PSYCHIATRIC MENTAL HEALTH ACROSS LIFESPAN PRACTICUM
NR 605 MIDTERM EXAM /NR 605 DIAGNOSIS & MANAGEMENT IN
PSYCHIATRIC MENTAL HEALTH ACROSS LIFESPAN PRACTICUM
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After trauma, a client gets triggered and feels overwhelming shame or fear
without knowing why. Which type of memory is involved?
A. Procedural memory
B. Emotional memory
C. Semantic memory
D. Episodic memory
Emotional memory
Explanation: Emotional memory, stored in the amygdala, can cause painful
emotions to resurface without context when a person is triggered.
Which brain structure supports procedural memory and habit formation, which
trauma may unconsciously alter?
A. Amygdala
B. Striatum
C. Hippocampus
D. Prefrontal cortex
Striatum
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, NR 605 MIDTERM EXAM /NR 605 DIAGNOSIS & MANAGEMENT IN
PSYCHIATRIC MENTAL HEALTH ACROSS LIFESPAN PRACTICUM
Explanation: The striatum is linked to procedural memory, like riding a bike.
Trauma can alter these automatic patterns, sometimes causing tension or posture
changes.
Which of the following best describes the shutdown/collapse trauma response?
A. Hyperaroused, tense muscles, ready to act
B. Increased heart rate, dilated pupils
C. Hypoaroused, blank stare, numbed pain
D. Balanced sympathetic and parasympathetic activity
Hypoaroused, blank stare, numbed pain
Explanation: Shutdown occurs when trauma is inescapable. The parasympathetic
system dominates, muscles go limp, endorphins numb pain, and awareness
decreases.
Which of the following BEST describes the collapse/submit trauma response?
A. A defensive reaction involving hyperarousal, tense muscles, and readiness to
fight or flee.
B. A state of hypoarousal where the client may comply, withdraw, or appear numb
and detached.
C. A short-term stress reaction that always resolves quickly without long-term
effects.
D. An intentional coping mechanism chosen consciously by the client.
A state of hypoarousal where the client may comply, withdraw, or appear numb
and detached.
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, NR 605 MIDTERM EXAM /NR 605 DIAGNOSIS & MANAGEMENT IN
PSYCHIATRIC MENTAL HEALTH ACROSS LIFESPAN PRACTICUM
The collapse/submit response is characterized by hypoarousal, detachment, and
compliance. It is not intentional but rather the body’s “last resort” defensive
response to chronic, inescapable trauma.
A patient who has experienced long-term domestic violence reports feeling “on
autopilot,” detached from bodily experiences, and unaware of fear even when
danger is present. Which collapse/submit manifestation does this represent?
A. Treatment-resistant depression
B. Compliance/obedience
C. Social avoidance
D. Interpersonal conflict
Compliance/obedience
Compliance/obedience involves passivity and going through the motions without
awareness of fear, often seen in survivors of chronic trauma such as domestic
violence.
A patient presents with treatment-resistant depression following years of
inescapable trauma. Which concept BEST explains this presentation?
A. Hyperarousal and increased reactivity
B. Learned helplessness
C. Cognitive reframing
D. Dissociation only during triggering events
Learned helplessness
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, NR 605 MIDTERM EXAM /NR 605 DIAGNOSIS & MANAGEMENT IN
PSYCHIATRIC MENTAL HEALTH ACROSS LIFESPAN PRACTICUM
Treatment-resistant depression in trauma survivors is often linked to learned
helplessness, where chronic exposure to uncontrollable stress leads to feelings of
powerlessness and hopelessness.
Which of the following behaviors would MOST likely be categorized as an
avoiding response (shutdown/collapse) rather than an activated response
(fight/flight)?
A. Connie overshares personal information loudly in public.
B. Eunjee is directive and controlling of how things should be done.
C. Marshawn hides his belongings and sneaks things.
D. Kahara fidgets constantly in class and cannot sit still.
Marshawn hides his belongings and sneaks things.
Hiding belongings and sneaking behavior is considered an avoiding
(collapse/shutdown) response, while the others reflect activated responses
(hyperarousal, fight/flight tendencies).
Which statement BEST differentiates between the freeze and collapse/submit
trauma responses?
A. Both involve hypoarousal and flaccid muscles.
B. Freeze involves hyperarousal and muscle tension, while collapse involves
hypoarousal and limp muscles.
C. Freeze and collapse both involve heightened awareness of surroundings.
D. Collapse always results in fainting, while freeze never does.
Freeze involves hyperarousal and muscle tension, while collapse involves
hypoarousal and limp muscles.
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