Relias Learning Nursing Midterm Test 2025

Which of the following makes it more likely that treatment attendance continues, that the treatment plan is adhered to, and that clinical commitments are followed through? a) Having the client in control of their own recovery b) Having the therapist in control of the client's recovery c) Having the family in control of the client's recovery d) Letting the recovery process take place naturally - Correct Answer-a) Having the client in control of their own recovery ____________ is supported by addressing trauma. a) Restitution b) Loss c) Deterioration d) Recovery - Correct Answer-d) Recovery All of the following are guiding principles of the Seeking Safety model. EXCEPT: a) Integrated Treatment for both trauma & substance use b) A focus on ideals c) Attending a 12-step program d) Attention to clinician processes - Correct Answer-c) Attending a 12-step program Providing trauma-informed care is an approach that can incorporated into: ____________. a) Any clinical practice regardless of the methodologies being used b) Cognitive Behavioral Therapy c) Cognitive Processing Therapy d) ATRIUM - Correct Answer-a) Any clinical practice regardless of the methodologies being used Intrusion and re-experiencing symptoms of PTSD include ____________. a) Avoidance of distressing trauma reminders b) Distressing memories, dreams, or flashbacks surrounding the trauma c) Restricted affect and distorted cognitions d) Hypervigilance and exaggerated startle reactions - Correct Answer-b) Distressing memories, dreams, or flashbacks surrounding the trauma Inability to remember certain aspects of the trauma, presenting with a restricted affect, and exhibiting distorted cognitions are aspects of which PTSD symptom cluster? a) Avoidance of distressing trauma reminders b) Intrusion symptoms c) Negative alterations in cognitions and mood NURSING NURSING d) Arousal and reactivity - Correct Answer-c) Negative alterations in cognitions and mood When is it most important that the person served feels that the environment is a safe place where they can discuss details of their trauma? a) In outpatient settings b) In residential treatment facilities c) In and inpatient setting d) In all settings - Correct Answer-d) In all settings One of the primary goals for treatment in the Seeking Safety model is: a) Stopping self-harm b) Ending substance use once and for all c) Gaining control over minor symptoms d) Maintaining relationships - Correct Answer-a) Stopping self-harm True or False: If a person develops resiliency through their childhood and life experiences, the effect of any genetic risks for substance use disorder are greatly increased. a) True b) False - Correct Answer-b) False True or False: Trauma increases the the risk of developing substance use problems, while substance use problems increase the likelihood that people will experience trauma. a) True b) False - Correct Answer-a) True Repeated use of substances trains the brain's circuits to depend on substances to trigger ____________. a) False positives b) False negatives c) Reward circuitry d) Biofeedback - Correct Answer-c) Reward circuitry True or False: Those who had experienced traumatic physical or sexual abuse, or assault, were three times more likely to report substance use disorder than those without trauma. a) True b) False - Correct Answer-a) True Motivational interviewing is an opportunity for: a) The therapist to assess for themselves if the benefits of using a specific therapeutic approach b) Clients to assess for themselves the benefits of their specific choices c) Self-improvement as it relates to substance use disorders NURSING NURSING d) Self-improvement as it relates to posttraumatic stress disorder - Correct Answer-b) Clients to assess for themselves the benefits of their specific choice Which of the following is essential in any formal treatment setting for bringing hope, encouragement, and clinical skill to the interaction? a) Believing that people can and do recover from mental illnesses like anxiety, traumatic stress, and substance use b) Telling clients that you believe in their recovery even if you don't c) Level of education and formal training that you offer d) Offering communication surrounding cultural norms and expectations about recovery, along with where they can strengthen their skills to meet these expectations - Correct Answer-a) Believing that people can and do recover from mental illnesses like anxiety, traumatic stress, and substance use To understand an individual's response to life stressors by misusing substances, becoming preoccupied, and persisting in their use despite increasing consequences, be sure to assess any underlying a) Financial hardships b) Employment problems c) Biopsychosocial factors d) Health problems - Correct Answer-c) Biopsychosocial factors Assessing for substance use disorder ideally should include all of the following, EXCEPT: a) Initial screening for drugs and alcohol b) Potentially threatening, intrusive questions that ask the difficult questions about personal habits c) Screening for behavioral health problems d) Screening for cognitive functioning - Correct Answer-b) Potentially threatening, intrusive questions that ask the difficult questions about personal habits One of the first principles of trauma-informed care is understanding ____________. a) Clinical practice principles b) Trauma's widespread prevalence c) Which methodologies to use d) Relapse and recovery - Correct Answer-b) Trauma's widespread prevalence The ____________ Model was developed by Sandra Bloom, M.D. and her colleagues as a trauma-informed, evidence-supported template for system change. a) Seeking Safety b) Sanctuary c) ATRIUM d) Stages of Change - Correct Answer-b) Sanctuar