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OT 720- Pediatrics > Trauma & Behaviors > Flashcards

Trauma & Behaviors Flashcards

1
Q

What is the definition of trauma?
A) A physical injury
B) A life-changing event
C) An emotional response to a distressing experience
D) A long-lasting feeling of sadness

A

C

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2
Q

Which of the following is NOT one of the 3 E’s of trauma?
A) Event
B) Experience
C) Effect
D) Environment

A

D

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3
Q

What does ACE stand for in trauma studies?
A) Adverse Childhood Experiences
B) Adverse Community Events
C) Adult Coping Experiences
D) Anxiety Caused Events

A

A

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4
Q

According to research, a higher ACE score increases the likelihood of:
A) Childhood happiness
B) Chronic health issues in adulthood
C) Improved mental resilience
D) Reduced social interactions

A

B

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5
Q

What is the term for repetitive trauma experiences over time?
A) Acute trauma
B) Chronic trauma
C) Episodic trauma
D) Isolated trauma

A

B

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6
Q

Which of the following is true about trauma?
A) It only happens once
B) It can happen repeatedly
C) It has no lasting effects
D) It only affects adults

A

B

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7
Q

Which response is NOT one of the 4 choices of response to trauma?
A) Fight
B) Freeze
C) Flee
D) Forget

A

D

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8
Q

Which attachment style might develop when a baby’s needs are inconsistently met?
A) Secure attachment
B) Avoidant attachment
C) Ambivalent attachment
D) Disorganized attachment

A

C

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9
Q

What does the “3 R’s” in trauma-informed care stand for?
A) Recognize, React, Regulate
B) Recover, Respond, Resolve
C) Realize, Recognize, Respond
D) React, Reassure, Rehabilitate

A

C

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10
Q

What is the primary factor that contributes to a baby’s sense of security in the early months?
A) Physical environment
B) Social feedback
C) Parental responsiveness
D) Cognitive development

A

C

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11
Q

Which of the following is a behavioral outcome of high ACE scores?
A) Risky behavior
B) Increased social behavior
C) Reduced emotional response
D) Lower resilience

A

A

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12
Q

What is a key approach in helping children with trauma?
A) Meeting their needs through behavior correction
B) Minimizing their experience
C) Ignoring their behavior
D) Letting them figure it out alone

A

A

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13
Q

What does the concept of “bilateral rhythmic coordination” relate to?
A) Emotional regulation
B) Problem-solving skills
C) Verbal communication
D) Physical coordination exercises

A

D

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14
Q

Which attachment style is most likely to form if a child consistently receives attention and care?
A) Disorganized
B) Ambivalent
C) Secure
D) Avoidant

A

C

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15
Q

Which of the following is NOT part of the 4 steps of correction in trauma-informed care?
A) Give the child a choice
B) Get the child calm
C) Set a strict punishment
D) Make it fun

A

C

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16
Q

What does sensory regulation help children achieve?
A) Meet their physical needs
B) Control their emotions
C) Improve academic performance
D) Increase social isolation

A

B

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16
Q

What is a common indicator of trauma in infants?
A) Reduced response to comfort
B) Increased crying Reduced response to comfort
C) Normal development
D) Decreased physical growth

A

A

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17
Q

Which theory emphasizes creating a safe environment for trauma-affected individuals?
A) Cognitive Behavioral Therapy
B) ARC Framework
C) Social Learning Theory
D) Rational Emotive Therapy

A

B

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18
Q

What does the Circle of Security model focus on?
A) Creating physical boundaries
B) Fostering independence
C) Building attachment relationships
D) Establishing control

A

C

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19
Q

Which of the following is NOT a typical response to trauma in children?
A) Hypervigilance
B) Social withdrawal
C) Increased resilience
D) Behavioral issues

A

C

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20
Q

What is the primary goal of trauma-informed care?
A) To control behavior
B) To help individuals process and heal from trauma
C) To ensure strict adherence to rules
D) To minimize attention to past experiences

A

B

21
Q

Which of the following describes the “Fight” response in trauma?
A) Physical aggression
B) Emotional shutdown
C) Fleeing the situation
D) Appeasing others

A

A

22
Q

What role does sensory regulation play in early childhood development?
A) Supports cognitive reasoning
B) Reduces social interaction
C) Increases dependency
D) Suppresses emotional responses

A

A

23
Q

According to SAMHSA, trauma often results in which of the following?
A) Instant recovery
B) Long-term psychological effects
C) Short-lived behavioral changes
D) Immediate physical injury

A

B

24
Q

Sarah is a 5-year-old child who becomes very anxious whenever her mother leaves the room, even if it’s only for a short time. She often cries and clings to her mother in unfamiliar settings. What type of attachment style does Sarah likely have?
A) Secure attachment
B) Avoidant attachment
C) Disorganized attachment
D) Ambivalent attatchment

A

D

25
Q

What is the recommended approach to addressing trauma-related behavior?
A) Punish and isolate
B) Address the underlying need
C) Ignore the behavior
D) Enforce strict rules

A

B

26
Q

Alex, a 3-year-old, was recently separated from his family for several weeks due to a traumatic event. Now, he frequently throws tantrums, struggles to fall asleep, and avoids eye contact with adults. Which of the following would be an appropriate trauma-informed approach to help Alex?
A) Ignoring his behavior to avoid reinforcing it
B) Giving him time-outs every time he throws a tantrum
C) Providing a predictable routine and comforting responses
D) Discouraging him from seeking comfort to promote independence

A

C

27
Q

During a group play session, a child named Mia becomes upset and withdraws from the group after another child accidentally bumps into her. Mia’s teacher notices that she becomes easily frightened during physical contact. What could be an appropriate trauma-informed response?
A) Ignoring her behavior to let her calm down on her own
B) Reassuring her and inviting her to sit in a safe, calm space
C) Encouraging her to stay in the group to build resilience
D) Scolding her for overreacting

A

B

28
Q

Jacob, a 2-year-old, was exposed to a traumatic event at home. Since then, he has been clinging to his caregiver more than usual and appears fearful in new situations. Which of the following strategies might best support Jacob’s needs?
A) Provide consistent reassurance and comfort
B) Encourage him to play independently
C) Limit his social interactions to help him process his emotions
D) Ignore the behavior to prevent dependency

A

A

29
Q

Sophia, a toddler in foster care, displays aggressive behaviors towards other children and avoids physical touch from her caregivers. What attachment style is she most likely exhibiting?
A) Secure attachment
B) Ambivalent attachment
C) Avoidant attachment
D) Disorganized attachment

A

C

30
Q

After experiencing a traumatic event, 4-year-old Ethan becomes hyperactive and has difficulty following directions in preschool. What would be an appropriate way to address his behavior?
A) Give him frequent reminders to stay still
B) Implement calming sensory activities throughout the day
C) Increase his time in structured activities to promote focus
D) Enforce stricter consequences for not following directions

A

B

31
Q

A child in your care is easily startled by loud noises and clings to adults when he feels overwhelmed. Which trauma response is this child likely displaying?
A) Fight
B) Flee
C) Freeze
D) Attach

A

C

32
Q

Emma, a 3-year-old, was separated from her primary caregiver for several months. Now, she responds to stress by throwing tantrums and appears afraid of being alone. Which approach would be most helpful in managing her behavior?
A) Ignoring her distress to avoid reinforcing negative behavior
B) Helping her label her emotions and offering comfort
C) Limiting her social interactions to reduce her stress
D) Using time-outs to manage her outbursts

A

B

33
Q

In a school setting, a 5-year-old named Leo avoids eye contact and appears to have difficulty connecting with his peers. When asked about his family, he becomes visibly anxious. Which approach would be trauma-informed in helping him engage?
A) Encouraging him to talk about his family to build trust
B) Giving him time and space to build trust at his own pace
C) Disciplining him for avoiding eye contact
D) Placing him in solitary activities until he’s comfortable

