CCIS Trauma-Informed Care & Mental Health Fundamentals 5

Question 1

A crisis client presents with racing thoughts, flight of ideas, and reports they haven't slept in 4 days but feel 'amazing.' These symptoms most suggest:

Accepted Answer

Stimulant intoxication or manic episode requiring urgent evaluation

Answer

Markedly decreased need for sleep combined with racing thoughts and euphoria are hallmark features of mania or stimulant intoxication, both requiring urgent assessment.

Question 2

Historical trauma, as experienced by Indigenous communities, differs from individual trauma in that it:

Accepted Answer

Is transmitted across generations and embedded in collective cultural memory

Answer

Historical (intergenerational) trauma is passed through generations via epigenetic, psychological, and cultural pathways and affects communities as a whole.

Question 3

Which of the following best describes the 'freeze' response (tonic immobility) in trauma, which differs from the fight-or-flight response?

Accepted Answer

An involuntary neurobiological shutdown resembling paralysis, often misunderstood as consent

Answer

Tonic immobility is an involuntary, evolutionarily conserved response to overwhelming threat that can render a person unable to move or speak, sometimes misread as passive agreement.

Question 4

Motivational Interviewing (MI) is particularly useful in crisis intervention when a client:

Accepted Answer

Is ambivalent about making changes or accepting help

Answer

MI is designed to resolve ambivalence and elicit intrinsic motivation for change, making it most appropriate when a client is uncertain about accepting help or changing behavior.

Question 5

When a crisis counselor uses the technique of 'titrated exposure' with a trauma survivor, they are:

Accepted Answer

Introducing trauma content gradually in small, manageable amounts to prevent overwhelm

Answer

Titrated exposure means dosing trauma work carefully so the client remains within their window of tolerance and is not flooded or overwhelmed.

(CCIS) Certified Crisis Intervention Specialist Practice Test

(CCIS) Certified Crisis Intervention Specialist Practice Test

CCIS Trauma-Informed Care & Mental Health Fundamentals 5