NR 607 Final Exam - 3: (Latest 2026/2027 Update) Trauma, Dissociative
Disorders, Somatic Disorders, Violence, TBI, CTE | Q&A | Grade A | 100%
Correct (Verified Answers) – Chamberlain University
Subject: Psychiatric-Mental Health Nurse Practitioner (PMHNP) – Racial Trauma, Dissociative Disorders,
Somatic Symptom Disorders, Violence Prevention, IPV, Child Sexual Abuse, TBI, CTE, PTSD/SUD Co-
treatment
Source: NR 607 Final Exam - 3 / Chamberlain University / DSM-5-TR / Clinical Guidelines (2026/2027
Update)
Format: Q&A Guide with Clinical Rationales | Grade A Guaranteed
1. What type of stigma involves taking inward stereotypes, prejudice, or social discrimination on the
part of the client?
Correct Answer: Internalized stigma
1. Internalized stigma occurs when a person accepts negative societal beliefs about their condition
and applies them to themselves.
2. This can lead to self-devaluation, shame, and treatment avoidance.
2. What type of stigma involves expectations of discrimination on the part of the client?
Correct Answer: Anticipated stigma
1. Anticipated stigma is the expectation that one will be discriminated against.
2. Can lead to hypervigilance and avoidance of situations where discrimination is expected.
3. What were the increases in mental health disorders among 154,000 COVID-19 patients in the VA
system with no prior mental illness?
Correct Answer: Depression: 39% increase, Anxiety: 35% increase, Sleep problems: 41% increase
1. COVID-19 infection is associated with significant increased risk for new-onset mental health
disorders.
2. Mechanisms may include neuroinflammatory effects and psychosocial stressors.
4. What are the limitations of using PTSD assessment tools for racial trauma?
Correct Answer: They provide few racial-trauma-specific prompts; it is unknown if they were
validated using people of color; they tend to measure the impact of a specific traumatic event, not the
accumulation of lifetime events.
1. Racial trauma often results from cumulative microaggressions and systemic discrimination, not
a single event.
2. Culturally informed assessment tools are needed for accurate diagnosis.
, 5. What is the Racial Trauma Scale (RTS) and how is it scored?
Correct Answer: 9-Item Short-Form Research Version; scored by adding all items; total scores range
from 9 to 36; three subscales: Lack of Safety (items 3,5,9), Negative Cognitions (2,6,7), Difficulty
Coping (1,4,8).
1. The RTS is a newly developed self-report measure for racial trauma symptoms.
2. Higher scores indicate greater severity of racial trauma symptoms.
6. What are the four phases of the HEART (Healing Ethno-Racial Trauma) framework?
Correct Answer: I. Establish sanctuary space for clients experiencing ERT; II. Acknowledge,
reprocess, & cope with symptoms of ERT; III. Strengthen & connect individuals, families, &
communities to survival strategies & cultural traditions that heal; IV. Liberation & resistance.
1. HEART is a trauma-informed intervention specifically for ethno-racial trauma.
2. Incorporates principles of empowerment, trustworthiness, collaboration, choice, and safety.
7. What are dissociative disorders?
Correct Answer: Repeated discontinuity or disruption of normal integration of consciousness, memory,
identity, emotion, perception, body representation, motor control, and behavior. Characterized by
dissociative symptoms that occur as an adaptive defense response to trauma. Primary considerations:
Safety & social problems.
1. Stigma may hinder treatment due to myths about existence/validity of these disorders.
2. Crucial to managing dissociative responses: trauma-informed care and dissociation-specific
psychotherapy.
8. What is the difference between freeze and shutdown (collapse) responses?
Correct Answer: Freeze: HYPERaroused, muscles tense, increased HR/BP, client feels stuck but ready
to return to fight/flight. Shutdown: HYPOaroused, muscles flaccid, decreased HR/BP/temp, blank stare,
endorphins release, may feel detached from body.
1. In shutdown, sensory information stops at the thalamus and does not reach the cortex.
2. Dynorphins release during shutdown can make the client feel detached from their body.
9. How does trauma affect semantic memory?
Correct Answer: Trauma can prevent information (words, images, sounds) from different parts of the
brain from combining to make a semantic memory. Related brain area: temporal lobe and inferior
parietal cortex.
1. Semantic memory involves general world knowledge and facts.
2. Disrupted semantic integration can affect understanding and meaning-making of events.
10. How does trauma affect episodic memory?
Correct Answer: Trauma can shut down episodic memory and fragment the sequence of events.
Related brain area: hippocampus (responsible for creating and recalling episodic memory).
