MFT Comp exam

When a researcher protects participants rights by not knowing any of their identifying information they have achieved ___________ -Confidentiality -Informed Consent -Anonymity -Social Desirability

Anonymity

Sally, a 21-year old female is graduating from college. She reports feeling worried about what will happen after she graduates, especially since her parents are unable to support her. As a result, Sally has been sleeping more, gaining more weight, feeling fatigued, and hopeless about the future. Sally's symptoms started two months ago. What would be an accurate diagnosis for Sally presently? Major Depressive Disorder Adjustment Disorder with mixed anxiety and depressed mood Generalized Anxiety Disorder Adjustment Disorder with depressed mood

Adjustment Disorder with mixed anxiety and depressed mood

Alcohol use disorders are highest among -Hispanics. -Asian Americans. -Caucasian Americans. -People with multiracial backgrounds.

Caucasian Americans.

True or False: External Validity is concerned with the generalizability of the results, whereas internal validity is an assessment that results within the study are not a result of some extraneous or confounding variable.

true

The best time to begin practicing controlled breathing with clients is: -when they are calm -when they are somewhat anxious or distressed and can therefore see the immediate benefits of this strategy -only when other, more complicated relaxation techniques don't seem to be working well -during the trauma narrative

when they are calm

The most common type of hallucination experienced by psychotic individuals is visual. auditory. tactile. olfactory.

auditory.

__________ are personalized notions that are triggered by particular stimuli that lead to emotional responses. Role confusion Empathy Automatic thoughts Evidence-based practice

Automatic thoughts

Rewards are often the best type of discipline because they: -Take less time to administer than punishments -Preserve the relationship while still changing behavior -Are proactive versus reactive -B and C

B and C

Gisele has acquired her 3,000 hours of experience for licensure as an MFT in California. To whom does she send her license application? Board of Psychology Board of Health Professions Board of Marriage and Family Therapist Examiners Board of Behavioral Sciences

Board of Behavioral Sciences

Which is not a strength of qualitative research? -Qualitative research is a good fit for exploring new areas or when there is a lack of research -Increased flexibility to change the focus of inquiry -Emphasis on words rather than numbers to understand one's meaning -All are strengths

All are strengths

Which of the following is usually a component/s of a major depressive episode? cognitive disturbance somatic/vegetative symptoms loss of interest/motivation All the above.

All the above.

ANOVA measures _____________ independent variables and _________ dependent variables Categorical; Categorical Categorical; Continuous Continuous; Categorical Continuous; Continuous

Categorical; Continuous

Substance abuse and substance dependence are -Different terms for the same condition -Two similar but separate diagnoses in the DSM-5 -Outdated terms that reflect incomplete understanding of neurobiology -Combined into a single diagnosis in the DSM-5

Combined into a single diagnosis in the DSM-5

Which is the most accurate statement regarding the causes of intellectual disability? It is caused by genetics. It has four known causes. It is caused by either substances or trauma. It has hundreds of known causes.

It has hundreds of known causes.

Conjoint child-parent sessions: Are never a good idea Are always a good idea May be important in order to address family issues Are essential to therapy

May be important in order to address family issues

The most frequently occurring score is called the ______________: Frequency distribution Mean Median Mode

Mode

Which of the following is an example of Sequencing Behavioral Incidents? How many bottles of pills have you saved up in preparation for your suicide? How many times have you slit your wrists? What did your stepfather say right after he hit you mother? Have you even thought about suicide in the past?

What did your stepfather say right after he hit you mother?

To challenge self-limiting assumptions, members are encouraged to __________ they were already the person they would like to be. -transference -act as if -catching oneself -empathy

act as if

Ignoring evidence of peer misconduct is: self-preserving. ethical. an ethical violation. illegal, but not unethical.

an ethical violation.

The chief motivating factor in both anorexia nervosa and bulimia nervosa is a desire to purge. an overwhelming drive to eat. an overwhelming urge to be thin. a desire to starve oneself.

an overwhelming urge to be thin.

Many psychological disorders can be considered developmental because they appear early in life and change over the lifespan. have a genetic component. lack biological causes and are influenced by learning. are unique to children.

appear early in life and change over the lifespan.

If you were raised by parents who were largely uninvolved and permissive, what patterns will you likely exhibit when your adult attachment relationships are insecure? a. Clingy, "hunting" behavior b. Becoming distant and aloof c. You won't notice when the relationship has become insecure d. Caring and warm nurturing

b. Becoming distant and aloof

Most individuals with autism develop symptoms of the disorder: -at birth. -by age one. -by age three -by teen years.

by age three

In order to practice in a multiculturally competent manner, leaders who have adopted any of the major theoretical orientations should do all of the following EXCEPT: consider all dimensions of a member's identity including age, gender, sexual orientation, ability, and religious affiliation introduce exercises in an invitational and optional manner validate and understand members experiences with racism, discrimination, and oppression before challenging them to respond differently only consider a member's age and gender

only consider a member's age and gender

Collecting data directly from members about their group experience is a significant part of developing: -empirically-based research. -practice-based evidence. -empirically-based evidence. -practice-based research.

practice-based evidence.

When practitioners devote a portion of their professional time and skills to services for which there is no expectation of significant financial return, they are: using a sliding scale. being financially irresponsible. providing pro bono services. suffering from a martyr complex.

providing pro bono services.

A client joins a therapist's church congregation. The therapist should: leave the congregation. tell the client s/he needs to join a different congregation. stay in the congregation, but avoid direct social interactions review dual relationships and healthy client-therapist boundaries with your client

review dual relationships and healthy client-therapist boundaries with your client

In which stage of trauma informed care would focus on meaning making? Remembrance and Reconnection Safety & Stabilization Relapse Prevention Secure Relationships

Remembrance and Reconnection

Which is not a way to determine if your instrument has construct validity? Discriminant validity Factorial validity Convergent Validity All are ways to establish construct validity

All are ways to establish construct validity

A person who is physiologically dependent on a drug will experience: -tolerance to the effects of the drug. -withdrawal symptoms if the drug is withdrawn. -Psychological craving -All of the above

All of the above

Authorization forms should have all of the following information EXCEPT: Information regarding to.... purpose of the requested use or disclosure of information. routine use or disclosures of information such as billing. expiration date or expiration event. potential re-disclosures by receiving party. All of the above should be included.

All of the above should be included.

A child with oppositional defiant disorder may exhibit which of the following symptom(s) Blames others for mistakes Deliberately annoys others Argues with adults All the above

All the above

Which of the following is NOT a sign of therapist burnout? An absence of boundaries with clients. Attending personal therapy. Living in isolated ways. Poor health habits in the areas of nutrition and exercise.

Attending personal therapy.

Which of the following is/are early warning sign(s) for disruptive behavior disorders? Poor social skills Aggression toward peers Neither A or B Both A & B

Both A & B

_________________ to give informed consent means that the client has the ability to make rational decisions. Comprehension of information Voluntariness Capacity Willingness

Capacity

After Luis' children do their chores, he lets them go to the park and play on the swings. He has just given them what type of reward: Experience Tangible Intangible Social

Experience

Which of the following is NOT a communication stance described by Virginia Satir? Fatalistic Super Reasonable Irrelevant Placating Blaming

Fatalistic

A concern when selecting an appropriate instrument is the level of difficulty. If an instrument is too difficult and a vast majority of scores fall at the bottom or low end. This instrument has a concern with________ Demand characteristics Floor effects Ceiling effects Learning

Floor effects

According to the experiential approach, human beings are essentially: Good and growth-oriented Conflicted and indifferent about growth Blank slates and vulnerable to exploitation Bad and motivated by punishment and reward

Good and growth-oriented

A sincere interest in the welfare of others is essential in a group leader. Your main job in the group is to help members get what they are coming for, not to get in their way. This describes: Presence Willingness to model Goodwill, genuineness, and caring Openness

Goodwill, genuineness, and caring

According to the oft-used quote in the book, "True love between a parent and a child __________." -Grows towards separation -Looks more like a battle -Can no truer love be found

Grows towards separation

In certain circumstances, there is hesitancy among members of certain racial and ethnic groups to discuss personal matters with members of groups perceived to be more dominant. A term that may be used to describe this defensive phenomenon is: Cultural disconnection Psychological submissiveness Healthy paranoia Cultural maladjustment

Healthy paranoia

For which child attachment style would the person who is the source of comfort be also be the person who is the source of fear? Reactive Attachment Anxious Disorganized Insecure Attachment/Disorganized

Insecure Attachment/Disorganized

PTSD survivors may have symptoms of: -Insomnia and stomach pain -Low blood pressure and lack of appetite -Increased heart rate, blood pressure, and respiration -Sporadic heart beats

Increased heart rate, blood pressure, and respiration

____________ statutes determine and govern professional practice. Certification Licensure Registration Accreditation

Licensure

An important factor to be aware of when terminating a group is the leaders' own history with Relapse Decompensation Loss Repression

Loss

A behavior in which a group counselor addresses issues by setting an example of himself or herself is known as: Exemplary leadership Patterning Leading by example Modeling

Modeling

A t-test is appropriate to use when you have _________ -Multiple independent variables -One independent variable with 3 or more levels -One independent variable with 2 or more dependent variables -None the of above

None the of above

What type of qualitative research design seeks to understand how multiple individuals make meaning out of their personal experiences? In-depth interviews MANOVA Phenomenology Meta-analysis

Phenomenology

A technique to locate more participants, by asking individuals who already meet the criteria for the study, to recommend other participants is called________? Purposive sampling Snowballing Recommended sampling Judgment sampling

Snowballing

Three key constructs capture the essence of the therapeutic relationship in group treatment. Which of the following is NOT one of these constructs? Group climate Sub-grouping Cohesion Alliances

Sub-grouping

In a SOAP note, client statements about recent events would be in the ___ section. Subjective Objective Assessment Plan

Subjective

Which world view believes that research inquiry needs to be intertwined with politics and a political change. It draws from theories of feminism, Marxism, and critical race theory. -Post-positivism -Transformative -Deductive -Social constructivism

Transformative

Which of the following is NOT one of the skills directly associated with the top level of the "thousand small moments of parenting" (i.e., the class text) pyramid: Values Understanding Self Being flexible when children are inflexible

Values

Which of the following is an example of a Bowenian process question? -How old were you when your sister died? -What time of day do you typically feel anxious? -What health problems did your grandfather experience? -What do you feel inside when your parents argue?

What do you feel inside when your parents argue?

Which of the following terms is most associated with generalized anxiety disorder (GAD)? Fear Panic Worry Emotion

Worry

If a behavior persists over time, it is maintained by: a. Equifinality b. A feedback loop c. Positive feedback d. Cybernetics

b. A feedback loop

When Bal nags, Mohammed withdraws. When Jose does more housework, Luida does less. Which systemic concept best describes these patterns? a. Linear causality b. Triangles c. Complementarity d. Enmeshment

c. Complementarity

Expressing secondary emotions in an intimate relationship tends to create _________ in the relationship. Select one: a. Secure attachment b. Emotional closeness c. Emotional distance d. Anxious attachment

c. Emotional distance

Which of the following is not a purpose of conjoint parent-child sessions? -provides parents the opportunity to model appropriate coping responses -provides parents the opportunity to share how they overcame their self-blame and guilty feelings -continues to help the child become desensitized to the trauma narrative -misunderstanding and areas of confusion can be cleared up

provides parents the opportunity share how they overcame their self-blame and guilty feelings

According to the definition of personality disorder, only individuals who show ________ patterns of maladaptive behavior should be diagnosed with a personality disorder. -suicidal -the most severe -relatively permanent -highly variable

relatively permanent

Which of the following is appropriate on a business card? -"June Johnson, MFT Intern" -"June Johnson, IMF 12345, supervised by Jane Jones, MFC 22334" -"June Johnson, Marriage and Family Therapy Associate 12345, supervised by Jane Jones, LMFT #22334" -"June Johnson, Marriage and Family Therapist Licensed Intern, supervised by JaneJones, MFT"

"June Johnson, Marriage and Family Therapy Associate 12345, supervised by Jane Jones, LMFT #22334"

After immediately making a phone report of suspected abuse, you have ___ to follow up with a written report. 36 hours for child abuse; two working days for elder or dependent adult abuse. 48 hours for child abuse; two working days for elder or dependent adult abuse. Two working days for child abuse; 48 hours for elder or dependent adult abuse. Two working days for child abuse; 72 hours for elder or dependent adult abuse.

