Sensorimotor Psychotherapy for Trauma Themes Posttest-Module 2A

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1). All clients with a trauma history present the same symptoms.*
- True
- False
2). Neuroconstruction is how the brain constructs experience.*
- True
- False
3). Which of the following contribute to brain and nervous system structure?*
- Genetics
- Social and cultural factors
- Environmental factors
- All of the above
4). Meaning (like cognition, belief, and emotion) from our experience is constructed through systems of the body and brain.*
- True
- False
5). Which of the following is a core system available and operating without conscious awareness?*
- Default mode network
- Interoception
- Neuroception
- All of the above
6). In stress, distress, and trauma, the lower brain structures are impacted but the higher nervous systems stay intact.*
- True
- False
7). In which states are the functions of the amygdala impacted?*
- Stressed
- Distressed
- Traumatized
- All of the above
8). Repeated experience of a state can lead to a state becoming a trait or predictable characteristics of a person, and then part of a person’s identity.*
- True
- False
9). Which of the following could be an indicator of stress, distress, or trauma?*
- Energy regulation
- Body temperature
- Capacity for play
- All of the above
10). In a well-being state, where does the client fall in the modulation model?*
- Within the zone of optimal ANS arousal
- At the edges of the zone of optimal ANS arousal
- Outside the zone of optimal ANS arousal
- Any of the above
11). In a trauma state, where does the client fall in the modulation model?*
- Within the zone of optimal ANS arousal
- At the edges of the zone of optimal ANS arousal
- Outside the zone of optimal ANS arousal
- Any of the above
12). If a client is outside the zone of optimal ANS arousal, it is best to explore vehement emotions such as panic and terror.*
- True
- False
13). Which of the following is the best example of an indicator of nervous system hyperarousal?*
- Flushed or blanched face and clenched teeth
- Vacant look in the eyes and a flat tone of voice
- Slow speech and low energy
- A statement from the client about their experience
14). Which of the following is the best example of an indicator of parasympathetic dorsal vagal hypoarousal?*
- Shaking and trembling, speedy energy
- Droopy eyes and lack of muscle tone
- Flushed or blanched face and clenched teeth
- A statement from the client about their experience
15). Collapse/feigned death is an indicator of*
- Nervous system hyperarousal
- Parasympathetic dorsal vagal hypoarousal
- Mindfulness
- A need to reframe
16). In which state are mindfulness and presence becoming compromised?*
- Trauma
- Distress
- Challenge
- Well-being
17). In what state is access to resources sometimes completely cut off?*
- Stress
- Distress
- Trauma
- Challenge
18). A bike accident with no overlay of attachment trauma may be categorized as*
- Simple trauma
- Complex trauma
- Relational trauma
- None of the above
19). Complex trauma involves which of the following characteristics*
- Repetitive, prolonged, or cumulative stressors
- Interpersonal dimensions
- A PTSD diagnosis
- Both A and B
20). Select the best choice for explicit contact to the narrative in response to the client. Client: It seems like every night in my dreams and sometimes during the day too - I get flashes of the accident, but I just can't get over it…*
- “Try drinking fennel tea before bed; that should help.”
- “Maybe you feel like this is your fault somehow…”
- “Maybe holding that pillow helps you cope…”
- “Your mind knows it’s over, but your dreams keep it happening, huh…”
21). Select the best choice for explicit contact to the present moment in response to the client. Client: Client winces and clutches a pillow over their chest. “I think that it’s over…but…I don’t know… I am just so reactive to it all the time?”*
- “You seem pretty defeated hey…”
- “It seems like you keep reliving the moment…”
- “Maybe you feel like this is your fault somehow…”
- “Your muscles seem to relax when you hold that pillow...”
22). Select the best choice for implicit contact to the narrative in response to the client. Client: It seems like every night in my dreams and sometimes during the day too - I get flashes of the accident, but I just can't get over it…*
- “Try drinking fennel tea before bed; that should help.”
- “There is a deep wish for things to have gone a different way, yeah...”
- “Maybe holding that pillow helps you cope…”
- “Your mind knows it’s over, but your dreams keep it happening, huh…”
23). Select the best choice for implicit contact to the present moment in response to the client. Client: Client winces and clutches a pillow over their chest. “I think that it’s over…but…I don’t know… I am just so reactive to it all the time?”*
- “You’re afraid it will never go back to normal hey…”
- “Your mind knows it’s over, but your dreams keep it happening, huh…”
- “Maybe you feel like you caused this event somehow…”
- “Your arms have a strong impulse to protect, hey…”
24). When a client is traumatized in and through a relationship, we call this*
- Relational trauma
- Complex trauma
- Developmental trauma
- None of the above.
