NU665 Exam 2 practice questions
1. A key principle of trauma-informed care empha- Answer: CRationale: Trau-
sizes:A) Diagnosing the trauma as early as pos- ma-informed care empha-
sibleB) Prioritizing medication management over sizes understanding the im-
therapeutic interventionsC) Recognizing the wide- pact of trauma, creating a
spread impact of trauma and integrating this knowl- safe environment, and inte-
edge into practiceD) Avoiding discussion of past grating that knowledge into
trauma to prevent distress care practices.
2. Which intervention is most consistent with the Trau- Answer: BRationale: TRM em-
ma Resiliency Model (TRM)?A) Encouraging the pa- phasizes mind-body integra-
tient to re-experience traumatic memories for emo- tion using somatic aware-
tional processingB) Using somatic awareness tech- ness to promote self-regula-
niques to track sensations in the body and regulate tion and resiliency in trauma
the nervous systemC) Employing cognitive restruc- recovery.
turing to challenge negative automatic thoughtsD)
Relying primarily on insight-oriented therapy to im-
prove trauma recovery
3. .When working with a child who has experienced Answer: BRationale: For chil-
complex trauma, the advanced practice psychiatric dren with complex trauma,
nurse's primary focus should be:A) Encouraging the safety, trust, and relation-
child to recount the traumatic event in detailB) De- ship-building are foundation-
veloping a safety plan and establishing a trusting al before deeper trauma pro-
therapeutic allianceC) Initiating family therapy to ad- cessing can occur
dress systemic issues before individual workD) Im-
plementing exposure therapy as a first-line interven-
tion
4. Which stabilization strategy is most appropriate for Answer: ARationale: Ground-
a patient with dissociative symptoms related to trau- ing techniques help stabilize
ma?A) Grounding techniques such as focusing on patients with dissociation by
sensory experiencesB) Encouraging the patient to reconnecting them to the pre-
, NU665 Exam 2 practice questions
relive traumatic memories to desensitize triggersC) sent moment through sensory
Exploring the root cause of dissociation in early ther- awareness.
apy sessionsD) Focusing on cognitive distortions be-
fore addressing physical symptoms
5. According to Wheeler (2020), which psychother- Answer: BRationale: TF-CBT
apeutic approach is most effective for treating is a gold-standard evi-
trauma-related symptoms in children?A) Dialecti- dence-based intervention for
cal behavior therapy (DBT)B) Trauma-focused cog- children with trauma-related
nitive-behavioral therapy (TF-CBT)C) Eye movement symptoms, integrating psy-
desensitization and reprocessing (EMDR)D) Psycho- choeducation, cognitive pro-
dynamic play therapy cessing, and exposure tech-
niques in a developmentally
appropriate manner.
6. In the Massachusetts Child Trauma Project, which Answer: BRationale: The
intervention strategy is emphasized to support trau- Massachusetts Child Trau-
ma-affected children and families?A) Intensive in- ma Project emphasizes re-
patient treatment programsB) A strengths-based silience-building and in-
framework that builds resilienceC) Pharmacologic tegrating strengths-based
intervention as a primary treatment approachD) Em- strategies to foster recovery
phasis on avoiding trauma narratives during treat- and empowerment.
ment
7. A 10-year-old boy presents with nightmares, irritabil- Answer: BRationale: Stabi-
ity, and difficulty concentrating in school following lization strategies such as
a house fire that displaced his family. His mother grounding and relaxation
reports that he startles easily and avoids conver- techniques are crucial early
sations about the event. Which intervention should interventions to reduce hy-
the PMHNP prioritize?A) Encourage the child to re- perarousal and promote a
count the fire in detail to facilitate emotional pro- sense of safety before trauma
cessingB) Implement grounding techniques and re- processing begins.
, NU665 Exam 2 practice questions
laxation strategies to reduce hyperarousalC) Begin
family therapy to address systemic stressors before
individual treatmentD) Prescribe a low-dose benzo-
diazepine to manage acute anxiety symptoms
8. A 15-year-old adolescent presents with dissociative Answer: ARationale: TRM em-
symptoms, self-harm behaviors, and intense emo- phasizes somatic tracking to
tional outbursts. The adolescent has a history of help patients develop aware-
childhood abuse and is currently in foster care. What ness of their body's stress re-
initial intervention aligns with the Trauma Resilien- sponses and build self-regu-
cy Model (TRM)?A) Facilitate somatic tracking to in- lation skills, which are critical
crease awareness of physical sensations during dis- in stabilizing patients before
tressB) Encourage the adolescent to discuss past deeper trauma work.
abuse in detail to build resilienceC) Use cognitive
restructuring to challenge self-blaming thoughtsD)
Refer the adolescent for inpatient hospitalization to
ensure safety
9. A 6-year-old child who witnessed domestic violence Answer: ARationale: Establish-
is experiencing frequent temper tantrums, bedwet- ing safety, predictability, and
ting, and clinginess to their caregiver. What inter- caregiver support is the first
vention should the PMHNP prioritize to support priority in young children with
the child's emotional regulation?A) Teach the care- trauma symptoms. Caregiver
giver skills for promoting safety and structure at involvement is crucial in stabi-
homeB) Initiate trauma narrative work to help the lizing the child.
child process the eventC) Introduce mindfulness
techniques to foster emotional awarenessD) Recom-
mend a selective serotonin reuptake inhibitor (SSRI)
for symptom management
10. A 17-year-old female presents with panic attacks, Answer: ARationale: For trau-
social withdrawal, and academic decline following ma survivors experiencing
1. A key principle of trauma-informed care empha- Answer: CRationale: Trau-
sizes:A) Diagnosing the trauma as early as pos- ma-informed care empha-
sibleB) Prioritizing medication management over sizes understanding the im-
therapeutic interventionsC) Recognizing the wide- pact of trauma, creating a
spread impact of trauma and integrating this knowl- safe environment, and inte-
edge into practiceD) Avoiding discussion of past grating that knowledge into
trauma to prevent distress care practices.