36 hours for child abuse; two working days for elder or dependent adult abuse.

HIPAA is ...: A part of CAMFT Code of Ethics protecting client privacy. A CA state law protecting client privacy. A federal law protecting client privacy. All of the above.

A federal law protecting client privacy.

Asking group members to pair up with those of their choosing for self-disclosure exercises is: A bad idea: It leads to over-dependency A bad idea: It can lead to projection and transference A good idea: It lowers the level of perceived threat A good idea: Cohesive groups can then become smaller, tighter groups that will then meet exclusively on their own in future sessions

A good idea: It lowers the level of perceived threat

What is the definition of reflected intent? -A reflection of how a client plans to commit suicide. -A reflection of how much the patient actually wants to commit suicide. -A reflection of when the client plans to commit suicide. -A reflection of how much the patient thinks about committing suicide.

A reflection of how much the patient actually wants to commit suicide.

A hypomanic episode refers to A prolonged but less severe form of a manic episode that is easily treated A manic episode without hallucinations or delusions A manic episode that occurs without any depressive episodes A shorter and less severe form of a manic episode with less impairment in functioning

A shorter and less severe form of a manic episode with less impairment in functioning

Which of the following would most clearly fall within the legal definition of Advertising for MFTs? A therapist tells family members about her new therapy office. A therapist returns a call from an existing client. A therapist has a web site featuring advice on common family problems, and noting that she is available for therapy if the advice on the site is not sufficient. A therapist writes an article on current research about families for a local magazine.

A therapist has a web site featuring advice on common family problems, and noting that she is available for therapy if the advice on the site is not sufficient.

If a researcher sets his/her alpha level at .01 and has an obtained p value of .023 the researcher should _________ -Reject the null hypothesis -Accept the null hypothesis -Likely has committed a Type I error -Note that they have a finding of a 1 unit increase on Y a .023 increase on X

Accept the null hypothesis

In complex trauma the relationships with the perpetrator usually involves: Adoration and understanding Self-loathing and blame Obsession with revenge All of the above

All of the above

James and Mary were going to counseling for marital problems. The counselor decided to meet each partner in an individual session before meeting them as a couple. James confided that he was HIV-positive and was not going to tell his spouse because she would know that he had been unfaithful. The counselor decided to break confidentiality after attempts to encourage James to inform his wife of his condition. The counselor's action: -was unethical because confidentiality was broken. -may be considered ethical yet it violates CA legal standard. -was ethical and meets American Counseling Association standard. -may be considered unethical and illegal in CA. -All of the above are actions that can be taken

All of the above are actions that can be taken

In California minors with legal standing to consent to treatment: -must also sign releases of information. -may prevent their parents form having access to their treatment records. -may also be able to assert the psychotherapist-patient privilege. -All of the above.

All of the above.

Steven comes into your clinical psychology practice reporting that he's been feeling so down he's had suicide on his mind. To determine his level of risk for suicide, you should make sure to assess Steven's: Desire to actually carry out a suicide Access to weapons and other means of suicide Specific plans, if any, for committing suicide All of the above.

All of the above.

The HIPAA Privacy and Security Rule ensures that: -clients have more control over their health information. -client records are stored in secure place. -authorization is obtained before using client information for supervision. -All of the above.

All of the above.

Ambiguity and lack of a structured approach in groups often lead to: More freedom of expression A leader among the counselees who emerges and challenges authority Anxiety Positive advice

Anxiety

Children from what racial/ethnic groups are most likely to describe stress reactions in more physical terms (e.g., headaches, stomachaches, nausea, nondescript aches and pains)? -Asian and Hispanic -Caucasian and African American -Hispanic and Caucasian -Caucasian and Asian

Asian and Hispanic

In a college counseling center group Isabella continually refers to "Kyle" in what often proves to be lengthy tangents regarding her college years. The name itself evokes a high degree of passion. The group leader can/should: Cut off the conversation as being irrelevant Ask the Isabella politely to return to the "here and now" Ask the Isabella how this person relates to present issues Ask the Isabella to break confidentiality to allow a deeper understanding of any discuss personal aspects of Kyle

Ask the Isabella how this person relates to present issues

A single mother brings her 10-year-old daughter in for therapy. The mother tells you she and the father divorced a year ago, and she will consent for you to see the daughter alone. You should: -Have the parent sign a consent form and begin treatment. -Have both parents sign a consent form and begin treatment. -Ask the mother about the divorce agreement to establish whether she can consent on her own for the child to enter treatment. Then document what the mother shared. -Since the therapy is likely to be related to the divorce, parental consent is not necessary. Have the child sign a consent form and begin treatment.

Ask the mother about the divorce agreement to establish whether she can consent on her own for the child to enter treatment. Then document what the mother shared.

Ten-year-old Carlos was sexually abused since the age of five. Two years ago, his abuser was discovered and sentenced to prison where he currently resides. Carlos, however, has become increasingly fearful of leaving his house, He also becomes frightened and angered when his step parents attempt to show him any kind of physical affection. Your best understanding of Carlos is that he is using what coping mechanism? Numbing Dissociation Affective dysregulation Avoidance

Avoidance

D'Karla, 37, is an African-American woman who has sought therapy to "improve my chances of getting married." She asks for specific strategies to move her dating partners toward proposing, and is not interested in investigating her own behavior patterns or bringing in any dates for couple counseling. You should: -Consider whether there are cultural issues interfering with successful therapy. -Consider whether this treatment is outside of your scope of practice. -Consider whether D'Karla should be ordered to stop dating for a certain period of time to focus on self-growth. -Both A and B are corrrect -Both B and C are correct

Both A and B are correct

Lex is a licensed MFT in central California. He had been seeing Insoo and Dennis, a cohabiting couple, for two months at his negotiated fee of $60 an hour. (Locally, the average fee is $70.) Then Dennis lost his job, and the fee was renegotiated to $40 an hour. Recently Dennis was hired to a new job, where he will make substantially more money than he did at his old job. Ethically, how much can the therapist charge for future sessions, assuming he gives the clients appropriate notice of the change in fee? -No more than $40 -No more than $70 -Any amount Insoo and Dennis are willing and able to pay, so long as it is not exploitative -No more than the therapist would charge other clients for similar services -Both C and D are ethically acceptable.

Both C and D are ethically acceptable.

A therapist finds herself overwhelmed by images of her own past abuse each time her client begins discussing the physical abuse she received in childhood. How can the therapist best manage the situation? -By terminating therapy because the therapist's neutrality is compromised. -By seeking professional help to address unresolved issues related to the abuse. -By focusing therapy on how the therapist's and client's experiences are similar. -By encouraging the client to discuss less difficult material.

By seeking professional help to address unresolved issues related to the abuse.

Which is the best statistical test when you are trying to find a relationship between two categorical variables. MANOVA Correlation Chi-square analysis T-Test

Chi-square analysis

Privileged communication applies in all of the following cases EXCEPT: Client's disclosure of personal and sensitive information. Child abuse and neglect. Unfaithfulness in one or both partners. Legal proceedings.

Child abuse and neglect.

Which type of validity is established by correlating the new instrument with a criterion variable concurrently or at the same time. Factorial Discriminant Concurrent Face

Concurrent

Therese is an MFT whose clients have been increasingly dropping out of treatment. Ethically, she should: Assume the dropouts are part of a natural ebb and flow, and are not related to therapy. Consult with colleagues or a supervisor, and seek client consent to tape sessions. Consider whether she is appropriate for the profession. Enroll in a continuing education course on termination and related issues.

Consult with colleagues or a supervisor, and seek client consent to tape sessions.

Which is not an example of a Qualitative research design: -Convergent -Grounded theory -Narrative -Case study -All are examples

Convergent

Your new client, a 14-year-old girl, is pregnant. Based on this information alone, what action must you take? -Report to Child Protective Services. -Report to police. -Report to Child Protective Services and police. -Do not report. A 14-year old's pregnancy is, in and of itself, not reportable.

Do not report. A 14-year old's pregnancy is, in and of itself, not reportable.

Forty-year-old Donna has been the victim of domestic violence for the past three years. The instance of domestic violence has begun increasing in frequency and intensity. She has decided to attend individual therapy to address her concerns but is extremely fearful her husband will find out. The initial phase of treatment would be: -Having both Donna and her husband attend therapy as a couple. -Suggest that Dona talk with her husband and ask him to stop the violence. -Educating Dona about the patterns of abuse and help establish a safety and resource plan -Suggest that she consider getting a divorce.

Educating Dona about the patterns of abuse and help establish a safety and resource plan

Which of the following would be LEAST likely to lead to a malpractice suit? Failure to obtain or document informed consent Practicing beyond the scope of competency Unhealthy transference relationships Engaging in a bartering arrangement with a client

Engaging in a bartering arrangement with a client

Studies have determined that group therapy is: -Equally or, in some cases more, effective than individual therapy -Less effective than individual therapy, though more financially feasible -Less effective than individual therapy though more popular -Equal in effectiveness when compared to group therapy

Equally or, in some cases more, effective than individual therapy

You can make causal statement from which research design: Experiments Case studies Naturalistic observation All of the above

Experiments

___________ is a developmentally informed process that provides useful feedback during one's training and throughout one's professional career. Formative assessment Summative assessment Developmentally-informed assessment Technique assessment

Formative assessment

If an instrument measures consistently the correct construct but does not measure what it was designed to measure, the instrument is: Neither reliable or valid Has validity but not reliability Has reliability but not validity Has reliability and validity

Has reliability but not validity

Multiple R squared is ___________________ -The average distance each score deviates from the mean -The change in variance after each independent variable is entered into the regression equation. -How well the independent variables collectively predict the dependent variable or explain how much variance is explained. -The statistic used to determine if you will reject the null hypothesis for multiple regression.

How well the independent variables collectively predict the dependent variable or explain how much variance is explained.

Illness anxiety disorder is also known as (and previously listed in the DSM as): -Fictitious disorder -Illness psychosis -Hypochondriasis -Dissociation.

Hypochondriasis

The treatment variable that is often manipulated is called the________________: Independent variable Moderating Dependent variable Control variable

Independent variable

__________ is a process of presenting basic information about a group to potential group participants to assist them in deciding whether to enter the group and how to participate in it. Moral ethics Ethical decision making Informed consent Professional ethics

Informed consent

When a researcher examines a connection between at least two independent variables, they will be interested in examining the? Interaction effect Central tendency Main effect Within-groups distribution

Interaction effect

Which is a type of threat to external validity? Testing Interaction of setting and treatment Maturation History

Interaction of setting and treatment

Your friend Han advertises himself as a "karate family therapist," and specializes in the integration of self-discipline techniques within a Bowen process to improve family functioning. He has been training students in karate for 12 years and is licensed as an MFT. His advertising most likely: -Is within legal and ethical boundaries. -Is a violation of ethical boundaries. -Is a violation of state law. -Is a violation of the Clients' Bill of Rights.

Is within legal and ethical boundaries.

Some psychologists were reluctant to make premenstrual dysphoric disorder a formal diagnosis because It had too much overlap with other mood disorders' diagnostic criteria It is so rare that a formal diagnostic category is unjustified It is strictly a consequence of hormonal imbalances and is therefore not a psychological disorder It has the potential to be stigmatizing for women.

