Fostering Safety and Trust through Trauma-Informed Practices

Course #9630L-


Study Points

  1. Identify what trauma and trauma-informed care are to demonstrate greater compassion for our clients and others.
  2. Recall the symptoms and manifestations of early relational trauma.
  3. Define co-regulation and understand its application when working with clients.
  4. Define somatics and its role in safety and connection.

    1 . Trauma-informed care involves
    A) knowing someone's trauma history.
    B) always assuming trauma.
    C) discussing their trauma.
    D) None of the above

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    2 . What is a trauma-informed approach to handling a client who expresses a history of sexual trauma?
    A) Acknowledge their experience but minimize further conversation about it to maintain professionalism and scope of practice.
    B) Tell them that their trauma is unrelated to the treatment and that it's important to focus on their health.
    C) Offer to slow down the pace, explain each step of the treatment beforehand, and ask for consent at each stage.
    D) Reassure them that sexual abuse happens to many people and proceed with the exam quickly to avoid prolonging their discomfort.

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    3 . Which of the following is NOT one of the six core principles of trauma-informed care?
    A) Collaboration and mutuality
    B) Cultural issues
    C) Integrity and honesty
    D) Empowerment, voice, and choice

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    4 . What is vicarious trauma?
    A) The emotional stress a person feels when they are involved in multiple stressful work situations without taking breaks
    B) The positive emotional growth and resilience someone experiences by observing others overcome adversity
    C) A condition where a person experiences physical injuries by witnessing accidents or violent events
    D) When an individual is negatively impacted by continuously hearing about or witnessing others' traumatic experiences, leading to emotional and psychological stress

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    5 . What is burnout?
    A) A temporary feeling of tiredness that can be resolved with a good sleep, a weekend off, or even a vacation
    B) Burnout refers to physical injuries caused by overworking
    C) A condition that occurs when someone gets frustrated from not being promoted or acknowledged at work, leading to dissatisfaction
    D) Emotional, physical, and mental exhaustion caused by prolonged stress, often resulting from chronic overworking, lack of support, and high demands

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    6 . What is NOT typically a symptom of hyper-independence?
    A) Feeling a strong need to control every aspect of life or work
    B) A tendency to seek validation from others when making decisions
    C) Emotional withdrawal or detachment from relationships
    D) Difficulty with delegation

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    7 . What is a powerful source of protection against overwhelm and trauma?
    A) Healthy eating
    B) Healthy social support
    C) Owning a pet
    D) Trauma therapy

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    8 . Loneliness was noted to cause an increased risk in
    A) dementia.
    B) ER visits.
    C) premature death.
    D) All of the above

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    9 . What is attachment theory?
    A) A theory that explains how people form and maintain close relationships
    B) A theory that explores how our early attachments in life inform the way we attach and bond in our adult relationships
    C) A theory that examines how early relational trauma can disrupt our ability to feel safe, connected, and open with others
    D) All of the above

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    10 . How many attachment styles are there according to attachment theory?
    A) Three
    B) Four
    C) Five
    D) Six

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    11 . Why might someone develop a dismissive avoidant (DA) attachment?
    A) Lack of emotional support from an early caregiver
    B) Physical and emotional inconsistencies from an early caregiver
    C) Intense ongoing fear in childhood
    D) None of the above

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    12 . Which statement about co-regulation is FALSE?
    A) There is increased immune modulation.
    B) There is an increase of myelinated vagal motor pathways.
    C) There is an arousal of the sympathetic nervous system.
    D) The parent-child relationship is our first experience of co-regulation.

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    13 . What happens when we co-regulate?
    A) Inhibits fight or flight activation
    B) Increases dorsal motor pathways
    C) Decreases heart rate
    D) Both A and C

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    14 . Which statement about consent is FALSE?
    A) Consent is never coerced.
    B) Consent is irrevocable.
    C) Consent is informed.
    D) Consent may be non-verbal.

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    15 . Which statement about attachment styles is FALSE?
    A) Insecure attachment styles are fixed and can't be changed.
    B) They develop from early childhood attachments.
    C) There are four different attachment styles.
    D) Having an insecure attachment style can make bonding and connection more challenging in adulthood.

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    16 . According to polyvagal theory, what is the ventral vagal branch?
    A) A parasympathetic state that supports connection
    B) A shut-down or freeze state
    C) A sympathetic state that is conducive to healing
    D) None of the above

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    17 . Which statement about dissociation is TRUE?
    A) It occurs when in a sympathetic state.
    B) It must involve all four of these main areas of functioning: consciousness, identity, memory, and our awareness of self and others.
    C) People who dissociate are always aware that they are disconnected from their surroundings and can control when it happens.
    D) Individuals experience disconnection from their thoughts, feelings, or surroundings.

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    18 . What can somatic exercises help accomplish for someone with trauma?
    A) Somatic exercises help erase traumatic memories from the brain, preventing them from resurfacing in the future.
    B) Somatic exercises encourage complete physical rest and inactivity.
    C) Somatic exercises help individuals release tension, regulate their nervous system, and act as a resource to process trauma more effectively.
    D) Somatic exercises are solely used to treat trauma.

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    19 . Which statement about nervous system regulation is TRUE?
    A) Nervous system regulation only happens consciously through mental effort, meaning people can control it by simply thinking about relaxing.
    B) Once dysregulated, the nervous system cannot return to a balanced state without medical intervention or medication.
    C) Nervous system regulation only involves the brain, with little influence from the body.
    D) System regulation can occur through both conscious practices like breathing and unconscious responses to safety cues.

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    20 . What happens when our window of tolerance is small?
    A) We have less capacity for stress.
    B) We may have inappropriate responses to stress.
    C) We feel resilient and capable.
    D) Both A and B

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