Lesson 3 Quiz – Maintaining Safety - Neurogenic Integration

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Question 1 of 7

1. Question
Which of the following best describes a freeze response during TRE?
- A sudden increase in emotional intensity and rapid breathing
- A dorsal vagal shutdown characterised by cold, stiffness, and tingling
- A positive sign of deep regulation and nervous system release
- An indication that the tremor intensity should be increased
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Question 2 of 7

2. Question
A client you are working with online begins to respond to your check-in questions with longer delays than usual. Their gaze looks distant and unfocused. This is most consistent with:
- A ventral vagal shift indicating growing safety and connection
- Flooding — the client is experiencing overwhelming sympathetic activation
- Dissociation — the client is losing connection to the present moment
- Normal fatigue after tremoring and not requiring a response
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Question 3 of 7

3. Question
According to the traffic light framework, a “yellow light” in a session means:
- The session should end immediately and the client should rest
- Early warning signs have appeared; pause the tremoring and assess
- The client is in their window of tolerance and the session can continue
- The client has moved into a productive dissociative state and should be left undisturbed
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Question 4 of 7

4. Question
During a session, a client says they are feeling cold and their hands have become stiff and claw-like. As their facilitator, your first response should be to:
- Ask them to increase tremor intensity to push through the state
- Have them bring their legs long and open their eyes, and then observe whether the state begins to settle
- Immediately end the session and advise the client to see a doctor
- Continue the session, as this is a normal part of the tremoring process
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Question 5 of 7

5. Question
Which of the following containment interventions is available when working with a client online?
- Sitting back-to-back with the client for physical co-regulation
- Breath synchronisation and sensory grounding using orienting questions
- Having the client squeeze your hand
- Physical repositioning via therapist-guided touch
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Question 6 of 7

6. Question
A client in their first TRE session begins laughing uncontrollably. At first it seems enjoyable, but after a minute they say “I can’t stop and it’s starting to feel strange.” This is best described as:
- A freeze response that should be encouraged to continue
- Flooding — a pleasurable experience has become overwhelming and dysregulating
- Pleasant dissociation and a sign of deep ventral vagal safety
- A cathartic release that is always a positive sign in TRE
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Question 7 of 7

7. Question
Which of the following statements best reflects the role of prevention in safe TRE facilitation?
- Prevention is only relevant for clients with known trauma histories
- Having a strong set of containment tools is sufficient; prevention is secondary
- Consistent check-ins, teaching the pause from the first session, and prioritising client autonomy prevent the majority of overwhelm episodes from developing
- Prevention means keeping the session brief and limiting the amount of tremoring
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Lesson 3 Quiz – Maintaining Safety

Lesson 3 Quiz – Maintaining Safety

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