It has the potential to be stigmatizing for women.

A California-licensed MFT may ONLY offer services to which of the following prospective clients? -Joe, 52, who has a disability and wishes to engage in online therapy from his home in San Francisco. -Maria, 27, who lives in New York and wishes to engage in telephone therapy. -Hector, 70, who has a disability and wishes to engage in online therapy from his home in Phoenix. -Sergei, 35, whose home is just inside the California border near Yuma (Arizona), and will pay for your travel expenses to engage in in-person therapy at his office in Yuma.

Joe, 52, who has a disability and wishes to engage in online therapy from his home in San Francisco.

Why would it be incorrect to say that individuals diagnosed with learning disorders are not intelligent? -It would confuse learning disorders with intellectual disability. -The concept of learning disorder has absolutely nothing to do with intelligence. -Learning disorders are diagnosed in people of below average, average, and above average intelligence. -Learning disorders are only diagnosed in people of high intelligence.

Learning disorders are diagnosed in people of below average, average, and above average intelligence.

Which of the following is a psychometrically sound measure of differentiation of self? Genograms Bowenian Emotional Reactivity Scale Family of Origin Dynamics Inventory Level of Differentiation of Self Scale

Level of Differentiation of Self Scale

____________ examines the relationship between independent variables that are categorical and multiple dependent variables? ANOVA T-test Chi Square Analysis MANOVA

MANOVA

At a clothing store, you see the only cashier on duty is a client of yours. You should: Ask the cashier whether she would like you to leave the store. Leave the store. Make your purchases as you normally would. Ask whether the store offers a "therapist's discount."

Make your purchases as you normally would.

Which best describes the way ADHD develops as children grow into adulthood? Children tend to outgrow ADHD. Adults often develop ADHD late in life. Symptoms remain relatively stable throughout the lifespan for most individuals. Manifestations of ADHD tend to change over time, but problems often persist.

Manifestations of ADHD tend to change over time, but problems often persist.

Which of the following 8-year-old children should most likely receive a diagnosis of disruptive mood dysregulation disorder? -Hakim, who cannot sit still in class or at the dinner table -Bella, who stayed up all night for 3 nights in a row making what she believes is the world's prettiest dress -Bobby, who always gets into fights and is extremely rebellious with authority figures -Mary Ann, who can't help snapping at her parents and feels an overwhelming irritability that she describes as uncontrollable

Mary Ann, who can't help snapping at her parents and feels an overwhelming irritability that she describes as uncontrollable

Which of the following is a risk associated with misdiagnosing children with bipolar disorder, when in fact they have attention deficit/hyperactivity disorder (ADHD)? ADHD is more impairing than bipolar disorder, so one would be ignoring the real problem. Medications for bipolar disorder are very potent and have serious side effects. Insurance companies don't recognize childhood bipolar disorder and will not reimburse treatment for it. There are no major risks, as the two disorders are so similar that treatments are essentially the same.

Medications for bipolar disorder are very potent and have serious side effects.

A bereaved couple share their feelings of loss after the drowning of their 4- year old son. The therapist feels compelled to share her own experience when she lost her son 5 years ago. Hearing about this family's experience has stirred up old memories that she feels she needs to let out. Should she disclose her similar situation to them and why? No, as her emphasis is on her own feelings and countertransference Yes, it would be a great way to bond with the family Yes, by seeing the therapist open up it will encourage the family to continue to be open No, under no circumstance should a therapist ever disclose anything about his or herself

No, as her emphasis is on her own feelings and countertransference

Which of the following is an appropriate reason to terminate therapy? -Nonpayment of fees. -Failure to cancel an appointment with 24 hours' notice. -Gender or racial mismatch between client and therapist. -Client illiteracy prevents them from reading treatment contract.

Nonpayment of fees.

What are the prevalence rates of specific learning disorders in the United States? Math difficulties are the most common, affecting 5-8% of the general population Of the approximately 6 million children who have been diagnosed in the US, 4-10% have reading difficulties Approximately 1 in out of 50 students will be diagnosed with autism Specific learning disorders are not more prevalent in the US compared to other countries

Of the approximately 6 million children who have been diagnosed in the US, 4-10% have reading difficulties

What is one possible trajectory that is most likely to occur for the development of disruptive behavior disorders? -Conduct disorder, oppositional defiant disorder, antisocial personality disorder -Antisocial personality disorder, oppositional defiant disorder, conduct disorder -Oppositional defiant disorder, conduct disorder, antisocial personality disorder -Oppositional defiant disorder, antisocial personality disorder, conduct disorder

Oppositional defiant disorder, conduct disorder, antisocial personality disorder

Which of the following therapist behaviors might be indicative of a countertransference reaction? -Refraining from giving advice -Allowing the client the space to experience and release anger -Empowering a client to make decisions -Overprotecting or rejecting a client

Overprotecting or rejecting a client

__________ stress understanding the subjective world of the client and tap existing resources for change within the individual. Psychodynamic approaches Experiential and relationship-oriented approaches Cognitive behavioral approaches Postmodern approaches

Postmodern approaches

This world view holds a deterministic philosophy, and believes that research is the process of making claims to test theory. Data, evidence, and rational considerations shape knowledge. Constructivism Pragmatism Postpositivism Transformative

Postpositivism

Which of the following address the client's transference reactions and the therapist's subjective impressions of the client? Process notes Progress notes Diagnostic notes Treatment summary

Process notes

The strength of conducting a single ANOVA instead of multiple T-test is? Protection against committing a Type I error Better analysis Systematic sampling Can use multiple dependent variables.

Protection against committing a Type I error

What does PRACTICE stand for? Chose the best response Psychoeducation, relaxation skills, affect expression, conjoint parent-child sessions, cognitive coping, trauma narrative, in vivo exposure, cognitive skills, enhancing safety Psychoeducation and parenting skills, relaxation and support skills, affect expression skills, conjoint parent-child sessions, trauma narrative, in vivo exposure, cognitive coping skills ii, enhancing safety and future Psychoeducation and parenting skills, relaxation skills, affect expression and modulation/ regulation skills, cognitive coping skills and processing, trauma narrative, in vivo exposure, conjoint parent-child sessions, enhancing safety and future Psychoeducation and parenting skills, relaxation and support skills, affect expression skills, conjoint parent-child sessions, trauma narrative, in vivo exposure, cognitive coping skills ii, enhancing safety and future

Psychoeducation and parenting skills, relaxation skills, affect expression and modulation/ regulation skills, cognitive coping skills and processing, trauma narrative, in vivo exposure, conjoint parent-child sessions, enhancing safety and future

When each person has an equal chance to be selected for the experiment, this is an example of ___________? Random sampling Confidence interval Random assignment Quasi-experiment

Random sampling

When each person has an equal chance to be selected for the experiment, this is an example of____________? Random sampling Confidence interval Random assignment Quasi-experiment

Random sampling

Sarah is a group member who doesn't speak up or ask for time to speak in the group. Understanding her culture believes this is rude, insensitive, and self-oriented, as a therapist which is the best way to help her become more comfortable and willing to share? -Rather than encouraging self-disclosure, create an event where all other members try to force her to share with the group. -Rely on her to initiate self-disclosure on her own without the assistance or encouragement of anyone else. -Tell her to speak up and encourage her to self-disclose anything. -Rather than expecting her to initiate any self-disclosure, it might be helpful to ask her to consider sharing at least one reaction she experienced while listening to another member speak.

Rather than expecting her to initiate any self-disclosure, it might be helpful to ask her to consider sharing at least one reaction she experienced while listening to another member speak.

Therapy modes represented under the umbrella of Relationship-Oriented Approaches include all of the following EXCEPT: Rational-emotive Gestalt Psychodrama Existential

Rational-emotive

Evana feels like she is a failure at therapy. She is upset because she feels she's had a set way back. After a stressful event happened, she had a reaction to it. The therapist should: Reassure Evana Reassure Evana and work on her relaxation skills Reassure Evana and rework her emotion regulation skills Reassure Evana and help her reconnect with her social networ

Reassure Evana and rework her emotion regulation skills

The interaction between what individuals think and how those thoughts influence and affect feelings and behavior can best be described as one of: Reciprocity Correlation Synergism Harmony

Reciprocity

The verbal reiteration of what a group member has shared, for purposes of clarification and so the group member and other group members can see that both of you understand what has been shared, is known as: Therapeutic repetition Rehashing Reflecting Interpreting

Reflecting

A couple asks an MFT for assistance in preparing their 17-year-old daughter for her college interviews. The MFT should: -Agree to do so only if it fits with the parents' current course of therapy. -Agree to do so only if the parents are willing to pay additional charges. -Refuse to do so because the preparation work might come up in one of the interviews, violating confidentiality. -Refuse to do so b/c such a service is outside the MFT's scope of practice.

Refuse to do so b/c such a service is outside the MFT's scope of practice.

Your client Lucy is 47 and suffers moderate mental retardation. While she lives independently, family and social service workers frequently visit to assist in daily tasks like cooking, cleaning, and paying bills. Lucy tells you that in one of her sister's recent visits, the two got into a shouting match, and the sister pushed Lucy into a bookshelf. Lucy shows you the bruises on her back from the altercation. You should: Contact the social service workers to arrange more frequent visits. Report the incident to Adult Protective Services. Report the incident to Child Protective Services. Arrange for family therapy involving the sister immediately.

Report the incident to Adult Protective Services.

A former client calls and asks you to send her file to her new therapist in Iowa. You: -Copy down the new therapist's address, and send the file, as you have verbal consent from your client. -Contact the new therapist directly, and ask the therapist to have the client complete a release of information form. -Send the file with verbal consent, and have the client send written consent later. -Request the client fax or mail you a signed release of information.

Request the client fax or mail you a signed release of information.

In qualitative research which term means that the researcher will stop collecting data because adding additional participants will likely not yield additional insights? Maturation History Saturation Trustworthiness

Saturation

In which of the following disorders are hallucinations and delusions NOT part of the symptom pattern? Schizotypal personality disorder Schizoaffective disorder Schizophreniform disorder Brief psychotic disorder

Schizotypal personality disorder

According to California Law, the suggested length of time to maintain client records after the end of treatment is: One year Five years Seven years Ten years

Seven years

Of the following, which is an example of a behavior that might leave a mental health practitioner MOST vulnerable to a malpractice suit? She employed a technique that she was not trained to use. She used a procedure to which the client did not respond favorably. She explained the possible consequences of treatment and the client still wanted to participate in the process. All of the above.

She employed a technique that she was not trained to use.

One of your new group members is a recent immigrant from a new country. You are not familiar with many aspects of her culture. Which of the following is not a legitimate concern pertaining to confidentiality? -Some cultures stress sharing of all personal matters; the client may share confidential details of counseling. -Due to language barriers, the client may not understand the confidentiality information in its entirety. -Some cultures view therapy as shameful. Do not leave any information regarding therapy or you as a therapist on phone messages. -Some cultures do not take confidentiality as seriously as others.

Some cultures do not take confidentiality as seriously as others.

Which of the following statements is NOT accurate? Supervisors are ultimately responsible, both ethically and legally, for the actions of their trainees. Supervisors should not supervise more trainees than they can responsibly manage at one time. Supervisors are not expected to maintain records pertaining to their work with supervisees. It is essential that supervisors are familiar with the caseloads of their supervisees.

Supervisors are not expected to maintain records pertaining to their work with supervisees.

__________ are most useful when they evolve from the work of the group participants and are tailored to the situations that evolve in a particular group meeting A rigid set of structures Psychodynamic approaches Techniques Ethical laws

Techniques

What happens when people with OCD attempt to neutralize or suppress disturbing, intrusive thoughts? -The obsessive thoughts disappear -The frequency of the obsessive thoughts increases over time -The frequency of the obsessive thoughts decreases over time -This strategy has no effect on the obsessive thoughts

The frequency of the obsessive thoughts increases over time

Therapists are mandated to do all of the following in the event of having a client who is a danger to others EXCEPT: -Therapist has to protect the confidentiality of the client. -notify police and make reasonable care to prevent dangerous client. -commit a dangerous client. -warn anyone who might be near intended victim.

