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Innovations in Geriatric Care: Trauma-Informed Care; What It Is and Why It's Important (Day 1)

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1.  Which of these statements is false? The more exposure a person has to trauma, the greater the risk for chronic disease, mental illness, violence, and being a victim of violence. How the individual labels, assigns meaning to, and is disrupted physically and psychologically by an event will contribute to whether or not it is experienced as traumatic. Trauma-informed care only applies to our patients. Behavioral interviewing techniques involve asking the individual how he or she would handle a challenging situation. It is a key element in hiring a trauma-informed workforce.

2.  Which of these statements related to trauma-informed care is false? The term "peer" (as it relates to trauma-informed care) refers to individuals with whom an individual works or lives; members of one's community. According to State Survey Guidelines, mental and psychosocial adjustment difficulties refer to problems residents have in adapting to changes in life's circumstances. Trauma-informed care seeks to change the illness paradigm from one that asks, "What's wrong with you?" to, "What has happened to you?" A trauma-informed practice seeks opportunities for patients to have a say in their care.

3.  Examples of trauma include which of the following? Experiencing or observing physical, sexual, and emotional abuse Experiencing or witnessing violence in the community or while serving in the military Poverty and systemic discrimination All of the above

4.  Which of these is NOT one of the Three Es of Trauma? Event Education Experience Effects

5.  Which of these is NOT one of the 4 Rs/assumptions of trauma-informed care? Recognize Respond Resist negative responses or feedback Realize

6.  Which of these is NOT a logical reason why a resident would not report past trauma? Screening prevents them from speaking up Concern for safety Fear of being judged by service providers Lack of trust in others

7.  Ways to create a safe social-emotional environment include which of the following? Welcoming patients; showing respect and support Consistent schedules and procedures Open, honest communication All of the above

8.  Which of these is NOT a key ingredient for trauma-informed care? Engage patients in organizational planning Train only clinical staff Create a safe physical and emotional environment Prevent secondary traumatic stress in staff

9.  Strategies to prevent secondary traumatic stress in staff include all but which of the following? Offering opportunities for staff to explore their own trauma histories Supporting reflective supervision, in which a service provider and supervisor meet regularly to address feelings regarding patient interactions Encouraging and incentivizing physical activity, yoga, and meditation Encouraging the person to work through his or her stress because it will make them stronger in the end

10.  Community can be defined in all but which of the following ways? Geographically Virtually Individually Organizationally