leave their window
of tolerance & nervous system moves into a state of defense
➣triggering a sympathetic or dorsal vagal response
➣sympathetic state can lead to fear, panic, and irritation, while the dorsal vagal
response can lead to a collapse/shutdown response
Nervous System's Response to Trauma - 🧠 ANSWER ✔✔-polyvagal theory
• nervous system has three pathways, each designed to protect you:
➣ventral vagal
➣sympathetic pathway
➣dorsal vagal pathway
-ventral vagal
• nervous system's optimal state
• state from which we can engage socially, and connect and co-regulate with others
4
COPYRIGHT@SARAHROSAPERAL 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
Questions with Detailed Verified
Answers (100% Correct Answers) |
Already Graded A+
What happens in the brain during a potentially traumatic event - 🧠 ANSWER ✔✔-
brain stem is critical in fast, defensive responses. It's directly connected with the
retina
• retina sends visual info to the brain stem immediately, before higher levels of
brain are even aware of threat.
-If predator moves closer, periaqueductal gray initiates a fight or flight response.
• periaqueductal gray activates the sympathetic nervous system
➣HR goes up, Blood flow to muscles increases, BP increases, Pupils dilate.
-Not always safe or possible to fight or escape.
• may enter the freeze response, or feigned death.
• periaqueductal gray activates the parasympathetic nervous system as well.
1
COPYRIGHT@SARAHROSAPERAL 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
,➣Muscles get tight & freeze, Both gaze & breath may freeze, not cognitive choice
-"decisions" made at the level of the brain stem & nervous system
-Predator doesn't move away, the person may shutdown completely
• Hr drops. RR drops. Some people stop breathing. Muscles become limp.
Metabolism shuts down. Endorphins released.
• person enters state of "no pain", no longer aware of their surroundings.
• During inescapable trauma, this is a very adaptive way for the brain and body to
respond.
Four Key Ways Collapse/Submit Can Present in a Client - 🧠 ANSWER ✔✔1.
Compliance / Obedience
2. Treatment-Resistant Depression
3. Interpersonal Conflict
4. Social Avoidance / Desire to Isolate
Brain-based approaches to trauma - 🧠 ANSWER ✔✔-Top-down approaches
• Encourage different ways of thinking
• Cognitive-Behavioral Therapy (CBT)
2
COPYRIGHT@SARAHROSAPERAL 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
,• Dialectical-Behavior Therapy (DBT)
• Mindfulness-based Cognitive Therapy (MBCT)
-Bottom-up approaches
• Ways to cope with emotions & defenses
• Eye Movement Desensitization and Reprocessing (EMDR)
• Yoga
• Trauma Resiliency Model (TRM)
CDC has declared violence in the United States: - 🧠 ANSWER ✔✔an urgent
public health concern affecting people in all stages of life
Violence - 🧠 ANSWER ✔✔-extreme form of aggression
• can lead to trauma & lifetime of psychological, physical, & economic burdens for
individuals, families, & communities
What Happens When People Experience Violence or Trauma - 🧠 ANSWER
✔✔polyvagal theory
-nervous system attempts to regulate a traumatic event by activating the social
engagement system using relational cues
3
COPYRIGHT@SARAHROSAPERAL 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
, • facial expressions, vocalizations, & language
-social engagement system can only be activated when ind is within their window
of tolerance & views the threat as manageable given their skills and resources.
• when client perceives trauma or threat as unmanageable, they leave their window
of tolerance & nervous system moves into a state of defense
➣triggering a sympathetic or dorsal vagal response
➣sympathetic state can lead to fear, panic, and irritation, while the dorsal vagal
response can lead to a collapse/shutdown response
Nervous System's Response to Trauma - 🧠 ANSWER ✔✔-polyvagal theory
• nervous system has three pathways, each designed to protect you:
➣ventral vagal
➣sympathetic pathway
➣dorsal vagal pathway
-ventral vagal
• nervous system's optimal state
• state from which we can engage socially, and connect and co-regulate with others
4
COPYRIGHT@SARAHROSAPERAL 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED
