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Course 5K - Quiz for Guide 1



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Now working in Chapter 1: We have not seen a significant increase in substance use disorders (SUD), mental health issues, homelessness, or problems in criminal justice, among military personnel returning from deployment in the war zones of Iraq and Afghanistan.
True False
Many of the aftereffects of war—from the neurological effects of trauma to the psychological and spiritual effects of exposure to death and destruction—can be very painful. Individuals who are hesitant to seek professional services for these effects may be drawn to self-medication through alcohol or other drugs.
True False
At least 85% of Iraq and Afghanistan service members and veterans who meet the criteria for posttraumatic stress disorder (PTSD) or major depression have sought help from physicians or mental health providers in the past year.
True False
A little more than half of the Iraq and Afghanistan Service Members with Traumatic Brain Injury (TBI) have sought help from physicians or mental health providers in the past year.
True False
Those who return from deployment to the War Zones of Iraq and Afghanistan with Stress Injuries are not significantly different from most civilians who seek help. Therefore, there is no need for veteran-specific education and training prior to entering into a therapeutic relationship with war zone survivors.
True False
Which statement below is NOT true, based upon the research presented in this Study Guide?
The connection between post-trauma effects and substance use is well known to the treatment field.
Between one third and one half of those seeking treatment for Substance Use Disorders (SUDs) may also have post-traumatic stress disorder.
When PTSD occurs, it is usually stabilized with four to six to individual CBT counseling sessions.
One study by the Department of Defense shows that 'this generation of veterans has been much closer to trauma, and has completed or may complete multiple tours of duty', and has experienced a GREATER PREVALENCE of mental health issues (40%) and of those upwards of 60% also have an SUD.'
Veterans who are hesitant to seek professional services for the aftereffects of war may seek relief from their symptoms through
reenlisting repeatedly for war zone tours.
self-medicating with alcohol and other drugs.
burying their pain in academic pursuits.
removing traumatic events from their conscious memory, through total amnesia.
both the second and fourth choices above
When the human stress system responds to INTENSE or UNRELENTING stress or threat to safety, it often creates chemical imbalances in the body that people instinctively seek to remedy with alcohol, street drugs, or misuse of prescription medications.
True False
The internal chemical imbalances that result from intense or unrelenting threat, stress, and trauma on the battlefield
oftentimes continues to impact one's ability to recognize when 'danger' is past, even after he or she returns to home.
subside fairly quickly in at least 70% of returning veterans.
Which statement below is true about the origin and impact of war zone stress injuries?
The physical and neurological stress and survival systems that have kept them alert and alive were never meant to stay in high gear for days, weeks, or months at a time.
Our species was designed for short-term exposure to stress and threat, followed by periods of rest that would let our stress systems.
For many, post-deployment stress injuries are triggered or compounded by the traumatic brain injuries (TBI) that have been declared the 'signature' wounds of the Iraq and Afghanistan wars.
ALL of the factors which appear on this list.
Physiological stress responses add intensity to the impact upon a person's belief system, thoughts, feelings, spirit, and relationships.
The standard of care for CO-OCCURRING SUDs and POST-TRAUMA EFFECTS is to first treat the substance abuse issues, and then refer the individual for mental health treatment of his or her PTSD.
True False
SUD counselors and recovery support service providers who work with War Zone survivors must receive appropriate training in which of the following?    
The nature of the trauma
The circumstances under which the trauma has occurred
The needs and realities of the individuals who have experienced it
Any issues specific to clients’ CULTURES — including the MILITARY CULTURE.
All of the above.
Which of the following is NOT recommended as a therapeutic approach to individuals returning from a war zone with significant stress injuries?
Affirm that these are normal physical reactions to abnormal stress.
Use neutral and inclusive terms like 'post-deployment stress effects' and 'substance use disorders' -- rather than the more stigmatized 'mental problems', 'substance abuse,” or even 'PTSD'
Confirm that people can and do recover from many symptoms of combat stress and learn to manage any remaining symptoms
Recognize that even families of Service Members are sometimes unprepared for the new people their loved ones have become.
'Pathologize' people with post-deployment stress effects, including SUDs.
Without an understanding of the physical/neurological roots of post-deployment stress-related challenges, military personnel and veterans can easily see their symptoms as defects, signs of weakness, or “emotional problems”.
True False
As cited by Service Members, the most common barrier to treatment for SUD, PTSD and other Stress Injuries is
a fear that treatment will not be kept confidential, threatening future job assignments and military career advancement.
inability to afford the cost of seeking help in the private sector, away from the military infrastructure.
Both of the above.
As of May 2008, Service Members who apply for security clearances no longer have to disclose any service-related mental health treatment they might have received.
True False
Because SUD, PTSD, and other Stress Reactions of military personnel have emotional and behavioral symptoms, most people tend to think of them as emotional or behavioral problems, despite their deep roots in nerves, muscles, and brain chemistry.
True False


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