NR606 WEEK 7 QUESTIONS AND ANSWERS
ELABORATIONS!!
Adverse childhood experiences (ACEs)
answers: traumatic events that occur before a child reaches age 18
-Growing up in a family with mental health or substance use problems can also
cause traumatic injury
-ACEs, stressful or traumatic experiences
• sexual or domestic violence, physical or emotional abuse, or neglect
• home environment that cause them to feel unsafe or under constant threat
➣growing up in a family with substance misuse or mental health problems
• situations that create instability
➣death, divorce, separation, or incarceration of family members
___ in ___ adults have experienced four or more types of ACEs
answers: one in six
Trauma- and Stressor-Related Disorders
answers: Post-traumatic stress disorder
Acute stress disorder
Adjustment disorders
Reactive attachment disorder
Prolonged grief disorder
freeze vs. shutdown trauma responses
,answers: -Freeze
• client is HYPERaroused.
• muscles are tense, full of energy, but can't release it.
• similar levels of sympathetic & parasympathetic activation.
• Increased heart rate/BP.
• pt might say, "I feel stuck," "I can't move," or "I feel like I am encased in
cement."
• Eyes widen.
• body is ready to return to fight/flight as soon as the threat passes.
-Shutdown/Collapse
• client is HYPOaroused.
• muscles are flaccid & loose.
• parasympathic nervous system is dominant.
• Decreased heart rate/BP/temp.
• pt may not be able to speak at all.
• Blank stare.
• Sensory info stops at the thalamus. It doesn't reach the cortex. pt less aware of
their internal & external world.
• Endorphins release to numb pain. Dynorphins release, which can make the client
feel detached from their body.
• Can result in fainting.
How Trauma Impacts Four Different Types of Memory: Semantic Memory
, answers: -What it is: memory of general knowledge & facts.
-Explicit Memory
-Example: You remember what a bicycle is.
-How trauma can affect it: Trauma can prevent info (like words, images, sounds,
etc.) from different parts of the brain from combining to make a semantic memory.
-Related brain area: The temporal lobe and inferior parietal cortex collect
information from different brain areas to create semantic memory.
How Trauma Impacts Four Different Types of Memory: Episodic Memory
answers: -What it is: The autobiographical memory of an event of experience -
including the who, what, and where.
-Explicit Memory
-Example: You remember who was there and what street you were on when you
fell off your bicycle in front of a crowd.
-How trauma can affect it: Trauma can shutdown episodic memory and fragment
the sequence of events.
-Related brain area: The hippocampus is responsible for creating and recalling
episodic memory.
How Trauma Impacts Four Different Types of Memory: Emotional Memory
answers: -What it is: The memory of the emotion you felt during an experience.
-Implicit Memory
-Example: When a wave of shame or anxiety grabs you the next time you see your
bicycle after the big fall.
ELABORATIONS!!
Adverse childhood experiences (ACEs)
answers: traumatic events that occur before a child reaches age 18
-Growing up in a family with mental health or substance use problems can also
cause traumatic injury
-ACEs, stressful or traumatic experiences
• sexual or domestic violence, physical or emotional abuse, or neglect
• home environment that cause them to feel unsafe or under constant threat
➣growing up in a family with substance misuse or mental health problems
• situations that create instability
➣death, divorce, separation, or incarceration of family members
___ in ___ adults have experienced four or more types of ACEs
answers: one in six
Trauma- and Stressor-Related Disorders
answers: Post-traumatic stress disorder
Acute stress disorder
Adjustment disorders
Reactive attachment disorder
Prolonged grief disorder
freeze vs. shutdown trauma responses
,answers: -Freeze
• client is HYPERaroused.
• muscles are tense, full of energy, but can't release it.
• similar levels of sympathetic & parasympathetic activation.
• Increased heart rate/BP.
• pt might say, "I feel stuck," "I can't move," or "I feel like I am encased in
cement."
• Eyes widen.
• body is ready to return to fight/flight as soon as the threat passes.
-Shutdown/Collapse
• client is HYPOaroused.
• muscles are flaccid & loose.
• parasympathic nervous system is dominant.
• Decreased heart rate/BP/temp.
• pt may not be able to speak at all.
• Blank stare.
• Sensory info stops at the thalamus. It doesn't reach the cortex. pt less aware of
their internal & external world.
• Endorphins release to numb pain. Dynorphins release, which can make the client
feel detached from their body.
• Can result in fainting.
How Trauma Impacts Four Different Types of Memory: Semantic Memory
, answers: -What it is: memory of general knowledge & facts.
-Explicit Memory
-Example: You remember what a bicycle is.
-How trauma can affect it: Trauma can prevent info (like words, images, sounds,
etc.) from different parts of the brain from combining to make a semantic memory.
-Related brain area: The temporal lobe and inferior parietal cortex collect
information from different brain areas to create semantic memory.
How Trauma Impacts Four Different Types of Memory: Episodic Memory
answers: -What it is: The autobiographical memory of an event of experience -
including the who, what, and where.
-Explicit Memory
-Example: You remember who was there and what street you were on when you
fell off your bicycle in front of a crowd.
-How trauma can affect it: Trauma can shutdown episodic memory and fragment
the sequence of events.
-Related brain area: The hippocampus is responsible for creating and recalling
episodic memory.
How Trauma Impacts Four Different Types of Memory: Emotional Memory
answers: -What it is: The memory of the emotion you felt during an experience.
-Implicit Memory
-Example: When a wave of shame or anxiety grabs you the next time you see your
bicycle after the big fall.