Therapist has to protect the confidentiality of the client.

Which is an example of a null hypothesis? -It is expected that children who read positive affirmations will report greater self- esteem than those that did not read positive affirmations. -Self-esteem is related to internalized messages from external sources, this relationship will be demonstrated by the findings. -What is the relationship between self-esteem and receiving positive daily affirmations? -There will not be a significant relationship between participants who receive positive daily affirmations and those that do not.

There will not be a significant relationship between participants who receive positive daily affirmations and those that do not.

Which world view believes that research inquiry needs to be intertwined with politics and a political change. It draws from theories of feminism, Marxism, and critical race theory. Post-positivism Transformative Deductive Social constructivism

Transformative

When a researcher rejects a null hypothesis, when they should have upheld it, they have made a ____________ Type II error Correct decision Type I error None of the above

Type I error

The regression equation is Y = a +bX + e; e represents ____________? Scores on the dependent variable Slope on the independent variable Unaccounted error Stepwise coefficient

Unaccounted error

The average distance of each score from the mean is called _____________: F statistic Variance Range parameter

Variance

Which of the following should a therapist do each time he/she provides mental health services via telehealth? Inform the client of the potential risks and limitations of receiving treatment via telehealth Obtain informed consent from the client Verbally obtain from client the client's full name and address of present location Provide the client with his/her license of registration number and the type of license or registration.

Verbally obtain from client the client's full name and address of present location

The ruling in Tarasoff v. CA Board of Regents established that MFTs must: Take reasonable steps to protect a client who is threatening suicide. Warn an identifiable victim of a threat made by a client, even if the therapist hears about the threat through a third party. Warn an identifiable victim of a threat made by a client, even if the therapist does not reasonable believe the client would carry out the threat. Warn an identifiable victim of a threat made by a client and take whatever additional steps may be necessary to protect the victim, such as calling police.

Warn an identifiable victim of a threat made by a client and take whatever additional steps may be necessary to protect the victim, such as calling police.

You decide to set up a sliding scale fee for your clients who have a need. All of the following are things that you need to consider EXCEPT: -Set up criteria to determine client's eligibility. -Inform only eligible clients about the sliding scale option. -Announce your sliding scale fee to all managed care companies. -Apply the sliding scale criteria consistently. -You should consider all of the above.

You should consider all of the above.

Juliet, 16, wants to engage in therapy without her parents' knowledge. She offers to pay with money she makes from babysitting. She wants to explore questions around her sexuality, as she has become attracted to a female classmate. She fears great embarrassment if her parents find out she is not sure of her orientation. You should: -agree to treat the child without parental consent. -agree to treat the child without parental consent for a limited period of time. -refuse to treat the child unless parental consent can be sought and obtained. -refuse to treat the child under any circumstances.

agree to treat the child without parental consent.

The DSM 5: -requires that the GAF be calculated -allows for V codes to be listed first -does not allow for V codes to be listed first -requires that Axis I-IV be listed in order

allows for V codes to be listed first

Mort has displayed a number of schizophrenic symptoms. An obvious one was his lack of speech content and slowed speech response. This symptom is called anhedonia. avolition. clanging. alogia.

alogia.

Marty is counseling with an Asian client who recently returned from a trip to Japan to visit relatives. His client wants to give him an inexpensive souvenir. It is important for Marty to: -refuse the gift on ethical grounds. -explain that gifts would change their relationship and create a conflict of interest. -be aware that accepting the gift may be culturally appropriate with this client. -explain that he cannot accept the gift until the counseling relationship is over.

be aware that accepting the gift may be culturally appropriate with this client.

According to the DSM 5, there is a bereavement exclusion criterion for a major depressive episode that lasts less than 2 months -following the death of a loved one -bereavement exclusion is omitted as depressive symptoms associated with bereavement respond to the same psychosocial and medication treatments -bereavement exclusion is omitted because bereavement is recognized as a severe psychosocial stressor that is not time dependent -there is an exclusion criterion for a major depressive episode as the symptoms are similar but different

bereavement exclusion is omitted because bereavement is recognized as a severe psychosocial stressor that is not time dependent

Martina has been working at a crisis intervention center for three years and is starting to have nightmares about her work. Despite having a strong work ethic, she dreads her job because she feels burdened by the lack of power she has in making decisions pertaining to the treatment of her clients. Martina is experiencing: burnout. mental illness. institutional countertransference. institutional transference.

burnout

The group leader assists members in forming hypotheses and testing their assumptions, which is known as __________. role confusion collaborative empiricism automatic thoughts evidence-based practice

collaborative empiricism

Two processes that offer safeguards against malpractice liability in suicidal cases are: -consultation and documentation. -assessment and orientation. -diagnosis and informed consent. -individual therapy and group therapy

consultation and documentation.

All theoretical models of MFT use the following to help clients reach their goals: a. Emotional Regulation b Cognitive Reframing c. Behavioral Shifts d. All of the above

d. All of the above

When things aren't going John's way at home, he tells his wife Sandy that she needs to obey him because the Bible says that is God's will. When she complains of this pattern to her priest, he rebukes her and says she needs to repent of her insubordination. According to Gender/Power theory, Sandy is experiencing the misuse of which type of power? Select one: a. Psychological b. Economic c. Expert d. Normative

d. Normative

Mr. Lukie (age 72) is brought to the hospital emergency room. His son explains that his father woke up this morning and was "not himself." Mr. Lukie appears confused, agitated, and a bit frightened. He does not know his own name and cannot recognize his son. Mr. Lukie's son reports that his father had been completely fine with no symptoms prior to that morning. Mr. Lukie appears to be suffering from -dementia. -Alzheimer's. -delirium. -amnestic disorder.

delirium.

Elena, your client of two years, has just received the news that she is losing her insurance coverage; however, she recently had a breakthrough in therapy and needs to continue working on her issues. As an ethical therapist, you should: -refer her to a community mental health center where she can get services at a low cost. -determine new payment terms so Elena can continue working with you. -terminate therapy and give Elena some good book references so she can work through her issues on her own. -terminate therapy and encourage Elena to look in the Yellow Pages for a new therapist who will accept a sliding scale arrangement.

determine new payment terms so Elena can continue working with you.

Which of the following is an accurate statement about posttraumatic stress disorder (PTSD)? Acute stress disorder is diagnosed instead of PTSD if a person's symptoms begin 6 months or more after the traumatic event. PTSD occurs in all individuals who experience a traumatic event. Most people diagnosed with acute stress disorder do not eventually develop PTSD. diagnosis of acute stress disorder will change to a diagnosis of PTSD one month after the traumatic event occurs.

diagnosis of acute stress disorder will change to a diagnosis of PTSD one month after the traumatic event occurs.

One of the most characteristic patterns for children with autism is that they are generally disinterested in social situations. very intelligent. extremely talkative. hyperactive.

disinterested in social situations.

Two crucial tasks inherent in the initial stage of group therapy are orientation and ______________. expression exploration introduction assessment

exploration

It is acceptable for researchers performing quantitative research to make changes to the research question and hypotheses as the data is collected and patterns/themes begin to emerge. True False

false

In contrast to the DSM-IV in the DSM 5, posttraumatic stress disorder criteria are not limited to -horror -fear for one's life -helplessness -dissociation

fear for one's life

Counselors ____________ when they use their skills in helping clients challenge institutional barriers that impede their personal, social, academic, or career goals. are solving problems function as advocates are working outside their scope of competence are going above and beyond their role requirements

function as advocates

Through this process of __________, the group leader functions as a catalyst and guide who helps the members understand the connection between their thinking and the ways they feel and act. Socratic dialogue future projection guided discovery cognitive restructuring

guided discovery

In the textbook case of Arthur, he said that he had a "secret plan to save all the starving children in the world." After Arthur showed other bizarre behavior and said he was going to climb the fence of a government building, his parents tried to have him admitted to a psychiatric hospital. They were not able to do that because: -he was not considered a danger to himself or others. -he was given medication, instead, to calm him down. -the hospital staff didn't believe his parents. -his behavior was due to a substance abuse problem.

he was not considered a danger to himself or others.

Due to oppression and discrimination that many diverse members of counseling groups have faced, it is recommended that the group be a place where the subject of ___________________ can be openly explored. civil rights hatred revenge imbalance of power

imbalance of power

Sexual arousal disorders are diagnosed when there is an -inability to achieve or maintain an erection in males or a lack of desire for sex in females. -inability to achieve or maintain an erection in males or a lack of orgasm in females. -inability to achieve orgasm for either gender despite erection in males or lubrication in females. -inability to achieve or maintain an erection in males or a lack of lubrication in females.

inability to achieve or maintain an erection in males or a lack of lubrication in females.

An example of having potential conflict between legal and ethical standards pertains to breaking confidentiality of a client who: -confides that they have abused their child. -has given written consent. -is a threat to self or others. -is HIV-positive by warning third party.

is HIV-positive by warning third party.

Expulsion or suspension of members from professional associations: -has no effect on the member. -cannot be appealed. -is never reported in the journals of the professional associations. -is a major sanction.

is a major sanction.

All of the following are reasons for the underutilization of mental health services by minority groups EXCEPT? biased nature of the services child care issues transportation challenges lack of motivation

lack of motivation

Law and ethics differ in that laws dictate minimum standards of behavior that society will tolerate, whereas ethics represent the ideal standards expected by the profession. ethics dictate minimum standards of behavior that society will tolerate, whereas laws represent the ideal standards expected by the profession. ethics and laws have the same standards. ethics and laws are often in conflict because they are so different from one another.

laws dictate minimum standards of behavior that society will tolerate, whereas ethics represent the ideal standards expected by the profession.

Persistent depressive disorder differs (PDD) from major depressive disorder (MDD) because people diagnosed with PDD have symptoms of depression that are: -more severe. -longer-lasting. -episodic. -temporary.

longer-lasting.

Your 17-year-old client has been having a sexual relationship with his 15-year-old girlfriend for a year. Their relationship has included oral and vaginal sex. You should: report the relationship to the client's parents, who consented for treatment. report the relationship to the girlfriend's parents, as she is a minor. report the relationship to Child Protective Services or another agency authorized to receive child abuse reports. maintain the client's confidentiality.

maintain the client's confidentiality.

Not only is there a high prevalence of persistent depressive disorder in children, but it has also been found that three-fourths of these children will eventually be diagnosed with -bipolar disorder. -major depressive disorder -mania -cyclothymia.

major depressive disorder

DSM criteria of panic attacks include all the following symptoms EXCEPT sweating. Fear of losing control or going crazy. trembling or shaking. migraine headaches.

migraine headaches.

Which one of the following is a myth? A culturally skilled successful group therapist: -must have had the same life experiences as the group members -recognizes his or hers limits of multicultural competency and expertise -can work with group members who are different from her or him in terms of race, ethnicity, culture, gender, sexual orientation, abilities, religion, or worldview -uses self of the therapist to address and highlight multiculturally issues

must have had the same life experiences as the group members

Alex is extremely impressed with himself. Although he has only achieved a moderate amount of success, he thinks of himself as being uniquely special and deserving of the best of everything. Alex fantasizes frequently about great wealth and fame and does not really pay much attention to other people except to note how they react to him. Alex would most likely be diagnosed with ________ personality disorder. antisocial histrionic narcissistic dependent

narcissistic

The lowest level of measurement is? -Interval -Nominal -Ratio -Ordinal

nominal

Rhonda is a counselor at a drug and alcohol treatment center. She grew up in an alcoholic home and is not fully aware of the "unfinished business" she has with her parents. She is still angry and resents her parents for having to grow up in an alcoholic family system. It is most likely that Rhonda will: be able to understand her addicted clients through her own childhood experiences. examine her unresolved conflicts as she continues to work in the treatment center. obstruct the progress of her clients as they attempt to move towards recovery. feel comfortable with her clients because she is familiar with their behavior.

obstruct the progress of her clients as they attempt to move towards recovery.

