Trauma Informed Care Test 3 – Questions/Answers
What Is Trauma Informed Care? Correct Ans - "Trauma-informed"
services are not specifically designed to treat symptoms or syndromes
related to sexual or physical abuse or other trauma
They are informed about, and sensitive to, trauma-related issues present in
survivors
Types of Trauma That Often Result in Mental Health & Substance Use
Problems Correct Ans - Interpersonal in nature: intentional,
prolonged, repeated, severe
Sexual & physical abuse, severe neglect, emotional abuse
Witnessing violence, repeated abandonment, sudden and traumatic loss
Often occurs in childhood and adolescence and may extend over an
individual's life span
ACE Study
(Adverse Childhood Experiences) from Conception --> Death Correct
Ans - Adverse Childhood Experiences --> Social, Emotional, & Cognitive
Impairments--> Adoption of Health-risk behaviors --> Disease, disability,
and social problems --> Early death
STATS: Persons in Adult Substance Use Disorder Treatment Settings
Correct Ans - Up to two-thirds of men and women in substance use
disorder treatment report childhood history of abuse & neglect
Study of male veterans in an inpatient unit
77% exposed to severe childhood trauma
58% history of lifetime PTSD
55-99% of women with substance use disorders have a lifetime history of
trauma; 50% of women in treatment have history of rape or incest
Consequences of Trauma Correct Ans - Faulty control methods:
Over-control
Self-blame
Passivity
Addictive behavior
Self-harm
Impaired attachments:
, Warmth by friction
Interpersonal skill deficits
Sx of PTSD Correct Ans - Intrusive Re-experiencing
Avoidance
Hyperarousal
Dissociation
Intrusive Re-experiencing Correct Ans - People with PTSD
frequently feel as if the trauma is happening again. This is may be called a
flashback, reliving experience, or abreaction. The person may have
intrusive pictures in his/her head about the trauma, have recurrent
nightmares, or may even experience hallucinations about the trauma.
Avoidance Correct Ans - People with PTSD work hard to avoid
anything that might remind them of the traumatic experience.
May try to avoid people, places or things that are reminders, as well as
numbing out emotions to avoid painful, overwhelming feelings.
Numbing of thoughts and feelings in response to trauma is known as
"dissociation" and is a hallmark of PTSD.
People with PTSD may use drugs or alcohol to avoid trauma-related
feelings and memories.
Hyperarousal Correct Ans - Symptoms of psychological and
physiological arousal are very distinctive in people with PTSD. They may be
very jumpy, easily startled, irritable and may have sleep disturbances like
insomnia or nightmares. They may seem constantly on guard and may find
it difficult to concentrate. Sometimes persons with PTSD will have panic
attacks accompanied by shortness of breath and chest pain.
Dissociation Correct Ans - Involuntary mental process.
Produces a lack of connection in a person's
thoughts, memories, feelings, actions, or sense identity.
Certain information is not associated with other information as it normally
would be.
Dissociation - During a traumatic experience, a person may: Correct
Ans - Experience a sense of derealization, depersonalization, floating
above, or observing trauma at a distance.
What Is Trauma Informed Care? Correct Ans - "Trauma-informed"
services are not specifically designed to treat symptoms or syndromes
related to sexual or physical abuse or other trauma
They are informed about, and sensitive to, trauma-related issues present in
survivors
Types of Trauma That Often Result in Mental Health & Substance Use
Problems Correct Ans - Interpersonal in nature: intentional,
prolonged, repeated, severe
Sexual & physical abuse, severe neglect, emotional abuse
Witnessing violence, repeated abandonment, sudden and traumatic loss
Often occurs in childhood and adolescence and may extend over an
individual's life span
ACE Study
(Adverse Childhood Experiences) from Conception --> Death Correct
Ans - Adverse Childhood Experiences --> Social, Emotional, & Cognitive
Impairments--> Adoption of Health-risk behaviors --> Disease, disability,
and social problems --> Early death
STATS: Persons in Adult Substance Use Disorder Treatment Settings
Correct Ans - Up to two-thirds of men and women in substance use
disorder treatment report childhood history of abuse & neglect
Study of male veterans in an inpatient unit
77% exposed to severe childhood trauma
58% history of lifetime PTSD
55-99% of women with substance use disorders have a lifetime history of
trauma; 50% of women in treatment have history of rape or incest
Consequences of Trauma Correct Ans - Faulty control methods:
Over-control
Self-blame
Passivity
Addictive behavior
Self-harm
Impaired attachments:
, Warmth by friction
Interpersonal skill deficits
Sx of PTSD Correct Ans - Intrusive Re-experiencing
Avoidance
Hyperarousal
Dissociation
Intrusive Re-experiencing Correct Ans - People with PTSD
frequently feel as if the trauma is happening again. This is may be called a
flashback, reliving experience, or abreaction. The person may have
intrusive pictures in his/her head about the trauma, have recurrent
nightmares, or may even experience hallucinations about the trauma.
Avoidance Correct Ans - People with PTSD work hard to avoid
anything that might remind them of the traumatic experience.
May try to avoid people, places or things that are reminders, as well as
numbing out emotions to avoid painful, overwhelming feelings.
Numbing of thoughts and feelings in response to trauma is known as
"dissociation" and is a hallmark of PTSD.
People with PTSD may use drugs or alcohol to avoid trauma-related
feelings and memories.
Hyperarousal Correct Ans - Symptoms of psychological and
physiological arousal are very distinctive in people with PTSD. They may be
very jumpy, easily startled, irritable and may have sleep disturbances like
insomnia or nightmares. They may seem constantly on guard and may find
it difficult to concentrate. Sometimes persons with PTSD will have panic
attacks accompanied by shortness of breath and chest pain.
Dissociation Correct Ans - Involuntary mental process.
Produces a lack of connection in a person's
thoughts, memories, feelings, actions, or sense identity.
Certain information is not associated with other information as it normally
would be.
Dissociation - During a traumatic experience, a person may: Correct
Ans - Experience a sense of derealization, depersonalization, floating
above, or observing trauma at a distance.
