Question 1

The model of psychotherapy that is most effective for acute post-traumatic stress disorder is&#10;A)Supportive psychotherapy&#10;B)Exposure therapy&#10;C)Stress inoculation therapy&#10;D)Debriefing therapy

Accepted Answer

Exposure therapy has been shown to be the most effective model of psychotherapy for treating acute post-traumatic stress disorder. This involves gradually exposing the patient to the trauma memory or trigger in a safe and controlled environment until the anxiety response diminishes. Supportive psychotherapy, stress inoculation therapy, and debriefing therapy have not been found to be as effective for treating acute post-traumatic stress disorder.

Question 2

Following exposure to a traumatic event,post-traumatic stress disorder occurs more often&#10;A)Among men&#10;B)Among individuals who have experienced prior traumas&#10;C)Among individuals with high levels of education&#10;D)Among those who are married or in a stable relationship

Accepted Answer

Research has shown that individuals who have experienced prior traumas are more likely to develop post-traumatic stress disorder following exposure to a new traumatic event. This is thought to be due to the cumulative effects of trauma on the brain and body, as well as the fact that those who have experienced trauma in the past may be more sensitized to the effects of subsequent trauma. Gender, education level, and relationship status have not been consistently linked to higher rates of PTSD following trauma.

Question 3

The key feature of acute stress disorder is the presence of&#10;A)Sleep disturbances&#10;B)Symptoms of dissociation&#10;C)Increased arousal&#10;D)Recurrent,intrusive thoughts

Accepted Answer

Symptoms of dissociation

Question 4

The current frontline treatment for acute stress disorder is&#10;A)Mood stabilizer medications&#10;B)Interpersonal psychotherapy&#10;C)Antianxiety medications&#10;D)Trauma-focused cognitive behavioral therapy

Accepted Answer

The current frontline treatment for acute stress disorder is trauma-focused cognitive behavioral therapy (CBT), which focuses on helping the person process and cope with the traumatic experience. Antianxiety medications may be used as an adjunct to therapy, but they are not considered a standalone treatment option. Mood stabilizer medications and interpersonal psychotherapy are not typically used as frontline treatments for acute stress disorder.

Question 5

The primary goal of treatment for patients with post-traumatic stress disorder is to help them to&#10;A)Eradicate memories of the traumatic event&#10;B)Prevent response to triggers of the traumatic event&#10;C)Learn to live with intrusive images&#10;D)Place the trauma in the larger perspective of their lives

Accepted Answer

The primary goal of treatment for patients with post-traumatic stress disorder is to help them place the trauma in the larger perspective of their lives. This involves helping patients to process the traumatic event, develop coping skills, and integrate the experience into their life story in a way that allows them to move forward and function effectively. It is not possible or desirable to eradicate memories of the traumatic event, and learning to live with intrusive images may be a part of the process. However, the ultimate goal is to prevent or reduce the response to triggers of the traumatic event so that patients can resume a fulfilling and satisfying life.

Question 6

Three days ago,a woman was raped by a man who drove her home from a party.She notified the police and the man was arrested.She has memory loss related to the rape and feels depressed and lethargic.Which of the following would be the most immediate beneficial intervention?

A)Providing an opportunity to confront her assailant
B)Providing medication
C)Referring her to a support group
D)Creating a safe environment

Accepted Answer

Creating a safe environment is the most immediate beneficial intervention to help the woman feel secure and supported, which is crucial for her emotional and psychological well-being following such a traumatic event.

Question 7

Which mental status variation are you most likely to expect for a client diagnosed as having post-traumatic stress disorder?&#10;A)Thought: delusions of grandeur&#10;B)Perceptual: derealization and depersonalization&#10;C)Memory: impaired recent memory&#10;D)Mood: inappropriate,silly

Accepted Answer

Clients with PTSD often experience symptoms of derealization and depersonalization, which are variations in perceptual status. Delusions of grandeur are not typically associated with PTSD. While impaired memory can be a symptom of PTSD, it may not be limited to recent memory, and inappropriate or silly mood is not a primary symptom of the disorder.

Question 8

Ninety percent of Americans experience a trauma in their lifetime that is severe enough to cause post-traumatic stress disorder.What percent develop post-traumatic stress disorder?&#10;A)10%&#10;B)20%&#10;C)30%&#10;D)40%

Accepted Answer

The answer of Ninety percent of Americans experience a trauma...

Question 9

Which one of the following exposure treatments for post-traumatic stress disorder has been found to be effective among veterans with chronic post-traumatic stress disorder that has not responded to other forms of treatment?

A)Cognitive behavioral therapy
B)Eye movement desensitization and reprocessing therapy
C)Structured writing therapy
D)Virtual reality exposure therapy

Accepted Answer

Virtual reality exposure therapy has been found to be effective among veterans with chronic post-traumatic stress disorder that has not responded to other forms of treatment. This form of exposure therapy allows patients to be immersed in a virtual environment that simulates the trauma they experienced, providing a controlled and safe way to confront and process their traumatic experiences.

Question 10

The brain structure that is involved with encoding the time and place of a trauma is the&#10;A)Amygdala&#10;B)Thalamus&#10;C)Hippocampus&#10;D)Hypothalamus

Accepted Answer

The hippocampus is responsible for encoding and processing memories, including the time and place of a trauma. Studies have shown that damage to the hippocampus can lead to difficulty in forming new memories, including those related to traumatic experiences. The amygdala is involved in the emotional response to trauma, while the thalamus and hypothalamus are not specifically related to the encoding of traumatic memories.

Deck 11: Acute Stress Disorder and Posttraumatic Stress Disorder