A close personal friend asks whether you could see his wife in individual therapy. The most ethical course of action would be for you to: accept the referral and set a reasonable fee attend personal psychotherapy to address whether it would be appropriate to accept the referral see the couple in therapy together. offer your friend the names of at least three other skilled therapists, and do not see the client yourself

offer your friend the names of at least three other skilled therapists, and do not see the client yourself

The DSM-5 criteria for brief psychotic disorder indicate that the duration of the disturbance must be less than one day. one week. one month. Six months.

one month.

The language barrier of refugees from other countries and people with hearing impairments may make these individuals particularly susceptible to -histrionic personality disorder. -paranoid personality disorder. -schizotypal personality disorder. -schizoid personality disorder.

paranoid personality disorder.

Jason, a client you have been treating, informs you that last week he and his partner were having relational issues. Upon inquiring more, Jason informs you that he was drunk and had sex with his partner; however, his partner does not want to see Jason again and told Jason that he hurt him when Jason was drunk. Which of the following is the best V (Z) code to assign? partner violence, sexual partner abuse, psychological partner neglect none of the above

partner violence, sexual

The term minority group has come to refer to: -a group of people having common ancestry, history, nationality, religion and race. -people of color and immigrants. -a group of people who are found in lesser numbers relative to the mainstream population. -people of a group who have been discriminated against or subjected to unequal treatment.

people of a group who have been discriminated against or subjected to unequal treatment.

Peter and Windy just sent their daughter Liz to college. Peter and Windy seem to have difficulty adjusting to her absence. Which of the following is the best V (Z) code to assign? phase of life problem problem related to living alone acculturation difficulty social exclusion or rejection

phase of life problem

To express their gratitude for your services, a family offers to donate to you, for 30 days, a billboard in West Los Angeles. The billboard was not slated for use in the month they are offering it to you, so they insist it has zero monetary value. You could use the space to promote your practice, or donate the space to your favorite charity if you chose. You should: -accept the space and use it as you see fit, as it has no significant value. -accept the space and donate it to charity. -politely refuse the gift and encourage the family to donate it to charity. -politely refuse the gift and report the client's attempted "kickback" to police.

politely refuse the gift and encourage the family to donate it to charity.

Mr. Kardashi is hearing voices from Satan, who gives him instructions for committing sins, and he is convinced that others know about his special relationship with God. What type of symptoms of schizophrenia is he struggling with? positive negative disorganized combined

positive

Asking members how they _______________ with conflict within a group is a recommended means to assist in dealing with it when, and if, it arises. promise to deal predict how they would deal neglect to deal as a child used to deal

predict how they would deal

James is in court facing drug-related charges and his therapist was subpoenaed to testify in court regarding any discriminating evidence concerning the case. His therapist came to court but refused to answer questions regarding the case or produce James's records. The therapist used the following legal concept to protect himself from forced disclosure: -confidentiality. -privileged communication. -client privacy. -taking the 5th amendment.

privileged communication.

Some clinicians believe that they should be available to take all messages from their clients, and they have every voice mail or answering machine message paged to them. Clinicians who engage in this behavior are likely to: -decrease the chances of a malpractice suit. -increase the chance of a malpractice suit. -promote the client's autonomy. -promote client dependence.

promote client dependence.

Psychoeducational groups are designed to: -foster accomplishment of identified work goals. -help members go through difficult life transitions. -remediate in-depth psychological problems. -provide members with targeted education on a variety of psychological issues or informational deficits.

provide members with targeted education on a variety of psychological issues or informational deficits.

Susan is quite distressed after finding out that her husband has been unfaithful and tells her counselor that she is so angry that she feels like killing him. In this case, the counselor needs to FIRST: question Susan to determine whether she is serious about doing physical harm to her husband. warn the husband that he is in potential danger. commit Susan to a hospital until she can overcome her anger. warn Susan that she can be arrested for making threats against her husband.

question Susan to determine whether she is serious about doing physical harm to her husband.

All of the following are accurate statements about the prevalence of mood disorders in children and adolescents EXCEPT bipolar disorder is often misdiagnosed in children major depressive disorder in adolescents is primarily a female disorder rates of attempted suicide decrease during adolescence. adolescents with bipolar disorder may become aggressive, impulsive, sexually provocative, and accident-prone.

rates of attempted suicide decrease during adolescence.

An African-American woman was interacting with her child in a domestic abuse shelter when she is over-heard saying to her child, "Keep touching that and I'm going to whoop you." The social worker that heard this statement should: -immediately report the mother to Child Protective Services. -tell the mother that she will be evicted from the shelter if she continues to talk to her child that way. -recognize that what constitutes abuse in one culture may not be viewed as abuse in another culture and is not reportable until it is determined that the child is in danger. -remove the child from the mother's care until the mother can learn how to talk to her child with respect.

recognize that what constitutes abuse in one culture may not be viewed as abuse in another culture and is not reportable until it is determined that the child is in danger.

Practitioners are NOT liable for failing to: -render predictions of violent behavior of a client. -prevent violent acts by their clients. -commit a dangerous individuals. -warn potential victims of violent behavior

render predictions of violent behavior of a client.

As mandated reporters, therapists should: -investigate suspected child abuse. -be certain about the abuse before reporting. -report child abuse if they reasonably suspect it. -remove the child from the abusive situation.

report child abuse if they reasonably suspect it.

A therapist working in Orange County learns that her 16-year-old client was abused while living with his father in Texas three years ago. The therapist should: -assess whether the abuser currently has any contact with children. -report the abuse to the proper agency in Texas. -maintain confidentiality. -report the abuse to the proper agency in Orange County.

report the abuse to the proper agency in Orange County.

Group work often provides the potential to further a _________ agenda: presidential social justice intercontinental international

social justice

Some participants may engage in __________, believing they are really working, when in fact they are avoiding addressing and dealing with their own feelings. empathy self-disclosure storytelling feedback

storytelling

Features of gender dysphoria include all the following EXCEPT strong and persistent cross-gender identification. persistent discomfort with his or her sex. strong homosexual urges. belief that he or she was born the wrong sex.

strong homosexual urges.

You are told about a child who has shown behavior consistent with "separation anxiety". In order to determine if the child actually has a disorder or whether the behavior is normal, you would first need to know is: the child's age. whether the child is a boy or a girl. if other family members have anxiety disorders. how long the child has shown this behavior.

the child's age.

The presence of medical illnesses or symptoms of dementia can make the diagnosis of depression difficult in middle-aged men. menopausal women. highly creative individuals. the elderly.

the elderly.

Similar to other psychotherapy modalities, research indicates the centrality of __________ as a primary factor in successful therapy, and this is inextricably intertwined with the outcome of psychotherapy. -the person of the member -the supervision -the members' family history -the person of the therapist

the person of the therapist

The self-assessment of group leadership skills will help a beginning leader identify: -recent educational aspects of training that are less likely to be forgotten. -which will make them less likely to experience burnout. -their areas of strengths and weaknesses as a group leader. -less preconceived notions and biases.

their areas of strengths and weaknesses as a group leader.

The skills and training required to effectively and appropriately treat clients in a specific area of practice, and is both an ethical and legal concept, is the definition for: formative assessment. summative assessment. therapist competence. techniques.

therapist competence.

For an instrument to be valid it must also be reliable. True False

true

In non-experimental research, significant findings have a limitation; whereas a relationship between two variables may indicate a relationship but a researcher cannot determine the direction of the relationship. Meaning it is possible A is influencing B, or B is influencing A. True False

true

Standard deviation is a better estimate of the average distance of scores from the mean because it places the score in the same units of the mean. True False

true

True or False: Researchers will use regression when they are trying to predict or explain the dependent outcome variable?

true

True or False: The median is a better estimate of the average score if there are outliers or extreme scores?

true

True or False: a quantitative study will have clearly labeled research questions and hypotheses prior to conducting any data collection, while a qualitative study may have hypotheses and theories generated throughout the research study and even after obtaining results.

true

Cross-cultural research has indicated that autism is: -universal across cultures and countries. -predominantly found in the United States. -predominantly found in Western cultures and countries. -more common in wealthy countries.

universal across cultures and countries.

In an attempt to convince her young client to practice safe sex, Valerie fabricated her own statistics and facts about the hazards of unprotected sex. In this instance, Valerie violated the principle of: -fidelity. -veracity. -beneficence. -justice.

veracity.

The symptoms of delirium tend to develop very slowly, over the course of several years. very quickly, over the course of a few hours to a few days. moderately slowly, over the course of several months. moderately slowly, over the course of several months

very quickly, over the course of a few hours to a few days.

Records are: -vital to review the course of treatment. The manner in which you document treatment is likely to determine the outcome of the case. -important; however, the legal system does not expect a therapist to spend hours documenting treatment. -only important during legal proceedings. -necessary in order to diagnose suicidal or homicidal clients only.

vital to review the course of treatment. The manner in which you document treatment is likely to determine the outcome of the case.

Anthony states: "Since the accident left me paralyzed, I'm unable to walk. Imagine what it's like being a productive worker one day and being at home confined to a wheelchair now!" Which of the following is an appropriate reaction of the counselor utilizing the principle of clarifying? -"Anthony, you really sound as if you are at wit's end." -"You seem to sound angry and frustrated at not being able to work anymore. This is a normal reaction to someone in your situation." -"A lot has changed Anthony. You've been injured and can no longer work. We'll help you get better." -"Anthony, not only have you been severely injured. You are now left paralyzed. Your life has been altered in many ways, and I sense the frustration which you are feeling."

"Anthony, not only have you been severely injured. You are now left paralyzed. Your life has been altered in many ways, and I sense the frustration which you are feeling."

What procedure(s) are recommended when commands don't work? Ignore Repeat the command with increased intensity Divert and distract All of the above A and C

A and C

Elisha has been in therapy for a few months and has gone through completed trauma narrative phase of treatment with his mother. His uncle the man that abused him for many years has just contacted the family. The therapist impression is that Jack seems to have regressed. What is the next best step for the therapist to treat Jack? Continue to enhance safety Stop treatment and refer out for a medication evaluation Recommend to his mother that for now he should stop seeing his uncle B & C

B & C

Steering or redirecting a group member to the here-and-now: -Is always the method of choice -Always results in a positive outcome -Helps the group progress always -Can be limiting and negative when the subject is grief

Can be limiting and negative when the subject is grief

In recent years, a trend of ______________ children with bipolar disorder has become problematic. Under-diagnosing Over-diagnosing Not recognizing Mistreating

Over-diagnosing

What is Type I trauma? Repetitive or complex trauma Single-incident Trauma Multiple-incident Trauma Human generated

Single-incident Trauma

Which of the following is one of the main goals of strategic family therapy? a. Resolve the family's presenting problem b. Teach communication skills c. Help people gain insight into their dysfunctional interactional cycles d. Unblock stuck emotions

a. Resolve the family's presenting problem

Which of the following could be a thesis statement of the common factors argument? a. If the therapeutic alliance is strong, everything else will fall into place b. Factors shared across various theoretical models are responsible for most of the change in therapy c. Since the therapeutic alliance is so important, there is no need to learn theory d. The therapist is the most important variable in therapy

b. Factors shared across various theoretical models are responsible for most of the change in therapy

Counselors would NOT work well with diverse populations if they: -are open to being challenged and tested. -are flexible in applying theories to specific situations. -believe that they are free from any racist attitudes, beliefs, and or feelings. -believe that they may not have all the information about their client's culture.

believe that they are free from any racist attitudes, beliefs, and or feelings.

