NR 607 FINAL EXAM 2025 UPDATE QUESTIONS AND CORRECT
VERIFIED ANSWERS ALREADY GRADED A+ (BRAND NEW VISION)
Providing Care to Survivors of Violence - answers-must be individualized
-Addressing safety needs is critical
-Trauma-informed approaches
• help providers avoid retraumatizing clients
-understand the role stigma & shame play in clients' willingness to ask for help/support
-Social support (especially emotional & financial) is an important factor in improving mental
health outcomes for survivors
Mandated Reporting - answers-Many federal & state laws include mandated reporting
requirements r/t abuse & IPV
-requirements for children differ from requirements for adults
Providing Care to Perpetrators of Violence - answers-CBT & relapse prevention care to sex
offenders & intimate partner violence offenders
• can help reduce recidivism rates
-tailor interventions to the perpetrators' unique characteristics, taking into account risk
factors
• anger or hostility, trauma hx, offending patterns, personality styles, readiness to change,
substance abuse
-Cultural training may be beneficial for providers working with IPV in LGBTQ relationships
-Often, perpetrators mandated to attend therapy instead of a prison sentence or as a
condition of parole
• When tx not voluntary, may lack self-motivation to change behaviors
• Including motivational strategies such as MI can increase the success of court-mandated
therapy
,Duty to Warn - answers-Most states have laws that either require or allow mental health
professionals to disclose confidential information to protect others from clients who they
believe may become violent
-1976 case Tarasoff v. Regents of the University of California, courts in California imposed a
legal duty to warn third parties if clients posed a risk to the parties' safety leading to the
passage of duty to warn laws in most other states
Complex Post-Traumatic Stress Disorder (CPTSD) - answers-prolonged & repeated trauma may
be more severe than symptoms caused by time-limited trauma
-have a poorer prognosis and may benefit from different treatments than individuals with
PTSD
-
Complex symptoms of PTSD - answers-Symptoms
• emotional dysregulation
• dissociation
• impaired perception of self or perpetrator
• difficulty in relationships
• sense of hopelessness or despair
• loss of faith
-common in clients who have experienced:
• childhood trauma, including sexual abuse
• persons who have been unable to leave a violent situation, such as prisoners of war
• prolonged intimate partner violence
• victims of human trafficking
,Treatment of CPTSD - answers-cognitive processing therapy (CPT)
-prolonged exposure (PE)
-Skills Training in Affective and Interpersonal Regulation (STAIR)
• allows clients the choice in identifying target problems & interventions
Prolonged exposure - answersa treatment approach in which clients confront not only trauma-
related objects and situations, but also their painful memories of traumatic experiences
-work to approach things you have steered clear of since the event
-challenge the "I can't" rules to prove to self that "you can"
Cognitive processing therapy (CPT) - answerspsychotherapy to build skills to deal with effects
of trauma in other areas of life
-discuss how "stuck points" (negative thoughts about the trauma) have changed you
-practice strategies to change/challenge "stuck points"
-usually takes about 3 months of weekly visits
STAIR - answersSkills Training in Affective & Interpersonal Regulation
-Evidence-Based Psychotherapy for people struggling with the after effects of trauma
-Can help with emotions and relationships
-STAIR Coach app
• training plan: suggested activities to help learn & practice skills
• self-care, set goals, tools
• readings
• mood journal, understand & track mood over time
• progress section, assessment
Complementary and Alternative Medicine (CAM) Treatments for CPTSD - answers-mindfulness
, -acupuncture
-yoga
-relaxation techniques
-transcendental meditation treatment
-equine-assisted therapy
CPTSD in Veterans - answers-Understanding military culture is critical to addressing
-CPTSD may be more common than PTSD in veterans who seek tx
-Veterans with CPTSD often:
• delay seeking help
• report higher rates of childhood adversity
• experience increased emotional or physical bullying during their military careers
• ># of psychiatric comorbidities, including depressive, panic, generalized anxiety disorders,
alcohol & SUDs
• report > functioning impairment, including social isolation & sleep difficulties.
PTSD & SUD in Veterans - answers-> 2 of 10 Veterans with PTSD also have SUD.
-Almost 1/3 Veterans seeking tx for SUD also has PTSD.
-The # of Veterans who smoke is double for those with PTSD (about 6/10) vs those without a
PTSD ds (3/10).
-War Veterans with PTSD & alcohol problems tend to binge drink, drinking 4-5 drinks or more
in a short period (1-2 hrs).
Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) -
answers-structured 12-week integrated tx cognitive-behavioral psychotherapy program
-features two evidence-based treatments:
• Prolonged Exposure (PE) therapy for PTSD
VERIFIED ANSWERS ALREADY GRADED A+ (BRAND NEW VISION)
Providing Care to Survivors of Violence - answers-must be individualized
-Addressing safety needs is critical
-Trauma-informed approaches
• help providers avoid retraumatizing clients
-understand the role stigma & shame play in clients' willingness to ask for help/support
-Social support (especially emotional & financial) is an important factor in improving mental
health outcomes for survivors
Mandated Reporting - answers-Many federal & state laws include mandated reporting
requirements r/t abuse & IPV
-requirements for children differ from requirements for adults
Providing Care to Perpetrators of Violence - answers-CBT & relapse prevention care to sex
offenders & intimate partner violence offenders
• can help reduce recidivism rates
-tailor interventions to the perpetrators' unique characteristics, taking into account risk
factors
• anger or hostility, trauma hx, offending patterns, personality styles, readiness to change,
substance abuse
-Cultural training may be beneficial for providers working with IPV in LGBTQ relationships
-Often, perpetrators mandated to attend therapy instead of a prison sentence or as a
condition of parole
• When tx not voluntary, may lack self-motivation to change behaviors
• Including motivational strategies such as MI can increase the success of court-mandated
therapy
,Duty to Warn - answers-Most states have laws that either require or allow mental health
professionals to disclose confidential information to protect others from clients who they
believe may become violent
-1976 case Tarasoff v. Regents of the University of California, courts in California imposed a
legal duty to warn third parties if clients posed a risk to the parties' safety leading to the
passage of duty to warn laws in most other states
Complex Post-Traumatic Stress Disorder (CPTSD) - answers-prolonged & repeated trauma may
be more severe than symptoms caused by time-limited trauma
-have a poorer prognosis and may benefit from different treatments than individuals with
PTSD
-
Complex symptoms of PTSD - answers-Symptoms
• emotional dysregulation
• dissociation
• impaired perception of self or perpetrator
• difficulty in relationships
• sense of hopelessness or despair
• loss of faith
-common in clients who have experienced:
• childhood trauma, including sexual abuse
• persons who have been unable to leave a violent situation, such as prisoners of war
• prolonged intimate partner violence
• victims of human trafficking
,Treatment of CPTSD - answers-cognitive processing therapy (CPT)
-prolonged exposure (PE)
-Skills Training in Affective and Interpersonal Regulation (STAIR)
• allows clients the choice in identifying target problems & interventions
Prolonged exposure - answersa treatment approach in which clients confront not only trauma-
related objects and situations, but also their painful memories of traumatic experiences
-work to approach things you have steered clear of since the event
-challenge the "I can't" rules to prove to self that "you can"
Cognitive processing therapy (CPT) - answerspsychotherapy to build skills to deal with effects
of trauma in other areas of life
-discuss how "stuck points" (negative thoughts about the trauma) have changed you
-practice strategies to change/challenge "stuck points"
-usually takes about 3 months of weekly visits
STAIR - answersSkills Training in Affective & Interpersonal Regulation
-Evidence-Based Psychotherapy for people struggling with the after effects of trauma
-Can help with emotions and relationships
-STAIR Coach app
• training plan: suggested activities to help learn & practice skills
• self-care, set goals, tools
• readings
• mood journal, understand & track mood over time
• progress section, assessment
Complementary and Alternative Medicine (CAM) Treatments for CPTSD - answers-mindfulness
, -acupuncture
-yoga
-relaxation techniques
-transcendental meditation treatment
-equine-assisted therapy
CPTSD in Veterans - answers-Understanding military culture is critical to addressing
-CPTSD may be more common than PTSD in veterans who seek tx
-Veterans with CPTSD often:
• delay seeking help
• report higher rates of childhood adversity
• experience increased emotional or physical bullying during their military careers
• ># of psychiatric comorbidities, including depressive, panic, generalized anxiety disorders,
alcohol & SUDs
• report > functioning impairment, including social isolation & sleep difficulties.
PTSD & SUD in Veterans - answers-> 2 of 10 Veterans with PTSD also have SUD.
-Almost 1/3 Veterans seeking tx for SUD also has PTSD.
-The # of Veterans who smoke is double for those with PTSD (about 6/10) vs those without a
PTSD ds (3/10).
-War Veterans with PTSD & alcohol problems tend to binge drink, drinking 4-5 drinks or more
in a short period (1-2 hrs).
Concurrent Treatment of PTSD and Substance Use Disorders Using Prolonged Exposure (COPE) -
answers-structured 12-week integrated tx cognitive-behavioral psychotherapy program
-features two evidence-based treatments:
• Prolonged Exposure (PE) therapy for PTSD
