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Ethical Practices in Polyvagal Theory and Expressive Arts Therapy

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1.  According to polyvagal theory, which state is associated with social engagement and feelings of safety?
  1. Sympathetic arousal
  2. Dorsal vagal shutdown
  3. Ventral vagal state
  4. Fight-or-flight response
2.  When using expressive arts with a client in sympathetic arousal (fight/flight), which approach is most appropriate?
  1. High-energy dance movements
  2. Structured, rhythmic drawing activities
  3. Free-form abstract painting
  4. Complex musical improvisation
3.  What is a key principle of integrating polyvagal theory with expressive arts?
  1. Pushing clients to face their trauma directly
  2. Following the client's nervous system cues
  3. Maintaining strict artistic standards
  4. Focusing on technical skill development
4.  Which expressive arts intervention might best support a client in dorsal vagal shutdown?
  1. Gentle humming or toning exercises
  2. High-intensity drumming
  3. Large gestural paintings
  4. Complex choreography
5.  How should therapists approach art-making when working with dysregulated clients?
  1. Focus on artistic excellence
  2. Begin with simple, contained activities
  3. Encourage emotional catharsis
  4. Emphasize technical instruction
6.  What is a key consideration when using journaling for nervous system regulation?
  1. Perfect grammar and spelling
  2. Writing speed and volume
  3. Literary creativity
  4. Embodied awareness while writing
7.  Which statement best reflects polyvagal-informed expressive arts therapy?
  1. All clients should use the same art modalities
  2. Art-making should always be spontaneous
  3. Safety comes before creative expression
  4. Technical skill indicates therapeutic progress
8.  Which expressive arts activity helps build connection between therapist and client?
  1. Silent painting alone
  2. Creating artwork together
  3. Individual journaling
  4. Watching art videos
9.  Which statement best describes how sound affects the nervous system?
  1. Only certain instruments work
  2. Sound can help us feel safe and calm
  3. Loud music is most effective
  4. It only works with recorded music
10.  The polyvagal theory helps us understand:
  1. Art techniques
  2. How our body responds to feeling safe or unsafe
  3. Medicine dosages
  4. Brain diseases

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