The therapeutic alliance is thought to consist of all but the following: a. tasks b. bonds c. shared culture d. goals

c. shared culture

The fundamental goals of Behavioral Therapy are to increase ____________ and create new conditions for _____________. coping mechanisms/thriving skills/coping choices/learning expression/change

choices/learning

Susan is in a counselor training program and is infatuated with her supervisor. She has indicated that she is interested in pursuing an intimate relationship. In order to provide adequate supervision for Susan, her supervisor would need to: -clearly define and maintain ethical, professional, and social relationship boundaries with Susan. -adopt the role of counselor and work with her therapeutically. -suggest that she transfer to another training program. -let Susan know that there is no possibility for intimacy until she graduates from the program.

clearly define and maintain ethical, professional, and social relationship boundaries with Susan.

Joyce was hospitalized as a result of an attempted suicide. She tried to call her therapist before taking an overdose of pills, but he could not be reached because he was on vacation and did not make provisions for a replacement therapist while he was gone. This action constitutes the following type of professional negligence: misdiagnosis. client abandonment. vicarious liability. practicing beyond the scope of competency.

client abandonment.

Departures from commonly accepted practices that could potentially benefit clients are referred to as boundary: blending. crossings. violations. regulations.

crossings.

Which contemporary approach based on strategic therapy principles enjoys the most empirical support? a. The Haley & Madanes approach b. The MRI approach c. The Milan model d. Brief strategic family therapy

d. Brief strategic family therapy

Structural family therapy has been shown to be effective when working with which of the following populations? a. Conduct disordered children; adults with anxiety; adults with bipolar disorder b. Conduct disordered children; psychosomatic children; adults with depression c. Children with anorexia nervosa; adults with depression; adults with anxiety d. Children with anorexia nervosa; drug addicts; psychosomatic children

d. Children with anorexia nervosa; drug addicts; psychosomatic children

The Tarasoff rule states that you have the duty to warn and protect when a patient has communicated: threat of "serious physical harm" to reasonably identifiable victims. "serious threat" of physical harm to reasonably identifiable victims. threat of "serious harm" to self "serious threat" of harm to self

"serious threat" of physical harm to reasonably identifiable victims.

It is 4:45 pm on a Friday when you are wrapping up a session, your clients give you reasonable suspicion about a possible child abuse case. The deadline for written report is 4:45 pm on Saturday 4:45 am on Sunday 4:45 am on Tuesday 4:45 pm on Tuesday

4:45 am on Sunday

___________ percent of scores fall within one standard deviations of a normal bell curve. 55 68 95 99

68

Jonny, a 45-year old male is currently going through a divorce with his partner. He reports feeling tearful, and hopeless that he will not find another partner. He reported feeling this way only for the past three months. What would be an accurate diagnosis for Jonny presently? Major Depressive Disorder Generalized Anxiety Disorder Adjustment Disorder with mixed anxiety and depressed mood Adjustment Disorder with depressed mood

Adjustment Disorder with depressed mood

Tailor interventions according to the following four symptomatic areas of expression: Body, Cognition, Behavior, Emotion / Relation Body, Emotions, Cognitions, Behaviors Body, Cognition, Reactions Emotion / Relation Cognition, Behavior, Emotion / Relation, Relapse Prevention

Body, Emotions, Cognitions, Behaviors

As an MFT trainee, you need one unit of supervision (one hour of individual or two hours of group) for every ___ hours of client contact. -Ten hours of client contact. -Five hours of client contact. -Ten hours of client contact and for every week that you see clients even if it is less than 10 hours -Five hours of client contact and for every week that you see clients even if it is less than 5 hours -Both A and B are correct. -Both B and D are correct

Both B and D are correct

A 13-year-old contacts an MFT for therapy to address the 13-year-old's drinking and self-injury behavior. The MFT: Can offer services to this child without parental consent. Cannot offer services to this child. Cannot offer services to this child without a parent's consent. Cannot offer services to this child without both parents' consent

Can offer services to this child without parental consent.

Which of the following is TRUE with regards to client records: -Clients can request the original for review. -In conjoint family therapy if the file is maintained in one person's name, then confidentiality can be assured. -If a client is a minor, you can destroy records after maintaining it for a period of 10 years. -Clients can waive their right to full disclosure of their own records.

Clients can waive their right to full disclosure of their own records.

A possible challenge of of the co-leadership model is: Differences in power and privilege among leaders Increased burnout Counter-transference Competition

Competition

A type of reactivity that occurs when participants provide answers they believe the researcher desires is called? Demand characteristics Floor effects Social desirability Learning

Demand characteristics

The ratio of boys to girls for ADHD is: -about equal, or 1:1. -approximately 2 boys to every 1 girl. -approximately 3 boys to every 1 girl. -more than 10 boys to every 1 girl.

approximately 3 boys to every 1 girl.

_______________ can be incurred when the actions of the supervisors are the cause for harm in clients. Breach of confidentiality Breach of informed consent Direct liability Vicarious liability

Direct liability

When a researcher makes a prediction about the expected outcome, based on previous literature, this is called a ________? Quantitative design Research question Independent variable Directional hypothesis

Directional hypothesis

Which of the following is not a recommended manner of closing a regular group session (a regular session, not the final session)? -Leaving unanswered questions -Giving homework -Asking members what they don't like about the group -Limiting members to giving feedback to the leader but not to their peers

Limiting members to giving feedback to the leader but not to their peers

Alan and Arturo, members of a group, have expressed similar feelings of inadequacy following divorce. Sensing this, the leader attempts to foster a line of communication regarding the commonality of the issue between these members. This attempt to build cohesiveness and interaction is known as: Bridging Linking Mutuality Mutual support

Linking

Which statistical analysis is used for analyzing a single dependent variable and two independent variables where one is categorical and one is continuous? MANOVA CHI Square Analysis T-Test Multiple Regression

Multiple Regression

Cross-cultural research indicates that, due at least in part to appalling social and economic conditions; the prevalence of major depression is extremely high among: -Hispanic Americans. -African Americans. -Asian Americans. -Native Americans

Native Americans

DSM-5 personality disorders are grouped into three clusters. Which of the following most accurately represents the three clusters? Odd or eccentric; dangerous or inconsistent; shy, uncommunicative, or withdrawn Shy, uncommunicative, or withdrawn; anxious or fearful; dangerous or inconsistent Shy or withdrawn; dramatic, emotional, or erratic; bizarre or thought-disordered Odd or eccentric; dramatic, emotional, or erratic; anxious or fearful

Odd or eccentric; dramatic, emotional, or erratic; anxious or fearful

When a researcher chooses sequential multiple regression they have decided to have their variables analyzed ___________ -All at the same time -One at a time based on the researcher's preferences and a predetermined theory -One at a time based on the computer analysis program entering the most powerful predictor first -None of the above

One at a time based on the researcher's preferences and a predetermined theory

A therapist has been seeing a middle-aged married couple in treatment for six weeks. In today's session, the therapist learns that the couple has an extensive history of violence, and that they had a physical altercation three days ago. The therapist should: -Report the violence to police -Offer the wife a Tarasoff warning, as her husband presents a physical danger -Reconsider the method of treatment -Report the violence to Adult Protective Services

Reconsider the method of treatment

Which of the following statements is true with regard to the rate of Alzheimer's disease dementia for different demographic groups? -Males and all non-Caucasian racial groups appear to have lower rates of the disorder. -No differences are found in the rate of Alzheimer's disease dementia by gender, but some racial differences have been noted. -Roughly the same rate of Alzheimer's disease dementia is found among ethnic groups, but women appear to have a slightly higher rate of the disorder than men. -No differences in the rate of the disorder by race or gender have been noted.

Roughly the same rate of Alzheimer's disease dementia is found among ethnic groups, but women appear to have a slightly higher rate of the disorder than men.

A researcher may be interested in the relationship between age and income level. However, a third variable (gender) may be actually causing the relationship. This is called? -Demand characteristics -Spurious relationship -External validity -Social desirability

Spurious relationship

Sherman and Belinda are co-leading a group. One is nurturing and sensitive while the other is more direct, some even say "a bit too pushy." Which of the following statements is true? -These styles balance themselves out nicely -The difference in style can be detrimental -According to experts (Yalom) (Burlingame), it is essential for members to be exposed to all types of people in life, and group therapy is no different -One of the co-leaders should be replaced if the group becomes "stuck" for this reason

The difference in style can be detrimental

The diagnostic criteria identify the trigger to PTSD as exposure to actual or threatened death, serious injury or sexual violation. Which of the following scenarios is not part of the diagnostic criteria: -The disturbance, regardless of its trigger, causes clinically significant distress or impairment in the individual's social interactions, capacity to work or other important areas of functioning. -The individual directly experiences the traumatic event. -The disturbance is not the physiological result of another medical condition, medication, drugs or alcohol. -The individual witness the traumatic event.

The individual directly experiences the traumatic event.

A therapist has been seeing her client Willow for six months. Initially the therapy focused on Willow's depression; over the past month, Willow has been increasingly discussing her job opportunities, her favorite workouts, and new restaurants she is discovering with her fiancée. She no longer appears depressed. The therapist should: -Work with Willow to plan the end of treatment, and then follow the plan. -Bring the fiancée in for couples therapy. -Refer Willow to a nutrition counselor. -Spend several sessions focusing on future depressive episodes.

Work with Willow to plan the end of treatment, and then follow the plan.

Expressions of primary emotion tend to elicit _____________ from other people. a. Nurturing responses b. Punitive responses c. Aloof responses d. Frustrated responses

a. Nurturing responses

Some possible reasons for the higher rates of depression found in women relate to the disadvantages experienced by women in the United States, such as -discrimination and poverty. -abuse and sexual harassment. -both a and b -neither a or b

both a and b

In an event that a practitioner is sued he should: try to resolve the matter directly with the client. destroy files or reports that may be incriminating. discuss the case with other professionals. contact the malpractice insurance carrier & retain an attorney.

contact the malpractice insurance carrier & retain an attorney.

Some group members are likely to adhere to a different set of universal values including all the following EXCEPT: dependence cooperation loyalty to family duty and obligation to parents

dependence

The families of patients with anorexia nervosa are typically characterized by all the following EXCEPT open communication. high achievement. perfectionism. concern with external appearances.

open communication.

Income, age, and height are examples of what level of measurement Nominal Ratio Interval None of the above

ratio

When therapists extend the boundaries of their practice, or when they branch out into an area requiring specialty competence, they should: -be sufficiently prepared if they read books and journal articles pertaining to the new specialty area. -seek consultation with a competent practitioner. -return to graduate school and receive another degree. -gain competence on their own before consulting with other professionals.

seek consultation with a competent practitioner.

In dissociative amnesia, the individual typically has no memory of: -events prior to a trauma -any events. -selective events or emotional tone attached to them, particularly those involving trauma. -events following a trauma.

selective events or emotional tone attached to them, particularly those involving trauma.

The main reason why dissociative identity disorder patients tend to have many additional psychological disorders is that: -the number of personalities increases the number of disorders. -severe trauma in childhood often leads to many problems in later life. -they seek attention. -they are substance abusers.

severe trauma in childhood often leads to many problems in later life.

The ___________ perspective, when working with marginalized groups in our society, is most enhanced (a) when mental health professionals can understand how individual and systemic world views shape clinical practice and (b) when they are equipped with organizational and system knowledge, expertise, and skills. social justice social empowerment social constructionist social interest

social justice

A characteristic of many members in beginning groups is the tendency to: -talk about their deep feelings. -experience a healthy cathartic event. -express persistent feelings and talk through the issues. -talk about others and to focus on people and situations outside of the group.

talk about others and to focus on people and situations outside of the group.

