Social Work License Exam

Children will begin to walk at what age? a. 12 months b. 5 months c. 24 months d. 8 months

a. 12 months

The duration requirement for Gender Dysphoria is: a. 6 months b. 3 months c. 1 month d. 1 year

a. 6 months

The DSM-5 defines "somatic delusion" as: a. A false belief in which the main content pertains to the appearance or functioning of one's body b. A false belief that something is creeping or crawling on or under the skin c. A false belief that one's death is imminent d. A false belief involving the perception of feeling electricity localized in the core of one's body

a. A false belief in which the main content pertains to the appearance or functioning of one's body

The criteria for Speech Sound Disorder does NOT include: a. A history of substance use does not account for the speech sound deficit b. Difficulties interfere with academic, occupational, or social communication c. Symptoms begin during the early developmental stage d. The individual has trouble using speech sounds that are appropriate for age and dialect

a. A history of substance use does not account for the speech sound deficit

Motivational interviewing is considered: a. A skillful clinical method that involves being with people b. A way of focusing your conversations on the client before developing a comprehensive treatment plan c. A way of looking at ineffective constructions d. A way of fully understanding a client's problems

a. A skillful clinical method that involves being with people

The DSM-5 defines "symptom" as: a. A subjective manifestation of a pathological condition b. A distinctive attribute or aspect of something c. Behavior that is observed by the examiner d. An objective manifestation of a pathological condition

a. A subjective manifestation of a pathological condition

Specific Learning Disorder with impairment in reading does NOT include: a. Accuracy in punctuation and grammar b. Comprehension c. Fluency and rate of reading d. Accurate word identification

a. Accuracy in punctuation and grammar

Which is NOT a qualifier of Adjustment Disorder? a. Acute Stress b. Disturbance of Conduct c. Unspecified d. Depressed Mood

a. Acute Stress

Marylyn had her first child in April. Shortly thereafter, she began to feel depressed. She cried most days of the week and felt hopeless to control her symptoms. Marylyn has no history of depression, so this is all unfamiliar to her and a surprise to her spouse, who tries to be as supportive as he can. Marylyn's symptoms are consistent with: a. Adjustment Disorder, with depressed mood b. Brief Psychotic Disorder, with postpartum onset c. Persistent Depressive Disorder (Dysthymia) d. Major Depressive Disorder, with peripartum onset

a. Adjustment Disorder, with depressed mood

Bandura's social cognitive theory adopts _____ perspective. a. An agentic b. A learning theory c. An existential d. A behavioral

a. An agentic

During the initial session of a family who came in for therapy due to the son's unmanageable behaviors, the Contextual Therapy starts by asking the parents questions about the problems they've been having with their son. After assessing the presenting problems regarding their son, a Contextual therapist would then: a. Ask the parents to name things that their son does that demonstrate he cares about them or that he is trying to be helpful b. Assess the structural problems of the system c. Identify how the problematic behavior is being reinforced d. Develop a behavioral plan to improve the child's problematic behaviors

a. Ask the parents to name things that their son does that demonstrate he cares about them or that he is trying to be helpful

According to Bandura, there are four conditions that are necessary to the observational learning process. These include reproduction, motivation, and: a. Attention and retention b. Learning and retention c. Extinction and elimination d. Observing and learning

a. Attention and retention

When HAART treatment is used, these regularities returned to normal, EXCEPT: a. Complete absence of HIV. b. Fewer infections. c. CD4 cell counts increased. d. CD8 cell counts decreased.

a. Complete absence of HIV.

Regarding the phenomenological method, in the rule of horizontalization, one treats each item of description as having: a. Equal value b. Minimum significance c. Lesser value d. Greater significance

a. Equal value

The Discrimination Principle teaches a child to behave a certain way at a certain: a. Event b. Location c. Age d. Time

a. Event

Psycho education regarding the grief process for a survivor of childhood sexual abuse and his or her spouse includes all of the following possible losses, EXCEPT: a. Loss of a promising future b. Loss of a psychologically healthy heritage c. Loss of a happy childhood d. Loss of healthy maturation

a. Loss of a promising future

A 72-year-old accountant has been having difficulty with his memory. Although he is aware, he cannot recall what month it is or place the woman who is with him (his daughter). What is the most likely diagnosis? a. Major Neurocognitive Disorder Due To Alzheimer's Disease b. Dissociative Amnesia c. Major Vascular Neurocognitive Disorder d. Delirium

a. Major Neurocognitive Disorder Due To Alzheimer's Disease

A client with pervasive loss of short-term memory, aphasia, disorientation, disinhibition with behavioral changes is likely suffering from: a. Major or Mild Neurocognitive Disorder Due to Alzheimer's Disease b. Major or Mild Neurocognitive Disorder Due to Parkinson's Disease c. Brief Psychotic Disorder d. Major or Mild Neurocognitive Disorder Due to TBI

a. Major or Mild Neurocognitive Disorder Due to Alzheimer's Disease

In order to be most beneficial in attempting to get an alcoholic family member into treatment, the other family members should: a. Make it a point to not cover up the alcoholic's behavior b. Try to protect the alcoholic from the consequences of his/her drinking c. Make excuses to others about he drinking so the alcoholic is not embarrassed d. Throw away all alcoholic beverages in the home

a. Make it a point to not cover up the alcoholic's behavior

Which treatment is best suited for Schizophrenia? a. Medication and therapy b. Only medication, since therapy doesn't work for this disorder c. Inpatient hospitalization d. Outpatient day treatment

a. Medication and therapy

Rogers conducted Person-Centered Groups in which he identified 15 process patterns. During the initial phase of group, more traditionally within the Forming Phase, he noted that a lack of leadership providing direction will inevitably result with some level of frustration, uncertainty and concern characteristic of such questions as, "Who here is responsible?" or, "What are we doing?" He referred to this phase as: a. Milling Around b. Chaos c. The Basic Encounter d. Expression of negative feelings

a. Milling Around

If you as a researcher had a subject in an experiment acquire a behavioral change through partial reinforcement, you might find that this behavioral change was: a. More resistant to extinction b. As susceptible to extinction as other behaviors c. Immutable d. Less resistant to extinction

a. More resistant to extinction

When body movements between client and therapist are in harmony but do not exactly mirror each other, this is known as: a. Movement complementarity b. Reflective reaction c. Systematic reflection d. Movement synchrony

a. Movement complementarity

According to Transactional Analysis, what characteristic does the positive controlling parent exhibit? a. Offers constructive criticism while being caring but firm b. Is caring and affirming c. Is directed by irrational fears d. Is overbearing and forces his or her views on the child

a. Offers constructive criticism while being caring but firm

Child neglect does NOT include: a. Parents failing to provide satisfactory discipline b. Parents failing to provide adequate dental needs despite having the financial means to do so c. Parents failing to provide adequate food d. Parents failing to provide adequate clothing

a. Parents failing to provide satisfactory discipline

In person-centered therapy, reflection occurs when the therapist: a. Repeats fragments of what the client has said b. Repeats the instructions c. Repeats himself or herself d. Repeats his or her opinion

a. Repeats fragments of what the client has said

Maslow's hierarchy of needs indicates that the highest need to be satisfied is: a. Self-actualization b. Self-esteem c. Safety and security d. Happiness

a. Self-actualization

Which term is used to describe how infants control the good and bad aspects of themselves? a. Splitting b. Projection c. The depressive position d. Sublimation

a. Splitting

If a client who is recovering from back pain feels pain only when lifting, then: a. The client should not lift as long as there is pain b. The client should flood the muscles by lifting heavy weights c. The client should life only small weights d. The client should lift moderate weights but take pain relievers

a. The client should not lift as long as there is pain

Communications theory is defined as the study of: a. The exchange of verbal and non-verbal messages in relationships b. Verbal communication among groups c. Communication processes among individuals d. Communicative disorders and their causes

a. The exchange of verbal and non-verbal messages in relationships

The idea that reality is socially constructed begins for family therapists with: a. The family itself b. Pop culture c. Religion d. The community

a. The family itself

In gestalt therapy, the way a therapist experiences being with clients provides significant information about how the clients experience: a. Themselves b. The therapist c. Their parents d. Their environment

a. Themselves

Which is FALSE about adults with Borderline Personality Disorder? a. They are more likely to use good judgment b. They are more likely to form intense relationships c. They are more likely to be the victim of violence d. They are more likely than average to be arrested for committing a crime

a. They are more likely to use good judgment

A counselor prefers to document all of her records by hand instead of typing them up. Is this acceptable? a. This is fine - as long as they are legible b. This is not acceptable - it is more professional to have them typed c. This is fine - as long as the counselor signs them and includes her credentials d. This is not acceptable - as all records within a mental health agency should be consistently done

a. This is fine - as long as they are legible

The DSM-5 defines "dysphoric mood" as: a. Mood where there is the absence of depressed or elevated affect b. Lack of restraint in expressing one's feelings, frequently with an overvaluation of one's significance or importance c. Irritable affect, easily annoyed and provoked to anger d. An unpleasant mood, such as sadness, anxiety, or irritability

d. An unpleasant mood, such as sadness, anxiety, or irritability

Individuals who are diagnosed with severe Agoraphobia can likely experience: a. Major illness b. Depression c. Suicidal ideations d. Mania

b. Depression

Recurrent substance use that may result in a failure to fulfill major role obligations at work, school, or home is part of the substance use disorder grouping of: a. Impaired control b. Social impairment c. Risky use d. Pharmacological

b. Social impairment

MAO inhibitors would be most appropriate in use with which type of anxiety disorder? a. Stress-related initial insomnia b. Social phobias c. General Anxiety Disorder d. Stress-related anxiety

b. Social phobias

Marta developed Eczema as a teenager, with it presenting seasonally. Her current problem began as scratching to deal with the condition and turned into uncontrollable digging into her skin and extensive lesions on her legs where the Eczema is dominant. Marta does not know when it became unmanageable, but it has been for some time. Marta's presentation is consistent with: a. Generalized Anxiety Disorder b. Body Dysmorphic Disorder c. Excoriation Disorder d. Trichotillomania

c. Excoriation Disorder

Person-centered therapy is an offset of the ______ school of therapy. a. Client-centered b. Physical c. Existential d. Gestalt

c. Existential

Which statement regarding reasonable cause is most accurate? a. It is not enough for a mandated reporter to distrust or doubt what has been observed or reported b. It must be certain that the injury or condition was caused by neglect or by non-accidental means c. It is possible that the injury or condition was caused by neglect or by non-accidental means d. If a mandated reporter isn't quite sure about what has been reported, it is important to interrogate the child further in order to get all the facts before making a report

c. It is possible that the injury or condition was caused by neglect or by non-accidental means

Solution-focused therapists routinely ask clients at the end of the first session to complete a task prior to the next session. What is this task? a. Keep an index card and pen with you and write down every incident where you have continued to change the behavior you initially sought therapy for b. Keep a list of daily events that you have noticed that have improved since you decided to seek help for this problem c. Observe and make note of what happens in your family that you want to continue to have happen d. Keep a journal of the problems that have vanished since you've been paying attention to them

c. Observe and make note of what happens in your family that you want to continue to have happen

You discover that your client is a convicted sex offender and your discomfort about this is affecting therapy, so you: a. Ask the police for his record b. Refer him to a physician for chemical castration c. Refer the client to a list of therapists who accept clients who are sex offenders d. Continue to treat the client

c. Refer the client to a list of therapists who accept clients who are sex offenders

According to psychoanalytic theory, an example of ______ would be the result of feeling that the anger you are tempted to express might cause your wife to stop loving you. a. Repression b. Obsession c. Depression d. Anxiety

d. Anxiety

In person-centered therapy, which two processes foster empathic understanding? a. Restlessness and confusion b. Control and change c. Reflection and clarification d. Clarification and comprehension

c. Reflection and clarification

When dealing with electronic protected health information, ______ is key in addressing HIPAA Security Rules. a. In-house security personnel b. Expensive software c. Risk management d. Privacy programming

c. Risk management

Which antipsychotic medication targets both the negative and positive symptoms of Schizophrenia? a. Chlorpromazine b. Haloperidol c. Risperidone d. Thioridazine

c. Risperidone

When a new worker shadows an experienced worker who models skills, behaviors, and attitudes required to be an agency social worker, what approach to supervision is characterized? a. Andragogical approach to supervision b. Contemporary field instruction model of supervision c. Articulated approach to supervision d. Apprenticeship approach to supervision

d. Apprenticeship approach to supervision

Narrative family therapists believe that most family arguments: a. Are caused by triangulation b. Begin when negative alliances form between family members c. Can be traced to problems in the family's hierarchical structure d. Are fueled by negative story lines about other family members

d. Are fueled by negative story lines about other family members

In the context of a psychodrama group, Paul is seeking help with preparing to go on his first date in 5 years, since the death of his spouse. During the group, members assist Paul in practicing various behavioral styles to prepare for the event, providing feedback and support to deal effectively with the range of potential interpersonal situations he may encounter. This technique is known as: a. Magic shop b. Self-presentation c. Role training d. Future projection

c. Role training

When Rhonda tells you about her fear of social interaction, you, as an experiential therapist, ask her to engage in: a. Desensitization b. Regulating her social circle c. Role-play d. Imagining the situation

c. Role-play

A diagnosis of Attention-Deficit Hyperactivity Disorder, predominantly inattentive presentation, includes all of the following presentations, EXCEPT: a. Sally cannot recall her schedule without significant help and reminders b. Susan daydreams and is easily confused c. Sara interrupts and talks over her friends d. Sonia struggles to focus on games, and her mother has to constantly redirect her

c. Sara interrupts and talks over her friends

A family makes an appointment for an older adult man to the see the therapist stating that he has begun wearing women's clothing. Prior to talking with the man, the therapist hypothesizes that his behavior may be the result of all, EXCEPT: a. He may finally be giving in to an urge he has had for his entire life b. Behavior that he has done this privately for years c. Schizophrenia d. Early dementia

c. Schizophrenia

Which term do Bowenian theorists use to refer to the ability to see one's own role in interpersonal processes? a. Self-responsibility b. Reflection c. Self-focus d. Awareness

c. Self-focus

It has been suggested that the first procedure in reality therapy helps the client develop: a. Understanding b. Selfishness c. Self-worth d. Insight

c. Self-worth

Craig is 5. For the past two months, he has been severely distressed every time his mother attempts to drop him off at school or leaves the home, even when he is left with his favorite cousins. Craig is having nightmares where his mother is being sucked up into a tornado and taken to another universe where he cannot reach her. Craig will not eat unless she is with him, causing him to lose weight. Craig's symptoms are most consistent with: a. Panic Disorder b. Oppositional Defiant Disorder c. Separation Anxiety Disorder d. Night Terror Disorder

c. Separation Anxiety Disorder

Minuchin has been criticized for being: a. Racist b. Medical c. Sexist d. Dictatorial

c. Sexist

Any experience during childhood or adolescence that involves inappropriate sexual attention from another person is called: a. Child neglect b. Emotional abuse c. Sexual abuse d. Physical abuse

c. Sexual abuse

A family member of an alcoholic individual may become codependent when they: a. Allow for discussion about feelings of shame and fear being felt within the family b. Hold the alcoholic accountable for the consequences of his/her drinking behavior c. Shift their attention and energy to the addicted family member d. Focus their awareness on their own needs and sense of self

c. Shift their attention and energy to the addicted family member

What is the most common sequence of emotional stages after a sudden disabling condition? a. Avoidance, realization, shock, adaptation, acceptance b. Shock, avoidance, adaptation, acceptance, avoidance c. Shock, realization, avoidance, acceptance, adaptation d. Avoidance, shock, adaptation, realization, acceptance

c. Shock, realization, avoidance, acceptance, adaptation

According to REBT, which is associated with negative mental health? a. Social interest b. Tolerance c. Short-term enjoyment d. Commitment

c. Short-term enjoyment

A man diagnosed with Male Hypoactive Sexual Desire Disorder would have reduced interest and activity in sex for at least: a. Six weeks b. One year c. Six months d. One month

c. Six months

Your husband died last month, and you continue to have difficulty adjusting to your loss. You are having trouble concentrating on what your clients are saying during their appointments, and you find yourself thinking about your husband rather than your client. The best thing for you to do in this situation would be: a. Inform your clients that you will be temporarily referring them to another therapist b. Help yourself by helping your clients in therapy c. Inform your more challenging clients that you will be temporarily referring them to another therapist d. Ask your supervisor if you should stop seeing clients until things are under control

d. Ask your supervisor if you should stop seeing clients until things are under control

A child who exhibits self-injurious or suicidal behaviors may be showing __________ indicators of physical abuse. a. Neglectful b. Physiological c. Somatic d. Behavioral

d. Behavioral

Which construct is part of the Transactional Analysis model? a. Success, identity, and responsibility b. Disputing and emotional consequences c. Structural analysis, stroking, and game/racket analysis d. Internal and external locus of control

c. Structural analysis, stroking, and game/racket analysis

Mary is attending a job training program after leaving her abusive spouse of 20 years. Mary believes she has no skills, no value and no worth as a person. Mary also got out of her home with few possessions and has not worked outside her home in 20 years. Her spouse did not allow her to purchase her own clothing and did not permit her to own anything suitable for work. The job training therapist sat with Mary and helped her develop a plan, based on Mary's priorities. Mary is staying with her sister, is stable there, and plan to remain indefinitely because her sister's family is delighted to have her and she is happy to be there. The referral Mary LEAST needs is: a. Clothing b. Job readiness c. Counseling d. Long-term housing

d. Long-term housing

The first dimension Contextual Therapy deals with is: a. Diagnosing b. Assessment c. Presenting concerns d. Objectifiable facts

d. Objectifiable facts

Jay is a 64-year-old male who is moderately overweight but otherwise in reasonable health. He presents today for help with increasing control of his orgasms because for the past year he orgasms upon penetration, and sometimes prior to penetration. Jay wants to increase his confidence and return to feeling good about his sexual life. Jay has seen his physician and a urologist who have cleared him of any organic issues. Jay's presentation is consistent with: a. Premature (Early) Ejaculation, acquired, moderate b. Erectile Dysfunction, acquired, severe c. Erectile Dysfunction, acquired, moderate d. Premature (Early) Ejaculation, acquired, severe

d. Premature (Early) Ejaculation, acquired, severe

The importance of clinical documentation and record-keeping is often overlooked by counselors working in: a. In-patient treatment facilities b. Mental health agencies c. Group homes d. Private practice

d. Private practice

What are the maladaptations and malignancies of the intimacy vs. isolation stage in Erikson's stages of psychosocial development? a. Fanaticism and repudiation b. Overextension and rejectivity c. Presumption and despair d. Promiscuity and exclusivity

d. Promiscuity and exclusivity

John and Jennifer have experienced strife for some time and pull away from each other. Rather than focusing on the issue at hand that brings the couple to therapy, the behavioral therapist recommends behavior exchange. This process entails: a. Choosing one behavior to substitute for the one a partner dislikes b. Listing consequences for each other's behavior c. Continued exposure to the negative behavior, so a partner becomes accustomed to it d. Promoting well-being with positive behaviors

d. Promoting well-being with positive behaviors

Which statement is FALSE with regard to Bipolar I Disorder? a. The primary medication to treat Bipolar I Disorder is lithium b. Bipolar I Disorder runs in families c. Bipolar I Disorder is looked at as a biological disorder d. Prophylactic treatment is not typically warranted

d. Prophylactic treatment is not typically warranted

If a client stops treatment against the advice of the therapist, the therapist should: a. Report the client to the referral source b. Write a termination summary in the chart and close the case with no additional steps needed c. Close the case without prejudice d. Provide a termination letter recommending additional treatment with a list of several treating professionals in the area

d. Provide a termination letter recommending additional treatment with a list of several treating professionals in the area

Bandura acknowledged three internal requirements for self-regulation. He would say that the requirement of self-reaction includes: a. Monitoring our own performance and adjusting our behavior accordingly b. Engaging in morally or socially questionable behavior without self-reproach c. Determining the worth of our actions on the basis of the goals we have set d. Providing self-reinforcement or self-punishment depending upon our standards and our behavior

d. Providing self-reinforcement or self-punishment depending upon our standards and our behavior

