MAC Trauma-Informed Care 3

Question 1

Vicarious trauma is distinguished from secondary traumatic stress in that it primarily refers to:

Accepted Answer

Cumulative transformation of the counselor's core worldview and beliefs over time

Answer

Rapid-onset acute trauma symptoms following a specific client disclosure

Answer

Symptoms occurring only in counselors who have unresolved personal trauma history

Answer

Organizational and administrative stressors that erode professional satisfaction

Question 2

According to SAMHSA's conceptual framework, the 'Three E's' of trauma are:

Accepted Answer

Event(s), Experience of the event(s), and Effects on functioning

Answer

Events, Effects, and Exposure duration

Answer

Emotion, Evaluation, and Experience quality

Answer

Etiology, Expression, and Evidence-based treatment

Question 3

Post-traumatic growth (PTG), as described by Tedeschi and Calhoun, is best defined as:

Accepted Answer

Positive psychological transformation emerging from the struggle with highly challenging life circumstances

Answer

Complete elimination of PTSD symptoms following evidence-based treatment

Answer

A return to pre-trauma baseline functioning and prior coping capacity

Answer

Natural resilience that prevents the development of PTSD after trauma exposure

Question 4

When a client exhibits hyperarousal during a counseling session, the trauma-informed response is to first:

Accepted Answer

Use grounding techniques to help the client return to the window of tolerance

Answer

Encourage the client to continue discussing trauma to build distress tolerance gradually

Answer

Immediately refer the client for psychiatric evaluation and possible hospitalization

Answer

End the session early and reschedule when the client is better regulated

Question 5

The original Adverse Childhood Experiences (ACE) questionnaire assesses all of the following categories EXCEPT:

Accepted Answer

Peer bullying and school-based victimization

Answer

Emotional and physical abuse in childhood

Answer

Household substance abuse and domestic violence

Answer

Parental incarceration and household mental illness

Question 6

In trauma-informed group therapy for substance use disorders, when a group member begins providing graphic details of traumatic events, the most appropriate counselor response is to:

Accepted Answer

Gently redirect to coping skills focus to prevent traumatic contagion among members

Answer

Allow the disclosure to continue as it builds group cohesion and normalizes trauma

Answer

Invite other group members to share similar experiences for mutual normalization

Answer

Remove the disclosing client from the group for individual trauma processing

Question 7

A trauma trigger is best defined as:

Accepted Answer

A stimulus that evokes a trauma response through associative connection to past traumatic events

Answer

A therapeutic technique used by clinicians to intentionally activate trauma memories for processing

Answer

A counselor behavior that deliberately recreates trauma conditions in a controlled setting

Answer

A pharmacological agent used to reduce conditioned fear responses in PTSD treatment