25). The traumatic impacts of oppression are visible to everyone.*
- True
- False
26). Post Traumatic Slavery Disorder and Black Women’s Post-Slavery Silence Syndrome are examples of*
- Simple trauma
- Race-based intergenerational trauma
- Gender identity trauma
- All of the above
27). Forms of dissociation impact the person’s level and breadth of consciousness, but do not impact the person’s degree of presence.*
- True
- False
28). Daydreaming or letting our minds wander off task is an everyday example of…*
- State dissociation
- Psychoform dissociation
- Somatoform dissociation
- Structural Dissociation
29). A client either has the capacity for dissociation or does not.*
- True
- False
30). State dissociation is never desirable.*
- True
- False
31). The numbing or reintrusion of thoughts, perceptions, and emotions is known as..*
- State dissociation
- Psychoform dissociation
- Somatoform dissociation
- All of the above
32). The numbing or reintrusion of sensations or movements is called…*
- State dissociation
- Psychoform dissociation
- Somatoform dissociation
- All of the above
33). Perceiving a dark figure who is not really there is an indicator of…*
- Numbing psychoform dissociation
- Intruding psychoform dissociation
- Numbing somatoform dissociation
- Intruding somatoform dissociation
34). If a client can’t seem to hear your voice, this is an indicator of…*
- Numbing psychoform dissociation
- Intruding psychoform dissociation
- Numbing somatoform dissociation
- Intruding somatoform dissociation
35). The inability to feel touch on a certain part of the body may indicate…*
- Numbing psychoform dissociation
- Intruding psychoform dissociation
- Numbing somatoform dissociation
- Intruding somatoform dissociation
36). If a client feels a hand on their leg that isn’t really there, this is an indicator of…*
- Numbing psychoform dissociation
- Intruding psychoform dissociation
- Numbing somatoform dissociation
- Intruding somatoform dissociation
37). The fragmentation of self into an Apparently Normal Part and one or more Traumatized Parts is known as:*
- Structural dissociation
- State Dissociation
- Somatoform Dissociation
- Psychoform dissociation
38). Which of the following is NOT an indicator of numbing dissociation?*
- Inability to access body parts
- Flat affect
- Reporting a 5-sense perception that is not present
- A lack of responsiveness
39). Which of the following is NOT an indicator of intruding dissociation?*
- Flat affect
- Heightened somatic awareness
- Hyper-orienting
- Reporting a 5-sense perception that is not present
40).Othering and oppression are best described as…*
- State dissociation
- Cultural dissociation
- Numbing dissociation
- Intruding dissociation
41). Code-switching can sometimes lead to dissociating from parts of the self among people who are othered or oppressed.*
- True
- False
42). In the SP Well-being continuum, the sense of self begins to be affected in challenge.*
- True
- False
43). In the SP well-being continuum, the sense of sell begins to disintegrate in which state:*
- Well-being
- Challenge
- Distress
- Trauma
44). Procedural learning always requires repetition.*
- True
- False
45). A client who is assaulted at a campground habitually avoids parks, is an example of*
- Procedural learning from repetition
- Declarative learning from repetition
- Procedural learning in response to a traumatic event
- Declarative learning in response to a traumatic event
46). Reflexes are slower, more complex responses to stimuli, while reactions are fast, simple, involuntary responses to stimuli.*
- True
- False
47). In SP, we work with regulating activation and resourcing first, before working directly with meaning and emotion.*
- True
- False
48). Procedural learning can include belief systems and patterned emotions.*
- True
- False
49). Avoidance behaviours can be..*
- An opportunity for psychoeducation
- An invitation to go deeper
- An indicator of well-being
- All of the above
50). Which of the following is NOT true about emotions?*
- They emerge from physical properties like sensation
- They are impacted by a person’s upbringing
- They are universal
- They vary from culture to culture
51). To account for variations in experience of emotions and beliefs, SP proposes that therapists…*
- Look for physiological indicators of emotion and belief
- Use mindfulness and experiments to help clients explore their experience
- Ask clients to articulate their emotions clearly
- Both A and B
52). Which of the following questions is most relevant as you work with procedural learning in the accessing stage?*
- What narratives does the client have about this learning?
- What is the organization of experience of dysregulation?
- What changes the dysregulation (and the experience of it)?
- All of the above.
53). Which of the following questions is most relevant as you work with procedural learning in the processing stage?*
- What narratives does the client have about this learning?
- What is the organization of experience of dysregulation?
- What changes the dysregulation (and the experience of it)?
- All of the above.
