Quiz: Trauma-Informed Care for Survivors of Domestic Violence (OT314-A) Quiz: Trauma-Informed Care for Survivors of Domestic Violence Training Title: Trauma-Informed Care for Survivors of Domestic Violence This exam contains 20 questions. In order to receive credit, you MUST answer at least 16 questions correctly. You may attempt the quiz as many times as you’d like. First Name * Last Name * Email * 1. Traumatic events are described as overwhelming the ordinary systems of care. Which three senses of self do such events disrupt? * Identity, purpose, and belonging Structure, routine, and independence Control, connection, and meaning Memory, attention, and judgment 2. A survivor of domestic violence reports sleeping lightly, blaming herself for the abuse, and avoiding reminders of what happened. The most accurate way to understand these responses is that they are: * Signs of an underlying personality disorder that predates the abuse Survival skills that become symptoms when applied in a setting where they are no longer needed Evidence that the person has not yet accepted what happened to her Indications that she is unable to tell real danger from imagined danger 3. True or False: A survivor who uses substances to quiet intrusive thoughts should be asked to give up that strategy before any replacement supports are in place. * True False 4. Coercive control is best characterized as: * A repeating cycle of tension, an acute episode, and reconciliation between partners Physical violence that is severe enough to require medical treatment Escalating conflict that occurs when both partners lack communication skills A pattern of domination that strips a partner of autonomy, freedom, and basic rights 5. Understanding domestic violence through the power and control wheel rather than the cycle of violence matters because: * Most abusive tactics are not physical and are reinforced by physical violence as the person causing harm finds it useful Physical violence rarely occurs in relationships where coercive control is present The cycle of violence applies only to relationships in which children are present Survivors find the cycle of violence too difficult to describe to law enforcement 6. An organization applying the “Realize” element of trauma-informed care would begin every interaction with the awareness that: * Most people seeking services have not experienced significant trauma Disclosure will happen once rapport has been built in the first meeting Trauma is common across all populations and may go undisclosed even by people asking for help A trauma history should be documented before any services can begin 7. Higher ACE scores are associated with reduced life expectancy and COPD alongside depression and suicide attempts. Taken together, these findings show that childhood adversity affects: * Emotional wellbeing, with any physical effects emerging only much later in life Mental health considerably more than any other area of a person’s functioning Behavior and decision making rather than measurable medical conditions Physical health and life expectancy as much as mental health 8. Which of the following falls outside what the original ACE questionnaire measures? * Poverty, housing instability, racism, and positive childhood experiences Parental separation or divorce and household substance abuse Psychological and physical abuse by a parent Having an incarcerated member of the household 9. True or False: The experiences counted as positive childhood experiences center on relationships and belonging rather than on a family’s material or financial resources. * True False 10. The strongest influence on a child’s recovery from exposure to domestic violence is: * The child’s age when the first incident occurred Whether the child completed a formal course of trauma therapy The quality of the child’s relationship with the non-offending parent Whether the family was able to remain in the same school district 11. Timing, dosage, and capacity shape how trauma affects development. “Capacity” refers to: * The person’s cognitive ability to make sense of what happened The resources and support available to the person to help them cope The number of separate traumatic events the person has lived through The physical resilience of the developing brain and nervous system 12. Brain imaging showed that when participants revisited a detailed account of their own traumatic experience, Broca’s area went offline. The practical implication is that survivors: * Are unable to form any new memories while they are distressed Recall traumatic events more accurately than they recall ordinary events Temporarily lose the ability to recognize familiar faces May be neurobiologically inhibited from putting the experience into words 13. Alexithymia, which can develop after chronic trauma, involves difficulty: * Falling asleep and staying asleep through the night Recalling the order in which events occurred Recognizing how one feels and what one needs Holding eye contact during difficult conversations 14. True or False: A survivor who froze rather than fled during an assault still responded in a way geared toward survival, even though she did not choose the response and it did not produce the outcome she would have wanted. * True False 15. A survivor is handed a list of seventeen agencies to contact and returns to the next appointment having called none of them. Trauma-informed practice would understand this as: * A sign the person is not motivated to change her situation Evidence that the referrals offered were irrelevant to her needs A reason to set firmer expectations and use a written agreement The effect of impaired focused attention and an underactive frontal lobe on multi-step planning 16. The principle that “neurons that fire together wire together” explains why repeated exposure to danger: * Permanently prevents the brain from building any new pathways Strengthens pathways for vigilance and threat detection while the cortex is bypassed Gradually improves a person’s accuracy in evaluating real risk Reduces the intensity of the fight, flight, or freeze response over time 17. A survivor describes an assault out of order, moving between different time periods and expressing uncertainty about what happened first. The most accurate interpretation is that: * During the event, the brain’s resources went to survival rather than to laying down a linear memory The person is most likely fabricating portions of the account The person has developed a dissociative identity disorder The memory was never encoded and cannot be recovered 18. In a study of World War II veterans interviewed in the 1940s and again 45 years later, what distinguished the group whose combat memories stayed largely unchanged? * They had been deployed for longer tours of duty They had received no treatment after returning home They had described the events to more people over the years They had PTSD, and their higher level of arousal kept the memories stable 19. The “Respond” element of trauma-informed care calls on an organization to build knowledge about trauma into: * Policies, procedures, physical environments, supervision, and staff training Intake screening tools and the diagnostic criteria applied at first contact Credentials and licensure required of staff before they may see clients Referral agreements with outside agencies and community partners 20. Describing someone as “resistant” is discouraged in trauma-informed practice because resistance is better understood as: * A stage that resolves on its own once enough time has passed A signal that connection with the person has not yet formed Evidence that the person has been placed at the wrong level of care A stable personality trait that predicts a poor outcome Submit If you are human, leave this field blank. Δ