The notion that certain actions will inevitably lead to a progressive deterioration of ethical behavior is commonly referred to as: -the slippery slope phenomenon. -therapist decay. -the ethical deterioration phenomenon. -role erosion.

the slippery slope phenomenon.

List the methods of teaching values in order from least effective to most effective: 1) Verbal; 2) Example; 3) Experience 1) Example; 2) Verbal; 3) Experience 1) Experience; 2) Example; 3) Verbal 1) Verbal; 2) Experience; 3) Example

1) Verbal; 2) Example; 3) Experience

Which is a definition of shame rage? A threat that an individual will be unable to influence his or her environment. These situations create a sense of utter helplessness. A threat that an individual might be physically attacked, so that his or her very existence is at risk. A threat that an individual might be abandoned or rejected by the people who mean the most to him or her. A threat that someone will be so embarrassed, ridiculed, or humiliated by important people in their lives that it means that he or she could be banished in life-preserving social groups.

A threat that someone will be so embarrassed, ridiculed, or humiliated by important people in their lives that it means that he or she could be banished in life-preserving social groups.

Which of the following are core messages of shame according to Potter-Efron in the article Blind fury: When shame turns to rage? You're no good You're unlovable You don't belong You shouldn't be All of the above

All of the above

Which of the following is not true? If the client talks or writes about their traumatic experience without providing specific details, the clinician should encourage the client to give specific details. If possible, the clinician should arrange for a child client to share his or her trauma narrative with a parent or caregiver. Clinicians should not do a trauma narrative if the client gets upset when talking about the abuse or if the parent feels it will be too distressing for the client Clients who share details of a traumatic experience can do this verbally, in the form of a story, or by using songs, pictures, or dolls.

Clinicians should not do a trauma narrative if the client gets upset when talking about the abuse or if the parent feels it will be too distressing for the client

Inflexible children + inflexible parents = Attenuating Feedback Loop Projective Identification Explosive Behavior Tranquility

Explosive Behavior

Patricia is experiencing a distress and anxiety after the deportation of her two parents. She can barely sleep at night or focus on school. She started seeing a school therapist regularly to help her cope with the anxiety. The therapist needs to: -Teach her grounding exercises -Optimize adaptive functioning -Just listen and accept -All the above

Just listen and accept

Lydia's wife was diagnosed with pancreatic terminal cancer. After her death, Lydia experienced major depression upon the sale of their home, her relocation and her status as a single mother. After about six months Lydia joined a community organization and later began working on the development of a cancer awareness foundation. Her work on the foundation is an example of: a. Post Traumatic Growth b. Mourning and Bereavement c. Altruism A, B and C.

Post Traumatic Growth

According to Object Relations, the tendency to blame others for possessing attributes that you're not comfortable with in yourself is: Projective Identification Splitting Repressed schemas Unbalancing

Projective Identification

What are recommendations for resident biological parents in a stepfamily? Remain the parent in charge Step aside so the new stepparent can gain his/her new stepchildren's respect through discipline Step aside so the new stepparent can form a relationship with his/her new stepchildren Make sure children know why their parents got divorced/separated.

Remain the parent in charge

Any behavior that is rewarded is ___________. Repeated Extinguished Good Bad

Repeated

Sarah and James notice that their son, William, hasn't been eating his vegetables. Sarah wants to let him eat dessert only if he eats his vegetables. James wants to take away his video games unless he eats his vegetables. According to principles of operant conditioning, which approach is the most likely to produce long-term behavioral change? Sarah's James' Neither

Sarah's

In an attempt to help Meg understand how Christina experienced her, the therapist had them take turns physically arranging themselves in relation to their partner. Christina chose to lay down while having Meg stand over her with her hands on her hips. Which experiential therapy intervention did the therapist use? Psychodrama Sculpting Family drawing Enactment

Sculpting

Jenna has reportedly been making many statements that scare other girls in her class such as "Other people will always hurt you, be careful all the time". Several parents have called the school complaining and she is sent to you in order to address this issue. Your best hypothesis for why she is making such statements is: She watches too many news stories at home about the high rate of drug abuse among kids. She cares a lot about her classmates and wants to keep them out of harm's way. She is trying to make friends by teaching them to be cautious. She was or likely is a victim of sexual abuse and has developed a cognitive distortion associated with PTSD

She was or likely is a victim of sexual abuse and has developed a cognitive distortion associated with PTSD

Whenever Maria's son gets angry, she immediately starts to treat him in a condescending way. To Maria, all people who get angry are weak and inferior to those who don't. According to object relations theory, when it comes to anger Maria is: -Split -Right -Self-righteous -Undifferentiated

Split

Which sequence is incorrect for conjoint parent/child therapy? Provide a safe place for the child to share the trauma narrative with the parent and to process feelings conjointly. The child first reads the trauma narrative, then the parents ask the child questions and only then let the child ask the parents questions. Prior to conjoint sessions, the therapist should have a session with the parents and read them the child's narrative. If parents are too emotional when hearing or talking about the child's trauma, the therapist should consider not talking about the trauma in conjoint sessions.

The child first reads the trauma narrative, then the parents ask the child questions and only then let the child ask the parents questions.

"Issues that you attack or object to in others are issues you have not fully acknowledged in yourself," could be considered a thesis statement of object relations theory. True False

True

Meg and Christina sought therapy for help managing the acting out behavior of their son, Mark. When Mark started to act out in session, their therapist encouraged Meg and Christina to get Mark to behave. Which structural therapy intervention did their therapist use? a. Enactment b. Joining c. Unbalancing d. Boundary making

a. Enactment

Which of the following represents a responsible use of power in a family? a. Parent collaborating with their teenage child on a curfew time and consequences for coming home past that time b. A husband providing a list of chores for his wife to complete while he is at work that day. c. A parent spanking his or her children for talking during the parent's favorite TV show. d. A wife withholding affection from family members until they do what she asks

a. Parent collaborating with their teenage child on a curfew time and consequences for coming home past that time

The Rodriguez children frequently interrupt their parents. In structural family therapy, this is an example of: a. A diffuse boundary between disengaged and enmeshed subsystems b. A rigid boundary highlighting an enmeshed system c. A rigid boundary highlighting generational hierarchy d. A diffuse boundary between generational subsystems

d. A diffuse boundary between generational subsystems

According to McIntosh, which of the following are privileges enjoyed by white Americans? a. Having your language spoken in most major airports throughout the world. b. Knowing that when asking to a "person in charge," you will most likely be speaking to a person of your race. c. Never being asked to speak for people of your race. d. All of the above.

d. All of the above.

What kind of intervention is the following question: "How many times have you tried Meth in your whole life. . 30, 50, 75 times or more?" Normalization Symptom Amplification Gentle Assumption Shame Attenuation

Symptom Amplification

After experiencing sexual harassment from her boss, Elana starts drinking. This can be seen as: Layered trauma Type II trauma Asymptomatic behavior Tension- and conflict -reduction behavior

Tension- and conflict -reduction behavior

Which of the following is not associated with Complex PTSD? Type II assault A DSM-V diagnosis Female sexual abuse/assault survivors Interpersonal deficits

A DSM-V diagnosis

Joan was sexually abused between ages six to 12. Some possible outcomes that might be carried on to his later years are: She will use primarily sexual ways to relate to others She might develop long term intimacy issue It will not affect her teenage years A and B

A and B

Post-Traumatic Stress Disorder is characterized by the symptoms from the following criterion: Hyper-arousal, a stressor, avoidant/numbing, symptom duration of more than a month. Hyper-vigilance, a stressor, avoidant/numbing, symptom duration of more than a month. Hyper-vigilance, a stressor, avoidant/numbing, symptom duration of more than six weeks. Hyper-arousal, a stressor, avoidant/numbing, symptom duration of more than six weeks.

Hyper-arousal, a stressor, avoidant/numbing, symptom duration of more than a month.

Ten-year-old Aaron has recently lost his mother in a tragic car accident. He is very depressed reports frequent nightmares and has mentioned that he has seen his mom after the family ritualistic funeral services Aaron is bi-racial and his father would like him to see the rabbi. The therapist should: -Refer Aaron to a psychiatrist because it is possible that this matter could be resolved by taking certain medications -Be sensitive to cultural background and how those certain beliefs might play a treatment role -Inquire about the nature of the nightmares and what happens when he has them -All the above

All the above

What does the acronym ACT stand for in Roberts' Seven-Stage Model (2002)? -Adjust, Create, Trauma Narratives -Assessment/Appraisal, Crisis Intervention, Traumatic Stress Reactions -Assist, Crisis Management, Traumatic Stress Reactions -Assessment/Appraisal, Crisis Management, Trauma Narratives

Assessment/Appraisal, Crisis Intervention, Traumatic Stress Reactions

Harper and Hoopes discuss intimacy, dependency, and accountability, the three domains of the "affirmation triangle." People experience problems when they are shamed on one or more of these domains. What are the likely attributes of a person who grew up with accountability but no intimacy or dependency? To survive in a world they perceive as frightening with harsh rules to which they must always conform To function through blind conformity and fear of authority To have poor self discipline and impulse control Both A and B

Both A and B

Roberto is a 9-year-old boy who is brought by his grandmother to a therapist for child abuse assessment. The therapist works in the department of Child Protective Services as a consultant in the child abuse cases. Jack did not want to talk. What type of method could the therapist use? Medical Assessment Structural Clinical Interview Collateral Assessment Assess observable Symptoms

Collateral Assessment

Which concepts would characterize the work of a cognitive-behavioral family therapist? Teaching communication, problem-solving, and conflict-resolution skills Encouraging emotional expression to heighten self-esteem Resolving triangulated relationships Highlighting and challenging constraints presented by larger cultural relationship norms

Teaching communication, problem-solving, and conflict-resolution skills

According to Bowen, optimal development is thought to take place when family members are: -Detriangulated from dysfunctional family triangles; emotionally cut off from dysfunctional family members; resistant to dysfunctional societal forces -Emotionally cut off from dysfunctional family members; have low anxiety; detriangulated from dysfunctional family triangles -Differentiated; integrating split objects; in good emotional contact with their family of origin -Differentiated; have low anxiety; in good emotional contact with their family of origin

Differentiated; have low anxiety; in good emotional contact with their family of origin

The early behavioral model had good initial results, but poor long-term results. They made several changes to the model which significantly improved long-term results. Which was one of these changes as discussed in class? Directly addressing not just the stimuli, but also the meaning people applied to various stimuli Incorporating concepts of splitting and projection A more comprehensive view of socio-political factors such as gender Integrating experiential techniques

Directly addressing not just the stimuli, but also the meaning people applied to various stimuli

You are working with a family to help each of them explore the cognitions underlying each of their stances in the system, starting with surface-level cognitions, and proceeding to deeper, fundamental assumptions about self and others. As a CBT therapist, you're most likely using which intervention: -Reframing -Downward Arrow -Mapping the problem -Genograms

Downward Arrow

Psychoeducation for traumatized children usually focuses on: -Education about relaxation skills, safety awareness, and mental health issues -Education about traumatic events, the perpetrator's psychological problems, and safety awareness -Education about traumatic events, mental health issues, and safety issues -Education about mental health issues, social skills training, and relaxation skills

Education about traumatic events, mental health issues, and safety issues

As discussed in session 11 of the "Love Limits and Latitude" text, when disciplining children, it is crucial to determine whether they are: Having ulterior motives Either unwilling or unable to comply Just being stubborn Rested enough to be able to process what you're saying

Either unwilling or unable to comply

As soon as she could, Nadia moved away from her family and avoided contact with them - she claimed they were too "smothering." She hoped to form deeper and more meaningful relationships on her own as an adult, but was finding true emotional intimacy to be more difficult to establish than she planned. Which Bowenian concept best explains Nadia's situation? -Differentiation -Societal Emotional Process -Emotional Triangles -Emotional Cutoff

Emotional Cutoff

Which of the following is one of the main goals of Bowen Family Systems Therapy? -Increase the parent(s) ability to manage their anxiety -Restructure generational family hierarchies -Unblock stuck emotions -Restructure cognitive schemas

Increase the parent(s) ability to manage their anxiety

Rachel is a teenager. She's quiet, doesn't have many friends, and is usually by herself. Two months ago, a couple members of the football team raped Rachel. She initially displayed acting out behavior, but lately she has been severely depressed and started cutting. What does the cutting behavior do for Rachel? -It distracts Rachel from her trauma, provides her with a sense of control and release from emotional pain -Obsession with revenge -It's what all the kids are doing now via social media -It gives Rachel a reason to go down to the hospital and receive attention for her emotional pain

It distracts Rachel from her trauma, provides her with a sense of control and release from emotional pain

How does motivational theory pertain to suicide interviewing? It explains how change and suicide happen. It sheds light on suicide pre-contemplation. It motivates clients to commit suicide It helps the therapist hone their questions.