Freud argued that all people pass through a series of stages in personality development, which he called: a. Psychosocial stages of personality development b. Sexual operational stages of development c. Psychological developmental stages d. Psychosexual stages of personality development

d. Psychosexual stages of personality development

Bandura identified four general mechanisms through which self-control is disengaged or selectively activated. One way is for a person to justify otherwise reprehensible actions by cognitively restructuring them. This is known as: a. Disregarding or distorting the consequences of the behavior b. Dehumanizing or blaming the victim c. Displacing or diffusing responsibility d. Redefining the behavior

d. Redefining the behavior

A soldier with combat-related Post-Traumatic Stress Disorder (PTSD), acute, desires to return to combat. You are professionally and morally opposed to this decision, believing it will forever damage him. What is your best course of action? a. Provide treatment, knowing you are qualified to resolve the diagnosis and a return to the original stressor is not in his best interest b. Provide treatment, realizing he will not want to return at the end of the course, when he is psychologically strong and thinking clearly c. Educate the soldier on rates of recurrence and explain he will not be able to return if he expects to recover d. Refer the soldier to someone who can provide unbiased treatment

d. Refer the soldier to someone who can provide unbiased treatment

Joy was recently diagnosed with Cushing's Disease and now has episodes in which she cries for no reason. She is awake for days with irritable, grandiose, and expansive mood. She talks incessantly, but at times isolates. She is engaging in more activities than usual. Joy has begun to experience odd physical changes. She has a history of mild to moderate obesity, but now has increased thirst, her midsection has striae, and she has bone pain and tenderness. The diagnosis most consistent with Joy's presentation is: a. Substance/Medication-Induced Bipolar and Related Disorder b. Depressive Disorder Due to Cushing's Disease c. Bipolar II Disorder d. Bipolar Disorder Due to Cushing's Disease, with mixed features

d. Bipolar Disorder Due to Cushing's Disease, with mixed features

Seven-year-old Mark began to defecate in various places around the house. Over the course of six months, he used two of his mother's planter boxes, the umbrella canister, and otherwise pushed the pile under his bed. Last week he decided to 'paint' with his feces all over his bedroom walls. Mark's presentation is consistent with: a. Rumination Disorder b. Oppositional Defiant Disorder c. Enuresis d. Encopresis

d. Encopresis

If I were sending a client home from our first Bowenian session with an assignment, it might be that he or she: a. Rekindle an old romance b. Write his or her second cousin a letter c. Call his or her best friend from high school d. Establish contact with his or her family of origin

d. Establish contact with his or her family of origin

According to existential therapy, ______ is an anxiety one is aware of when having evaded a commitment. a. Normal anxiety b. Conscious anxiety c. Existential anxiety d. Existential guilt

d. Existential guilt

According to Contextual Therapy, a child who is made responsible for his or her parents' feelings and behaviors is: a. Being undifferentiated b. Being projectively identified c. Being disciplined d. Experiencing parentification

d. Experiencing parentification

After examining the client's internal experience related to a particular emotional state, the therapist will: a. State the appropriateness of that feeling b. Move on to evaluating communication c. Share his or her evaluation of the family of origin d. Explore the history of that emotional experience

d. Explore the history of that emotional experience

Which was Minuchin particularly sensitive to? a. The issue of two working parents b. The role of children in a family c. Pathology d. External pressures on poor families

d. External pressures on poor families

Through a series of questions, Mr. Smith and his postmodern therapist begin to think of "not caring" not as some kind of personality flaw at the core of his being, but as a problem that exists outside himself and is created in part by societal expectations and pressures about gender roles. This is called: a. Philosophizing b. Generalizing c. Minimizing d. Externalizing

d. Externalizing

Which is NOT an example of child maltreatment? a. Providing a child illegal substances b. Sexual abuse of a child c. Locking a child in a closet d. Grounding a child for the weekend

d. Grounding a child for the weekend

As an organizational consultant, you are hired to develop and implement a new program designed to increase primary prevention activities. Based on your knowledge of systems theory and assessment, what four factors will guide your consultation activities? a. Goals, open vs. closed system, methods and operations, people b. Frameworks (pattern of activities within the organization), open vs. closed system, methods and operations, and people c. Frameworks (pattern of activities within the organization), goals, open vs. closed system, and people d. Frameworks (pattern of activities within the organization), goals, methods and operations, and people

d. Frameworks (pattern of activities within the organization), goals, methods and operations, and people

What five human needs did Maslow list? a. Fundamental, safety, love, friendship, and self-respect b. Food, drink, a place to sleep, a career, and safety c. Fundamental, safety, esteem, self-respect, and self-actualization d. Fundamental, safety, social, esteem, and self-actualization

d. Fundamental, safety, social, esteem, and self-actualization

Family members who have not achieved individual levels of differentiation may experience which types of relationships? a. Differentiated relationships b. Autonomous relationships c. Unhealthy relationships d. Fused relationships

d. Fused relationships

Which Bowenian term describes a blurring of psychological boundaries between the individual self and others? a. Enmeshment b. Differentiation c. Triangulation d. Fusion

d. Fusion

The first step in the MRI brief therapy treatment model is: a. Setting treatment goals b. Defining the problem c. Determining the behavior maintaining the problem d. Introducing the treatment setup

d. Introducing the treatment setup

Which is NOT characteristic of the Discrimination Model (which falls under integrated supervision models)? a. It assumes supervisees have habits of attending b. It is primarily a training model c. It is a theoretical d. It identifies new areas of growth

d. It identifies new areas of growth

Which is true regarding Rational Emotive Behavior Therapy? a. It centers on unconscious conflicts rooted in early childhood b. It focuses on concrete behaviors that can be changed through conditioning principles c. It is long-term therapy d. It is designed to alter maladaptive thought processes and beliefs

d. It is designed to alter maladaptive thought processes and beliefs

Which is attributed to fears and anxieties associated with Agoraphobia? a. Gilad, a Hasidic Orthodox Jew, does not engage with people outside his immediate family or community b. Maud no longer goes out at night, uses public transportation, or frequents the corner store that has been robbed three times c. Bill decided his age prevents him from meeting friends downtown d. Jill is unable to shop or stand in line at the grocery store

d. Jill is unable to shop or stand in line at the grocery store

Alice is 4 and her parents report a struggle putting words together, difficulty forming sentences, and difficulty in receiving and providing information. For example, Alice will drop verbs, or when she cannot call up a word she will use vague language, such as sharing a friend celebrating a birthday opened "colorful boxes" instead of birthday presents, and blew out "fire sticks" instead of birthday candles. Alice also changes the order of words in a sentence, or swaps words, such as saying she will "tell a question" instead of "ask a question." Alice's presentation is most consistent with: a. Speech Sound Disorder b. Language Regression c. Intellectual disability (intellectual developmental disorder) d. Language Disorder

d. Language Disorder

Your daughter Sterling has this taken up biting her nails. You've talked to her about it but it doesn't seem to make any difference in her behavior. The first and most significant step in altering Sterling's habit is to identify the: a. Conditioned response b. Natural stimuli c. Vicarious learning models d. Reinforcers

d. Reinforcers

What may be realistically expected if a group therapist produces an agenda for the group rather than the group designing their own? a. Anxiety b. Safety c. Trust d. Resistance

d. Resistance

Your client becomes unusually angry with you, a possible transference issue. It is most important to: a. Terminate counseling b. Apologize profusely c. Warn the client that such behavior will not be tolerated d. Respond non-defensively

d. Respond non-defensively

Structural family therapy is based on: a. Family birth order b. Personality types c. Strengths, weaknesses, and neutrality d. Roles, rules, and power

d. Roles, rules, and power

According to Transactional Analysis, how are the parent, adult, and child ego states different from Freud's id, ego and superego? a. They affect emotions rather than behavior b. They are not conflicting entities c. The ego states are part of the superego but do not represent the id or ego d. The ego states are part of the ego but do not represent the id or superego

d. The ego states are part of the ego but do not represent the id or superego

A couple's grief about infertility is compounded by all, EXCEPT: a. That couples often do not tell anyone b. The lack of societal rituals for the loss c. The fear of expressing feelings of grief d. The expression of feelings of grief

d. The expression of feelings of grief

When Protected Health Information is transmitted over open networks, what must occur? a. Closed systems must use passwords and other controlled access mechanisms b. Data integrity must be ensured through digital signatures and data corroboration c. The entity must ensure unauthorized personnel do not alter the data d. The information system network must utilize encryption

d. The information system network must utilize encryption

Which of Piaget's stages includes knowledge gained through active interaction with environment and the beginnings of awareness of cause and effect relationships? a. The concrete operational stage b. The formal operational stage c. The preoperational stage d. The sensorimotor stage

d. The sensorimotor stage

According to research, the main reason why minority clients end their treatment early has to do with: a. Racial or ethnic bias on the part of the clients b. Financial restrictions on the part of minority clients c. Therapists' lack of genuineness toward minority clients d. Therapists' and clients' cultural differences

d. Therapists' and clients' cultural differences

The main purpose of Al-Anon is: a. To pair professionals with family members seeking help b. To help the alcoholics in the family c. To work in conjunction with Alcoholic's Anonymous d. To help families of alcoholics

d. To help families of alcoholics

A therapist who has a feminist orientation would probably NOT: a. Consider the therapeutic relationship important b. View conflicts in a political context c. Make use of paradoxical intervention d. Use diagnostic evaluation

d. Use diagnostic evaluation

Which is the focus of solution-focused therapy? a. What is the cause of the problem b. Maintaining homeostasis in the family system c. The expert opinion and solution conceived by the therapist d. What is going right, what isn't, and what resources and skills the client has

d. What is going right, what isn't, and what resources and skills the client has

Which is FALSE regarding Rational Emotive Behavior Therapy? a. Long-term gain is worth short-term sacrifice b. Self change requires persistent work and practice c. You can control your own emotional destiny d. You can choose to like hassles and difficulties

d. You can choose to like hassles and difficulties

A client says, "I am too shy to ask a guy out. I literally get sick and throw up on a date. I am an abysmal failure with men." The Rational Emotive Behavioral Therapist would most likely respond: a. "You may be shy, and you may have felt sick to your stomach on a date, but where is it written it will always be that way?" b. "Tell me what your relationship with your father is?" c. "So you feel you are a nerd and incapable of dating." d. "So change your thought process. Tell yourself you are going to have fun and do it. Embrace the power of positive thinking."

a. "You may be shy, and you may have felt sick to your stomach on a date, but where is it written it will always be that way?"

Psychosis does NOT include which symptom? a. Compulsive behavior such as drug addiction b. Talking in nonsensical phrases c. Seeing or hearing things that other people do not observe d. Aggressive or suicidal behavior

a. Compulsive behavior such as drug addiction

According to communications theory, the report of a message is the: a. Content of the message b. Process by which the message was communicated c. Statement about the relationship d. Request for action

a. Content of the message

"We must go the speed limit because it is the law." A child who argued in this manner would be at the: a. Conventional level b. Post-conventional level c. Pre-conventional level d. Most children are oppositional regardless of their moral stages of development

a. Conventional level

Which is NOT typically associated with Generalized Anxiety Disorder? a. Fear, worry, or distress about having a panic attack b. Muscle tension, irritable mood, and insomnia c. Difficulty controlling worry about day-to-day life d. Mind going blank, restlessness, and fatigue

a. Fear, worry, or distress about having a panic attack

The HIPAA Privacy Rules are a ______ standard. a. Federal minimum b. Federal maximum c. State minimum d. State maximum

a. Federal minimum

Which therapeutic factor includes both self-disclosure and confrontation? a. Feedback b. Catharsis c. Empathy d. Trust

a. Feedback

In gestalt therapy, fantasy dialogues: a. Promote both awareness of internal splits and eventual personality integration b. May result in Dissociative Identity Disorder c. Should be discouraged d. Are a sign of regression

a. Promote both awareness of internal splits and eventual personality integration

In group therapy, in the "double technique," the auxiliary ego stands behind the: a. Protagonist b. Group observing the psychodrama c. Stage d. Director

a. Protagonist

What should occur when providing a referral to a licensed professional? a. Provide 3 choices b. Select the most appropriate provider for the client in their situation c. Set the initial appointment for the client to ensure linking to the referral d. Facilitate linking to the provider by whatever means necessary

a. Provide 3 choices

When Gina was 8, she saw her parents fight often. Now, as a 26-year-old emerging in her own relationship, she is beginning to have a resurgence of feelings from her childhood. These issues are what existential therapists might call: a. Unfinished business b. Suppression tactics c. Historical strife d. Grounded truth

a. Unfinished business

Mason is 17 and presents in the emergency room needing care for gunshot wounds sustained in a drug-related offense. Mason has a juvenile record of status offenses related to being a run-away beginning at age 12. What diagnosis may be made given the information presented? a. Unspecified Disruptive, Impulse-Control, and Disorder b. Oppositional Defiant Disorder c. Antisocial Personality Disorder d. Conduct Disorder

a. Unspecified Disruptive, Impulse-Control, and Disorder

It is critical that staff notes contain a 'confirmation of service'. This indicates: a. What the therapist has done, as well as what the client has done b. Which services have been offered c. What the therapist has done d. What the client has done

a. What the therapist has done, as well as what the client has done

According to Transactional Analysis, in order for a contract to be functional, what must all parties agree upon? a. What to do, when, and why b. To work together c. To abide by confidentiality d. Not to breach the contract by telling anyone

a. What to do, when, and why

An aggressive behavior that is disproportionate to precipitating psychosocial stressors is a criterion for: a. Posttraumatic Stress Disorder b. Intermittent Explosive Disorder c. Oppositional Defiant Disorder d. Factitious Disorder

b. Intermittent Explosive Disorder

Greg presents with issues in his marriage. He reports difficulty communicating, broken trust, frustration and lack of intimacy over the past 2 years of the 10-year marriage. Greg reports he had a problem with alcohol for many years, but is now sober 3 years, with more than 3 years in AA. Greg reports having a sponsor and is now a sponsor to another person in the program. The NEXT step is: a. Refer Greg's spouse to Al-Anon b. Invite Greg's partner in for marital counseling c. Refer Greg for marital counseling d. Give the CAGE assessment to determine the level of Alcohol impairment

b. Invite Greg's partner in for marital counseling

In the DSM-5, the sexual urges felt by individuals with Pedophilic Disorder: a. Involve inanimate objects b. Involve children c. Involve animals d. Involve cross-dressing

b. Involve children

Which is one of the major objectives for Integrated Supervision models? a. To maximize and identify growth needed for the future b. To recognize the place of integration in the counseling process c. To utilize a specific brand of intervention d. To be employed with multiple therapeutic orientations

d. To be employed with multiple therapeutic orientations

What's the main goal of Adlerian therapy? a. To challenge a person's success and determine unconscious motivations b. To offer a sense of self-belief to an individual c. To make a person review his or her family history d. To challenge and encourage the client's premises and goals

d. To challenge and encourage the client's premises and goals

According to narrative theory, problems arise due to: a. Diffused boundaries in relationships b. People being trained to have narrow and self-defeating views of the world and themselves c. Lack of differentiation that results in enmeshment that deteriorates relationships d. Unresolved conflict from childhood

b. People being trained to have narrow and self-defeating views of the world and themselves

According to REBT, ______ is a way of thinking that will make you feel badly or behave in dysfunctional ways. a. Preferring rather than demanding b. People-rating c. Tolerating frustration and discomfort d. Realistic thinking

b. People-rating

Carl is 24-years-old and has a two-year history of feeling empty and hopeless. He often overeats to fill the void he feels inside. Carl sleeps 12 hours a day, but he never has any energy. Carl's symptoms are consistent with: a. Other Specified Depressive Disorder, Persistent Depression with too few symptoms b. Persistent Depressive Disorder (Dysthymia), late onset c. Major Depressive Disorder, chronic, mild d. Persistent Depressive Disorder (Dysthymia), early onset

b. Persistent Depressive Disorder (Dysthymia), late onset

Which should NOT be included in a discharge summary? a. Follow-up plan b. Personality assessment c. Summary of progress d. Final diagnostic impressions

b. Personality assessment

The main goal of behavioral therapy is: a. To provide a place where a client can talk to the therapist without being distracted or interrupted by other people b. To help clients understand their maladaptive behavior with the hope that this understanding will motivate them to change c. To assist the client in becoming aware of how their thoughts drive their actions d. To help clients change target behaviors as a means of improving their lives

d. To help clients change target behaviors as a means of improving their lives

______ is a term used in psychoanalytic family therapy to describe distorted emotional reactions to present relationships based on unresolved early family interventions. a. Countertransference b. Suppression c. Regression d. Transference

d. Transference

Jim, age 33, appears too young to be bald at the crown of his head, but is missing about 60 percent of his hair. Jim presents and reports he is the only man in his family who is balding, but the balding is due to his pulling of hair one strand at a time for close to 20 years. "At first, it was just something I did in class to pass the time. Now I can't stop no matter what I try." Jim's presentation is consistent with: a. Obsessive-Compulsive Disorder b. Body Dysmorphic Disorder c. Generalized Anxiety Disorder d. Trichotillomania

d. Trichotillomania

What is the first stage of Erikson's developmental theory? a. Autonomy vs. shame and doubt b. Initiative vs. guilt c. Industry vs. inferiority d. Trust vs. mistrust

d. Trust vs. mistrust

According to Maslow, ______ are B-needs, or "being needs". a. Unity, dishonesty, and loyalty b. Playfulness, distrust, and justice c. Lawlessness, freedom, and justice d. Truth, goodness, and unity

d. Truth, goodness, and unity

According to communications theory, when communication is taking place in a closed system: a. Only non-verbal messages are communicated b. There is tremendous opportunity for adjusting that system c. Messages are communicated more clearly and effectively d. There is little opportunity for adjusting that system

d. There is little opportunity for adjusting that system

According to existential therapy, anxiety affects many and can virtually immobilize a person's: a. Aptitude b. Vision c. Ability to think d. Thoughts and behaviors

d. Thoughts and behaviors

What is a major cause of stroke? a. Depression b. Bacterial infection c. Tissue necrosis d. Thrombus

d. Thrombus

Which is LEAST likely to be a symptom of depression in children? a. Lack of sleep b. Pretending to be sick c. Grouchiness and irritability d. Clinginess toward a parent

a. Lack of sleep

With the increased use of group therapy over a wide variety of special needs, therapy should address: a. Educational and diverse population needs b. Educational and self-help needs c. Therapeutic and self-esteem needs d. Educational and therapeutic needs

d. Educational and therapeutic needs

How many stages are in Erikson's developmental theory? a. Six b. Five c. Three d. Eight

d. Eight

A constructivist view of psychotherapy holds that: a. Reality is in the eye of the beholder b. Reality is an artificial construct of the culture c. There is no such thing as reality d. Reality is here and now and operating in real time without regard to past or future

a. Reality is in the eye of the beholder

What type of cells are destroyed by HIV? a. CD4 cells b. B cells c. CD8 cells d. NK cells

a. CD4 cells

Rachel, age 17, has just told her parents that she has decided to quit her cheerleading team and drama club (two of her most cherished activities). Over the past few months, Rachel has been consuming large amounts of vodka. She spent weeks trying to perfect a fake ID so that she could buy more vodka and will spend hours in store parking lots trying to sweet talk older men into purchasing bottles for her. When she drinks, Rachel will often engage in unprotected sex with various boys, putting her at risk for contracting a disease or ending up pregnant. What diagnosis best fits Rachel's scenario? a. Alcohol-induced Anxiety Disorder b. Alcohol Use Disorder, Moderate c. Alcohol Use Disorder, Mild d. Alcohol Intoxication

b. Alcohol Use Disorder, Moderate

The Fear Reduction Principle helps: a. Develop a new behavior b. Alter an emotional behavior c. Reinforce a new behavior d. Preserve an existing behavior

b. Alter an emotional behavior

Neo-Freudian psychologists were those followers of Sigmund Freud who accepted the basic tenets of his theory of psychoanalysis, but: a. Felt that his theories were not provable b. Altered his theories in some way c. Used his theories to discount him d. Were more interested in his life rather than his work

b. Altered his theories in some way

In structural family therapy, allowing a child to interrupt his or her parents' conversations on an ongoing basis is an example of: a. A misbehaved child b. An unprotected generational boundary c. Triangulation d. Inconsistent parents

b. An unprotected generational boundary

How many symptoms of the ten diagnostic criteria must be present with clinical impairment for a diagnosis of Phencyclidine Use Disorder? a. 3 b. 2 c. 4 d. 5

b. 2

A hypomanic episode lasts for at least: a. 1 day b. 2 weeks c. 1 week d. 4 days

d. 4 days

In her feminine studies, Horney identified one key condition that impacts female state of mind: a. Menopause b. PMS c. HRT d. Pregnancy

b. PMS

______ is a technique that might be used in structural therapy to change interactions between members. a. Positive connotation b. Empathy c. Joining d. Support

b. Empathy

Rollo May (1969) defined the ______ as "any natural function which has the power to take over the whole person." a. Government b. Daimonic c. Diamond d. Diabolic

b. Daimonic

As a feminist therapist, you would primarily be interested in: a. Sociopolitical and sociocultural issues b. Empowering your clients c. Issues centered around gender d. Societal change

b. Empowering your clients

Before a client can move into Phase 2 of motivational interviewing, he/or she must believe in ______ and ______. a. 1. The importance to change 2. The confidence that he/or she can change b. 1. The decisiveness to change 2. The determination to change c. 1. The ability to focus 2. The willingness to change d. 1. The adaptability to change 2. The capability to change

a. 1. The importance to change 2. The confidence that he/or she can change

According to Erikson's stages of psychosocial development, what is the age category for individuals in the integrity vs. despair stage? a. 50s and beyond b. 12 to 18 years c. The 20s d. Late 20s to 50s

a. 50s and beyond

What is the age range for the concrete operational stage? a. 7 to 11 years b. 2 to 7 years c. Birth to 2 years d. 11 years to adulthood

a. 7 to 11 years

According to attachment theory, what will happen if separation distress is not alleviated? a. A spiral into depression and despair; grief begins to evolve into detachment and true separation b. A spiral into loathing and hostility; grief begins to evolve into detachment and true separation c. A spiral into loathing and hostility; anger begins to evolve into detachment and true separation d. A spiral into depression and despair; anger begins to evolve into detachment and true separation

a. A spiral into depression and despair; grief begins to evolve into detachment and true separation

