TTC Assessment and Diagnosis of Trauma 2

Question 1

Which instrument is specifically designed to assess complex PTSD and distinguishes it from simple PTSD by measuring disturbances in self-organization?

Accepted Answer

ITQ (International Trauma Questionnaire)

Answer

The ITQ was developed to assess both PTSD and Complex PTSD (ICD-11) and includes subscales for disturbances in affect regulation, self-concept, and relational disturbances.

Question 2

During a trauma assessment, a client dissociates and becomes unresponsive mid-session. The FIRST priority of the clinician should be:

Accepted Answer

Use grounding techniques to help the client return to the present

Answer

Grounding techniques (e.g., 5-4-3-2-1 sensory anchoring) help re-orient the client to the present moment and restore window of tolerance before continuing.

Question 3

Which of the following best describes 'criterion A' in DSM-5 PTSD diagnosis?

Accepted Answer

Exposure to actual or threatened death, serious injury, or sexual violence

Answer

Criterion A specifies that the individual must have been exposed to actual or threatened death, serious injury, or sexual violence through direct experience, witnessing, learning it happened to a close other, or repeated exposure.

Question 4

A veteran reports hypervigilance, sleep disturbance, and emotional numbing but denies having intrusive memories or nightmares. Which DSM-5 PTSD specifier might BEST capture this presentation?

Accepted Answer

PTSD with delayed expression

Answer

The 'with delayed expression' specifier applies when full diagnostic criteria are not met until at least 6 months after the event, though some symptoms may appear earlier.

Question 5

The Adverse Childhood Experiences (ACE) Study found that higher ACE scores correlate most directly with:

Accepted Answer

Increased risk of chronic disease, mental illness, and early death

Answer

The ACE Study demonstrated a dose-response relationship: higher ACE scores predict significantly elevated risk for depression, substance abuse, cardiovascular disease, cancer, and premature death.

(TTC) Trauma Treatment Certification Practice Test

(TTC) Trauma Treatment Certification Practice Test

TTC Assessment and Diagnosis of Trauma 2