A

B

34
Q

A child who experienced neglect in early childhood tends to throw toys when frustrated. How could a caregiver respond in a trauma-informed way?
A) Scolding the child to correct the behavior
B) Redirecting the child to a quiet activity
C) Helping the child express frustration through words or calming techniques
D) Ignoring the behavior to avoid reinforcing it

A

C

35
Q

After witnessing a distressing event, Liam begins to avoid playground activities and prefers to stay close to his teacher during recess. How could the teacher support him in a trauma-informed way?
A) Forcing him to participate in playground activities
B) Allowing him to stay close until he feels safe
C) Ignoring his behavior to encourage independence
D) Placing him in group activities immediately

A

B

35
Q

Jasmine, who experienced trauma, often feels overwhelmed by sensory stimuli like bright lights and loud noises in her classroom. Which of the following accommodations would best support her?
A) Moving her to a quieter, less stimulating area of the classroom
B) Exposing her to more stimuli gradually to build tolerance
C) Ignoring her reactions to sensory triggers
D) Placing her in a larger group of peers

A

A

36
Q

Evelyn, a 2-year-old, becomes extremely anxious around new people and often hides behind her caregiver. This behavior likely reflects which attachment response?
A) Secure attachment
B) Ambivalent attachment
C) Avoidant attachment
D) Disorganized attachment

A

B

37
Q

A 4-year-old child reacts aggressively when they feel threatened, pushing away both children and adults. Which response aligns with trauma-informed care?
A) Ignoring the child’s aggressive behavior
B) Punishing the child for aggression
C) Helping the child understand and manage their emotions
D) Isolating the child from others

A

C

38
Q

A caregiver notices that a child who recently experienced trauma is very clingy, follows the caregiver constantly, and often cries when left alone. How should the caregiver respond?
A) Encourage the child to be independent
B) Reassure the child frequently and provide physical comfort
C) Limit physical contact to avoid dependency
D) Place the child in a quiet room alone until they calm down

A

B

39
Q

Describe two signs that may indicate a child is experiencing trauma.

A

frequent tantrums, fearfulness in new or familiar situations

40
Q

Explain the difference between secure and insecure attachment.

A
  • security attatchment the child feels safe and supported trusting that their caregivers will tend to their needs
  • insecure attatchment the child may feel uncertain or avoidant toward their caregivers due to inconsistent care.
41
Q

What is a trauma-informed approach to handling a child’s sudden outburst or aggressive behavior?

A
  1. Staying calm
  2. acknowledging the childs emotions
  3. offering comfort
  4. redirect the child
42
Q

Why is it important for caregivers to establish a predictable routine for children who have experienced trauma?

A
  • predictability provides a sense of safety and stability, helping to reduce anxiety and build trust.
43
Q

Describe one way a caregiver can support a child with an avoidant attachment style.

A

providing gentle, consistent interactions without overwhelming them, allowing the child to approach the caregiver at their own pace.

44
Q

How might a child with a disorganized attachment style behave around a caregiver?

A

showing both a desire for closeness and fearfulness of the caregiver, often due to past trauma.

45
Q

What is the purpose of using calming sensory activities with trauma-exposed children?

A

to help them self-regulate and reduce anxiety, creating a sense of calm and safety.

46
Q

Name two benefits of teaching children emotional regulation techniques after they experience trauma.

A
  • manage intense emotions in a healthy way
  • reduces instances of disruptive behavior.
47
Q

What role does consistency play in building trust with children who have experienced trauma?

A

it reassures them that their caregivers are reliable, helping them feel secure and supported

48
Q

Why might a child with trauma-related symptoms have difficulty focusing or following directions in a classroom setting?

A

trauma can cause hyperarousal or heightened stress responses, making it hard for the child to concentrate or process instructions.

49
Q

How can a caregiver or educator create a safe environment for a child who exhibits signs of trauma?

A
  1. establishing predictable routines
  2. offer reassurance
  3. being mindful of triggers that may cause stress

OT 720- Pediatrics (33 decks)

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