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

Vicarious trauma (McCann & Pearlman) describes the gradual, cumulative transformation of a helper's fundamental schemas, beliefs about safety, and worldview through sustained empathic engagement with traumatized clients.

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

SAMHSA defines trauma through three components: the traumatic Event(s), the individual's subjective Experience of those events, and the lasting Effects on functioning, behavior, and mental health.

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

Post-traumatic growth describes meaningful positive changes in self-perception, interpersonal relationships, appreciation of life, and sense of meaning that can emerge through grappling with the aftermath of trauma.

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

Grounding techniques (sensory awareness, paced breathing, orienting exercises) help regulate hyperarousal and restore the client to the window of tolerance where therapeutic engagement can safely continue.

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

The original 10-item ACE questionnaire covers three categories of childhood abuse, two of neglect, and five household dysfunction domains — peer bullying was not included in the original instrument.

Master Addiction Counselor Exam Practice Test

Master Addiction Counselor Exam Practice Test

MAC Trauma-Informed Care 3