Deck 7: Trauma- and Stressor-Related Disorders

Question 1

The following factors are key in establishing a therapeutic alliance with trauma victims:

A) Patience and trust
B) Patience and unconditional positive regard
C) Trust and unconditional positive regard
D) Trust and respect

Answer 1

Patience and trust

Question 2

Self-care is especially important in working with trauma victims because of

A) Burnout and vicarious sensitization
B) Burnout and vicarious trauma
C) Burnout and secondary trauma
D) Burnout and trauma sensitization

Answer 2

Burnout and vicarious trauma

Question 3

The severity and duration of trauma symptoms depends greatly on

A) The duration of the traumatic experience
B) The type of traumatic experience
C) The individual's tolerance level
D) The individual's reaction

Answer 3

The individual's reaction

Question 4

Which of the following is a common characteristic of children with attachment disorders?

A) Insomnia
B) Depression
C) Hypervigilance
D) Low-self esteem

Question 5

Before diagnosing an attachment disorder, it is important that counselors explore that may play a role in the child's attachment style.

A) Personality traits
B) Cultural factors
C) Family dynamics
D) Biological factors

Question 6

In treating clients with any trauma or stress-induced disorder, it is imperative to first assess for

A) Low self-esteem
B) Personality disorders
C) Current addictions
D) Ongoing abuse

Question 7

Because there are no research-based, universal assessments for attachment disorders, counselors often use a approach.

A) Differential
B) Multivariate
C) Multimodal
D) Diverse

Question 8

The difference between acute stress disorder (ASD) and posttraumatic stress disorder (PTSD) is that:

A) ASD occurs within 4 weeks of the event and lasts between 2 days and 4 weeks, while PTSD can occur later and is longer lasting
B) PTSD occurs within 4 weeks of the event and lasts between 2 days and 4 weeks, while ASD can occur later and is longer lasting
C) ASD involves exposure to events that are considered less traumatic than those necessary to qualify for PTSD
D) ASD involves more severe symptoms than PTSD

Question 9

Seven months ago, Josh witnessed a movie theater shooting. Although he escaped unharmed, Josh claims he started experiencing anxiety, hypervigilance, and intrusive thoughts about the event, and is having difficulty sleeping. He has not been able to enter a movie theater since the attack. Josh also specifies that the symptoms have recently come about within the last month. Josh's symptoms might meet the diagnostic criteria for

A) Acute stress disorder (ASD)
B) Posttraumautic stress disorder (PTSD)
C) PTSD With Delayed Onset
D) ASD With Delayed Onset

Question 10

Because ASD and PTSD often occur in conjunction with other disorders, it is essential that counselors

A) Treat all diagnoses simultaneously
B) Provide differential treatment
C) Provide accurate diagnosis
D) Assess for differential comorbidity

Question 11

Which of the following is a commonly used treatment for ASD and PTSD?

A) Prolonged exposure therapy
B) Acceptance and commitment therapy
C) Dialectical behavior therapy
D) Interpersonal psychotherapy

Question 12

Attachment disorders result from

A) Difficulties in peer/sibling relationships
B) Childhood sexual abuse or rape
C) Parental neglect and maltreatment
D) Overly protective and affectionate parenting

Question 13

A key determinant in the prognosis of attachment disorders is

A) The child's developmental level and social functioning
B) The child's attitude toward his/her caregivers
C) Treating the root of the problem first, then addressing the disorder
D) Diagnosing and treating the disorder as early as possible

Question 14

A child who forms inappropriate attachments to strangers and displays other socially inappropriate behavior might be diagnosed with

A) Pervasive developmental attachment disorder
B) Disinhibited social engagement disorder
C) Social dysregulation attachment disorder
D) Reactive attachment disorder

Question 15

In order to be diagnosed with an adjustment disorder, a client must experience

A) symptoms of the disorder for at least 6 months
B) multiple life stressors simultaneously
C) a disproportionate reaction to a life stressor
D) a disproportionate reaction to multiple life stressors

Question 16

Which of the following treatments for adjustment disorders focuses on one issue agreed upon by the counselor and client:

A) Interpersonal psychotherapy
B) Brief psychodynamic psychotherapy
C) Solution-focused brief therapy
D) Brief cognitive-behavioral therapy

Question 17

Although the prognosis for adjustment disorders is favorable, children are to development future mental disorders as compared to adults.

A) Less likely
B) More likely
C) Just as likely
D) Children cannot be diagnosed with adjustment disorders

Question 18

In treating adjustment disorders, counselors must be especially mindful of

A) Client's history of substance abuse
B) Length of time the disorder has occurred
C) The precipitating event causing the disorder
D) Cultural factors and client background

Question 19

In clients with adjustment disorders, suicide risk is and/but there is as compared to major depressive disorder.

A) Increased; a shorter time between initial suicide ideation and suicide completion
B) Increased; a longer time between initial suicide ideation and suicide completion
C) Decreased; a longer time between initial suicide ideation and suicide completion
D) Decreased; a shorter time between initial suicide ideation and suicide completion

Question 20

Because adjustment disorders are time-limited diagnoses, to treat people who have these disorders, counselors often use

A) Solution focused brief therapy and brief psychodynamic psychotherapy
B) Solution focused brief therapy and brief humanistic therapy
C) Brief humanistic therapy and brief psychodynamic psychotherapy
D) Brief gestalt therapy and brief cognitive-behavioral therapy

Question 21

Dyadic developmental psychotherapy is one empirically supported approach for treating clients with attachment disorder and complex trauma experiences. Briefly describe the essential features of this approach.

Question 22

Do you believe that concepts of developmental trauma, complex trauma, or complex trauma disorder
should be included in the DSM? Why or why not?