It sheds light on suicide pre-contemplation.

As parents and first-generation immigrants to the United States, Jose and Sofia tried their best to emulate the strict religious orthodoxy with which they were raised. Lately their teenage daughter, Sandra, had been caught using drugs and having sex, for which they punish her severely. The concept of projective identification offers which explanation for their dynamic? Jose and Sofia are unconsciously questioning their religious beliefs. Sandra is projecting onto her parents her anger over her parents' refusal to acculturate into the dominant culture. Sandra has developed a symptom in order to help Jose and Sofia avoid issues in their marriage. Jose and Sofia are uncomfortable with their own unfulfilled libidinal impulses, so they project them onto Sandra and then punish her for acting on them.

Jose and Sofia are uncomfortable with their own unfulfilled libidinal impulses, so they project them onto Sandra and then punish her for acting on them.

When Mike's parents won't let him go to the mall, he locks himself in his room and listens to punk music really loud until his parents give in. Mike is practicing: Negative reinforcement Circular causality Positive reinforcement Law of requisite demands

Negative reinforcement

According to Object Relations theory, most difficulties we encounter are truly difficulties of: Other people Our environment Ourselves Biological predispositions

Ourselves

What are the 5 stages of SR5? Security, Relationship, Remembrance, Reconnection, Relapse Prevention Safety, Relationship, Remembrance, Narration, Relapse Prevention Safety, Relationship, Remembrance, Reminiscing, Relapse Prevention Safety, Relationship, Remembrance, Reconnection, Relapse Prevention

Safety, Relationship, Remembrance, Reconnection, Relapse Prevention

What is the main difference between shame and guilt? Shame is an emotion in response to a negative evaluation of one's behavior whereas guilt is a negative emotion in response to a negative evaluation of one's self. Shame is an emotion in response to a negative evaluation of one's self whereas guilt is an emotion in response to a negative evaluation of one's behavior. There is no difference between shame and guilt Shame always lasts for a long time, whereas guilt is transitory.

Shame is an emotion in response to a negative evaluation of one's self whereas guilt is an emotion in response to a negative evaluation of one's behavior.

Francesca regularly uses drugs and engages in a number of other risky behaviors. She says she is forced to do these things by growing up in her dysfunctional family. How would an experiential therapist describe her actions/attitude? -She is playing the victim role -She is triangulating risk into her relationship with her family -She is enmeshed with her family -She is receiving some kind of reward for her risky behavior

She is playing the victim role

The meta-model of change outlined in the Common Factors text outlines the following three clinical behaviors common to all effective systemic therapies: a. Slowing down the process, therapeutic alliance, successful completion of homework b. Therapeutic alliance, standing meta, identification of family member's faults c. Encouraging responsibility, successful completion of homework, slowing down the process d. Slowing down the process; standing meta; encouraging responsibility for one's role in the interactional cycle

Slowing down the process; standing meta; encouraging responsibility for one's role in the interactional cycle

You are working with the Nguyen family. The parents are excited to be coming in so their son, Thomas, can do better in school. Thomas doesn't want to be there and views you as just another adult telling him what to do. What is an immediate clinical issue for you to address, and what is one way you address it? a. Coping skills; assess what they've done so far that has and hasn't worked b. Adolescent rebellion; work to contain Thomas' acting out c. Split alliance; validating each person's perspective d. Controlling parents; work to help the parents loosen their expectations of Thomas

Split alliance; validating each person's perspective

When is not recommended to tell clients that they are not to blame for what happened? The client initiated the abuse on several occasions by engaging in sexual behavior The client never thought the abuse was their fault in the first place The client will likely not believe the therapist All abused children should routinely be told that the abuse isn't their fault

The client never thought the abuse was their fault in the first place

According to experiential family therapy, what is the main characteristic of a healthy family environment? -The freedom for each family member to be themselves -Healthy conflict resolution and problem-solving skills -A fair, democratic system of punishments and rewards -A flexible family structure

The freedom for each family member to be themselves

Edward is a 21-year old student who is currently seeking help to relieve some of his trauma-related symptoms. During his first session of mastering skills, his therapist taught him relaxation and affective modulation techniques. After the session, he said that he was unsure of what being relaxed would accomplish. Why? He was probably just being anxious again B and C The therapist skipped the first phase of PRACTICE He may have not done them correctly

The therapist skipped the first phase of PRACTICE

Dory is a thirteen-year-old adolescent; she lives at home with her mother, stepfather, and younger sister. Dory's stepfather is an alcoholic and is abusive verbally and physically to her mother. Her mother is also an alcoholic and does not protect her children from the emotional, verbal, physical, and sexual abuse at the hands of her husband. Dory often times hides her younger sister and acts out in hopes of taking the abuse from her stepfather. When Dory is at school, she feels guilty for not being able to be home to protect her mother and younger sister. This is an example of Type I trauma and PTSD This is an example of Type II trauma and Developmental Trauma This is an example of Type II trauma and PTSD This is an example of victimization and child abuse

This is an example of Type II trauma and Developmental Trauma

As discussed by Brene Brown, which is one of the main antidotes to shame? Diet and exercise Compassionate confrontation Vulnerability There is no antidote to shame

Vulnerability

Which of the following approaches to theory would be most consistent with a common factors approach? a. Learning one theory in depth then moving onto another until you've mastered as many as possible b. Learning one theory in depth and staying loyal to that theory throughout your career c. Disregarding theory in favor of mastering the therapeutic alliance d. Only learning theories that enjoy empirical validation

a. Learning one theory in depth then moving onto another until you've mastered as many as possible

Which of the following were among the first family therapy theories? a. Structural, Strategic, Bowenian b. Emotionally-focused, Experiential c. Strategic, Cognitive-Behavioral, Experiential d. Bowenian, Structural, Solution-Focused

a. Structural, Strategic, Bowenian

Thu Hue noticed that her interventions with the Smith family didn't seem to be working regardless of which techniques she tried. What should she next consider? a. The strength of the therapeutic alliance b. The degree to which she regards the Smiths as humans rather than objects c. Whether working with families are a good fit for her skill set d. Her suitability for the profession

a. The strength of the therapeutic alliance

The therapeutic alliance is especially critical during which stage of therapy a. beginning b. middle c. end d. equally important throughout

a. beginning

The purpose of trauma narrative processing is to: control intrusive trauma-related imagery and reduce avoidance of trauma triggers identify unhelpful cognitions about traumatic events meaning making to prevent relapse all of the above

all of the above

Which variables are thought to be common factors of effective therapy? a. Client motivation, therapeutic alliance, client culture, therapist empathy b. Therapist empathy, client motivation, use of a structured model, therapeutic alliance c. Client cognitive complexity, match between client and therapist culture, empirically validated theory, therapeutic alliance d. Therapist cognitive complexity, match between therapist and client motivation, empirically validated theory, therapist empathy

b. Therapist empathy, client motivation, use of a structured model, therapeutic alliance

Bob and Leslie pride themselves on being involved parents. Mary, their 10 year old daughter, has practically never left their side since she was born - she slept in their room until 5, they've never gone on a vacation without Mary, and they don't let her play at friend's houses. They come to therapy concerned about her refusal to attend middle school. Which term best describes the boundaries between Mary and her parents? a. Resistant b. Triangulated c. Enmeshed d. Rigid

c. Enmeshed

In families, Goldner believes that power primarily manifests across which two domains? Select one: a. Race & Ethnicity b. Money & Sex c. Generation & Gender d. Education and Age

c. Generation & Gender

The idea that family interactions had an influence on individual mental health first came about in part from observing people in which setting? a. Post-World War II industrial workplaces b. Research studies at the National Institute of Mental Health c. Group therapy d. Naturalistic home environments

c. Group therapy

Irene has difficulty identifying what she thinks and feels, and often feels like a "doormat" in relationships. Attachment theory would suggest that Irene is __________ and that her parents were ________: a. Avoidantly attached; protective and overly intrusive b. Anxiously attached; permissive and uninvolved. c. Avoidantly attached; permissive and uninvolved d. Anxiously attached; protective and overly intrusive

d. Anxiously attached; protective and overly intrusive

Emil couldn't bear to return home to more of Sandra's nagging about his needing time to unwind, so he decided to not leave work until just before bedtime - again. Which of the following reflects a strategic hypothesis for Emil's situation? a. Emil's first-order rules about conflict-resolution contribute to a dysfunctional interactional cycle b. Sandra is projecting her split sense of self onto Emil, who is in turn interjecting her projection c. Emil's lack of differentiation from his family of origin is leading to being emotionally cutoff from his wife d. Emil's attempted solution is contributing to the problem

d. Emil's attempted solution is contributing to the problem

According to structural family therapy, what is the main component of a healthy family? a. Having clear boundaries between subsystems b. Unresolved emotional issues being transmitted across generational boundaries c. An absence of enmeshment d. Having a family structure that responds appropriately to the developmental needs of each family member

d. Having a family structure that responds appropriately to the developmental needs of each family member

Which of the following groups most often face the societal assumption that they are lazy and to blame for their problems? a. Immigrant families b. Mixed-race families c. Gay and lesbian individuals d. Individuals living in poverty

d. Individuals living in poverty

After listening to the Williams family describe their newly adopted son's behavior as "rebellious and disrespectful" and thus in need of strict punishment, the therapist mentioned that it must be scary and overwhelming to join a new family. Which strategic goal was the therapist trying to achieve, and which intervention did he use to try to achieve that goal? a. Change the hierarchical structure by prescribing the symptom b. Change the hierarchical structure using a paradoxical injunction c. Initiate the dissolution of rigid boundaries by using a reframe d. Initiate second-order change to the family rules by using a reframe

d. Initiate second-order change to the family rules by using a reframe

Rachel entered the kitchen in tears and screamed "Dad, Jason just hit me!" Which are the report and command aspects of Rachel's communication? a. Report: Dad's response; Command: Jason hitting Rachel b. Report: tears and screaming; Command: Dad's response c. Report: "do something about it!;" Command: "Dad, Jason just hit me!" d. Report: "Dad, Jason just hit me!;" Command: do something about it!

d. Report: "Dad, Jason just hit me!;" Command: do something about it!

Frank's wife comes home from work late, which Frank interprets as meaning that she doesn't love him. Frank gets angry with his wife. Frank has expressed a ___________ emotion.Select one: a. Extreme b. Primary c. Benign d. Secondary

d. Secondary

Which is the correct order of the levels of the therapeutic pyramid, starting from the top (peak) to ending at the bottom (base)?: a. Way of Being, Alliance, Techniques b. Alliance, Techniques, Way of Being c. Way of Being, Techniques, Alliance d. Techniques, Alliance, Way of Being

d. Techniques, Alliance, Way of Being

Which sequence of interventions describes the overall process of change in structural therapy? a. joining, accommodating, restructuring b. accommodating, joining, restructuring c. restructuring, accommodating, joining d. joining, restructuring, accommodating

d. joining, restructuring, accommodating