Deck 8: Trauma- and Stressor-Related Disorders

Question 1

A child who rarely seeks or responds to comfort when distressed is associated with the diagnosis _____ while a child who is excessively social and seeks comfort even from strangers is associated with ____.

A) Inhibited social engagement disorder; disinhibited social engagement disorder.
B) Inhibited social engagement disorder; autism spectrum disorder.
C) Disinhibited social engagement disorder; reactive attachment disorder.
D) Reactive attachment disorder; disinhibited social engagement disorder.

Answer 1

Reactive attachment disorder; disinhibited social engagement disorder.

Question 2

What is an evidence-based approach for reactive attachment disorder?

A) Interpersonal therapy.
B) Engagement and attachment therapy (EAT).
C) No evidence-based practice has yet been established.
D) Social skills training.

Answer 2

No evidence-based practice has yet been established.

Question 3

An intervention that is designed to facilitate a foster parent's ability to provide unconditional support and nurturance for children who have experienced disrupted attachment is called:

A) Attachment and biobehavioral catchup.
B) Relationship enhancement therapy.
C) Transference-focused therapy.
D) Parent-child relationship training.

Answer 3

Attachment and biobehavioral catchup.

Question 4

All of the following are associated with the diagnosis of posttraumatic stress disorder EXCEPT:

A) Intrusion symptoms (e.g., memories, dreams).
B) Symptoms for < 1 month.
C) Negative changes in thoughts or mood (e.g., negative beliefs about oneself; feeling detached).
D) Alterations in arousal (e.g., angry outbursts, hypervigilance).

Question 5

Important characteristics of therapists who help those with PTSD include:

A) Being active and directive during the therapy process.
B) Providing a safe environment to help the person regain a sense of control.
C) Awareness of their sensitivity to secondary traumatization and willingness to seek supervision.
D) All of the above.

Question 6

The treatment with the most evidence-based support in the treatment of PTDS is:

A) Critical incident stress debriefing.
B) Emotionally focused therapy.
C) Trauma-focused CBT.
D) Post-trauma debriefing.

Question 7

The therapeutic approach that combines the development of anxiety management skills along with cognitive restructuring to help clients alter disrupted cognitions is called.

A) Cognitive processing therapy (CPT).
B) Eye movement reprocessing therapy (EMRT).
C) Cognitive restructuring and anxiety modification skills (CRAMS).
D) Skills training in affect and interpersonal regulation (STAIR).

Question 8

Adjustment disorder:

A) Is rarely diagnosed.
B) Is the diagnosis given in cases of bereavement/grief that is at the level expected.
C) Can be triggered by "positive" events (e.g., getting married, having a baby)
D) Requires more than 6 months of continuous symptoms.

Question 9

Because they can be associated, adults and adolescents with adjustment disorder need to be assessed for _______.

A) Nonsuicidal self-injury.
B) Polysubstance abuse.
C) Suicidal ideation.
D) Acute stress disorder.

Question 10

All of the following are common goals in the treatment of adjustment disorders EXCEPT:

A) Strengthen coping skills.
B) Develop problem-solving skills to reduce the impact of the stressor.
C) Use intensive flooding strategies to expose the person to the stressors associated with the disorder.
D) Use acceptance or relaxation techniques to reduce the person's response to stressors that cannot be removed.

Question 11

Mindfulness-based practices can assist those facing life transitions by helping them recognize, tolerate, and accept emotions related to the stressors.

Question 12

The prognosis for women with adjustment disorders is not very promising.