54). In which stage might you experiment with directly disrupting procedural learning by resourcing and metabolize procedural learning?*
- Container
- Accessing
- Processing
- Integration
55). Talking about traumatic experiences is always helpful in resolving them.*
- True
- False
56). In SP, we shift attention from the narrative to procedural tendencies and organization of experience.*
- True
- False
57). State does not impact memory recall.*
- True
- False
58). In SP’s view, it is more important to gather a trauma history, rather than a resource history, to guide symptom management.*
- True
- False
59). Which of the following represents challenges to procedural learning?*
- Experiments
- State dissociation
- Relational alchemy
- Contact
60). Experiments should only be used in the Accessing stage.*
- True
- False
61). There is no right or wrong outcome of an experiment.*
- True
- False
62). What would prompt a therapist to set up an experiment?*
- Funneling to take clients deeper into their experience
- To help clients become aware of their impulses
- To clarify thoughts and feelings
- All of the above
63). What are the two types of SP experiments?*
- Procedural and demonstrative
- Tracking and Contacting
- Mindfulness and Action-oriented
- Verbal and physical
64). Which of the following is a type of experiment?*
- The client says the words GET OUT and notices what happens in the body
- The therapist offers some physical action for the client to experience
- The therapist says the word No and the client notices what happens in the body.
- All of the above
65). Which of the following is a physical experiment?*
- Client reaches out to set a boundary
- Client repeats a word or phrase
- Therapist offers an alternative belief
- None of the above
66). Which of the following is a verbal experiment?*
- Therapist offers an alternative belief
- Client repeats a word or phrase
- Therapist leans forward
- Both A and B
67). Should you pause before an experiment? Select the best answer.*
- Yes; to return the client to a mindful state
- Yes; to do a pre-assessment
- No; the client may overintellectualize
- No; the client may suppress instincts
68). The experiment should be designed by the therapist.*
- True
- False
69). Which of the following is a function of boundaries?*
- Protection
- Screening
- Containment
- All of the above
70). Boundary experiments can help clients establish safety in the therapeutic relationship.*
- True
- False
71). The regulation of physiological activation of the autonomic nervous system is referred to as…*
- ANS arousal alteration
- ANS arousal modulation
- The neuroception of ANS
- The neuroception of danger
72). The Optimal Arousal Zone is also known as*
- Hyperarousal
- Hypoarousal
- The window of tolerance
- The fight or fight response
73). Vehement emotions…*
- Keep clients in the zone of optimal arousal
- Thrust the client outside their zone of optimal arousal
- Do not impact the zone of optimal arousal
- Do not influence state changes
74). Which of the following terms best describes a single element of present moment experience that has been tracked and contacted and is then framed so it can be mindfully explored?*
- An access route
- A core organizer
- An experiment
- A mindfulness report
75). Which of the following is NOT an indicator of dysregulation?*
- Hypervigilance
- Heart rate
- Calm energy
- Disorganized movement
76). A client who has wide eyes, diffuse energy, tingling, and disorganized movement is probably experiencing…*
- Dysregulation
- Optimal ANS arousal
- Well-being
- Safety
77). According to polyvagal theory, hyperarousal is associated with a life-threat response, while hypoarousal is associated with danger.*
- True
- False
78). According to polyvagal theory and the SP modulation model, settled, calm, flexible resources, curiosity, and capacity for relationships are indicators of which of the following?*
- Danger
- Safety
- Life-Threat
- Well-Being
79). According to polyvagal theory and the SP modulation model, collapse, flat affect, numbing, and submissive responses are indicators of which of the following?*
- Danger
- Safety
- Life-Threat
- Well-Being
80). According to polyvagal theory and the SP modulation model, hyper-defending, emotional reactivity, hypervigilance, and instructive imagery are indicators of which of the following?*
- Danger
- Safety
- Life-Threat
- Well-Being
81). Which of the following terms best describes the capacity to seek out and receive soothing through relationship?*
- Interactive self-regulation
- Auto self-regulation
- Up-regulation
- Down-regulation
82). Meditation, talking a walk, or reading a book are examples of*
- Interactive self-regulation
- Auto self-regulation
- Neurofunction
- Cultural dissociation
83). In SP, anything that enhances quality of life or provides help to meet’s life challenges is called…*
- A contact
- A resource
- An experiment
- A frame
84). Of the following, which best describes the behaviour of avoiding a place where a traumatic incident has occurred?*
- Survival resource
- Creative resource
- External resource
- All of the above
85). A client’s personal strengths, competencies, and relationships may be considered creative resources.*
- True
- False
86). Financial stability is an example of*
- An external resource
- An internal resource
- Unity
- An experiment
87). The category of abilities that emerge from physical experience are called*
- Creative resources
- External Resources
- Experiments
- Somatic resources
88). A missing resource is a soothing, grounding, or relaxing gesture that the client is able to engage in the session without prompting.*
- True
- False
89). Somatic resources can be used to*
- Develop and support a physical felt sense of competency
- Regulate arousal and stay centered
- Engage with others and the world
- All of the above
90). In SP, transformation is both a stage and a set of skills.*
- True
- False
91). Transformation is always marked by a dramatic shift in consciousness.*
- True
- False
92). The three main skills of transformation are…*
- Contact, experimentation, recognition
- Interpretation, analysis, framing
- Recognition, naming, framing
- Up-regulation, Down-regulation, and Auto-regulation
93). Which of the following is the best description of the SP transformation skill of discrimination?*
- Cultural dissociation
- Distinguishing the here and now from there and there
- Deciding which approach to use for a particular client
- Choosing an experiment
94). Through which of the following is transformation revealed?*
- Through one or more core organizers
- Through clearly articulated words
- Through a follow-up session
- Through psychoform dissociation
95). Naming the transformation can involve*
- Simple contact statements
- Refining contact statements
- No contact statements
- A and B
96). Which of the following is an example of a Transformation frame?*
- “I’m noticing you’ve begun to relax. Let’s stay with that relaxing feeling.”
