NR505NP WEEK 7 COMPREHENSIVE STUDY
GUIDE 2026
◉ 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)
• 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
• 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
• we often feel more calm, curious, grounded, and safe
-sympathetic pathway
• defensive pathway that gets the body to mobilize into a fight or
flight response, or an attach/cry-for-help response
• we might feel fear, panic, irritation, anger, or even rage
-dorsal vagal pathway
• defensive pathway that gets the body to immobilize into a
collapse/shutdown response
• we may feel numb, depressed, ashamed, hopeless, or lethargic
• We may dissociate
◉ polyvagal theory: ventral vagal. Answer: -ventral vagal
• nervous system's optimal state
GUIDE 2026
◉ 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)
• 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
• 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
• we often feel more calm, curious, grounded, and safe
-sympathetic pathway
• defensive pathway that gets the body to mobilize into a fight or
flight response, or an attach/cry-for-help response
• we might feel fear, panic, irritation, anger, or even rage
-dorsal vagal pathway
• defensive pathway that gets the body to immobilize into a
collapse/shutdown response
• we may feel numb, depressed, ashamed, hopeless, or lethargic
• We may dissociate
◉ polyvagal theory: ventral vagal. Answer: -ventral vagal
• nervous system's optimal state