What is an individual's capacity to adjust to his or her surrounding environmental conditions? a. Adaptation b. Interface c. Coping d. Interdependence

a. Adaptation

Don received bad news at work, followed by a bad commute home. When he arrived, he uncharacteristically drank a 6-pack of beer over the following two hours, rendering him unable to engage with his family. His became drowsy, his gait was impaired, and his longing for the past made him unreasonable to deal with until he fell asleep. The diagnosis for Don is: a. Alcohol Intoxication b. Alcohol Withdrawal c. Alcohol Use Disorder d. Alcohol Abuse Disorder

a. Alcohol Intoxication

Freddie's therapist follows Rogers's model of therapy. This would most likely include: a. Assuring Freddie that he is cared about regardless of his behavior or thoughts b. Interpreting Freddie's dreams c. Asking Freddie to keep a journal of his activities d. Giving Freddie a stuffed animal that he can mutilate

a. Assuring Freddie that he is cared about regardless of his behavior or thoughts

Attachment theory has been studied and used to evaluate the relationship between infants and their attachment figures, with problematic attachment indicating problematic behavior, action or reaction in the caregiver responsiveness to the infant. What type of attachment is marked by an attachment figure that is characteristically unresponsive and rejecting, rebuffing the infant's attempts at proximity-seeking behavior, lack of distress by the infant when separated by the attachment figure, and no proximity-seeking behavior engaged by the infant upon return? a. Avoidant attachment b. Anxious or Ambivalent attachment c. Secure attachment d. Problematic attachment

a. Avoidant attachment

Mark has a long history of depression, and his depression has required hospitalization twice to stabilize his mood, as recently as last month. You see Mark today, and he presents euphoric, telling you he can read your mind because he now has the power of clairvoyance, which comes with his new status as a sun deity. He is speaking rapidly, to the point it is difficult to keep up with what he is saying. However, you do hear him say his job would regret not recognizing his greatness and all he can do for them. You ask the last time he slept, and he cannot say. However, he offers to channel the goddess of a planet far, far away to shed light on his new found wisdom and enlightenment. Mark explains there are several members from a nearby galaxy that he met last night partying at his place. You refer for hospitalization. The diagnosis most consistent with Mark's diagnosis is: a. Bipolar I Disorder, current episode manic with psychotic features b. Medication reaction c. Bipolar II Disorder, current episode manic with psychotic features d. Major Depressive Disorder, recurrent, with psychotic features

a. Bipolar I Disorder, current episode manic with psychotic features

Instead of asking why someone is depressed, inquiring about when someone shows depression and what other people do when this is happening is a form of: a. Circular questioning b. Narrative questioning c. Intimidating questioning d. Direct questioning

a. Circular questioning

You are completing an intake assessment on a adolescent male. The client reports that he's been hearing voices for a few years now. He stated that the voices have recently told him, to kill himself. The client's mother told the social worker that her son lost his best friend in a motor vehicle accident approximately four years ago, and shortly thereafter he attempted to take his own life. What should the social worker do FIRST: a. Complete a suicide assessment screening b. Screen for depression c. Refer to psychiatrist for medication evaluation d. Do a mandatory placement in psychiatric hospital

a. Complete a suicide assessment screening

Joe announced he was "King of the Jungle" when he was in high school, with episodes lasting about a week in which he would be awake and energetic for 22 hours a day, would talk as if he could not get the words out fast enough, and would become highly goal-directed. He was arrested and subsequently hospitalized at age 20 after engaging in drugs and sexual behavior behind a bar. Joe hit a low patch about age 25, feeling depressed, losing interest in everything, lacking energy, feeling guilty about his lack of progress in life, and obsessing about death. He attempted suicide and was hospitalized for the second time. Joe reports today as a "'downer" because he no longer feels good like he did five straight days last week. Joe describes last week as one of his best in awhile, feeling like a king again, not needing sleep, able to get tons of things done, and knowing everyone looked to him as a success. You assess Joe's current diagnosis as: a. Bipolar I Disorder, most recent episode hypomanic b. Bipolar II Disorder, most recent episode hypomanic c. Major Depressive Disorder d. Persistent Depressive Disorder

a. Bipolar I Disorder, most recent episode hypomanic

Jill presented as animated and dramatic. The therapist asked the purpose of Jill's visit, and her response lasted nine minutes without a break, not even to change subjects, though she did so multiple times. Jill reported taking up smoking four packs of cigarettes a day when she feels "high on life," stopping when the high passes. She began to cry and talk about her uncle who died of lung cancer and cirrhosis of the liver. She asked for a drink to calm her nerves, tears, and fears. She then shared events of the previous couple days: calling friends at all hours of the night and feeling like she needed to get things done instead of being able to sleep. Jill reported that her episodes of feeling "high on life" last 4-6 days and occurs a few times a year. Jill reported one hospitalization for a suicide attempt three years ago after being physically unable to get out of bed for a couple of weeks, too sad, fatigued, overwhelmed, and ultimately suicidal to go on, resulting in a overdose. Jill's diagnosis is: a. Bipolar II Disorder, current episode hypomanic, with mixed features b. Bipolar II Disorder, most recent episode depressed, severe, with mixed features c. Bipolar I Disorder, most recent episode depressed, with mixed features d. Bipolar I Disorder, current episode hypomanic, with rapid cycling

a. Bipolar II Disorder, current episode hypomanic, with mixed features

According to Erikson's stages of psychosocial development, what is the age category for individuals in the trust vs. mistrust stage? a. Birth to 1 year b. 3 to 7 years c. 2 to 3 years d. 1 year to 3 years

a. Birth to 1 year

The four ways to communicate dishonestly as identified by Satir are: a. Blaming, placating, being irrelevant, and being super reasonable b. Blaming, cheating, screaming, and doubting c. Lying, cheating, ignoring, and placating d. Being irrelevant, lying, cheating, and doubting

a. Blaming, placating, being irrelevant, and being super reasonable

Leann changes clothes several times per day and takes painstaking steps to assure her appearance is flawless by maintaining her make-up application, checking her hair, watching her diet, and exercising. Leann seeks out assurances from others while maintaining distance from people, fearing they will see her right cheek is higher than her left and her nose curves to the right. When she has entrusted another with her detailed observations, no one can seem to find what she sees. She attempted to have the abnormalities corrected with surgery, but the surgeon turned her down, telling her she has perfect symmetry and the slight curve in her nose is normal. Leann feels unattractive and sees herself as deformed. Leann's presentation is most consistent with: a. Body Dysmorphic Disorder b. Social Anxiety Disorder c. Delusional Disorder d. Excoriation Disorder

a. Body Dysmorphic Disorder

47-year-old Scott experienced disorganized speech, hallucinations, and delusions lasting at least one day, but less than one month. He is experiencing: a. Brief Psychotic Disorder b. Dependent Personality Disorder c. Delusional Disorder d. Schizophrenia

a. Brief Psychotic Disorder

As a Bowenian therapist, you hope to address the issue of transgenerational immaturity: a. By studying the family projection process b. By giving up expectations of maturity c. With mandatory emotional training d. By finding role models for the parents

a. By studying the family projection process

In terms of Adlerian theory, how is mental health calculated? a. By the degree to which a client successfully shares with others b. By a client's continued unresolved childhood problems compared to those successfully resolved c. By a client's degree of success conquering feelings of past failures d. By how coherently the client expresses himself or herself in therapy sessions

a. By the degree to which a client successfully shares with others

Melody, age 17, discovered that drinking coffee allows her to better keep up with her studies. She now drinks coffee everyday before school, a caffeinated energy drink during lunch, and sometimes some iced coffee during the late afternoon if she has a lot of homework. On the first day of spring break, Melody decides to sleep in and forgoes her morning coffee. She wakes to a terrible headache and major nausea. After vomiting, she feels extremely fatigued and becomes very agitated. She feels so sick that she cancels her plans to go to the beach with her friends that day and has to lay back down in bed. What diagnosis is most consistent with Melody's presentation? a. Caffeine Withdrawal b. Caffeine Intoxication c. Stimulant Withdrawal d. Stimulant Intoxication

a. Caffeine Withdrawal

The best way to make power issues visible is to: a. Call out stereotypes b. Communicate your opinion of the client's failures c. Say nothing and let clients recognize the issues on their own d. Point out financial imbalance

a. Call out stereotypes

Alogia means: a. Lack of meaningful speech b. Inability to feel pleasure c. Waxy flexibility d. Acting crudely

a. Lack of meaningful speech

Jane is a 25-year-old medical carrier who briefly lost consciousness on a delivery and was rushed into emergency services. She awakened with limited vision, described as "seeing shadows." Jane reports numbness and tingling in her left leg. She also reports being in overall good health, which is confirmed by her sister. Jane has no evidence of past mental illness or childhood or other abuse. The emergency room ran tests that demonstrated no use of illicit drugs, and Jane denies use of any tobacco, herbal supplements, or other over-the-counter medications, and reports only occasional social drinking, with her last drinking episode about one month ago in which she had one beer. She denies ever being on any psychiatric medications. Jane's presentation is consistent with: a. Conversion Disorder (Functional Neurological Symptom Disorder) b. Blindness c. Factitious Disorder d. Malingering

a. Conversion Disorder (Functional Neurological Symptom Disorder)

Unresolved conflicts of the social worker that are projected onto the client are known as: a. Counter-transference b. Electra complex c. Transference d. Projection

a. Counter-transference

Intense desires for a particular substance refer to symptoms known as: a. Cravings b. Urges c. Longings d. Lapses

a. Cravings

A goal of feminist family therapy, for all clients, is to: a. Demystify the therapeutic process b. Deconstruct male power structures c. Transform the clients into feminists d. Encourage communication

a. Demystify the therapeutic process

Janie is a recently married, 29-year-old store manager. Around age 18 she was diagnosed with depression following an extended period of stress that left her feeling empty. Today, Janie describes, "I am nothing but an empty shell occupied by someone or something else. I hear my voice and my thoughts, but it is not me, at least it does not feel like me. I try and try to make sense of it all, but it doesn't make sense. Being around people makes it magnify. In the past it came and went, but now it is never better." Janie's presentation is consistent with: a. Depersonalization/Derealization Disorder b. Dissociative Identity Disorder c. Bipolar I Disorder with Psychotic Features d. Separation Anxiety Disorder

a. Depersonalization/Derealization Disorder

Which disorder is the geriatric population most likely to exhibit? a. Depression b. Sexual dysfunction c. Alzheimer's disease d. Conduct Disorder

a. Depression

Unlike the strategic approaches, psychoanalytic family therapy work is often associated with: a. Depth b. Brevity c. Structure d. Problem solving

a. Depth

In the context of MRI brief therapy, the second step in solving a family's problem is to: a. Determine the rules that need to change to interrupt problem-maintaining behavior b. Find ways to change rules and interrupt problem-maintaining behavior c. Identify the negative feedback loops that maintain the problem d. Find new ways to solve the problem and change the behavior

a. Determine the rules that need to change to interrupt problem-maintaining behavior

The effects of what aspect of parenting have been shown to be short-lived or temporary? a. Discipline and punishment b. Teaching and learning c. Love and affection d. Attention and attachment

a. Discipline and punishment

Mary is 11 and has a roughly 2-year history of chronic irritability and sadness. Her parents and family always walk on eggshells because they never know what sets her off, and anything may set her off. She once began slapping her brother around in the grocery store when he chose a cereal she did not like. At school, classroom containment has become a challenge to the point Mary is in a special class more than half of the day. Mary's parents are frustrated and do not know what to do. What diagnosis BEST describes Mary's behavior? a. Disruptive Mood Dysregulation Disorder b. Oppositional Defiant Disorder c. Bipolar Disorder d. Intermittent Explosive Disorder

a. Disruptive Mood Dysregulation Disorder

Jane is brought to the emergency room by her roommate who finds her on the living room sofa one morning. Jane is sore, has some imprints of hand marks on her wrists and upper legs, but has no memory of the night before. Jane does not drink or do drugs. The last thing Jane remembers is leaving the apartment headed for class, her study group, and grocery shopping. A call to a study group member confirms her attendance, though Jane remembers nothing after leaving the apartment yesterday. Her toxicology screening and x-rays are negative for head trauma, but the rape kit is positive for bodily fluids. Jane's presentation is consistent with: a. Dissociative Amnesia b. Malingering c. Dissociative Identity Disorder d. Dissociative Amnesia with dissociative fugue

a. Dissociative Amnesia

Nan experiences blackouts and headaches. As a college professor, students enjoy her when she is flamboyant, but are baffled when she is conservative and stoic. Nan refers to her fun side as "Mellie." Nan hears voices in her head and wonders about why they talk with one another. Nan's early life was marked by extreme circumstances associated with domestic violence. Nan's symptoms are consistent with: a. Dissociative Identity Disorder b. Posttraumatic Stress Disorder c. Dissociative Amnesia d. Depersonalization/Derealization Disorder

a. Dissociative Identity Disorder

A 13-year-old female was referred for treatment due to significant weight loss. During the assessment phase, the social worker begins to screen for a possible eating disorder. What's the best way to ask her first question? a. Do you ever feel like you've lost control over how you eat? b. Does eating food make you feel happy? c. Do you have an eating disorder? d. Do you prefer to eat your food alone, where other's can't see you eating?

a. Do you ever feel like you've lost control over how you eat?

A recent college graduate seeks counselling because she is feeling depressed. She states that she has no desire to go out with friends, can't sleep at night, and has no energy to do anything during the day. She reports that she currently lives with her parents due to unemployment. What would be the best way for the social worker to follow up with a question? a. Do you like living with your parents? b. Why aren't you working? c. How long has it been since you've graduated from college? d. Have you ever lived alone?

a. Do you like living with your parents?

One of your clients has just gone through a divorce where his wife left him for another woman. Your client is having some real problems making the adjustment to being single again and the fact that his ex-wife is with another woman. He is still in the grieving process over the loss of his marriage and wife. The problem that you are currently facing is the fact that the ex-wife wants to start therapy with you next week. What should you do? a. Don't accept her as a client and refer her to another therapist b. Accept her as a client but don't tell the ex-husband c. Refer both the ex-husband and ex-wife to another therapist d. Accept her as a client only if the ex-husband has no objection

a. Don't accept her as a client and refer her to another therapist

What is the difference between Schizophreniform Disorder and Schizophrenia? a. Duration of Schizophreniform Disorder is between one and six months, whereas the duration of Schizophrenia is at least six months b. Duration of Schizophreniform Disorder is at least six months, whereas the duration of Schizophrenia is between one and six months c. Schizophreniform Disorder is considered a personality disorder, while Schizophrenia is considered a psychotic disorder d. Schizophreniform Disorder involves a mood episode, whereas mood episodes are not part of the criteria for Schizophrenia

a. Duration of Schizophreniform Disorder is between one and six months, whereas the duration of Schizophrenia is at least six months

Specific Learning Disorder, with impairment in reading may alternatively be termed: a. Dyslexia b. Dysgraphia c. Dyspraxia d. Dyscalculia

a. Dyslexia

According to cognitive-behavioral family therapy, conflict in family dynamics usually escalates and turns into an ongoing pattern because: a. Each family member's cognitions, emotions, and behaviors can affect and elicit negative cognitions, emotions, and behaviors from other members b. Family members use communication and conflict resolution skills c. Family members are too differentiated and therefore do not work together d. Clear boundaries do not exist on that family system

a. Each family member's cognitions, emotions, and behaviors can affect and elicit negative cognitions, emotions, and behaviors from other members