- “What are you noticing as you stay with this tense feeling?”
- “I know we started with the tightness, but I get the sense that your shallow breathing is more important. Let’s stay with that.”
- All of the above
97). Which of the following is an example of collaborative framing language?*
- “I want you to focus on finding some resources for hyperarousal.”
- “I think it would be good for you to sense your feet on the ground.”
- “How about we focus on boundaries today?”
- All of the above
98). The more precise the naming and framing of transformation, the more precise and effective will be the integration.*
- True
- False
99). Bite-sizing can help if clients are hesitant towards transformation.*
- True
- False
100). Clients should feel elated when they come to transformation.*
- True
- False
101). Initial indicators of Transformation are often verbal or cognitive rather than somatic.*
- True
- False
102). “If just a small portion of this feeling of safety could be true, for just a second, what would that feel like?” is an example of*
- Discrimination
- Bitesizing
- Relational alchemy
- Framing
103). Which of the following are involved in Integration?*
- Tracking, contacting, and framing
- Experiments
- Steps for Mindfulness
- All of the above
104). In which stage is transformation nurtured towards an enriched awareness, through experiments, meaning-making, and identifying multiple ways to embody and take the new transformation into daily life?*
- Container
- Processing
- Integration
105). In the Integration phase, you might access new material.*
- True
- False
106). If the client brings up extraneous material in the Integration phase, you should..*
- Go back to the processing phase
- Go back to the Transformation phase
- Acknowledge and gently reorient toward the transformation
- Acknowledge and ask if the client would like to explore this element further
107). Movement can help support integration of new beliefs, capacities, and/or actions.*
- True
- False
108). If a client brings up a new memory within 5 minutes left in the session, what is the best course of action?*
- Continue letting the client discuss the memory for 5 minutes
- Bookmark the memory for the next session and return to resourcing
- Redirect the session back to the current frame
- Both B and C are appropriate
109). Which of the following strategies do NOT help clients deepen into transformation?*
- Elicit mindfulness directives to help the client stay with the new sensation
- Ask the new sensation what it might be saying to help shift beliefs
- Begin linking core organizers to new topics
- None of the above deepen into transformation
110). The Integration stage provides clients with an opportunity to connect with pleasurable sensations and movements in the body.*
- True
- False
111). How does “savoring the Transformation” impact the client?*
- Increases capacity for pleasure
- Increases therapeutic progress
- Increases depth of integration
- All of the above
112). Completing integration, the client’s state of consciousness shifts from ordinary consciousness to mindfulness and somatic awareness.*
- True
- False
113). Which of the following supports somatic integration?*
- Walking with a new gait
- Sitting or standing with a new posture
- Orienting to new sensory information
- All of the above
114). Material from sessions easily translates into daily life without taking additional time to support this process.*
- True
- False
115). Grounding, alignment, and breath are examples of*
- Somatic resources
- Cognitive resources
- Somatic alchemy
- Cognitive alchemy
116). Clients must move beyond Phase One in order to make meaningful progress.*
- True
- False
117). “Can I say a sentence to you, and we’ll see what happens in your body?” is an example of*
- Savoring the transformation
- Proposing an experiment
- Resourcing
- Collaborating on an initial frame
118). Once in motion, experiments should not be modified.*
- True
- False
119). A fleeting sense of “I can defend myself” is an example of*
- An integration
- An experiment
- A collaboration
- A transformation
120). “That chronic tension in your jaw just released a bit...” is an example of*
- Recognizing the transformation
- Naming the transformation
- An experiment
- An integration

Sensorimotor Psychotherapy for Trauma Themes Posttest-Module 2A

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