MAC Trauma-Informed Care 2

Question 1

Secondary traumatic stress (STS) in addiction counselors is best described as:

Accepted Answer

Trauma-like symptoms resulting from empathic engagement with traumatized clients

Answer

Burnout caused by excessive administrative caseloads and paperwork

Answer

A counselor's personal trauma being triggered by client disclosures

Answer

Job dissatisfaction stemming from organizational management problems

Question 2

Which evidence-based treatment was specifically designed to address trauma and substance use disorders concurrently, emphasizing coping skills and safety over trauma processing?

Accepted Answer

Seeking Safety

Answer

Cognitive Processing Therapy (CPT)

Answer

Prolonged Exposure Therapy (PE)

Answer

Eye Movement Desensitization and Reprocessing (EMDR)

Question 3

The concept of 'trauma bonding' in counseling refers to:

Accepted Answer

Strong emotional attachments to an abuser formed through cycles of abuse and intermittent reinforcement

Answer

The therapeutic alliance specifically formed with trauma survivors in long-term treatment

Answer

Peer relationships formed among trauma survivors in group therapy settings

Answer

The neurological connection between trauma exposure and substance use vulnerability

Question 4

According to Polyvagal Theory, the 'freeze' or shutdown trauma response is associated with which component of the autonomic nervous system?

Accepted Answer

The dorsal vagal complex unmyelinated pathway

Answer

The sympathetic nervous system activation pathway

Answer

The ventral vagal complex social engagement system

Answer

The parasympathetic rest-and-digest activation system

Question 5

In trauma-informed addiction treatment, client empowerment is best supported by:

Accepted Answer

Providing psychoeducation about trauma responses and offering meaningful choices

Answer

Making treatment decisions on behalf of clients to reduce their cognitive burden

Answer

Focusing exclusively on addiction behaviors without exploring trauma history

Answer

Requiring completion of trauma processing protocols before substance use work begins

Question 6

EMDR (Eye Movement Desensitization and Reprocessing) is theorized to facilitate trauma treatment primarily by:

Accepted Answer

Using bilateral stimulation to facilitate adaptive reprocessing of dysfunctionally stored memories

Answer

Teaching clients to suppress and contain traumatic memories between sessions

Answer

Providing structured cognitive reframing through completion of written worksheets

Answer

Reducing amygdala hyperreactivity through pharmacological adjuncts

Question 7

Cultural humility in trauma-informed practice primarily requires addiction counselors to:

Accepted Answer

Recognize the limits of their cultural knowledge and remain curious about clients' cultural contexts

Answer

Master all cultural facts about every ethnic group served in the practice setting

Answer

Apply standardized evidence-based trauma protocols equally across all cultural groups

Answer

Avoid asking about cultural background to prevent stereotyping or offending clients