Core Principles of Trauma & Resilience
ACEs (Adverse Childhood Experiences)
Brain Development & Emotion Regulation
Soothing with Your 7 Senses
De-escalation & Engagement
Culturally Response Trauma-Informed Care
100

Realization, Recognition, Response, Resisting re-traumatization are known as the four R's of what type of care?

What is trauma-informed care?

100

What does ACEs stand for?

What are Adverse Childhood Experiences.

100

The Think-Feel Do Triangle tool helps explain how thoughts, feelings, and __ interact.

What are Behaviors?

100

Name two fo the seven senses we can use to regulate

Sight, touch, sound, taste, smell, vestibular, proprioception

100

What is one trauma-informed way to respond to someone in distress?

Offer calm tone, validate feelings, provide choice.

100

This ocean metaphor was used to highlight that we only see a very small portion of a person's story and most of what they are going through is hidden, or "beneath the surface".

What is Iceberg Metaphor?

200

This principle supports giving individuals a choice & voice in their care and decisions.

What is Empowerment and Choice?

200

Name one common ACE

Abuse, Neglect, Caregiver Mental Illness, Parental Separations, Substance Use at Home

200

Hyperarousal, Zone of Optimal Arousal, and Hypoarousal are used to describe what concept related to stress tolerance?

What is the 'Window of Tolerance'?

200

What is one activity you could do in under a minute to soothe the nervous system?

Examples: hum, touch collarbone, deep breath, stretch, mindfulness

200

During the de-escalation training, 'Silence' was described as this color.

What is Golden?

200

The concept 'Same Event Different Experience' teaches us to not focus so much on the event itself but to focus on what? (hint there were 3 "e" words to describe trauma)

What is the experience?

300

Nate at least 3 of the 6 trauma-informed core principles.

Safety & Nurturing, Trust & Stability, Collaboration & Support, Empowerment & Choice, Cultural Responsiveness, Strength Based.

300

The stress response includes positive, tolerable, and __ stress, which occurs with frequent, extreme, or prolonged activation of the body's stress response, often without supportive relationships.

What is toxic?

300

The fight-flight-freeze response is activated when we perceive danger and are experiencing this type of stress. Positive, Tolerable, Toxic?

What is Toxic?

300

Engaging your body in movement to relieve stress by swinging, rocking, or swaying are examples of using the vestibular system to relieve what?

Stress, anxiety, less comfortable feelings?

300

Name one communication skill to use during a brief encounter

Examples: Active listening, nodding, paraphrasing, eye contact, open-ended questions, reflection

300

Trauma is often experienced as a lack of __? Name 2 of these experiences often missing during a traumatic event?

Safety, choice, power, voice, connection, control.

400

How might you incorporate 'Safety' into a brief patient interaction?

Examples: clear explanation of procedures, offering choices, calming tone.

400

Name one buffer that helps reduce the impact of ACEs

Examples: A Supportive Relationship, Trauma-Informed Care, Community Engagement, Access to Nature, Stress Busters

400

What kind of stress is mild, short-term, and supports healthy development?

What is Positive Stress?

400

Name one self-care practice that engages two or more of the seven senses

Taking a walk in nature, sipping on a favorite drink, playing with your kids, going to the beach, lighting a candle, or baking.

400

What is one goal in de-escalating through trauma-informed care?

What is to reduce risk reduce stress and restore safety for everyone invovled?

400

How can providers reduce re-traumatization during care?

Ensure emotional safety, acknowledge histories, empower through choices.

500

This principle supports recognizing each person's culture, racial, and gender identity in care delivery.

What is Cultural, Historical, and Social Responsiveness/Issues?

500

Name one way a person in healthcare can reduce the effects of toxic stress in patients?

Offer emotional/physical safety, provide regulation skills, and refer to mental health specialist. 

You can review the Stress Buster Wheel and Overview of handouts for strategies

Use the 7 Senses

500

Name two signs someone may be outside their window of tolerance.

Hyperarousal: restlessness, anger (gas)

Hypoarousal: shut down, withdrawal (break)

500

Why are sensory strategies important in trauma-informed care?

They support nervous system regulation and reduce reactivity to stress.

500

What's one small action that can build trust in less than 30 seconds?

Use the patient's name/how they want to be addressed, validate experiences, explain the 'Why', and use a calm tone

500

What is one way to practice culturally response care?

Ask respectful, open questions, avoid assumptions, use affirming language