According to Sullivan's theory, lust marks the beginning of: a. Early adolescence b. Preadolescence c. Adulthood d. Late adolescence

a. Early adolescence

_____ is NOT an MAO inhibitor. a. Elavil b. Parnate c. Marplan d. Nardil

a. Elavil

The least effective intervention for bereaved clients is: a. Encouraging clients to talk about subjects other than their grief b. Being present for the clients c. Communicating the clients' ability to heal themselves d. Empathic listening

a. Encouraging clients to talk about subjects other than their grief

An individual diagnosed with Histrionic Personality Disorder will typically show: a. Excessive emotionality and attention-seeking behavior b. Difficulty making everyday decisions without an excessive amount of advice from others c. A grandiose sense of self-importance d. Frantic efforts to avoid real or imagined abandonment

a. Excessive emotionality and attention-seeking behavior

Narrative therapists use what technique in order to counterattack society's view that people are problems? a. Externalization b. Internalization c. Enactment d. Prescribing the symptom

a. Externalization

A 13-year-old girl presents at a major university hospital, struggling with a variety of symptoms. She is bedridden, complaining of pain, gastric upsets, and neurological issues. She receives consults for allergy, audiology, infections disease, hematology, immunology, neurology, oncology, ophthalmology, pain management, and physical therapy. An extensive diagnostic report indicates negative results in all areas. A recommendation is made for a psychiatric work up to determine if there are psychiatric confounding issues or a Conversion Disorder. The mom does not want psychiatric services, and she is limitedly cooperative with the other specialties. The recommendation is made to transfer the girl to an inpatient psychiatric hospital. The mom refuses. At the same time, the treatment team receives information the girl has been to multiple major medical centers in several states with a similar presentation over the past year. Before the medical staff can take further steps, the mom signs the girl out against medical advice. The case is consistent with a diagnosis of: a. Factitious Disorder Imposed on Another b. Malingering c. Conversion Disorder d. Somatic Symptom Disorder

a. Factitious Disorder Imposed on Another

A 5-year-old presents to his primary care physician. His mom reports that he has had a severe cough with wheezing for seven days, with a fever of 102-103 degrees. Over the days, he has refused to drink liquids or eat, but has done his daily nebulizer for his asthma and taken the prescribed antibiotic from five days ago. However, he began vomiting and diarrhea three days ago. He is diagnosed with two chronic conditions: asthma and seizure disorder, and mom reports he is diagnosed ADHD, but they decline medication. He has a prior workup for hypoglycemia that is negative. She reports that he is currently diagnosed with pneumonia for which he is taking antibiotics. His exam reveals clear lungs, normal temperature, elevated pulse, and extreme fatigue. He appears well nourished and developed for his age. He is admitted for observation. His blood sugars are regulated after a few hours of IV glucose, but drop shortly after the doctor leaves, and remain erratic over the following days despite aggressive treatment. Mom is diabetic, and a nurse noted a "leaky" IV line. Mom suggested that the boy is becoming diabetic like her, and that he is able to check his own sugars for monitoring. Mom was removed from the room for a day, during which time his sugars were normal. Lab results indicated a dramatically high level of insulin. When mom is confronted, she admits to covertly administering insulin to help with his blood sugar levels. The vignette is consistent with: a. Factitious Disorder Imposed on Another b. Antisocial Personality Disorder c. Conduct Disorder d. Conversion Disorder

a. Factitious Disorder Imposed on Another

Bowenian therapists include information such as family member's ages, locations, dates of marriages, and dates of death in the: a. Family genogram b. Clinical file c. Written assessment d. Family file

a. Family genogram

A dental hygienist is given spiffy golden floss after every 10th patient she convinces to buy an electric toothbrush. This is an example of what kind of reinforcement schedule? a. Fixed ratio b. Fixed interval c. Variable ratio d. Variable interval

a. Fixed ratio

Jane's therapist assisted her in identifying a women's only job program where she would enhance her skills, engage, in job readiness training, and receive support in seeking a new job after her employer of over 15 years went out of business. The referral was made 2 weeks ago, complete with a release of information and a referral letter. A plan was made for Jane to contact the program the following day week. The NEXT step is to: a. Follow up with Jane to see if the need was met b. Close the case with a completed referral c. Follow with the job program to see if Jane attended d. Hold the case open for 30 days to ensure no additional needs arise

a. Follow up with Jane to see if the need was met

A delusion is a false belief that cannot be explained. Which type is NOT considered to be a delusion? a. Forgetfulness b. Persecutory c. Grandiose d. Erotomanic

a. Forgetfulness

In psychoanalysis, the basic client behavior is: a. Free association b. No association c. Therapeutic association d. Controlled association

a. Free association

Without the key person through whom we gain the strength and encouragement to cope with reality, what do we try to do? a. Fulfill our needs in unrealistic ways b. Fall into depression c. React selfishly d. Attempt to take away the needs of others

a. Fulfill our needs in unrealistic ways

According to existential therapy, in making our own choices, we assume ______ for the results and blame no one but ourselves if the results are less than what we desired. a. Full responsibility b. No responsibility c. Partial responsibility d. Adequate responsibility

a. Full responsibility

Carl is a eunuch, age 36, who presents for treatment after an overdose. Carl has lived as a transient since his early 20s when his parents were angry at his refusal to ever conform to traditional life. Carl refused all sports and traditional male activities growing up, and during his adolescence had a group of friends who all dressed like females. Carl enjoys behaving like a woman, and in his late 20s underwent an amputation of his penis in a religious ceremony. Carl has lived as a female for more than a decade. Carl has engaged in sex with men, which has resulted in a positive HIV status. Carl's presentation is most consistent with a diagnosis of: a. Gender Dysphoria b. Fetishistic Disorder c. Body Dysmorphic Disorder d. Transvestic Disorder

a. Gender Dysphoria

Rennie is a 10-year-old Hispanic-American boy who was referred to you by his guidance counselor. Rennie's first comments to you are that his favorite activity is playing Barbie and has been since he was 6 and "Why doesn't everybody just get off my back?" He informs you that he is really a girl and the penis is going to go away in a few years and that all will be "good, then." Rennie has no male friends but three very good girl friends. They all play house together and he really likes this because he gets to wear their dresses, of which his parents will buy him none. What is the most likely diagnosis? a. Gender Dysphoria b. Depersonalization/Derealization Disorder c. Transvestic Disorder d. Homosexuality (Not A Disorder)

a. Gender Dysphoria

John was born a healthy baby, but something was different about him that was not present in his three older siblings. At age 3, he told his family that his penis was bad and he wanted it cut off so he could have a vagina. He constantly sneaked into his sister's room and took her Barbie dolls. She gave him one, which he took everywhere. His parents let him choose his toys and had a parenting philosophy of giving a choice. However, John's language about his body and who he is was harsh. John loved to paint, and he painted pictures of himself as a girl dressed in lovely gowns with breasts. When he started school, he came home and cried about having to line up with the boys when separated out by the sexes. By age 8, he still asked when his penis would fall off and his vagina would form. John's presentation is consistent with: a. Gender Dysphoria in Children b. Reactive Attachment Disorder c. Body Dysmorphic Disorder d. Delusional Disorder

a. Gender Dysphoria in Children

A method of diagnosis and assessment most preferred by feminist therapists versus traditional therapists is: a. Gender role analysis b. Lifestyle analysis c. Power analysis d. Analysis of transference and resistance

a. Gender role analysis

Organization consultation can involve a number of different activities, responsibilities, and skills sets on the part of the consultant. Common activities include providing information, analyzing information, diagnosing problems, training, etc. A key skill set a consultant needs in order to conduct any of these activities is: a. Giving and receiving feedback b. Intervention c. Report writing d. Assessment

a. Giving and receiving feedback

It is the psychoanalytic perspective that mature and healthy adults: a. Have happy and well-balanced families b. Exhibit diffused boundaries c. Put their family's benefit first d. Have structured families

a. Have happy and well-balanced families

Satir's view of a healthy family involved: a. Having open sharing of affection, feelings, and love by all members b. Having the parents establish the order in the system c. Responding to positive feedback loops d. Functional alliances between subsystems

a. Having open sharing of affection, feelings, and love by all members

Experiential treatment is designed to: a. Help family members find fulfilling roles for themselves b. Assist family members in establishing appropriate boundaries c. Find a role for each member that works for the entire system d. Identify past solutions and implement new ones

a. Help family members find fulfilling roles for themselves

Narrative family therapists can assist families in challenging a problem's influence on their lives by: a. Helping them view the problem as an external entity they can fight against b. Assisting them in figuring out how the problem started c. Encouraging them to take responsibility for their part of the problem d. Exploring past efforts to solve the current problem

a. Helping them view the problem as an external entity they can fight against

An individual who has a persistent pattern of excessive emotionality and flamboyant attention seeking through the use of physical appearance theatricalities, rapidly shifting emotions and provocative or seductive behavior is consistent with: a. Histrionic Personality Disorder b. Schizoid Personality Disorder c. Narcissistic Personality Disorder d. Borderline Personality Disorder

a. Histrionic Personality Disorder

Elmer was brought to the emergency room when a neighbor heard something collapse. Elmer was found under piles of debris, and emergency crews had to dig through years of collecting. Elmer is fortunate to be alive. Elmer has been going out each night and searching for items, collecting countless amounts of stuff. The weight of the stuff resulted in a portion of his second-floor apartment giving way. Elmer does not understand what all of the attention to his apartment is about, and instead just wants his physical injuries addressed so he can return home. Elmer's presentation is most consistent with: a. Hoarding Disorder, with absent insight/delusional beliefs b. Schizophrenia c. Obsessive-Compulsive Disorder d. Bipolar I Disorder, most recent episode manic

a. Hoarding Disorder, with absent insight/delusional beliefs

According to the MRI model, family rules work to preserve the family's: a. Homeostasis b. Traditions c. Hierarchy d. Patterns

a. Homeostasis

According to Freud, the anal triad consists of all the following characteristics, EXCEPT: a. Hostility b. Stinginess c. Stubbornness d. Orderliness

a. Hostility

Drugs that may cause low blood pressure are referred to as: a. Hypotensive-causing b. Hypoglycemics c. Hypertensives d. Hyperkalemia-causing

a. Hypotensive-causing

The Milan group refers to the assessment process as: a. Hypothesizing b. Joining c. Diagnosing d. Observing

a. Hypothesizing

In the critical component of "able" in motivation, how is the psychodynamic theory of "defense mechanism" expressed? a. If a person becomes alarmed by a discrepancy but perceives no way to change, then something else happens. Instead of changing behavior, people reduce their discomfort by shifting their thought processes and perceptions in a way that is often called "defensive". One needs high importance and high confidence to believe in his/or her ability to change. b. Most psychodynamic theory concepts are not suitable for substance abuse treatment. c. Think of this as the degree of discrepancy between status and goal - what is happening at present and what one values for the future. When the discrepancy is great, there is a perceived importance to change. d. All defense mechanisms must be removed even if by confrontation to help the client reach the point of being able to change.

a. If a person becomes alarmed by a discrepancy but perceives no way to change, then something else happens. Instead of changing behavior, people reduce their discomfort by shifting their thought processes and perceptions in a way that is often called "defensive". One needs high importance and high confidence to believe in his/or her ability to change.

Joanne remembering the picture of her two friends chatting in the playground the previous day, is an example of: a. Imaginal coding b. Visual recall c. Shaping d. Verbal coding

a. Imaginal coding

Experiential family therapists believe that emotional suppression begins: a. In childhood b. In adulthood c. In adolescence d. After marriage

a. In childhood

A 9-year-old needs help at school dealing with poor impulse control. What is your best intervention strategy? a. Increase awareness and give praise when able to demonstrate control, explore alternative ways to express feelings, identify particular behaviors that cause problems, and identify methods to delay response and encourage thinking through various responses b. Consult a physician about medication options, increase understanding of the relationship between negative behaviors and consequences, identify particular behaviors that cause problems, and identify methods to delay response and encourage thinking through various responses c. Consult a physician about medication options, increase awareness of impulsive behaviors, and identify ways to delay the initial response d. Identify the role of anger as a coping mechanism, facilitate taking responsibility for impulsive behavior, and identify antecedents and consequences of angry outbursts

a. Increase awareness and give praise when able to demonstrate control, explore alternative ways to express feelings, identify particular behaviors that cause problems, and identify methods to delay response and encourage thinking through various responses

In the systemic method, the therapist is most often interested in questions that will expose: a. Individual symptoms maintained by family homeostasis b. Family symptoms maintaining family homeostasis c. Individual symptoms maintaining individual homeostasis d. Family symptoms maintained by individual homeostasis

a. Individual symptoms maintained by family homeostasis

When do behavioral schemes develop? a. Infancy b. Late adulthood c. Childhood d. Adulthood

a. Infancy

You are seeing 16-year-old Evan as a school-referral regarding his parents' divorce. You are a behavioral therapist but are having trouble understanding what's driving Evan's behavior. You attempt a solution-focused approach by asking Evan the miracle question. He tells you that things will be different when his parents pay attention to him. Your attention can now shift to: a. Parental reinforcement b. Academic achievement c. Collateral school contact d. Sibling conflict

a. Parental reinforcement

Assuming that an individual can assess a full array of issues, the staff development manager is key to organizational development, offering an important role as an agent of change. What is being assessed when the degree to which employees have the opportunity to make real decisions, their sense of connection to the organizational decision-making process, and their commitment to the organizational course of action are explored? a. Informed choices and personal commitments b. Agency goal alignment c. Relationship of staff activities to agency goals d. Criteria for decision-making

a. Informed choices and personal commitments

The goal of gestalt phenomenological exploration is awareness, or: a. Insight b. Insufficiency c. Dominance d. Perception

a. Insight

A receptionist for a large corporation is fired after nineteen years of service. Although she is suffering from severe depression, she only wants to talk about the importance of her job and what she did and how well she did it. As far as the therapist can determine, feelings are off limits. Which defense mechanism does this scenario best represent? a. Intellectualization b. Regression c. Projection d. Repression

a. Intellectualization

Believing that fear was not a manly emotion, Francis could not admit his feelings about going into battle. Rather than talking about the upcoming fight, he talked about weather and how it could affect the ability of an enemy to fight. Which defense mechanism does this scenario best represent? a. Intellectualization b. Denial c. Regression d. Projection

a. Intellectualization

According to Horney, a child's perception of events, as opposed to the parents' ______, is the key to understanding a person's neurosis. a. Intentions b. Desires c. Dreams d. Hopes

a. Intentions

What did Kohlberg believe is a critical part of the social stimulation that challenges children to change their moral reasoning? a. Interactions with peers b. Interactions with parents c. Interactions with the opposite sex d. Interactions with groups

a. Interactions with peers

Emma is 12 and has been displaying anger outbursts for the past three months. It is not uncommon for her to start yelling profanities at a classmate who may accidentally cut her off in the hallway. She has received two in-school suspensions for writing obscene names in permanent marker on the lockers of classmates who wouldn't sit next to her at lunch. At least twice a week, she has outrageous temper tantrums and screaming matches when her mom doesn't let her do what she wants. Otherwise, she has normal sleep patterns and the ability to concentrate and attend appropriately when in class. What diagnosis is most consistent with this scenario? a. Intermittent Explosive Disorder b. Disinhibited Social Engagement Disorder c. Oppositional Defiant Disorder d. Adjustment Disorder, with Disturbance of Conduct

a. Intermittent Explosive Disorder

Eric is 30 and has a long history of recurrent aggressive outbursts, including physical aggression. Eric is easily set off and has been this way for as long as anyone can remember. Eric's tirades rarely result in injury, but he has on occasion broken things, like last week when he shattered a neighbor's window after the neighbor refused to allow Eric to join in a poker game. Nothing Eric does seems to be pre-meditated, but his responses are always out of proportioned to what has occurred. Eric's presentation is consistent with: a. Intermittent Explosive Disorder b. Antisocial Personality Disorder c. Oppositional Defiant Disorder d. Conduct Disorder

a. Intermittent Explosive Disorder

The DSM-5 defines "copropraxia" as: a. Involuntary display of sexual or obscene gestures b. Imitation of someone else's movements c. Repeating the last-heard word or phrase d. Uttering socially unacceptable words

a. Involuntary display of sexual or obscene gestures

What is the first procedure in the process of reality therapy? a. Involvement b. Commitment to the plan c. Rejection of unrealistic behavior d. Planning possible successful behavior

a. Involvement

According to communications theory, the command of a message: a. Is a statement about the relationship b. Only conveys information c. Explains the process d. Provides the content

a. Is a statement about the relationship

A woman calls you and shares that she is having trouble with her daughter. As a feminist therapist, working with two women who are part of the same family: a. Is about each one's role, place, and perceived power b. Isn't possible, since there is no male influence to diffuse the two c. Will never work out, since there are unspoken rules d. Won't work without feedback from the grandmother

a. Is about each one's role, place, and perceived power

Which is FALSE in regard to Alateen? a. Is part of the Alcoholics Anonymous fellowship but designed for females only b. They also follow the same Twelve Steps and Twelve Traditions principles c. Members conduct their own meetings d. Each group has an active adult Al-Anon sponsor

a. Is part of the Alcoholics Anonymous fellowship but designed for females only

Eight-year-old Manuel's father is in prison for sexually abusing him. Manuel has been losing his temper and hitting other children. Why does his therapist let him model with clay during sessions? a. It helps him ventilate his anger b. It teaches him to dissociate c. It keeps him from hitting the therapist d. Everything else has failed

a. It helps him ventilate his anger

Jane recalls feeling frightened by her older brother locking her in a dark closet when she was five years old. According to Adler, these events are significant as related to: a. Jane's perceptions of what happened to her b. How Jane's brother felt when he locked her in the closet c. Why Jane's brother locked her in the closet d. What actually happened to Jane

a. Jane's perceptions of what happened to her

Requests for consultee-centered case consultation are typically made due to one of which four reasons listed? a. Lack of knowledge, lack of skill, lack of self-confidence, lack of professional objectivity b. Lack of knowledge, lack of time, lack of skill, lack of resources c. Lack of training, lack of resources, lack of professional objectivity, lack of self-confidence d. Lack of resources, lack of time, lack of knowledge, lack of self-confidence

a. Lack of knowledge, lack of skill, lack of self-confidence, lack of professional objectivity

A woman enters therapy for marital dissatisfaction. Her older adult husband refuses to attend. The woman exclaims that her husband is "so narcissistic!" The therapist realizes that: a. Laymen frequently use the word narcissistic to mean selfish, self-centered or even self-confident b. Elderly men seldom have Narcissistic Personality Disorder c. The man likely has Narcissistic Personality Disorder d. The woman likely feels insecure and her husband's confident behavior worsens her feelings about herself

a. Laymen frequently use the word narcissistic to mean selfish, self-centered or even self-confident

A training technique available to a supervisor in relaying information to a supervisee or supervisee group, such as the presentation of one-way communication of interpreted information for dissemination, is known as: a. Lecture b. Programmed instruction c. Use of aids or devices d. Dissemination

a. Lecture

Knowledge, what we think we know or might know, is a. Linguistically constructed b. Independent c. The key to the truth d. The solution to all problems

a. Linguistically constructed

According to Maslow, ______ is NOT a physiological need. a. Love b. Water c. Air d. Sleep

a. Love

Who was the first to attempt to bring existential insights to his work with patients in the Kreuzlingen sanatorium where he was a psychiatrist? a. Ludwig Binswanger b. Kierkegaard c. Yalom d. Perls

a. Ludwig Binswanger

Seeing a therapist who subscribes to the MRI methodology might be difficult at first for parents who want their children's behavior to change because: a. MRI does not focus on behavior; rather, it focuses on how we communicate b. The parents are not as open to examining themselves c. MRI focuses on behavior changes, but it is not a short-term process d. The behavior is becoming worse with time

a. MRI does not focus on behavior; rather, it focuses on how we communicate

Mikey thinks that in order for a community to work effectively, it needs to be protected by laws that are adhered to by its members. What stage of moral reasoning is Mikey in? a. Maintaining social order b. Obedience and punishment c. Universal ethical principles d. Social contract and individual rights

a. Maintaining social order

According to Horney, another way to deal with insecurities and anxiety is to try to force your power onto others in hopes of feeling good about yourself. Horney called this approach: a. Moving against people b. Moving around people c. Moving toward people d. Moving with people

a. Moving against people

According to Heinz Kohut's self psychology, the needs to exhibit the grandiose self and the idealized parent image are called: a. Narcissistic needs b. Sadistic needs c. Self-esteem needs d. Masochistic needs

a. Narcissistic needs

Milan systemic therapists consider the family system to be a: a. Network of interconnected relationships b. Group of people working toward the same goal c. Network of people sharing emotional and behavioral responses d. System based on communication and boundaries

a. Network of interconnected relationships

______ is considered one of the major therapeutic approaches, along with psychoanalytic and cognitive behavioral therapy. a. Person-centered therapy b. Physical therapy c. Gestalt therapy d. Existential therapy

a. Person-centered therapy

School social workers were prohibited from discussing birth control with any students. Mid-year, the social workers were required to offer information on birth control to all students seeking social work services. This is an example of what? a. Policy change, altering restrictions on information b. Change in the law dictating what can and cannot be given to minors c. Parent protest d. Student protest

a. Policy change, altering restrictions on information

A social worker has completed an evaluation assessment on a client who was brutally raped two years ago. The client never told anyone about the rape and blamed herself for the incident. The client reports having recurring nightmares about the rape and not being able to prevent it from happening again. She reports being afraid to travel home from work at night and fears being alone. What is the most likely diagnosis? a. Post Traumatic Stress Disorder b. Social Anxiety Disorder c. Major Depression d. Adjustment Disorder

a. Post Traumatic Stress Disorder

Jim fell out of a tree at age four, injuring himself and requiring a week-long hospital stay. An active boy, Jim could not be kept down. He climbed onto the roof, trees, cabinets, and anything else he could get his feet onto. Around his fifth birthday, Jim stopped climbing. He started having extreme temper tantrums and would startle when the car would hit a bump or have any form of up and down movement. His friends would ask him to climb with them because he was the cool brave one. Jim always said no. When Jim's friends would come by to play, he stopped going out, instead hiding under his bed and sounding as if there was a bear eating him alive. Jim took up playing with action figures, and now he often re-enacts various scenes in which one of the figures falls from an airplane and dies. Jim will then bury the figure, holding a memorial service with music and dancing. Jim's symptoms are consistent with: a. Post-Traumatic Stress Disorder for Children Six Years and Younger b. Agoraphobia c. Social Anxiety Disorder (Social Phobia) d. Post-Traumatic Stress Disorder, with dissociative symptoms

