MAC Trauma-Informed Care 1

Question 1

What is the foundational paradigm shift that distinguishes trauma-informed care from traditional treatment approaches?

Accepted Answer

Shifting the question from 'What is wrong with you?' to 'What happened to you?'

Answer

Trauma-informed care reframes client behavior as adaptive responses to trauma rather than deficits, shifting focus to understanding what happened rather than pathologizing the person.

Question 2

According to the Adverse Childhood Experiences (ACE) study, higher ACE scores are most strongly associated with:

Accepted Answer

Increased risk of substance use disorders and chronic health problems

Answer

The ACE study demonstrated a dose-response relationship between childhood adversity and negative health outcomes, including significantly elevated risk of substance use disorders.

Question 3

Which of the following is NOT one of SAMHSA's six key principles of a trauma-informed approach?

Accepted Answer

Confrontation of denial and resistance

Answer

SAMHSA's six principles are safety, trustworthiness, peer support, collaboration, empowerment, and cultural humility — confrontational techniques are inconsistent with trauma-informed care.

Question 4

The 'Window of Tolerance' in trauma-informed treatment refers to:

Accepted Answer

The optimal zone of arousal in which a client can effectively process trauma

Answer

The Window of Tolerance describes the zone between hyperarousal and hypoarousal where clients remain regulated enough to engage in therapeutic processing without becoming overwhelmed or dissociated.

Question 5

Complex trauma is best distinguished from single-incident PTSD by:

Accepted Answer

Repeated, prolonged interpersonal trauma often beginning in childhood

Answer

Complex trauma results from repeated, chronic interpersonal trauma (often early in life), producing pervasive effects on identity, affect regulation, and relational capacity beyond single-incident PTSD.

Master Addiction Counselor Exam Practice Test

Master Addiction Counselor Exam Practice Test

MAC Trauma-Informed Care 1