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Person-in-Environment Amplified: Understanding the Role of ACEs in Clinical Conceptualization

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1.  Adverse Childhood Experiences were originally identified by:
  1. Early Childhood researchers
  2. An insurance company looking to the high cost of medical coverage
  3. Psychologists concerned about school violence
  4. Physicians studying cardiovascular disease
2.  Adverse Childhood Experiences are assessed through:
  1. A formal medical evaluation
  2. A blood test
  3. An assessment of an individual’s history by a behavioral health provider
  4. A 10 question self-report
3.  Adverse Childhood Experiences have been shown to impact which of the following:
  1. High School graduation rates
  2. Depression
  3. BMI
  4. All of the above
4.  Chronic Stress from ACEs result in:
  1. Decreased access to executive functions
  2. Decreased cognitive functioning
  3. Increased likelihood of academic success
  4. Improved health outcomes
5.  The frontal lobe of the brain is often compared to:
  1. A garage
  2. A host at a restaurant
  3. An air traffic control system
  4. A busy interstate highway
6.  An ACE score of 4 or more is linked to which of the following:
  1. Increased rates of substance use by almost 800%
  2. Increased likelihood of COPD by almost 400%
  3. Increased likelihood of divorce
  4. All of the above
7.  Which of the following statistics is incorrect?
  1. An ACE score of 3 or higher is linked to a 20 year decrease in mortality
  2. Sexual Abuse has more impact on long-term health outcomes than any other ACE
  3. ACEs are show to have cumulative effect over the lifespan
  4. An ACE score of 10 is generally linked to developmental delays
8.  Which of the following is key to consider in using the ACE questionnaire in clinical work:
  1. It does not take the place of a thorough clinical interview
  2. It's not normed to be an assessment
  3. It may result in information that requires mandated reporting by the clinician
  4. All of the above
9.  Which of the following is key to consider in the ethics of the ACE questionnaire?
  1. It is not intended for clinical use and should not be given without intention of clear explanation of the intention of gathering the information and for storing the results
  2. The questionnaire is not thorough enough to provide any real data
  3. A clinician would need to pay for the screener in order to bill for it
  4. A clinician would need to be trained in a specific method for appropriate coding of the questionnaire
10.  Understanding ACEs may help both the clinician and client move to:
  1. An understanding that single incident trauma is not as impactful as chronic trauma
  2. Provide clients with information to discuss with their primary care physicians
  3. Move from “what’s wrong with you?” to “what happened to you?”
  4. An increased awareness of child welfare providers of the future of the population they serve

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