a. Post-Traumatic Stress Disorder for Children Six Years and Younger

Tony deployed to Iraq four times in his six years in the service. He loved his job and received many commendations for his performance under fire. When his enlistment was up, he took a job in the family business, 4th generation to serve his country and 4th generation in the family business. Life was good. About a year into his new life, he began to be irritable all of the time and found he had little temperament for "stupid people." His new wife did not understand why he would not sleep with her in the same bed, instead opting for roaming the house most of the night, checking and rechecking doors and windows. His uncles noticed a change as well, when Tony stopped playing darts with them after work and the practical jokes ceased being funny to Tony. Tony seemed to detach himself from all things and all people. One day, an uncle asked Tony about his time in the service. Tony changed the subject. His uncle again asked about one of the service medals, and Tony mumbled something and left to go out on a service call. Sometimes Tony wonders if he ever really came home, such as times when he is driving and sees things on the side of the road. Tony's symptoms are most consistent with: a. Post-Traumatic Stress Disorder, with delayed expression b. Post-Traumatic Stress Disorder, with dissociative symptoms c. Major Depressive Disorder d. Acute Stress Disorder

a. Post-Traumatic Stress Disorder, with delayed expression

Paul is 30-year-old and has never had any significant relationship in which he was able to have successful intercourse, with penetration that lasted longer than one minute. Paul's first relationship began with awkward intercourse, which he believed would improve. It did not. Paul engaged in a series of one-night stands but then attributed his inability to delay orgasm to the newness of the circumstance. Paul is now in a relationship he desires to maintain but fears his inability to delay orgasm beyond 60 seconds, causing him great distress. Paul's presentation is consistent with: a. Premature (Early) Ejaculation, lifelong, mild b. Premature (Early) Ejaculation, lifelong, moderate c. Premature (Early) Ejaculation, acquired, moderate d. Premature (Early) Ejaculation, acquired, severe

a. Premature (Early) Ejaculation, lifelong, mild

Milan systemic therapists avoid stating that specific family members are benefiting from a particular symptom in order to: a. Prevent resistance to therapy b. Promote harmony during sessions c. Allow for personal responsibility d. Prevent boundary issues from presenting

a. Prevent resistance to therapy

In the DSM-5, which represents the level of diagnostic certainty that must be specified when denoting the etiology of Major Neurocognitive Disorder Due to Alzheimer's Disease? a. Probable or Possible b. With or without Delirium c. With or without Behavioral Disturbance d. Mild, Moderate, or Severe

a. Probable or Possible

______ is a confusion of self and other that results from attributing to the outside something that is truly self. a. Projection b. Deflection c. introjection d. Retroflection

a. Projection

Which is commonly prescribed to an individual with Schizophrenia? a. Prolixin b. Demurral c. Seconal d. Parnate

a. Prolixin

A woman comes to see you for a mental health evaluation, as she is seeking a second opinon. She was told by a previous therapist that she may have a Bipolar spectrum disorder, but she disagrees. The diagnosis was made after going into a psychiatric hospital after suffering a nervous breakdown at work. The FIRST thing the social worker should do is: a. Provide the woman with psycho-education about the disorder b. Assist the client with identify social supports for the child c. Complete a thorough BioPsychoSocial Assessment d. Refer the client to a support group for individuals who have Bipolar Spectrum Disorder

a. Provide the woman with psycho-education about the disorder

The presence of psychiatric symptoms for a significant period of time following intoxication or withdrawal suggests that the: a. Psychopathology is primary b. Substance use disorder is primary c. Disorders share a common set of risk factors d. Psychopathology and substance use disorder are both equivalent

a. Psychopathology is primary

Which is NOT an example of a personal service benefit offered through a social welfare institution? a. Public housing b. Alcohol rehabilitation c. Family counseling d. Education

a. Public housing

Matt set a fire in his warehouse to cover up an ongoing criminal endeavor involving money laundering. What diagnosis may be ruled out? a. Pyromania b. Antisocial Personality Disorder c. Conduct Disorder d. Bipolar Disorder

a. Pyromania

When a person experiences tension or affective arousal prior to fire-setting, that person would most likely be diagnosed with: a. Pyromania b. Kleptomania c. Trichotillomania d. Oppositional Defiant Disorder

a. Pyromania

There are a number of ways consultants and collaborators can minimize problems during disengagement. These do NOT include: a. Reducing involvement quickly so no further time is taken b. Accurately timing the initiation of the termination process c. Developing a formal termination plan d. Planning a formal time for termination

a. Reducing involvement quickly so no further time is taken

Mr. and Mrs. Ortiz bring their 9-year-old son, Mickey, in to see you regarding his recent bed wetting. Mr. and Mrs. Ortiz tell you that Mickey never used to wet the bed, but it's happened every night for the last month. Mickey's parents can't think of any other changes in how their son has been acting or feeling. What is the first thing that you should do? a. Refer Mickey for a medical evaluation to find out if there is a physiological cause b. Complete a thorough family intake to find out if this has happened with Mickey's siblings c. Refer Mickey for a psychiatric evaluation so you can understand his deeper issues d. Suggest that Mickey's parents use the "bell-and-pad" technique to cure Mickey's bed wetting

a. Refer Mickey for a medical evaluation to find out if there is a physiological cause

Your client has decided to get a divorce, but she cannot afford an attorney. How do you help her? a. Refer her to the Legal Aid Society b. Tell her to hire a paralegal c. Call attorneys and ask them if they will provide free legal help d. Stop charging her a fee for your services

a. Refer her to the Legal Aid Society

A client says, "If I had lost just my fingers in the accident, I could still be functional. But the fact that I am blind and in constant pain makes things unbearable." The therapist replies, "What I hear you saying is that you are currently in pain and you feel like you can't stand it anymore. Is that right?" The therapist's response is considered a(n): a. Reflection of feeling b. Encourager c. Paraphrase d. Summarization

a. Reflection of feeling

After time passes with the termination of an employee, what steps, if any, should be taken to ensure administrative safeguards under HIPAA? a. Review of suspended computer accounts for any attempted activity b. Review of activity reports for activity by the terminated staff member c. Train all computer users on adequate security measures d. Change locks and access combinations to doors and offices

a. Review of suspended computer accounts for any attempted activity

A client who exhibits recurrent substance use in situations where it is physically hazardous, such as drunk driving, would be categorized into which type of substance use disorder diagnostic grouping? a. Risky use b. Impaired control c. Pharmacological d. Social impairment

a. Risky use

Clients who tell you they continue to use heroin despite the effects it has on their mood are exhibiting which substance use disorder grouping? a. Risky use b. Pharmacological c. Impaired control d. Social impairment

a. Risky use

A teenager argues with his mother about his curfew. The mother reacts by grounding him. He in turn runs away and stays at a friend's house. Instructing the mother to respond differently by acting disappointed and sad around her son to imply she has given up on trying to control him in order to create a shift in the son's perception from feeling trapped by his mother to feeling concerned about her and changing the interactions between mother and son would be an intervention related to: a. Second-order change b. Insightful change c. Insignificant change d. First-order change

a. Second-order change

One of the key elements of HIPAA is the standardization and increase of ______ and ______ as it relates to health care data. a. Security, confidentiality b. Privacy, boundaries c. Transmittal, billing claims d. Background, information

a. Security, confidentiality

Stacy is in the fourth grade. Her parents are concerned because she has suddenly began to worry constantly about losing them. She has recurrent nightmares, refuses to do sleepovers with friends or at her grandparents, and complains of stomachaches when it is time to leave for school. This has been going on for five months. Stacy's grades have gone down, and she doesn't play with many friends anymore. What diagnosis is most consistent with Stacy's scenario? a. Separation Anxiety Disorder b. Social Anxiety Disorder c. Adjustment Disorder with Anxious Mood d. Reactive Attachment Disorder

a. Separation Anxiety Disorder

In the final stage of object relations treatment strategy, the client deals with which issue? a. Separation-individuation b. Triangulation c. Confrontation d. Manipulation

a. Separation-individuation

Which term integrates the idea that our interaction with others co-creates our reality? a. Social constructivism b. Collaboration c. Perception d. Empathy

a. Social constructivism

"Why are you saying that? How did you choose these assumptions? What would happen if...? How do you know this? What would happen then? What was the point of asking that question?" These questions are all examples of questions that can be used when engaging in which cognitive-behavioral family therapy technique? a. Socratic dialogue b. Role play c. Paradoxical injunction d. Pretend technique

a. Socratic dialogue

What has research shown to be crucial to success in Emotionally Focused Therapy as a couple moves forward in therapy? a. Softening events b. Positive verbal support c. Positive conflict resolution d. Dynamic positive regard

a. Softening events

Older adults tend to _________ their depressive symptoms. a. Somaticize b. Discuss c. Identify d. Complain about

a. Somaticize

Ann fears driving over large bridges, which is problematic as she has to navigate a major waterway to get to work. Ann has turned down higher paying jobs because she would be unable to reliably take the ferry. When Ann is not able to take the ferry and has to drive the bridge, her arms go numb, she becomes dizzy, and time moves into slow motion. The anxiety is overwhelming. Ann's symptoms are most consistent with: a. Specific Phobia b. Agoraphobia c. Unspecified Anxiety Disorder d. Panic Disorder

a. Specific Phobia

John started using cocaine at a party in college four years ago. He loved the high and the amazing way it made him feel. Over the next few months, he found it easier to study, he lost the extra 50 pounds he carried throughout his adolescence, and he became "popular." When the next semester started, things began to change. John could not keep up with his studies, friends began to peel away, and John began to spend more time focused on getting his "fix" than on school. John dropped out and got a job at a local factory. That did not last because the factory did drug testing. John beat the initial test because he knew it was coming and knew how to alter the results, but once working he could not predict when he would be called upon for random screening. His family refers John for treatment as a condition of moving home. What diagnosis is consistent with his presentation? a. Stimulant Use Disorder b. Stimulant Dependence c. Stimulant Abuse d. Drug experimentation phase

a. Stimulant Use Disorder

Tommy was extremely aggressive as a child and was constantly getting into trouble in school. A school resource officer talked him into learning boxing at the YMCA. He went on to be an Olympic contender and was very successful in his adult endeavors. Which defense mechanism does this scenario best represent? a. Sublimation b. Regression c. Intellectualization d. Projection

a. Sublimation

Which is an example of the tomorrow question used in solution-focused therapy? a. Suppose you achieved all your hopes overnight. What would you be doing tomorrow? b. Your tomorrow is both created and negotiable, so what do you intend to do about it? c. If you listen to your past, it will list every mistake you made, so how do you plan to live your tomorrow so this does not continue? d. You have lived your past with no plans, which has been detrimental to your life, so how do you plan to live your tomorrow?

a. Suppose you achieved all your hopes overnight. What would you be doing tomorrow?

The timing of an "intervention" with an alcoholic family member is an important factor to consider. When choosing a time to address problem drinking, a good guideline would be to: a. Talk with the drinker shortly after an alcohol-related problem has occurred b. Talk to the drinker by first making a "threat" in order to get his/her full attention c. Talk with the drinker while out to dinner d. Talk with the drinker while the offensive behavior is taking place

a. Talk with the drinker shortly after an alcohol-related problem has occurred

It is 2:00 AM and the brother who is addicted to alcohol comes home intoxicated. After several attempts to get his key in the door, he gives up. In an attempt to not alert the rest of the family of his condition (by ringing the door bell), he decides to go to sleep on a lounge chair on the back patio. If the alcoholic's mother waits for him to wake up in the morning, then scolds or ridicules him, she is playing the enabling role of: a. The Provoker b. The Rescuer c. The Enabler d. The Martyr

a. The Provoker

What is a counselor required to include at the end of each documentation note? a. The counselor's signature and credentials b. The counselor's signature and printed name c. The counselor's initials and credentials d. The counselor's signature and date

a. The counselor's signature and credentials

When referring to primary emotions, emotionally-focused therapists mean: a. The feelings accessed during therapy b. Being able to concentrate on how affect is manipulated c. Looking into expressions of secondary emotions d. Defenses that are used to protect more authentic emotions

a. The feelings accessed during therapy

Which best describes the contemplation stage in the stages of change model? a. The person acknowledges that he/or she has a problem and begins to think seriously about solving it b. Clients are either unaware of problem behavior or are unwilling/discouraged when it comes to changing it c. The client has already taken action to change problem behavior d. The person is ready to change in the near future and is on the verge of taking action

a. The person acknowledges that he/or she has a problem and begins to think seriously about solving it

Which term did Bowen use early on to describe emotional fusion in the family, especially frequent in schizophrenic families? a. Undifferentiated family ego mass b. Schizophrenic family fusion c. Anxious fusion attachment d. Emotional reactivity mass

a. Undifferentiated family ego mass

What are two key predictors of Emotionally Focused Therapy being successful? a. The quality of the therapeutic alliance and the partner believing that his/or her partner still cares for him/or her b. The income and education levels of the couple c. The ability of the therapist to provide a safe environment during therapy and the education of the partners d. Whether or not the couple is still intimate with each other and the quality of the therapeutic alliance

a. The quality of the therapeutic alliance and the partner believing that his/or her partner still cares for him/or her

Which is NOT one of the three steps of the phenomenological method: a. The rule of virtualization b. The rule of description c. The rule of horizontalization d. The rule of epoch

a. The rule of virtualization

When therapy is finished and the termination is mutually agreed upon, which should NOT be documented? a. The therapist's personal opinions about the client b. Any continuity of care needs and plans c. The reasons for termination d. The client's reaction to the ending

a. The therapist's personal opinions about the client

Narrative therapists believe in taking a "not knowing" stance, meaning: a. Therapists should not take on an expert role with respect to clients' lives b. Narrative therapy can take months before minimal progress is made c. Clients are solely responsible for the therapeutic process d. Therapists often have difficulty figuring out how clients have come to construct their narratives

a. Therapists should not take on an expert role with respect to clients' lives

What occurs in the "action stage" of the stages of change model? a. This is the time when people most overtly modify their behavior. They make the move and implement the plan for which they have been preparing. This stage requires the greatest commitment of time and energy. b. Individuals in this stage of change need to develop a plan that will work for them. Then they need to make firm commitments to follow through on the action they choose. c. Information is shared about the behavior problem and feedback on its effect in the client's life. d. The person acknowledges that he/or she has a problem and begins to think seriously about solving it.

a. This is the time when people most overtly modify their behavior. They make the move and implement the plan for which they have been preparing. This stage requires the greatest commitment of time and energy.

Following the Theory X approach to Human Resource Management or Supervision, which would be the most consistent action in terms of punishment or correction on the job? a. Threaten to terminate the worker for not meeting job expectations or responsibilities, based on the assumption the worker inherently does not want to comply with job correction and must be forced or coerced to do so b. Threaten to terminate the worker for not meeting job expectations or responsibilities, based on the assumption the worker inherently does want to comply, but senior organizational management will be more satisfied knowing middle and lower management is taking full charge c. Express disappointment in failure of the employee to meet job expectations or responsibilities, appealing to worker self-esteem, because of the belief the worker has an inherent desire to achieve, regardless of external job events d. Express disappointment in the failure of the employee to meet job expectations or responsibilities, because of the belief the worker does not have an inherent desire to achieve, but current law and political correctness will not allow more coercive or direct action to motivate the worker

a. Threaten to terminate the worker for not meeting job expectations or responsibilities, based on the assumption the worker inherently does not want to comply with job correction and must be forced or coerced to do so

An administrative consultant must have an understanding of organizational administration theory and planning and organizational financial management. The main goal of administrative program consultation is: a. To develop an action plan that can be implemented by the organization to resolve the administrative problem that initiated consultation b. To evaluate a program's success with an appropriate measure c. To improve communication between members of a group or between administration and staff d. To assist the overall functioning of members of an administrative staff and to look for and remove barriers to consultee functioning

a. To develop an action plan that can be implemented by the organization to resolve the administrative problem that initiated consultation

Jill tells her social worker that she reminds Jill of a teacher she had in high school who influenced her decision to pursue her dreams, and she greatly appreciates the social worker's help in freeing her from the imprisonment she has felt over the past few years in her marriage. This is BEST an example of: a. Transference b. Delusional projection c. Idealization d. Sublimation

a. Transference

Ben is referred by his surgeon after emergency removal of a large hair mass from his intestines. Ben has no visible hair on his arms or chest, though because he is wearing shorts, it is apparent he has exceptionally hairy legs. His wife reports observing him pulling the hair from his arms and chest when not engaged in something active, followed by ingesting the hair. This practice led to a life-threatening condition, requiring surgical attention. Ben admits to being a "nervous-type" since he can remember. He finds relief from tension when pulling hair from his arms and chest, a practice that began when peers made fun of the amount of hair on his body. He feels he cannot control the behavior and is ashamed of it. Ben's presentation is consistent with: a. Trichotillomania b. Excoriation Disorder c. Body Dysmorphic Disorder d. Factitious Disorder

a. Trichotillomania

Decisions about who the therapist should side with are based on clinical judgment and: a. Who has been harmed the most in the past and is unable to fully speak for themselves or defend themselves in response to what others may communicate to them b. Who the therapist likes the most c. Who the therapist believes is right d. Previous experiences with family

a. Who has been harmed the most in the past and is unable to fully speak for themselves or defend themselves in response to what others may communicate to them

Which academic domain is NOT coded as part of Specific Learning Disorder? a. With impairment in special relations b. With impairment in reading c. With impairment in mathematics d. With impairment in written expression

a. With impairment in special relations

The theory of person-centered therapy suggests any client, no matter what the problem, can improve: a. Without being taught anything specific b. After being taught anything specific c. Their self-esteem d. Their goals

a. Without being taught anything specific

From a macro social work perspective, the answer to undocumented workers' inability to access a living wage and access to needed services is: a. Workforce policies removing negative impacts on employees, providing for an adequate minimum wage, and removal of barriers to needed services for full and fair access to all people b. Sanctuary cities with increased funding for services targeted to illegal immigrants c. Implementation of comprehensive job training d. Orderly return to countries of origin for organized and planned re-entry, allowing for maximum safety of citizens and health screening

a. Workforce policies removing negative impacts on employees, providing for an adequate minimum wage, and removal of barriers to needed services for full and fair access to all people

According to Sullivan, physical activities involved with eating, sex, drinking, etc,. are grouped into: a. Zonal dynamisms b. Basic activities c. Basic impulses d. Zonal needs

a. Zonal dynamisms

A client catches you in mid-sentence and asks you a question totally off the subject. He wants to know if you have any grandchildren. If you are interested in helping the client develop insight into his interpersonal and intrapersonal dynamics, your best response might be: a. "Why did you change the subject?" b. "I'm curious. Why are you interested if I have grandchildren?" c. "You know, I keep my personal life separate from my professional life." d. "Do you have grandchildren?"

b. "I'm curious. Why are you interested if I have grandchildren?"

