Test Bank Docx 2nd Edition Ch.6 Trauma And Traumatic Grief

Chapter 6

Trauma and Traumatic Grief

Multiple Choice Questions

1. In the text, the conceptualizing of trauma response is described on a continuum. Which one of the following is not included in the list?
2. Personality disturbance
3. Acute stress
4. Post-traumatic stress
5. Extreme post-traumatic stress
6. A Canadian study revealed that, although 75.9 per cent of 3,000 respondents reported a lifetime exposure to one or more traumatic events, the lifetime prevalence rate for post-traumatic stress was:
7. 9.2 %
8. 5.3 %
9. 12.8 %
10. 2.4 %
11. A recent meta-analysis that compared PTSD prevalence in 24 countries reported that rates of PTSD were highest in a group of countries with the lowest levels of vulnerability including:
12. New Zealand
13. Germany
14. France
15. Portugal
16. Several factors combine to help us understand trauma at the individual level. Which one of the following is not included in the list of factors within the text?
17. The recovery environment
18. The individual’s genetic predisposition
19. Individual peritraumatic response
20. The nature of traumatic exposure
21. According to research, resilient individuals are viewed to have:
22. Optimism
23. Medication compliance
24. Dissociation
25. Concerns about the future
26. In individuals living with post-traumatic stress, several biological alterations are noted. Which one of the following is not included in the description within the text?
27. An exaggerated startle response that does not diminish
28. Increased activation of the pituitary gland
29. Abnormal secretion of cortisol from the adrenal glands
30. Increased dopamine and decreased serotonin
31. According to the text, developmental crises can include:
32. Job loss
33. Adolescence
34. Diagnosis of a life-threatening disease
35. Attending university
36. Crisis response occurs in five stages. Which phase follows the pre-crisis equilibrium phase?
37. crisis phase
38. impact phase
39. post-crisis phase
40. resolution phase
41. Which one of the following was the name given to the collection of symptoms experienced by World War I soldiers that involved tremor, restricted movement, and nervous exhaustion?
42. Shell shock
43. Nervous heart
44. Neuraesthenia
45. Irritable heart
46. Which one of the following is not among the symptom clusters associated with acute stress and post-traumatic stress?
47. Dissociative symptoms
48. Hyper-arousal symptoms
49. Intrusion symptoms
50. Avoidance symptoms
51. Who introduced the diagnosis of complex post-traumatic stress?
52. Herbert William Page
53. Robert Burton
54. Bessel van der Kolk
55. Judith Lewis Herman
56. Treatment for trauma symptoms focuses primarily on:
57. Symptom management
58. Exposure therapy
59. Narrative therapy
60. Dialectical Behaviour Therapy
61. Elisabeth Kübler-Ross (1969) identified five stages of grief. Which one of the following is not included in the list of grief stages?
62. Denial
63. Anger
64. Betrayal
65. Depression
66. Regehr and Sussman (2004) have summarized additional sets of stages related to the grieving process, including:
67. Reorganization
68. Dysfunction
69. Persistent grief
70. Dysregulation
71. Authors suggest that people who experience prolonged, complicated, or traumatic grief often experience concurrent mental health problems. Which one of the following is not included in the examples given in the text?
72. Depression
73. Anxiety
74. Dissociation
75. Stress related medical disorders
76. In table 6.3: Psychosocial Interventions for Trauma, which one of the following is suggested as a form of intervention for post traumatic stress?
77. Relaxation
78. Distraction
79. Avoidance
80. Exercise
81. In a study of African Americans who lost a loved one to homicide, primary coping strategies included:
82. Denial
83. Spirituality
84. Substance use
85. Withdrawal from social gatherings
86. Following trauma exposure, empirical evidence supports which intervention strategies for symptom management?
87. Trauma-focused cognitive-behavioural intervention
88. Dialectic behavioural intervention
89. Psycho-education
90. Interpersonal therapy
91. The US Substance Abuse and Mental Health Services Administration (SAMHSA) developed the approach to trauma-informed care. Which one of the following is not included in the points provided in the text?
92. Recognizing that trauma has a widespread impact
93. Recognizing the signs and symptoms of trauma
94. Integrating trauma knowledge into policies, programs and practices
95. Anticipating re-traumatization

1. As a form of intervention with trauma, cognitive-behavioural therapies come in a variety of forms including:
2. Negative reinforcement
3. Stress inoculation training
4. Cognitive Processing Therapy
5. Rational Emotive Behavior Therapy
6. When working with people with traumatic stress whose sleep patterns are interrupted by nightmares, several options are available to support them. Which one of the following is not suggested in the text?
7. Write down the repetitive thoughts, say them into a tape recorder, or speak to someone at a distress centre
8. Going for a walk (if it is safe and the person is comfortable)
9. Engaging in high-impact physical activity
10. Identify ways to reduce arousal and the re-stimulation of traumatic response through avoidance of certain places or stimuli
11. Which one of the following statements is among the summary of findings related to treatment approaches to traumatic grief?
12. Not all people who have experienced traumatic loss require treatment
13. Anyone experiencing traumatic loss would benefit from treatment
14. Unresolved relationship issues towards the deceased will benefit from transactional therapy
15. Unresolved relationship issues will benefit from conflict exploration
16. Which medication is preferred when treating post traumatic stress?
17. Anti-psychotics
18. Anxiolytics
19. Anti-depressants
20. Mood stabilizers
21. Which one of the following medications is not among the preferred SSRIs for treatment of core symptoms of PTSD?
22. Paroxetine
23. Fluoxetine
24. Sertraline
25. Citalopram
26. The beta-adrenergic blocker Propranolol has received considerable publicity over its ability to support individuals with:
27. Alleviating depressive symptoms
28. Erasing traumatic memories
29. Reducing nightmares
30. Reducing numbing

True or False Questions

1. Anyone exposed to a horrifying event develops post-traumatic stress disorder.
2. According to meta-analyses, a perceived life threat during traumatic exposure is strongly associated with the development of PTSD.
3. Studies revealed that the highest rates of trauma stress followed events involving interpersonal violence.
4. Higher levels of social support are occasionally found to be associated with lower degrees of post-traumatic symptoms.
5. Prior life experiences and pre-existing personality factors do not contribute to the development of chronic trauma symptomatology.
6. Medication for treatment of peritraumatic stress symptoms can lead to better outcomes in those exposed to traumatic events.
7. There is a positive correlation between heightened emotionality in the immediate aftermath of the traumatic exposure and higher levels of longer term trauma symptoms.
8. There are two primary types of events that can result in a crisis response.
9. The major difference between acute stress symptoms and post-traumatic stress symptoms is in the length of time that symptoms are experienced.
10. Complex Post Traumatic Stress Disorder differs from PTSD in that the CPTSD symptoms last longer.
11. Grief and trauma often occur independently of one another.
12. Life crises and trauma can lead to positive personal change.
13. One of the elements of post traumatic growth is acquiring a new philosophy regarding the meaning of life.
14. A review by Regehr and Sussman (2004) revealed that denial was more effective than intervention in the case of normal bereavement.
15. Providing Cognitive Behavioural therapies without including exposure therapy may yield a lower risk of iatrogenic effects.

Short Answer Questions

1. Briefly describe the role of resilience in the trauma process.
2. Briefly describe how trauma responses impact neuro-biology.
3. List the main characteristics of a crisis.
4. List some of the elements of complex post-traumatic stress.
5. List Kubler-Ross’ stages of grief.