Brain Story Certification Questions and Answers Already Passed

Brain Story Certification Questions and Answers Already Passed 12. Which of the following are core symptoms of PTSD? Numbing, hyperarousal, functional impairment 12. Why do problems like substance misuse, disordered eating, and self-harm behaviors often accompany complex PTSD? Because they help regulate intense emotional states 12. Which of the following is NOT a factor that increases vulnerability for PTSD? Male gender 12. Emotional over-modulation in PTSD is associated with A decrease in amygdala activation 12. The interpersonal dysfunction that is part of PTSD includes All of the above: social isolation, difficulties with child rearing, problems functioning at work 12. Two key brain structures involved in depression are The amygdala and hippo campus 12. What common signaling system most likely underlies the strong association between depression and physical illnesses such as heart disease, diabetes, and obesity? Stress system 4. Human infants need to be taught how to react to social cues by: Nothing - Infants have an innate ability to respond to social cues (trick question suckka) 4. How do social interactions with attentive adults support learning in children? All of the above: They direct the child's attention to important aspects of the task, they make learning fun for the child, they can be used to adapt the learning to meet an individual child's needs. 4. In child development, joint attention refers to: The infant co-ordinates his or her attention with an adult and another object in the environment. 4. Which of the following factors is most likely to increase the quality and quantity of serve-and-return interactions for a child? Secure attachment 4. Which aspect of development is NOT affected by social interactions? None of the above 4. What brain region is most involved in behavioral inhibition? The amygdala 10. Which of the following adverse childhood experiences was not included as part of the ACE Study? Growing up in a neighbourhood with community violence. 10. If ACE's could be prevented, which of the following would most likely also occur? Economic productivity would increase. 10. What mechanism helps to explain the association between ACE's and cardiovascular disease in adulthood? Activation of inflammatory pathways 10. An individual with a high ACE score is more likely to: Have multiple, lifetime mental health diagnosis 10. What explanation does Dr. Felitti give for the cause of addiction? Addiction is a solution to a problem caused by exposure to stressful life experiences 10. What reason does Dr. Felitti give to explain why addiction is so challenging to treat? Treating the solution to someone's problem may be threatening and cause them to flee treatment. 15. Imaging studies have shown grey matter increases in mothers brains from 2-4 weeks to 3-4 months postpartum. What best predicts this increase? The mother's positive perception of her baby 15. What system is activated when a parent views images of their own baby? Both A and C: Reward system, Emotional appraisal system 15. What predicts how much oxytocin a mother releases in response to her own baby? The mother's attachment style 15. Dr. Mayes describes the attachment system as performing what key function for a child? Regulating Stress 15. Which of the following is NOT a parental capacity that is mediated by the executive function system? None of the above 15. Substance misusing mothers typically withdraw from their baby's distress and show more negative affect and heightened physical provocation in interactions. What is this most likely due to? A heightened stress response 9. Key elements of successful prevention programs are: A focus on two generational approaches with a population impact. 9. The application of EBT's in real-world clinical settings can be improved by: Integrating various EBT's to address co-morbidity, clinical caseload, and the need to potentially adjust treatment while underway. 9. What is the answer that best describes what is included in the Modular Approach to Treatment for Children (MATCH)? All of the above: Emotional or affect regulation, Cognitive regulation, Behavioral regulation 9. It is important to provide prevention programs for children of patients with depression because: All of the above 9. Compared to usual care, an evidence-based therapy (EBT): Has been tested sufficiently through research to be called an evidence-based therapy. 9. Which key factor is unique to a pre-emptive approach to mental disorders? A biologically-based theory of the disorder that allows for personalized, predictive tools such as biomarkers. 6. Executive function skills finish maturing at about what age? 25 11. Which of the following is a unique characteristic of the Healthy Steps Program? Adults are treated in pediatric primary care settings 11. What is the main benefit of the Healthy Steps Program? It gives parents with ACEs the care they need to support their child and keep the child's ACE score as low as possible 11. What does Dr. Briggs emphasize as an important part of obtaining a parent's ACE history? It is done universally. for all parents, not just those who the staff suspect may have ACEs. 13. What is one of the main brain regions involved in the preoccupation/anticipation stage of the addiction cycle? Prefrontal cortex 6. Between what ages do executive function skills show the most dramatic period of growth? 3-5 years 6. Which set of adult outcomes are associated with low childhood inhibitory control? criminal convictions, physical health problems, and substance misuse disorders 11. What does Dr. Felitti recommend when taking an ACE history in health care settings? Acknowledge how ACEs might have impacted the patient's life by asking: "How has this affected you later in life?" 13. What is the major event that characterizes the withdrawal/negative affect stage of addiction? The stress system is engaged 19. Which skill does the program called Filming Interactions to Nurture Development focus on improving through the translational research cycle? Improving serve and return 13. What is one of the main brain regions involved in the withdrawal/negative affect stage of the addiction cycle? Amygdala 19. All of the elements below characterize the translational research cycle except The cycle is static and does not contribute to practice innovation What is one of the main neurotransmitters involved in the binge/intoxication stage of the addiction cycle? Dopamine 19. Which answer best describes resilience? Resilience is a positive outcome of the interaction between genes and the environment beginning in early childhood 13. What is one of the main brain regions involved in the binge/intoxication stage of the addiction cycle? Nucleus Accumbens 19. Ultimately developing a theory of change for an intervention Contributes to confidence in what is being targeted in the intervention and how it will be evaluated 6. What element of executive function is the most important in following multi-step processes Working memory 19. Building adult skills through training and mentoring can lead to better outcomes for children because Adult capacity to engage in positive serve and return interactions, programs that include modeling and practice for caregivers, and adults with poor executive function lack capacity to model executive function for their children 13. Which of the following is an example of negative reinforcement? A person takes a drug at a party, feels their social anxiety ease, and then takes the drug again 19. Resilience is best built in a child by Working to improve the child's whole environment of protective factors, including the capacity of adult caregivers 11. According to research from Washington State University, elementary school students with three or more ACEs are more likely to: Score lower on standardized tests and have language difficulties 11. According to Dr. Felitti, what were the benefits of asking about ACEs in Kaiser Permanente's patient medical history? It allowed them to better understand and treat many problems that had previously seemed intractable. 8. Children with a stable behavioral inhibition temparment are at greater risk of developing which specific disorder later in life? Anxiety disorder 8. Which of the following is NOT a risk factor for extremes of inattention and impulse control problems in children? Insecure attachment 8. In the study described in Video 6, what two factors predicted whether 3 to 4 year old children who already scored high on measures of inattention and impulsivity went onto develop ADHD? Severity of symptoms and negativity of parent-child interactions 8. What brain region has been shown to be overachieve in behaviorally inhibited children? The amygdala 11. What is one attribute of trauma-informed schools? They know the prevalence of ACEs in their student population 8. Which of the following behaviors is NOT typically shown by behaviorally inhibited children? Poor impulse control 8. What behavioral dimension in children best predicts both academic failure and substance misuse disorder in adolescence? Inattention 8. Which one is the most important to remember when considering an ADHD diagnosis for a child? Whether they are high in either inattention or hyperactivity/impulsivity dimensions compared to other children of the same age and sex 6. What would be the least helpful when implementing an executive function curriculum in an early education program? Keeping executive function activities separate from other academic content 13. In video 2 of this module, what does Dr. Koob refer to as "the dark side of addiction" The fact that addiction is characterize by the emergence of a negative emotional state 6. What role do adults play in helping children build their executive function Keep distractions to minimum, provide predictable routines, and provide rules and consequences (ALL OF THE ABOVE)