What is the duration of symptoms required for a child with Major Depressive Disorder? a. 1 year b. 2 weeks c. 1 month d. 1 week

b. 2 weeks

Following an initial panic attack, what is the minimum duration of worry or maladaptive behavioral change required for a diagnosis of Panic Disorder? a. Six months b. 30 days c. 12 months d. Three months

b. 30 days

The necessity of having informed consent would NOT be suspended if: a. A client is psychotic b. A client arrives for court-ordered treatment c. A client has been declared incompetent d. A client explicitly rejects his or her right to informed consent

b. A client arrives for court-ordered treatment

There are four parts of an emotional experience. What are some examples of a trigger? a. Blushing, paleness, quivering lips, tears, and avoiding eye contact b. A layoff, threat of divorce, lying, a birth, harsh criticism, and expressions of deep vulnerability c. Anger, fear, joy, love, sadness, and surprise d. Freeze, flight, fight, and fright

b. A layoff, threat of divorce, lying, a birth, harsh criticism, and expressions of deep vulnerability

Which is true of Schizoaffective Disorder? a. Duration of symptoms must be at least one week b. A major mood episode must be present for the majority of the illness concurrent with Criterion A of Schizophrenia c. Diagnostic criteria is identical to Schizophrenia but the duration is shorter than required for Schizophrenia d. It is directly linked with Major Depressive Disorder

b. A major mood episode must be present for the majority of the illness concurrent with Criterion A of Schizophrenia

According to Transactional Analysis, what is a contamination called when it comes from the parent? a. An assumption b. A prejudice c. A stereotype d. A delusion

b. A prejudice

The DSM-5 defines "narcolepsy" as: a. A disorder where there is an extreme preoccupation with self, personal preferences, aspirations, needs, and success b. A sleep disorder characterized by periods of extreme drowsiness and frequent daytime sleep attacks c. Involuntary rhythmic movements of the eyes that consist of small amplitude rapid tremors in one direction and a larger, slower, recurrent sweep in the opposite direction d. A sleep disorder with the predominant complaint of dissatisfaction with sleep quantity or quality

b. A sleep disorder characterized by periods of extreme drowsiness and frequent daytime sleep attacks

Bob and Sue moved into a neighborhood with a high crime rate. Daily they hear about burglaries, robberies, or assaults. Gang activity is high, and drugs are a problem. Sue has begun to have gastrointestinal difficulties and is nervous all of the time. She avoids going outside, and sometimes avoids being near the windows. She is jumpy and finds herself constantly scanning the environment for potential danger. Sue's symptoms are consistent with: a. Adjustment Disorder, with mixed anxiety and depressed mood b. Adjustment Disorder, with anxiety c. Posttraumatic Stress Disorder d. Agoraphobia

b. Adjustment Disorder, with anxiety

About three months ago, Gerald walked into his home after work to find someone had broken in and stolen his electronics, cash, and other personal items. Gerald replays the moment at which he walked into his home many times each day. He is constantly worried about what he will find when he arrives home, and often avoids going home altogether. He has nightmares and finds he cannot remain asleep for any extended period. He is vigilant about ensuring his home is locked and secured, and worries about bringing anyone to his home, fearing he may put them in danger. Gerald's symptoms are most consistent with: a. Post-Traumatic Stress Disorder b. Adjustment Disorder, with anxious mood c. Acute Stress Disorder d. Generalized Anxiety Disorder

b. Adjustment Disorder, with anxious mood

In-home therapy has shown to be effective for which types of clients? a. Depressed teenagers b. Adolescent mothers c. Antisocial elementary school children d. ADHD preschoolers

b. Adolescent mothers

Unlike other family therapy approaches, experiential therapy: a. Uses empirically proven techniques during treatment b. Emphasizes the individual rather than the family as a whole c. Seeks to re-establish balance in the entire system d. Puts importance on the structure of the system

b. Emphasizes the individual rather than the family as a whole

Marty is a graduate with a journalism major who struggles with his weight. He is admitted to the hospital with confusion, difficulty concentrating, impaired kidney function, and a multi-year history of erratic eating behaviors that began when he was preparing for final exams his sophomore year of college. He found that his appearance on camera seemed to make him look heavier. In the competitive world, he worked to have an edge in all areas. He skipped meals, which initially helped him concentrate more effectively. Being in charge of his weight made him feel worthy and in control. Now he just feels worthless. He sees himself as fat though he is underweight. Marty's symptoms are consistent with: a. Anorexia Nervosa, binge-eating/purging type b. Anorexia Nervosa, restricting type c. Bulimia Nervosa d. Avoidant/Restrictive Food Intake Disorder

b. Anorexia Nervosa, restricting type

Dave is diagnosed with Bipolar I Disorder. He is currently experiencing tension, restlessness, trepidation about something bad happening, and difficulty attending to life because he fears he may lose control at any moment. Dave's symptoms are consistent with the qualifier: a. Rapid cycling b. Anxious distress c. Melancholic features d. Mixed features

b. Anxious distress

Psychoanalytic family therapists believe that change occurs: a. Through strategic manipulation b. As a result of increased understanding and awareness c. When behavioral manipulations are at work d. When the structure in a family system is rearranged

b. As a result of increased understanding and awareness

Which statement regarding client/therapist communication is FALSE? a. A therapist can assess developmental levels by talking with the client b. Assessment of developmental levels is necessary to working effectively with the client c. The therapist's goal is to help the client maximize his or her potential d. Each cultural group will have distinctive developmental goals

b. Assessment of developmental levels is necessary to working effectively with the client

It is important for family members to seek treatment for alcoholism as research has shown that female children of alcoholics are: a. At increased risk of not being in any type of adult relationship b. At increased risk of being in an adult relationship with an addict c. At a slightly higher risk of being in an adult relationship with an addict d. At a lower risk of being in an adult relationship with an addict than male children of alcoholics

b. At increased risk of being in an adult relationship with an addict

What is the second stage of Erikson's developmental theory? a. Trust vs. mistrust b. Autonomy vs. shame and doubt c. Initiative vs. guilt d. Industry vs. inferiority

b. Autonomy vs. shame and doubt

The major cause of injury to women is: a. Athletic injuries b. Battering c. Household accidents d. Traffic accidents

b. Battering

Mary is an intern who sees children involved with Child Protective Services. Her supervisor, John, has noticed a pattern of a complete void of emotion when Mary provides information on cases, especially when providing details on intensely sad or graphic elements of her clients' histories. She rarely asks for assistance and says things are going "well." John is concerned about Mary's lack of emotional response, believing she may be experiencing burnout or that she may have some counter-transference issues. His BEST approach is to: a. Reframe her lack of emotional response b. Be direct in expressing his concerns c. Ask what positive elements are present in the cases and how she can benefit from those d. Refer her for psychotherapy

b. Be direct in expressing his concerns

In the reversal technique, the client is asked to: a. Take on behaviors of another group member b. Become a side of themselves they rarely or never express because they don't want to accept it c. Change roles with their partner d. Play the role of their parent

b. Become a side of themselves they rarely or never express because they don't want to accept it

In gestalt therapy, assuming responsibility for whatever we experience and do involves: a. Recognizing the impact that others have on our feelings b. Becoming aware of every experience, and seeing how we attach meaning to it c. Looking to others for support d. Maintaining a conscious awareness of others' expectations of us

b. Becoming aware of every experience, and seeing how we attach meaning to it

Sullivan believed psychiatry is the study of what goes on: a. During therapy b. Between people c. Inside your brain d. Between therapist and client

b. Between people

Jackie presented with the complaint, 'My eating is out of control.' Jackie is 35 and has a Body Mass Index of 30. She has been overweight most of her life. She recalls feeling out of control with food since being a young girl. Jackie's mother put her on strict diets. When a stressor hit, Jackie ate for comfort, feeling no sense of control in what she ate. Today a typical episode of out of control eating consists of: a small salad, two pieces of chicken, two slices of pizza, a plate of cheese nachos, 10 baby carrots, chocolate chips, a two-liter bottle of soda, and 12 cookies. After eating, Jackie is depressed and disgusted with her lack of control. Jackie believes being singled out by her family as a child contributes to her shame. Jackie says she binges 4-5 times each week and fears she will never be able to stop. Her diagnosis is consistent with: a. Binge-eating Disorder, severe b. Binge-eating Disorder, moderate c. Bulimia Nervosa, moderate d. Bulimia Nervosa, severe

b. Binge-eating Disorder, moderate

George's mood is elevated, and he has numerous grand plans for the week. However, he cannot seem to get organized. He figures with his energy spiraling upward, it is time to make another go at getting things done. He begins to clean out the garage, only to be drawn into the hundreds of different types of screws in a bucket. George shifts and begins to clean out the attic, but feels compelled to get all of the cobwebs cleared before being able to continue. He starts working on the pantry, his movie collection, email sorting, and stacks of books and magazines dating back over 10 years. He works night and day, but nothing seemed to get completed, making him even more irritated. George feels pressured to get things done when he is feeling good because he knows there will be a crash in which he will feel overwhelmed with sadness, be unable to concentrate, be fatigued, struggle just to get up each day, never feel rested, and take no pleasure in anything for up to a month. At least, he believes this because it has been the pattern for the past several years. This is his third "high" this year, lasting about five days each, with two "downers" occurring in the same time frame. George's diagnosis is consistent with: a. Bipolar II Disorder, most recent episode mixed, with melancholic features b. Bipolar II Disorder, current episode hypomanic, with rapid cycling c. Bipolar I Disorder, most recent episode mixed, with atypical features d. Bipolar I Disorder, current episode manic, with rapid cycling

b. Bipolar II Disorder, current episode hypomanic, with rapid cycling

By bringing early past recollections to the surface, an Adlerian therapist hopes to: a. See through a client's mindset b. Bring unconscious conflicts to the surface c. Trace intergenerational trauma d. Understand the client's motivations

b. Bring unconscious conflicts to the surface

Operant conditioning is often used in behavioral family therapy, and it's proven to be effective with children because: a. Children are receptive to punishment b. Caregivers usually have control over reinforcements and punishments c. It improves communication between children and caregivers d. It strengthens the bond between family members

b. Caregivers usually have control over reinforcements and punishments

A woman who believes she must be a housewife or only work part-time in order to be successful or have meaningful relationships comes to see you for therapy. Given your exposure to feminist therapy, you are able to share with her some history of gender roles and encourage her to: a. Find another female voice she can turn to for support b. Challenge the assumptions about the roles of women c. Expose reasons men decide to involve themselves in her business d. Understand the role that men play in her current state of being

b. Challenge the assumptions about the roles of women

In treating psychotic families, the purpose of the invariant prescription is to: a. Extend the time between sessions b. Change interactional sequences and disrupt the status quo of interactions in the family c. Encourage clients to do the opposite of what they are thinking d. Vary the ways in which clients can engage in different behaviors

b. Change interactional sequences and disrupt the status quo of interactions in the family

Which book first described the MRI brief therapy model? a. The Art of Strategic Therapy b. Change: Principles of Problem Formation and Problem Resolution c. Family Kaleidoscope d. Family Therapy in Clinical Practice

b. Change: Principles of Problem Formation and Problem Resolution

Which of the following clients is reality therapy NOT generally applied to? a. Chronic mental hospital patients b. Children with irrational fears c. Disturbed children in the school classroom d. Juvenile delinquents

b. Children with irrational fears

Through the use of ______, therapists can help clients to decenter by assisting them in seeing themselves in a relational context. a. Ordeals b. Circular questions c. Circular causality d. Paradoxical injunction

b. Circular questions

Crystal had never tried any street drugs, but the events of the past month left her desperate to not feel her life. She decided to go to a party and forget her troubles. Crystal began to snort cocaine and found she liked it. She partied for two days. Over the course of the two days, she became irritable, compulsively sexual, and certain she could now overcome not only the troubles in her life, but also troubles in anyone else's life. Crystal was up for over a week, sleeping for less than three out of 24 hours. She tripped over her words as she tried to explain ideas she had for self-improvement, opening a business, and leaving her current relationship. At age 27, Crystal had lived a normal life, completing high school and college on time, landing a good job in an advertising firm, meeting a man she planned to marry, and saving up enough for a down payment on a new home. This manic behavior was highly unusual. You assess Crystal's behavior as consistent with a diagnosis of: a. Bipolar II Disorder b. Cocaine-induced Bipolar Disorder, onset during intoxication c. Bipolar I Disorder d. Cocaine Use Disorder

b. Cocaine-induced Bipolar Disorder, onset during intoxication

Which is an action that a counselor could take after documenting that his/her client is likely to be involved in a harmful situation? a. Be available for emergency intervention b. Complete a case review c. Keep an eye on the situation d. Discharge the client.

b. Complete a case review

If you logically bring to your client's attention her inconsistencies, what kind of therapy technique would you be using? a. Counter logic b. Confrontation c. Paradoxical d. Objective intervention

b. Confrontation

According to Erikson's stages of psychosocial development, people who achieve a sense of integrity: a. Want to make personal changes b. Consolidate a sense of self c. Make the right decisions d. Can be trusted

b. Consolidate a sense of self

According to Maslow, once B-needs are engaged, they: a. Cannot be turned off b. Continue to be felt c. Prevent you from regressing d. Stop being felt

b. Continue to be felt

Sullivan would say ______ is a characteristic of the juvenile stage. a. Magical thinking b. Cooperative play c. Friendship d. Intimacy

b. Cooperative play

What drugs are typically prescribed for MS symptoms? a. Analgesics b. Corticosteroids c. Barbiturates d. Anti-depressants

b. Corticosteroids

Which manual provides a classification system for the diagnosis of substance abuse disorders across ten drug classes? a. Merck Manual b. DSM-5 c. World Health Organization ICD d. Web MD

b. DSM-5

Tom is 62 and presents because he is not able to have an orgasm with his spouse. On the rare occasion he does, it takes upwards of an hour and requires specific sexual positioning. Tom and his spouse engage in mutually exciting foreplay and engage in intercourse with sufficient thrusting. Tom has had intermittent difficulty over the past several years, but now it is all of the time. Intercourse becomes painful to try to achieve orgasm, and he feels like a failure. Tom's presentation is consistent with: a. Erectile Disorder, acquired b. Delayed Ejaculation, acquired c. Delayed Ejaculation, lifelong d. Male Hypoactive Sexual Desire Disorder, acquired

b. Delayed Ejaculation, acquired

___________ is considered a neurocognitive disorder in the DSM-5. a. Autism Spectrum Disorder b. Delirium c. Tourette's Syndrome d. Substance Use Disorder

b. Delirium

30-year-old Jill has the presence of one or more delusions lasting one month or longer and criteria A for Schizophrenia have not been met. Her symptoms are consistent with: a. Psychosis b. Delusional Disorder c. Schizophrenia d. Bipolar II Disorder

b. Delusional Disorder

Ben left Chris last week, and Chris wasted no time finding a new romantic interest, feeling desperate to re-engage in a relationship. Chris worries about having the physical, emotional, and financial ability to self-support. Chris fears disapproval from others when voicing disagreement, and instead puts up with being treated badly, even if that means putting herself in danger. Chris has always had difficulties being apart from her family and experiences distress when separated from loved ones. Attending school was painful, and at times impossible. Chris's presentation is most consistent with: a. Paranoid Personality Disorder b. Dependent Personality Disorder c. Avoidant Personality Disorder d. Histrionic Personality Disorder

b. Dependent Personality Disorder

A 4-year-old child in the separation-individuation stage will begin to: a. Develop normal autism b. Develop feelings of personal identity c. Blame his or her mother for weaning him or her d. Despair of reuniting with the mother

b. Develop feelings of personal identity

The DSM-5 defines "distractibility" as: a. A distortion of voluntary movements with involuntary muscular activity b. Difficulty concentrating and focusing on tasks c. The thoughtless initiation of activities to counter boredom d. Hasty actions that occur in the moment without forethought and that have high potential for harm to the individual

b. Difficulty concentrating and focusing on tasks

Differentiation of self happens over time. It happens most often when boundaries are clear, and less so when they are: a. Uncertain b. Diffuse c. Rigid d. Complex

b. Diffuse

According to REBT, what is the corresponding healthy negative emotion for the unhealthy negative emotion of shame? a. Annoyance b. Disappointment c. Sadness d. Regret

b. Disappointment

Evelyn is a therapist who is working with Dawn, a 24-year-old who is seeking help with relationship issues. Dawn has a long history of engaging in risky behaviors, resulting in four unwanted pregnancies and abortions. Evelyn asked, "how did these events impact you?" Dawn responds by saying, "I can do what I want with my body and if I don't want to be pregnant, I'll abort." Evelyn is against abortion and is startled by Dawn's refusal to engage in any exploration of the impact of these events on her life, making her ability to respond even more difficult. Evelyn feels anger toward Dawn and her cavalier attitude. Evelyn should: a. Share her response to Dawn's statement and reflect not hearing an answer to the question b. Discuss her emotional response with a trusted colleague c. Encourage Dawn to seek follow up medical treatment d. Ask why Dawn is so defensive to her reasonable question

b. Discuss her emotional response with a trusted colleague

Which is considered a symptom of Schizophrenia? a. Unstable relationships b. Disorganized speech c. Denial d. Impulsivity

b. Disorganized speech

Mary recalls growing up in a stable, happy home. Mary attends a 20th high school reunion weekend where she sees friends she has not seen since high school. One friend she had as her "bestest friend" from elementary school was there. They began to talk, and the friend asked about Mary's parents. Mary felt disquieted. The friend asked about injuries her mom sustained that the two "doctored" when they were at various ages, one a particularly bad one they witnessed at the hands of her dad. Mary felt as if she were in a fog and could not connect to her friend or the friend's story. In the following days, several images come to mind. Mary seeks help in making sense of these new images and beliefs about her childhood, one in which her father brutally beat her mother on a consistent basis. Mary is confused because until now, she had no memory of these incidents. Mary calls her mom and begins to probe about the broken leg incident her friend raised. The mom corroborated the story her friend told. Mary presents in a therapist's office and explains what she has learned about herself, and wonders if it is part of what has impacted her inability to sustain a relationship. Mary's symptoms are consistent with a diagnosis of: a. Acute Stress Disorder b. Dissociative Amnesia c. Dissociative Identity Disorder d. Codependency

b. Dissociative Amnesia

All are subtypes of Major and Mild Neurocognitive Disorder, EXCEPT: a. Due to Prion Disease b. Due to Tuberculosis c. Due to Parkinson's Disease d. Due to Alzheimer's Disease

b. Due to Tuberculosis

Criteria for a diagnosis of Delayed Ejaculation is consistent with all, EXCEPT: a. Lifelong or acquired b. Ejaculation within 15 minutes c. Infrequency or lack of ejaculation d. Symptom frequency of 75% or more often

b. Ejaculation within 15 minutes

Which is an important goal of change-talk? a. To show that the client is able to plan for a better future even in the middle of addiction b. Eliciting the client's own reasons for change and advantages of these change(s) c. Communicating to prevent relapse d. Clarifying the client's goals for the future using effective communication

b. Eliciting the client's own reasons for change and advantages of these change(s)

Billy is a 6-year-old who has a history of fecal incontinence. Billy has a long history of withholding and constipation, and of fecal seepage daily or nightly. Billy's mother reports he had one experience of having a large, hard bowel movement that was painful, so now he avoids using the bathroom. Billy's condition is known as: a. Enuresis, Nocturnal and Diurnal b. Encopresis, with Constipation and overflow incontinence c. Encopresis, without Constipation and overflow incontinence d. Enuresis, Diurnal Only

b. Encopresis, with Constipation and overflow incontinence

Doris is a vibrant 9-year-old girl who is urinating in her clothing two to three times per week over the past six months. The episodes usually occur in the afternoon, and usually at school. Her parents are at a loss as to what is different or how to make it different. Doris' symptoms are consistent with: a. Enuresis, Nocturnal only b. Enuresis, Diurnal only c. Encopresis d. School Phobia

b. Enuresis, Diurnal only

A fourth grader presents in your office with a 4-month history of wetting the bed several nights each week. Her developmental history is unremarkable, and there is no recent history of illness. What is the likely primary diagnosis? a. Enuresis, Diurnal only b. Enuresis, Nocturnal only c. Oppositional Defiant Disorder d. Sexual Abuse of a Child

b. Enuresis, Nocturnal only

To the existentialist, it is ______ that we be aware of death. a. Relevant b. Essential c. Unimportant d. Irrelevant

b. Essential

Dana lost control again. Her roommate saw blood dripping down her chin, cheeks, arms, neck, and chest. Through tears, Dana admitted this is an ongoing issue, though it is not usually this severe. Dana's roommate tells Dana she sees scratches but is recently more concerned about her. Dana admits she is concerned because she cannot stop and the behavior is accelerating. Dana presents in your office with her roommate as support. You assess a diagnosis of: a. Obsessive-Compulsive Disorder b. Excoriation Disorder c. Shame encounter d. Body Dysmorphic Disorder

b. Excoriation Disorder

Once a psychoanalytic family therapist has explored a client's internal experience and the history behind a particular emotional experience, he or she will proceed to: a. Deconstruct irrational beliefs behind the emotional experience b. Explore how the client's partner triggers that experience c. Prompt the client to let go of feeling and move on with the session d. Evaluate the intensity of the feeling

b. Explore how the client's partner triggers that experience

Nancy tells the pediatrician her daughter has been molested by a neighbor. The 5-year-old undergoes a pelvic exam, testing for STD's, and forensic interviews. Nothing substantiates the abuse. A few months later, Nancy presents with her daughter again with a similar claim, only this time it is the girl's father she reports has abused the girl. Additional exams and tests are conducted, along with forensic interviews, and the 6-year-old begins therapy to address the aberrant sexual experiences. Nancy brings her daughter to all sessions and speaks with the therapist each time. No physical evidence is present for either claim, and the daughter uses the same story with specific anatomically correct terms, though growing up she had slang names for her vagina, vulva, and rectum. Nancy suggests to the therapist that there may be an active third perpetrator and wonders if additional testing is required. At this point, the therapist becomes suspicious about what Nancy's role is and the lack of acting out the daughter has outside of her mother's presence. The daughter mentions once to her therapist, "Mommy says to say penis in my vagina, but I don't know what that means. Do you know?" The case is suggestive of: a. Borderline Personality Disorder b. Factitious Disorder Imposed on Another c. Antisocial Personality Disorder d. Somatic Symptom Disorder

b. Factitious Disorder Imposed on Another

Which is NOT one of the four factors in the PIE (Person-In-Environment) System? a. Mental health problems b. Family problems c. Physical health problems d. Social role functioning

b. Family problems

According to Adler, in terms of birth order, what are characteristics of first-born children? a. Spoiled, easily influenced by others, and usually the most liked b. Favored, responsible, and high achievers c. More pampered, creative, and rebellious d. Better peer relationships and relate well with adults

b. Favored, responsible, and high achievers

Environmental barriers to empathy include all, EXCEPT: a. Limited institutional support b. Fear of rejection c. Poor morale d. Time limits

b. Fear of rejection

Communications theorists analyze which patterns of communication? a. Generational communication b. Feedback loops c. First-order loops d. Cybernetics

b. Feedback loops

An older adult presents with aphasia, apraxia, and disturbances in executive functioning. In diagnosing Major or Mild Neurocognitive Disorder Due to Vascular Disease instead of Alzheimer's Disease, the clinician would notice: a. Memory problems b. Focal neurological signs and symptoms c. Agnosia d. Gradual onset

b. Focal neurological signs and symptoms

Bowenian therapists see therapy as an opportunity: a. To examine the subconscious of each family member b. For people to learn about themselves and their relationships c. To change people into more autonomous individuals d. To solve people's problems

b. For people to learn about themselves and their relationships

In psychoanalytic therapy, resistance is suggested by: a. Displacement b. Forgetfulness c. Free association d. Ventilation

b. Forgetfulness

Which technique is most likely to be included in psychoanalytic therapy? a. Systematic desensitization b. Free association c. Homework assignments d. An active, engaging therapist

b. Free association

Rogers described person-centered therapy as a process of: a. Listening to a person b. Freeing a person c. Adapting a person d. Talking to a person

b. Freeing a person

Government definitions of hearing impairment are based on: a. Etiology of hearing loss b. Functional limitations c. Whether the hearing loss is severe d. Use of visual communication

b. Functional limitations

While involved in the new therapeutic triangle, the Bowenian therapist works with the marital couple to: a. Decrease the couple's anxiety and to promote change in their relationship b. Increase their ability to manage anxiety and to fortify their emotional functioning c. Ensure they remain in the therapeutic triangle d. Understand the causes behind the triangulation

b. Increase their ability to manage anxiety and to fortify their emotional functioning