2. Which intervention is most consistent with the Trau- Answer: BRationale: TRM em-
ma Resiliency Model (TRM)?A) Encouraging the pa- phasizes mind-body integra-
tient to re-experience traumatic memories for emo- tion using somatic aware-
tional processingB) Using somatic awareness tech- ness to promote self-regula-
niques to track sensations in the body and regulate tion and resiliency in trauma
the nervous systemC) Employing cognitive restruc- recovery.
turing to challenge negative automatic thoughtsD)
Relying primarily on insight-oriented therapy to im-
prove trauma recovery
3. .When working with a child who has experienced Answer: BRationale: For chil-
complex trauma, the advanced practice psychiatric dren with complex trauma,
nurse's primary focus should be:A) Encouraging the safety, trust, and relation-
child to recount the traumatic event in detailB) De- ship-building are foundation-
veloping a safety plan and establishing a trusting al before deeper trauma pro-
therapeutic allianceC) Initiating family therapy to ad- cessing can occur
dress systemic issues before individual workD) Im-
plementing exposure therapy as a first-line interven-
tion
4. Which stabilization strategy is most appropriate for Answer: ARationale: Ground-
a patient with dissociative symptoms related to trau- ing techniques help stabilize
ma?A) Grounding techniques such as focusing on patients with dissociation by
sensory experiencesB) Encouraging the patient to reconnecting them to the pre-
, NU665 Exam 2 practice questions
relive traumatic memories to desensitize triggersC) sent moment through sensory
Exploring the root cause of dissociation in early ther- awareness.
apy sessionsD) Focusing on cognitive distortions be-
fore addressing physical symptoms
5. According to Wheeler (2020), which psychother- Answer: BRationale: TF-CBT
apeutic approach is most effective for treating is a gold-standard evi-
trauma-related symptoms in children?A) Dialecti- dence-based intervention for
cal behavior therapy (DBT)B) Trauma-focused cog- children with trauma-related
nitive-behavioral therapy (TF-CBT)C) Eye movement symptoms, integrating psy-
desensitization and reprocessing (EMDR)D) Psycho- choeducation, cognitive pro-
dynamic play therapy cessing, and exposure tech-
niques in a developmentally
appropriate manner.
6. In the Massachusetts Child Trauma Project, which Answer: BRationale: The
intervention strategy is emphasized to support trau- Massachusetts Child Trau-
ma-affected children and families?A) Intensive in- ma Project emphasizes re-
patient treatment programsB) A strengths-based silience-building and in-
framework that builds resilienceC) Pharmacologic tegrating strengths-based
intervention as a primary treatment approachD) Em- strategies to foster recovery
phasis on avoiding trauma narratives during treat- and empowerment.
ment
7. A 10-year-old boy presents with nightmares, irritabil- Answer: BRationale: Stabi-
ity, and difficulty concentrating in school following lization strategies such as
a house fire that displaced his family. His mother grounding and relaxation
reports that he startles easily and avoids conver- techniques are crucial early
sations about the event. Which intervention should interventions to reduce hy-
the PMHNP prioritize?A) Encourage the child to re- perarousal and promote a
count the fire in detail to facilitate emotional pro- sense of safety before trauma
cessingB) Implement grounding techniques and re- processing begins.
, NU665 Exam 2 practice questions
laxation strategies to reduce hyperarousalC) Begin
family therapy to address systemic stressors before
individual treatmentD) Prescribe a low-dose benzo-
diazepine to manage acute anxiety symptoms
8. A 15-year-old adolescent presents with dissociative Answer: ARationale: TRM em-
symptoms, self-harm behaviors, and intense emo- phasizes somatic tracking to
tional outbursts. The adolescent has a history of help patients develop aware-
childhood abuse and is currently in foster care. What ness of their body's stress re-
initial intervention aligns with the Trauma Resilien- sponses and build self-regu-
cy Model (TRM)?A) Facilitate somatic tracking to in- lation skills, which are critical
crease awareness of physical sensations during dis- in stabilizing patients before
tressB) Encourage the adolescent to discuss past deeper trauma work.
abuse in detail to build resilienceC) Use cognitive
restructuring to challenge self-blaming thoughtsD)
Refer the adolescent for inpatient hospitalization to
ensure safety
9. A 6-year-old child who witnessed domestic violence Answer: ARationale: Establish-
is experiencing frequent temper tantrums, bedwet- ing safety, predictability, and
ting, and clinginess to their caregiver. What inter- caregiver support is the first
vention should the PMHNP prioritize to support priority in young children with
the child's emotional regulation?A) Teach the care- trauma symptoms. Caregiver
giver skills for promoting safety and structure at involvement is crucial in stabi-
homeB) Initiate trauma narrative work to help the lizing the child.
child process the eventC) Introduce mindfulness
techniques to foster emotional awarenessD) Recom-
mend a selective serotonin reuptake inhibitor (SSRI)
for symptom management
10. A 17-year-old female presents with panic attacks, Answer: ARationale: For trau-
social withdrawal, and academic decline following ma survivors experiencing
