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Trauma Strategies: Working with Grieving Children
10 CEUs 8 Strategies for Working with Grieving Children

CEU Answer Booklet
Psychologist CEs, Counselor CEUs, Social Worker CEUs, MFT CEUs | Grief CEU Courses

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Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question. Do not add any spaces.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
1. What are three important aspects of denial in children?
2. What are three important aspects of anger?
3. What are three concepts regarding guilt you might assess in your grieving client?
4. What are three aspects of murder?
5. What are some of the DSM specifics for  Melancholic-features?
6. What are three concepts regarding fear resulting from the grief process?
7. What are two ways to involve children in the change that results from loss?
8. What are three aspects regarding adjusting to a new life after a loss?
9. What are three guideline topics for treating traumatized children?
10. What are the five steps in the five feelings technique?
11. What are four types of separation discussed on this track?
12. What are the two topics regarding displacement reactions that we discussed?
13. What are three techniques for delayed grief work?
14. What are the two main topics regarding resolving childhood grief as an adult?
Answers:
A. Three concepts regarding guilt are guilt is common, unrealistic guilt, and the reassigning responsibility technique.
B. Three aspects of murder we will discuss are how murder can create complicated grief, grief from murder may present differently, and productive anger from grief.
C. The three topics are helping traumatized children, what to say to a traumatized child, and what not to say to a traumatized child.
D. Two ways to involve children in the change that results from loss selecting mementos and discussing custody should the surviving parent die.
E. The four types of separation we discussed on this track are parental rejection, incarceration, mental illness, and alcohol and drug abuse.
F. The three important aspects of anger are anger as a manifestation of grief, anger history and identifying triggers.
G. The five steps are introducing the five feelings, inventorying the five feelings, avoiding anticipating or feeding the child answers, asking clarifying questions, and to repeat the technique at later sessions as necessary. 
H.  Three important aspects of denial in children are how imagination leads to denial in children, death is overwhelming, and natural vs. non-productive denial.
I. Three concepts regarding fear are manifestations of fear, why children become afraid and identifying specific fears. 
J. Three aspects regarding adjusting to a new life are role changes, going back to school, and holidays.
K. DSM specifics for  Melancholic-features are early morning wakening; psychomotor retardation or agitation; anorexia or weight loss; and excessive or inappropriate guilt.  Atypical features include increase appetite or weight gain; hyper-somnia; sensitivity to perceived rejection. 
L. The two topics regarding displacement reactions that we discussed are why displacement reactions occur and identifying patterns and triggers of displacement reaction.
M. The two main topics regarding resolving childhood grief as an adult are latent signs of childhood grief and why childhood grief spills into adulthood.
N. Three techniques for delayed grief work are talking, cemetery visits and drawing.

Course Content Manual Questions The Answer to Question 15 is found in Section 15 of the Course Content… and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Numbers below are links to that Section. If you close your browser (i.e. Explorer, Firefox, Chrome, etc..) your answers will not be retained. So write them down for future work sessions.

Questions:
15. According to Kaufman & Kaufman, what is the result of unresolved childhood grief and perception of vulnerability to loss?
16. What is loss of the “infantile object” or loss of the “fantasized self”?
17. According to Brown, what factors associated with bereavement lead to adult depression?
18. What is the main challenge for a CCT therapist? 
19. What was found in a study performed by Weller and colleagues related to the comparison of the manifestation of depression in bereaved children and a sample of clinically depressed children?
20. What are the signs of depression in a child up to age three?  
21. What are the signs of adolescent suicide?
22. During the introduction session of CBT, what is the focus of a brief parent-only segment?
23. According to Freeman et al., what is inhibited by children dealing with grief complicated by symptoms of PTSD avoiding painful and intrusive thoughts?
24. Which sex shows higher rates of overall psychological difficulties?
25. What is the continuous line or “scribble” technique and its purpose with bereaved children?
26. According to Count, what stages of grief does working with the Arts help a child move through?
Answers:
A.  Signs of adolescent suicide are an apparent lack of interest in the future ("It's no use"; "Nothing matters"), constant thoughts about death and dying, and, of course, fantasies about suicide or a suicide plan.
B.  The continuous line or ‘scribble’ technique is simply a freely flowing line drawn on paper using the non-dominant hand whilst the eyes are closed, for approximately 30 seconds. The line may intertwine or be clear and simple. Through using this technique it is hoped that images are released from the unconscious.
C. Unresolved childhood grief and perception of vulnerability to loss result in impaired adult relationships and increased adult psychopathology.
D. Loss of the “infantile object” or “fantasized self” is loss, in the form of relinquishing childhood dependency. 
E.  Freeman et al. reports indicate how striving to avoid painful and intrusive thoughts inhibited the expression  and resolution of grief, and family communication.
F.  quality of parental care and the presence of other adverse social and economic sequelae following the bereavement influence adult outcome
G.  The signs may include feeding problems, tantrums, and lack of playfulness and emotional expressiveness.
H.  (a) the importance of helping the children to generalize the skills to real-world contexts and problems, (b) the fact that children would be more likely to use the skills if they felt good about what they had accomplished in the group, and (c) the value of the family session as a means of helping parents to help their children to feel positively about the CBT skills and to use the CBT skills in real-world settings.
I.  Working with the Arts can provide the child with a vehicle in which to move forward through the stages of grief, particularly from denial to acceptance.
J.  The challenge for the CCT therapist is to remain actively engaged with the client in the moment, making deliberate choices about when to make clarifying, summarizing, and supportive statements. 
K.  Bereaved boys show higher rates of overall psychological difficulties, with more aggressive and acting-out behavior than bereaved girls
L.  Weller et al. concluded that although bereaved children frequently report suicidal ideation, they are significantly less likely than severely depressed children to attempt suicide. They are also less likely to report feelings of worthlessness and fatigue.


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