Allen is 16 and struggling with the belief he is a woman. Since childhood, he preferred playing with dolls and loved dressing up in his sister's frilly princess dresses. Allen grew his hair out long and refused to allow it to be cut. He began engaging in same-sex relationships at age 13. During sexual encounters, he imagined himself being a woman and never allowed the partner to touch his genitalia. At 15, Allen began wearing women's clothing only and began going by the name Alice. However, his family rejected him. Today, Allen prostitutes himself to get money for hormone replacement because his family refuses to consider the option. When Allen does not take hormones, his facial hair reappears and he becomes severely depressed to the point of being suicidal. Allen's presentation is most consistent with: a. Transvestic Disorder b. Gender Dysphoria c. Body Dysmorphic Disorder d. Delusional Disorder

b. Gender Dysphoria

Jane is 34 and has lived her life feeling trapped as if she is wearing the wrong body. Jane recalls being in first grade and wondering when her penis would finally grow in. She gave up on this when she got breasts at age 12, which devastated her and triggered her first major depressive episode. Jane dreamed of being a man, she dressed in as masculine clothes as was allowed growing up, and today she is always in gender-neutral clothing. Jane dreamed of having a beautiful girlfriend to love, and dated a few women over time. However, her depression made it difficult to support herself, much less make a home for a woman of her dreams. Jane's presentation is most consistent with: a. Delusional Disorder b. Gender Dysphoria c. Body Dysmorphic Disorder d. Transvestic Disorder

b. Gender Dysphoria

Gloria could not understand why she could not stand to urinate and why her penis had not fully extended. At age 6, she was feeling full shame, guilt, and fear about how her body was betraying her. Gloria convinced her mother to cut her hair short and to allow her to have the cars she loved to race. However, every time someone asked about why she did not have any dolls, she wanted to cry, feeling like everyone wants her to be what she is not, a girl. At least her best friend Bill accepts her and how she loves to play catch and climb trees with him. Now in 4th grade, she hates having to "be a girl" in the classroom when she knows her body is just a costume for who she really is. Gloria's presentation is most consistent with: a. Body Dysmorphic Disorder b. Gender Dysphoria in Children c. Delusional Disorder d. Schizophrenia

b. Gender Dysphoria in Children

A Bowenian family therapist would say that the more differentiated you are, the higher the probability that you: a. Have developed the ability to circumvent dysfunctional family situations b. Grew up with parents who were also differentiated c. Use your cognitive abilities for dealing with intensified emotional experiences d. Are the first-born child in your family

b. Grew up with parents who were also differentiated

In what setting is confidentiality not an absolute guarantee, despite the assumed ethical nature of the therapist? a. Couples therapy b. Group therapy c. One-on-one therapy d. Trauma therapy

b. Group therapy

Latoya is seeking counseling services to deal with substance abuse in her family, marital issues, and struggles she has as a parent. Her social worker becomes aware during the assessment process that the family is also facing economic difficulties, partly due to their geographic distance from the jobs which have left the city center for outlying areas where crime, property costs and taxes are lower. The social worker: a. Should encourage the client and her family to relocate, helping to lessen or resolve the issues impacting the family b. Has an obligation to follow up on the economic justice issue, even if only to expand her knowledge base to make better decisions at the ballot box c. Does not have an obligation to address the issue further d. May or may not address the issue

b. Has an obligation to follow up on the economic justice issue, even if only to expand her knowledge base to make better decisions at the ballot box

The Congressional Act that deals with the simplification and standardization of requirements for the electronic transmission of health information is the: a. National Standards for the Release of Health Information Act b. Health Insurance Portability and Accountability Act c. Health Information Privacy Act d. Gellman Act

b. Health Insurance Portability and Accountability Act

Maslow described humans as having an innate tendency toward: a. Balance b. Healthy growth and development c. Stimulation d. Freedom from neurosis

b. Healthy growth and development

Solution-focused therapists tend to: a. Reorganize the structure of the system b. Hold assumptions based on strengths and possibilities c. Focus on unconscious desires d. Work toward differentiation of self

b. Hold assumptions based on strengths and possibilities

Characteristics of social welfare policy are consistent with all, EXCEPT: a. Defining the poverty line b. How to contract with a client for services c. How to qualify for Medicaid d. Qualifications families must meet for food stamps

b. How to contract with a client for services

Bob said to his physician, "I think we need to redo the stress test and cardiac enzymes, then consider a heart catheterization to rule out a blockage." His physician replied, "There is no evidence of any blockage, and I am certain what you experienced was heartburn." This is Bob's ninth emergency room visit in five months. Bob's cardiologist has seen him four times in his office, and primary care has provided numerous visits. Bob says, "My father died from a heart attack, brought on by his poor choices and lack of self-care, but I will not repeat such behavior." Bob is on a vegetarian diet, does not drink alcohol or smoke, and exercises five times a week. Bob monitors his blood pressure and pulse twice daily. Bob says, "I keep getting moments where my body heats up, especially on days when the humidity is high. It really scares me." Bob's presentation is consistent with: a. Panic Disorder b. Illness Anxiety Disorder c. Conversion Disorder d. Somatic Symptom Disorder

b. Illness Anxiety Disorder

In Sullivan's system, mental disorder refers to ______ interpersonal processes. a. Chaotic b. Inadequate c. Difficult d. Confusing

b. Inadequate

In narrative therapy, the landscape of action is designed to: a. Confuse negative thoughts that might enter your mind b. Increase the potential possibilities for dealing with a situation c. Point out which destination is appropriate for your questions d. Decrease the number of possibilities and to focus attention

b. Increase the potential possibilities for dealing with a situation

Self is a phenomenological concept, and is a comparison with: a. Her b. Other c. Emotion d. Him

b. Other

Critics point out that Kohlberg's theory overemphasizes: a. Moral reasoning b. Justice c. Stages d. Gender

b. Justice

Which is an example of how an agency policy might discourage poorer clients from seeking services? a. Providing a range of operating hours b. Location in a middle-class neighborhood c. Offering childcare d. Sliding fee scale for services

b. Location in a middle-class neighborhood

According to reality therapy, the responsible parent creates the necessary involvement with the child and teaches him or her responsibility through the proper combination of: a. Instruction and example b. Love and discipline c. Support and guidance d. Encouragement and criticism

b. Love and discipline

According to REBT, when one perceives something to be too difficult, painful, or tedious, and by doing so exaggerates these qualities beyond one's ability to cope with them, it leads to: a. Self-pity b. Low frustration tolerance c. Intolerance d. Discomfort

b. Low frustration tolerance

Travis has a history of injuring others through reckless disregard for safety and physical altercations; he is aggressive and confrontive with authority figures; has made a living selling contraband for the past five years; does not demonstrate remorse, is impulsive and irresponsible in regard to children he has fathered; and blames others for his lack of positive life success and current interaction with the legal system, which referred him for services. Which is NOT consistent with potential problem identification associated with establishing a therapeutic alliance with this case? a. Pattern of not taking responsibility for his own actions b. Make a commitment to have integrity, honesty and reliability c. Anger and frustration at being mandated to social work services d. Minimal or no remorse for causing pain toward others

b. Make a commitment to have integrity, honesty and reliability

Ron is a 63-year-old, married 40 years, who presents for help with a complete lack of desire for sexual activity. During the interview, Ron was asked how often he thinks about sex. Ron replied, "I don't. I'm here because my wife wants to have sex again and I feel bad for quitting this part of our marriage. This is my fault, I have to fix it, but I can't." Ron has seen his primary care physician, and internist and a urologist, and all report tests are normal except for low testosterone, so he is now using a daily cream to boost his levels. Ron's presentation is consistent with: a. Erectile Disorder, lifelong b. Male Hypoactive Sexual Desire Disorder, acquired c. Male Hypoactive Sexual Desire Disorder, lifelong d. Erectile Disorder, acquired

b. Male Hypoactive Sexual Desire Disorder, acquired

When it comes to dream analysis, Freud labeled the conscious description of the dream: a. Covert Content b. Manifest content c. Latent content d. Repressed content

b. Manifest content

At Suzi's third birthday, her mother takes each gift and says a very direct "Thank you" to everyone. From a behavioral perspective, Suzi's mother is attempting: a. Social exchange b. Modeling c. Contingency contracting d. Role rehearsal

b. Modeling

________ refers to the therapist's efforts to hear, acknowledge, and support the different sides of each family member's viewpoint and interest. a. Neutrality b. Multidirected partiality c. Unilateral partiality d. Contextual partiality

b. Multidirected partiality

What is the purpose of the HIPAA Administrative Simplification for Electronic Transaction and Code Sets Standards Requirements? a. Requirement for standard national numbers for each health care provider, health plans, and employers to identify each on standard transactions b. National standards for all providers who do business electronically to use the same health care transactions, code sets, and identifiers c. State standardizations for all providers who do business electronically to use the same health care transactions, code sets, and identifiers d. Outline the minimum administrative, technical and physical safeguards required to prevent unauthorized access to protected information

b. National standards for all providers who do business electronically to use the same health care transactions, code sets, and identifiers

From a cognitive-behavioral perspective, oftentimes in dysfunctional families, ______ are reinforced by attention or concern. a. Positive communication skills b. Negative or maladaptive forms of communication c. Appropriate interactions d. Adaptive conflict resolution skills

b. Negative or maladaptive forms of communication

Horney suggested that we all have ______, or drives that are not healthy a. Psychic needs b. Neurotic needs c. Animalistic needs d. Erotic needs

b. Neurotic needs

Transition objects are to transitional phenomena as: a. Thoughts are to feelings b. Objects are to behaviors c. Good is to bad d. Past is to present

b. Objects are to behaviors

According to Kohlberg, why are older children's views more relativistic? a. Older children understand punishment is not inevitable b. Older children understand that it is permissible to change rules if everyone agrees c. Older children understand that rules are always changing d. Older children understand that parents set rules for their protection

b. Older children understand that it is permissible to change rules if everyone agrees

May's drug of choice is PCP (phencyclidine). May has lost contact with her family, contracted sexually transmitted diseases, engaged in illegal activities to maintain her habit, and lost her job, her home, and her children. May entered treatment for chronic, daily use of PCP. She completed three months of treatment, and is in the second month of sober living on the same compound, engaged in ongoing groups, supervised living, and drug testing. The diagnosis consistent with May's presentation is: a. Phencyclidine Abuse, Early Partial Remission b. Phencyclidine Use Disorder, Early Remission, in a Controlled Environment c. Phencyclidine Dependence, Early Remission, in a Controlled Environment d. Phencyclidine Use Disorder, Early Partial Remission

b. Phencyclidine Use Disorder, Early Remission, in a Controlled Environment

Which two needs of his hierarchy did Maslow consider to be fundamental requirements? a. Self-esteem needs and physiological needs b. Physiological and safety needs c. Safety needs and self-esteem needs d. Love and belonging needs and self-actualization

b. Physiological and safety needs

The therapist has assessed an older adult female client who smokes cigarettes and overeats when under stress. She states that she hates herself for being overweight. When creating a treatment plan with the client, the therapist may list all, EXCEPT which "identified issue" for treatment? a. Nicotine abuse b. Poor adjustment to aging c. Self-esteem deficit d. Poor stress management

b. Poor adjustment to aging

A therapist congratulates a couple every time they take turns speaking by acknowledging how hard they are working to improve their communication skills and stating that they are each doing an excellent job. The couple's ability to take turns speaking seems to increase at each session. The therapist's efforts to recognize this behavior seem to be operating as a form of: a. Negative reinforcement b. Positive reinforcement c. Punishment d. Role rehearsal

b. Positive reinforcement

Asian Americans tend to terminate services: a. When appropriate b. Prematurely c. In anger d. After a long period of time

b. Prematurely

What must covered entities develop and implement, consistent with the HIPAA Privacy Rule? a. Authentication b. Privacy policies and procedures c. Workforce training and management d. Penalties and punishment for violations

b. Privacy policies and procedures

Max Wertheimer considered thinking to happen in two ways: a. Similar and dissimilar b. Productive and reproductive c. Black and white d. Relative and absolute

b. Productive and reproductive

As an object relations therapist, you sense the urge to cough and feel that the client is deflecting a feeling he or she is suppressing. What did you just experience? a. Maturity b. Projective identification c. Insight d. Enlightenment

b. Projective identification

According to Maslow's theory, how could a manager fulfill his employees' safety needs? a. Recognize achievements b. Provide a safe working environment c. Provide lunch breaks d. Create a sense of community

b. Provide a safe working environment

Jane calls her therapist. She is slurring her words and becomes agitated on the call, yelling, "You'll see what it's like to be left behind." Jane has a history of severe depression, substance abuse, and three suicide attempts. Jane admits to drinking and taking 2 bottles of her prescription medications. The therapist alerts 911 who ask questions about the scene (e.g. others who reside in the home, pets, weapons), Jane's history specifically asking about violence and substances, and information on any emergency contacts. As the therapist, how do you proceed? a. Contact the emergency contact yourself b. Provide all of the information requested, to the extent known c. Disclose information about the scene only d. Get a verbal agreement from Jane to disclose the information

b. Provide all of the information requested, to the extent known

Maslow's hierarchy of needs is often depicted in illustrations as a: a. Graph b. Pyramid c. Ladder d. Pie Chart

b. Pyramid

During a therapy session, a client says to the therapist, "I don't know what to do anymore. My husband is always at work, my children want me with them every second, and my boss is demanding paperwork that is already over a week late." The therapist replies, 'You're feeling very overwhelmed right now." This response is an example of: a. Summarizing b. Reflection c. Paraphrase d. Parroting

b. Reflection

In addition to teaching caregivers to eliminate the contingencies that maintain negative behaviors, behavioral family therapists also teach caregivers to: a. Strengthen their union through sharing and letting go of negative feelings b. Reinforce behavioral patterns that are incompatible with negative behaviors c. Identify past experiences that are currently affecting their children's feelings d. Facilitate differentiation from their children

b. Reinforce behavioral patterns that are incompatible with negative behaviors

When parents are interested in building a positive attitude in their children in the area of their education, they might employ: a. An avoidance of all punishment b. Reinforcement c. Random punishment d. Punishment exclusively

b. Reinforcement

An older adult man is in the intensive care unit and the therapist has been called in to treat him and his family. The therapist recognizes that the parties are in crisis. Her crisis intervention model does NOT include: a. Assessing b. Requesting the services of an additional therapist c. Listening d. Creating a treatment plan

b. Requesting the services of an additional therapist

Which value would an Adlerian therapist try to impress on a client? a. To always be honest b. Responsibility for the client's own behavior c. That self-awareness is more important than what others think d. Acceptance of past failures

b. Responsibility for the client's own behavior

A therapist asking questions such as: "How do you see me helping you?" "When you make the appointment, what were your biggest concerns?" and "What need do you see the agency best assisting with?" is seeking to do: a. Risk assessment b. Role clarification c. Empowerment d. Problem solving

b. Role clarification

Communications theory states that families are: a. Simple systems b. Rule-governed systems c. Communication-centered systems d. Complex single units

b. Rule-governed systems

______ can help clients to observe and appreciate the small changes that occur as treatment progresses and can separate them from being stuck in an all-or-nothing mentality. a. Role playing b. Scaling questions c. Graphing d. Prescribing the symptom

b. Scaling questions

Lance feels awkward around people, even family, and has as far back as he can remember. Lance prefers to just be alone, choosing to have his own computer programming contract business to have minimal contact with people. Lance leaves his apartment twice weekly, once to get groceries and once to do what is required for work. If he can manage, he leaves less often. For fun, he watches old movies and raises rats. The clerk who always checks his groceries speaks, but has learned Lance just does not respond to much of anything, even after years of weekly conversations. Lance's presentation is most consistent with: a. Antisocial Personality Disorder b. Schizoid Personality Disorder c. Avoidant Personality Disorder d. Schizotypal Personality Disorder

b. Schizoid Personality Disorder

Dana was diagnosed with Schizophrenia 18 months ago, but she has had no prominent delusions, hallucinations, disorganized speech, catatonic behavior, or negative symptoms in the past six weeks. Her therapist may change her diagnosis to: a. Schizophrenia, Multiple Episodes, Currently in Partial Remission b. Schizophrenia, First Episode, Currently in Full Remission c. Schizophrenia, Multiple Episodes, Currently in Full Remission d. Schizophrenia, First Episode, Currently in Partial Remission

b. Schizophrenia, First Episode, Currently in Full Remission

According to Adler, what does encouragement help with? a. Self-esteem b. Self-confidence and stimulating courage c. Moving on d. Feelings of acceptance

b. Self-confidence and stimulating courage

An older adult Asian-American woman is moving into a nursing home because her extended family is no longer able to care for her, despite several years of effort, including work with home health. What cultural issue may be more present with this family that with a traditional American family? a. Respect as their elder is moving toward end of life and promise of the afterlife b. Shame around being unable to care for their family member at home c. Sadness out of respect for their elder's declining health d. Financial strain following an extended illness

b. Shame around being unable to care for their family member at home

When teaching an animal a new trick by rewarding successive approximations to a predetermined behavior (the trick), you are using the procedure known as: a. Vicarious reinforcement b. Shaping c. Incremental extinction d. Negative reinforcement

b. Shaping

Dialogical conversation is distinguished by: a. Competitive, adversarial roles b. Shared inquiry c. Different meanings and values d. Opposing views

b. Shared inquiry

Which are examples of in-kind goods or services? a. Utility payment, car payment, rent payment b. Shelter, soup kitchen, well-baby clinic c. Food stamps, financial aid d. Rent, clothing, food

b. Shelter, soup kitchen, well-baby clinic

How long must symptoms be present for a diagnosis of Social Anxiety Disorder (Social Phobia)? a. One year b. Six months c. Three months d. Four weeks

b. Six months

There are four parts of an emotional experience. What are some examples of connecting with the feeling? a. Slow down and take several deep abdominal breaths, close your eyes for a moment, and understand you have control of your emotions and thought process b. Slow down and take several deep abdominal breaths, close your eyes for a moment, focus your attention to what is going on in your body, and pay attention to what thoughts come up with your feelings c. Giving up on your partner to respond to any of your needs, negative thoughts about your partner, understanding you have control of your emotions and thought process d. Believing you have someone you can count on, having someone you can turn to in times of trouble, and having someone who gives you confidence

b. Slow down and take several deep abdominal breaths, close your eyes for a moment, focus your attention to what is going on in your body, and pay attention to what thoughts come up with your feelings

