Crisis and Trauma Interventions Flashcards
7 cards from real NCMHCE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Crisis and Trauma Interventions flashcards as text
Eye Movement Desensitization and Reprocessing (EMDR) therapy targets traumatic memories through which core mechanism?
Answer: Bilateral stimulation while the client holds a traumatic memory in mind to facilitate adaptive processing
EMDR uses bilateral stimulation (eye movements, taps, or tones) while the client focuses on a traumatic memory to facilitate adaptive information processing.
A client meets criteria for Complex PTSD (C-PTSD) after years of childhood neglect. Which additional symptom cluster distinguishes C-PTSD from standard PTSD?
Answer: Disturbances in self-organization including affect dysregulation, negative self-concept, and relational difficulties
C-PTSD includes the core PTSD clusters plus disturbances in self-organization (DSO), which encompass affect dysregulation, negative self-concept, and impaired relationships.
During a phone crisis intervention, a caller states 'I have pills in my hand right now.' The FIRST action the counselor should take is:
Answer: Keep the caller engaged while dispatching emergency services to their location
When means are immediately present and imminent danger is clear, dispatching emergency services while maintaining engagement is the priority to preserve life.
The Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) model is organized around which acronym describing its components?
Answer: PRACTICE — Psychoeducation, Relaxation, Affective modulation, Cognitive coping, Trauma narrative, In vivo mastery, Conjoint sessions, Enhancing safety
TF-CBT uses the PRACTICE acronym to organize its evidence-based components for children, adolescents, and their caregivers.
A veteran with PTSD reports recurrent nightmares and is resistant to trauma-focused therapy. Which evidence-based treatment specifically targets trauma-related nightmares?
Answer: Image Rehearsal Therapy (IRT)
Image Rehearsal Therapy (IRT) is an evidence-based cognitive-behavioral treatment that rescripts and mentally rehearses nightmares to reduce their frequency and distress.
Secondary traumatic stress (STS) in a counselor is BEST characterized by which set of symptoms?
Answer: Vicarious trauma symptoms mirroring PTSD that arise from indirect exposure to client trauma material
STS involves PTSD-like symptoms (intrusions, avoidance, hyperarousal) resulting from indirect exposure to traumatic content through client work.
When applying Dialectical Behavior Therapy (DBT) skills in a crisis context, which skill module is MOST directly relevant to tolerating acute distress without acting impulsively?
Answer: Distress Tolerance
DBT's Distress Tolerance module includes TIPP, ACCEPTS, and IMPROVE skills specifically designed to endure crisis moments without worsening the situation.