1. Hippocampal volume is often reduced in individuals with PTSD.
2. Fragmented memories may be experienced as flashbacks or intrusive images.
Disorders, Somatic Disorders, Violence, TBI, CTE | Q&A | Grade A | 100%
Correct (Verified Answers) – Chamberlain University
Subject: Psychiatric-Mental Health Nurse Practitioner (PMHNP) – Racial Trauma, Dissociative Disorders,
Somatic Symptom Disorders, Violence Prevention, IPV, Child Sexual Abuse, TBI, CTE, PTSD/SUD Co-
treatment
Source: NR 607 Final Exam - 3 / Chamberlain University / DSM-5-TR / Clinical Guidelines (2026/2027
Update)
Format: Q&A Guide with Clinical Rationales | Grade A Guaranteed
1. What type of stigma involves taking inward stereotypes, prejudice, or social discrimination on the
part of the client?
Correct Answer: Internalized stigma
1. Internalized stigma occurs when a person accepts negative societal beliefs about their condition
and applies them to themselves.
2. This can lead to self-devaluation, shame, and treatment avoidance.
2. What type of stigma involves expectations of discrimination on the part of the client?
Correct Answer: Anticipated stigma
1. Anticipated stigma is the expectation that one will be discriminated against.
2. Can lead to hypervigilance and avoidance of situations where discrimination is expected.
3. What were the increases in mental health disorders among 154,000 COVID-19 patients in the VA
system with no prior mental illness?
Correct Answer: Depression: 39% increase, Anxiety: 35% increase, Sleep problems: 41% increase
1. COVID-19 infection is associated with significant increased risk for new-onset mental health
disorders.
2. Mechanisms may include neuroinflammatory effects and psychosocial stressors.
4. What are the limitations of using PTSD assessment tools for racial trauma?
Correct Answer: They provide few racial-trauma-specific prompts; it is unknown if they were
validated using people of color; they tend to measure the impact of a specific traumatic event, not the
accumulation of lifetime events.
1. Racial trauma often results from cumulative microaggressions and systemic discrimination, not
a single event.
2. Culturally informed assessment tools are needed for accurate diagnosis.
, 5. What is the Racial Trauma Scale (RTS) and how is it scored?
Correct Answer: 9-Item Short-Form Research Version; scored by adding all items; total scores range
from 9 to 36; three subscales: Lack of Safety (items 3,5,9), Negative Cognitions (2,6,7), Difficulty
Coping (1,4,8).
1. The RTS is a newly developed self-report measure for racial trauma symptoms.
2. Higher scores indicate greater severity of racial trauma symptoms.
6. What are the four phases of the HEART (Healing Ethno-Racial Trauma) framework?
Correct Answer: I. Establish sanctuary space for clients experiencing ERT; II. Acknowledge,
reprocess, & cope with symptoms of ERT; III. Strengthen & connect individuals, families, &
communities to survival strategies & cultural traditions that heal; IV. Liberation & resistance.
1. HEART is a trauma-informed intervention specifically for ethno-racial trauma.
2. Incorporates principles of empowerment, trustworthiness, collaboration, choice, and safety.
7. What are dissociative disorders?
Correct Answer: Repeated discontinuity or disruption of normal integration of consciousness, memory,
identity, emotion, perception, body representation, motor control, and behavior. Characterized by
dissociative symptoms that occur as an adaptive defense response to trauma. Primary considerations:
Safety & social problems.
1. Stigma may hinder treatment due to myths about existence/validity of these disorders.
2. Crucial to managing dissociative responses: trauma-informed care and dissociation-specific
psychotherapy.
8. What is the difference between freeze and shutdown (collapse) responses?
Correct Answer: Freeze: HYPERaroused, muscles tense, increased HR/BP, client feels stuck but ready
to return to fight/flight. Shutdown: HYPOaroused, muscles flaccid, decreased HR/BP/temp, blank stare,
endorphins release, may feel detached from body.
1. In shutdown, sensory information stops at the thalamus and does not reach the cortex.
2. Dynorphins release during shutdown can make the client feel detached from their body.
9. How does trauma affect semantic memory?
Correct Answer: Trauma can prevent information (words, images, sounds) from different parts of the
brain from combining to make a semantic memory. Related brain area: temporal lobe and inferior
parietal cortex.
1. Semantic memory involves general world knowledge and facts.
2. Disrupted semantic integration can affect understanding and meaning-making of events.
10. How does trauma affect episodic memory?
Correct Answer: Trauma can shut down episodic memory and fragment the sequence of events.
Related brain area: hippocampus (responsible for creating and recalling episodic memory).
1. Hippocampal volume is often reduced in individuals with PTSD.
2. Fragmented memories may be experienced as flashbacks or intrusive images.