Janelle, age 8, has been displaying language problems for the past few months. The doctors have ruled out any neurological problems. Her most recent progress report indicates that Janelle doesn't seem to understand conversation rules, especially when telling stories. Her teacher notes that Janelle speaks to children and adults in the same fashion and does not differentiate between "inside" and "outside" voices. She does not greet fellow student or her teacher in the morning, and shows great difficulty making inferences. What diagnosis is most consistent with her presentation? a. Speech Sound Disorder b. Social (Pragmatic) Communication Disorder c. Developmental Coordination Disorder d. Childhood-Onset Fluency Disorder

b. Social (Pragmatic) Communication Disorder

Ron is a 36-year-old finishing carpenter who presents with severe low back pain that will not remit. He had a pulled muscle a few years ago that healed, but his physician reports no evidence of why the current symptoms are present. Ron has seen a neurologist and back specialists who all report no detectable cause for his current pain. Ron has difficulty standing or sitting for any length of time, causing him to be unable to work at his previous level. Pain medications do not help reduce his symptoms, and he finds that the gastrointestinal side effects compounded his discomfort, so he no longer takes them. Ron has worked since age 15 when he started his own delivery service. Since that time, Ron has started several businesses and today has a successful finishing carpentry business. He has never not worked and finds his current physical state mentally defeating, compounding his health anxiety and making him feel like a failure. Ron's presentation is consistent with: a. Generalized Anxiety Disorder b. Somatic Symptom Disorder, with predominant pain c. Illness Anxiety Disorder, care-seeking type d. Malingering

b. Somatic Symptom Disorder, with predominant pain

In conducting an effective assessment, client needs and preferences must be a primary consideration, and may be done more effectively when appropriate principles are used. What principle seeks to identify client aspirations, capabilities and available resources in the client system or environment, identifying this as a vital element? a. Systematic transactions b. Strengths and resources c. Participation d. Individualization

b. Strengths and resources

Attachment concerns become apparent during what times in a couple's relationship? a. Stressful environmental conditions or life transition periods, e.g., a baby arriving; conditions which appear to remove one partner from being present for the other, e.g., business trips; and conditions that point out the personal flaws of the partners b. Stressful environmental conditions or life transition periods, e.g., a baby arriving; conditions that appear to threaten the couple's future; and conditions that increase personal fear, e.g., loss of job or illness c. Stressful unconscious projection identifications which appear to be in the present but are past fears, conditions that appear to threaten the couple's future, and conditions that increase personal fear, e.g., loss of job or illness d. Stressful unconscious projection identifications that appear to be in the present but are past fears; conditions that appear to remove one partner form being present for the other, e.g., business trips; and conditions that point out the personal flaws of the partners

b. Stressful environmental conditions or life transition periods, e.g., a baby arriving; conditions that appear to threaten the couple's future; and conditions that increase personal fear, e.g., loss of job or illness

The goal of structural family therapy is: a. Modifying circumstances b. Structural change c. Solving family's problems d. Strategic modifications

b. Structural change

______ is a process whereby primary emotions, sexuality, and aggression are converted into and expressed in socially accepted terms. a. Projection b. Sublimation c. Conversion d. Intellectualization

b. Sublimation

Sexual dysfunction with marked distress or interpersonal difficulty that is explained by a substance or medication is known as: a. Other (or Unknown) Substance Use Disorder b. Substance/Medication-Induced Sexual Dysfunction c. Other Specified Sexual Dysfunction d. Other (or Unknown) Substance Intoxication

b. Substance/Medication-Induced Sexual Dysfunction

According to Albert Ellis, the vast majority of people are more disturbed than they have to be because they aspire to be: a. Happy b. Superhuman c. Famous d. Successful

b. Superhuman

Katrina was fired from her job for stealing money from the cash register. She is so embarrassed by this lapse in her normally very moral character that she cannot confront it. She will not talk about it and does everything she can to forget it ever happened. Which defense mechanism does this scenario best represent? a. Regression b. Suppression c. Projection d. Intellectualization

b. Suppression

What is the goal of existential therapy? a. Finding personal meaning b. Taking responsibility for self from a philosophical perspective c. Overcome low self-esteem d. Living in the present, not the past

b. Taking responsibility for self from a philosophical perspective

One of the assumptions of solution-focused family therapy is that getting family members to: a. Reorganize structurally will help the system to function better b. Talk positively will help them to think positively and to act positively to solve their problems c. Improve their communication patterns will decrease feedback loops d. Differentiate from each other will assist them in better managing their relationships

b. Talk positively will help them to think positively and to act positively to solve their problems

The probability that an individual will develop PTSD after a significant trauma is greatly reduced by: a. Not bringing up the trauma so as to not re-traumatize the individual b. Talking with the individual immediately after the trauma and letting him/or her process the trauma c. Telling the individual what he/or she might expect before being put in the traumatic situation d. Putting the individual in a group therapy situation after he/or she has calmed down

b. Talking with the individual immediately after the trauma and letting him/or her process the trauma

According to reality therapy, what is the most important task of all higher animals? a. Fulfilling needs b. Teaching responsibility c. Surviving d. Reproducing

b. Teaching responsibility

Typically, most children _____________ about sexual abuse. a. Make-up stories b. Tell the truth c. Lie d. Are confused

b. Tell the truth

In terms of Adler's five psychological positions, what would be the position of the youngest child? a. Receives more attention, spoiled, and center of attention b. The baby c. Feels forced out d. Behaves as in a race and is often opposite to the first child

b. The baby

Which is NOT a statement made by Robert Wubbolding regarding using reality therapy theory with clients with serious mental health issues? a. Negative symptoms can be replaced by positive symptoms b. The diagnostic labels described in the Diagnostic Statistical Manual are static conditions c. Mental disorders are seen as negative symptoms d. The skilled reality counselor or therapist spends little time discussing diagnostic symptoms

b. The diagnostic labels described in the Diagnostic Statistical Manual are static conditions

The DSM-5 defines "magical thinking" as: a. A perception-like experience with the clarity and impact of a true perception but without the external stimulation of the relevant sensory organ b. The erroneous belief that one's thoughts, words, or actions will cause or prevent a specific outcome in some way that defies the understood laws of cause and effect c. Believing that one is superior to others and deserves special treatment d. The wishful feeling that causal incidents and external events have a particular and unusual meaning that is specific to the person

b. The erroneous belief that one's thoughts, words, or actions will cause or prevent a specific outcome in some way that defies the understood laws of cause and effect

The fourth dimension Contextual Therapy deals with is: a. Background history b. The ethic of due consideration or merited trust c. Individual problems d. Family patterns

b. The ethic of due consideration or merited trust

Who is responsible for designing, coaching, and advocating for the interdisciplinary team? a. The interdisciplinary team medical doctor b. The interdisciplinary team leadership c. The hospital administrator d. The interdisciplinary team spokesperson

b. The interdisciplinary team leadership

During which substage of preoperational thought do children use primitive reasoning and want to know the answers to all sorts of questions? a. The symbolic function substage b. The intuitive thought substage c. The secondary circular reactions substage d. The tertiary circular reactions, novelty and curiosity substage

b. The intuitive thought substage

When the miracle question and exceptions to the problem do not seem to work or move the client forward, the solution-focused therapist can try using: a. Using the knowledge of the room b. The nightmare question c. Arguing for the problem d. Lecturing the solution

b. The nightmare question

According to Bandura's social learning theory, which aspects of a situation influence observation in children the most? a. The role model being the center of the situation b. The role model being observed and the interest the child has in the person and situation c. The situation being observed and the response of the role model d. The ability of the child to see and observe without being detected

b. The role model being observed and the interest the child has in the person and situation

Which statement is INCORRECT concerning the use of structured situations in a group counseling process? a. Structured techniques can foster a dependency on the leader b. The use of many structured situations can help the group deal with closeness, trust, and genuineness c. Structured situations generate cohesion, engender cathartic expression, and help the group develop internal locus of control d. Structured situations are less effective than unstructured situations

b. The use of many structured situations can help the group deal with closeness, trust, and genuineness

When do we use the processes of assimilation and accommodation? a. Only in adulthood b. Throughout life c. During childhood d. During infancy

b. Throughout life

What are the therapist's goals in step 7 of Stage 2 of Emotionally Focused Therapy? a. To validate the observing partner's present difficulty while supporting the new view of the experiencing partner and reflect back and repeat the new disclosures and new view of the experiencing partner while blocking avoidance and then facilitating the observing partner hearing, seeing, and feeling the experiencing partner's message, while challenging the old model of the relationship b. To further process and expand the emotional experience of step 5 to include greater awareness and ownership of attachment fears, longings, and needs, facilitate experientially vivid awareness of attachment-related views of self and others, and Integrate newly understood attachment fears and needs into positive relational interactions c. To help the clients understand the emotional experience of their partner and the relationship, the delineation of their negative interactive cycles that distance the couple, and the good things in the relationship d. To increase awareness of, engagement with, and ownership of the attachment vulnerabilities, hurts, and fears that have been made aware and help the partners to hear and accept these fears and hurts

b. To further process and expand the emotional experience of step 5 to include greater awareness and ownership of attachment fears, longings, and needs, facilitate experientially vivid awareness of attachment-related views of self and others, and Integrate newly understood attachment fears and needs into positive relational interactions

In one of your regular groups, Susan, one of your clients, consistently perceives Bob as an angry and abusive man (like her father) who does not care about the other group members feelings, although the other group members indicate that they view Bob as a kind, gentle and caring individual. Susan's perceptions of Bob can be described as: a. Blaming b. Transference c. Countertransference d. Projection

b. Transference

Once diagnosed with Major Depressive Disorder, future depressive episodes can typically be: a. Triggered by traumatic or particularly stressful events b. Triggered by mild events c. Very rare d. Related only to very sad events

b. Triggered by mild events

According to Erikson, an infant who gets fed when he or she is hungry and comforted when he or she needs comforting will develop: a. Comfort b. Trust c. Security d. Confidence

b. Trust

An important task for the structural therapist to complete after joining a family is to: a. Determine who is part of the hierarchical structure b. Understand the family's view of its problems c. Identify when the family's problems started d. Assess who is viewed as the identified client

b. Understand the family's view of its problems

Which is NOT one of Bateson's ideas seen in the context of the Milan model? a. The evolutionary nature of systems b. Understanding the function of symptoms c. Levels of meaning d. Recursiveness

b. Understanding the function of symptoms

According to Contextual Therapy, people who always give too much and put others' needs before their own tend to feel: a. Satisfied b. Undeserving c. Secure d. Fulfilled

b. Undeserving

Within what timeframe must emotional or behavioral manifestations occur with Adjustment Disorder? a. Within one month of the onset of the qualifying event(s) b. Within three months of the onset of the qualifying event(s) c. One year from the onset of the qualifying event(s) d. Within six months of the onset of the qualifying event(s)

b. Within three months of the onset of the qualifying event(s)

How can you tell if someone has AIDS? a. The person will vomit periodically b. You cannot tell c. The person will have trouble remaining well d. The person will constantly look ill

b. You cannot tell

Children who are not differentiated from their parents can: a. Thrive during adolescence, as they have the ongoing support of their parents b. Experience a crisis during adolescence when faced with developmental pressures for independence c. Experience little conflict during adolescence d. Have secure attachments and clear boundaries

b.Experience a crisis during adolescence when faced with developmental pressures for independence

Max presents for his first appointment. He is distraught after his spouse of 25 years left the marriage for another man, someone Max believed was a friend. Max struggles to fight back emotions. To build the therapeutic relationship, the BEST response from his therapist is: a. "Did you have any idea that things were not going well between you?" b. "How are you feeling today? I know it has been a rough time for you." c. "This is a safe place. It is okay to feel what you need to feel." d. "My partner of 25 years left me and it was also a rough time."

c. "This is a safe place. It is okay to feel what you need to feel."

During an emotional event, these five elements are usually activated in which order? a. 1. Bodily expressive elements 2. Perceptual and situational elements 3. Symbolic conceptual elements 4. Motivated behavioral elements 5. Emotion scheme (not schema) nuclear process b. 1. Emotion scheme (not schema) nuclear process 2. Perceptual and situational elements 3. Bodily expressive elements 4. Symbolic Conceptual Elements 5. Motivated behavioral elements c. 1. Perceptual and situational elements 2. Bodily expressive elements 3. Symbolic conceptual elements 4. Motivated behavioral elements 5. Emotion scheme (not schema) nuclear process d. 1. Motivated behavioral elements 2. Emotion scheme (not schema) nuclear process 3. Perceptual and situational elements 4. Bodily expressive elements 5. Symbolic conceptual elements

c. 1. Perceptual and situational elements 2. Bodily expressive elements 3. Symbolic conceptual elements 4. Motivated behavioral elements 5. Emotion scheme (not schema) nuclear process

To get accurate results, how long should a possibly HIV infected person wait before being tested? a. 1 year b. A test can be done immediately c. 3 months d. 2 weeks

c. 3 months

All of the following may be issues seen in children who come from families where alcoholism is not being treated, EXCEPT: a. Higher presence in juvenile justice system b. Higher likelihood for being a victim of domestic violence c. 75% chance of becoming an alcoholic as an adult d. Learning problems

c. 75% chance of becoming an alcoholic as an adult

Which scenario gives the least justification to breach confidentiality? a. A 30-year-old woman tells you that she plans to shoot her ex-husband, and his attorney during an upcoming deposition b. A 28-year-old man tells you that he sexually "fools around with" his 11-year-old stepdaughter c. A 20-year-old tells you he has a background of breaking and entering, and he has no intention of quitting d. A 22-year-old-man says that he is going to sit in his car after parking on the railroad tracks and wait for the train to come

c. A 20-year-old tells you he has a background of breaking and entering, and he has no intention of quitting

Which is NOT a sign of countertransference? a. Feeling repulsed by a client b. Consistently running over session time with a favorite client c. A client professes love to you d. Reluctant to confront clients on deeply emotional issues and avoiding sensitive topics

c. A client professes love to you

What does an Adlerian therapist hope clients will achieve after sessions? a. Acceptance of themselves b. Improved social skills c. A contribution to society d. Increased acceptance of others in the family unit

c. A contribution to society

A member of a family you are seeing appears to be having auditory hallucinations of a religious nature. Which referral would NOT be appropriate? a. A psychiatrist b. Crisis Stabilization Unit c. A hearing specialist d. A primary care physician

c. A hearing specialist

A gender schema is: a. A way to help clients be aware of how gender-role expectations have a negative effect on them b. A way to look at power differences in society between men and women c. A mental script that influences our perception about gender d. Insight into how social issues affects a problem

c. A mental script that influences our perception about gender

When writing up a discharge plan, a counselor should provide: a. A mental health status report b. List of client's strengths and weaknesses c. A reason for termination d. Final cost of treatment

c. A reason for termination

According to Watzlawick, in order to solve a family's problems there must be: a. A rearrangement in the structure of the family b. Increased cohesiveness among family members c. A substitution of behavioral and interactional patterns d. Power restored to the hierarchical structure

c. A substitution of behavioral and interactional patterns

Forest is 7 and struggles in several areas. Global Developmental Delay has been ruled out, but he stumbles, has trouble catching a ball when playing with his dad, has great difficulty legibly writing his name, and cannot keep up with his peers during physical education activities at school. The diagnostic impression that best matches his presentation is: a. Unspecified Neurocognitive Disorder b. Autism Spectrum Disorder c. Developmental Coordination Disorder d. Stereotypic Movement Disorder

c. Developmental Coordination Disorder

Which term is the opposite of the Bowenian term fusion? a. Enmeshment b. Detriangulation c. Differentiation d. Undifferentiation

c. Differentiation

Horney thought it a mistake to think that neuroses in adults are caused by: a. Abuse or neglect in marriage b. Abuse or neglect in career c. Abuse or neglect in childhood d. Abuse or neglect in adolescence

c. Abuse or neglect in childhood

According to Transactional Analysis, what is the adult ego state called in the behavioral model? a. Affirming b. Responsible c. Accounting d. Nurturing

c. Accounting

Negative feedback in a dysfunctional family: a. Maintains the system's healthy functioning b. Promotes ongoing change in the system c. Accounts for the family's inflexibility d. Enhances the family's communication

c. Accounts for the family's inflexibility

Therapists recognize that there are beliefs and influences and values common to people of African descent and that African philosophy can be used to better understand the African-American population. What is this practice called? a. Afro-American psychology b. Psychology of racism c. Afrocentric psychology d. Psycho-sociology

c. Afrocentric psychology

Which is NOT one of the drugs or methods for HIV prevention? a. Antiretroviral drug nevirapine b. HAART c. Ammoxicilin d. AZT

c. Ammoxicilin

According to cognitive-behavioral theory, when thoughts begin to cycle, thought processes tend to: a. Stabilize behavior responses b. Minimize behavior responses c. Amplify behavior responses d. Distort behavior responses

c. Amplify behavior responses

While under social work supervision, the supervisor invites the supervisee to join in a social party at a local nightspot. What does this exemplify? a. Two social workers socializing, no ethics violation b. An ethics violation, sexual harassment c. An ethics violation, engaging in a dual or multiple relationship d. An ethics violation, breach of confidentiality

c. An ethics violation, engaging in a dual or multiple relationship

By definition, consultation is: a. A psychoanalytic service b. A direct service c. An indirect service d. A service offered only to school administrators

c. An indirect service

Therapists can sometimes differ on a "secrets" policy. However, one of the benefits of a "no secrets" policy is: a. That there is a decrease in the therapist-client relationship b. That ethically, the family begins to feel betrayed c. An openness to discussing all issues that are affecting the family d. That things are discussed in the group, regardless of comfort level

c. An openness to discussing all issues that are affecting the family

"We don't talk about dad's drinking," the daughter tells you. As an MRI therapist, you might assume that this statement speaks to: a. Dad's unwillingness to seek treatment b. Underlying causes of the daughter's behavior c. An unspoken rule that maintains the family homeostasis d. Some of the family's embedded fear

c. An unspoken rule that maintains the family homeostasis

What limitation of preoperational thought does the following statement reflect? - "The sidewalk made me mad; it made me fall down." a. Egocentrism b. Centration c. Animism d. Conservation

c. Animism

In order to maximize involvement and minimize resistance on the part of the consultee and the client (e.g., members of an organization) it is best to take which approach during the diagnosis phase of organizational consultation? a. Assessment, engagement, feedback b. Formal, specific, brief c. Discovery, engagement, dialogue d. Assessment, feedback, prescription

c. Discovery, engagement, dialogue

Carmen is a 23-year-old graduate student who presents in the emergency room with severe dehydration, confusion, dizziness, and muscle cramping. She is underweight, with a Body Mass Index of 16. The interview reveals abuse of laxatives and diuretics and refusing to take public transportation for the purpose of exercise to control her weight. Carmen endorses a multi-year history of eating large quantities of food in short periods of time though she spat the food out in fear that anything entering her esophagus would instantly turn into fat. Carmen began isolating herself from friends in fear of her eating behaviors being discovered. At age 17, Carmen reports a weight that put her BMI at 23, in normal range. Carmen's presentation is consistent with: a. Avoidant/Restrictive Food Intake Disorder b. Binge-eating Disorder c. Anorexia Nervosa, binge-eating/purging type d. Bulimia Nervosa

c. Anorexia Nervosa, binge-eating/purging type

Key concepts in Sullivan's theory are interpersonal relations and: a. Integration b. Defense c. Anxiety d. Conscious drives

c. Anxiety

According to MRI, which type of behavior can change a situation? a. Behaviors that are linked to perception b. Behaviors that are manipulated c. Any type of behavior d. Only behavior attached to the problem

c. Any type of behavior

When working with a family of Middle-Eastern descent with children, it is important to not complement the children lest the family believe you: a. Are seeking to take the child or children from the family b. Are being insincere, trying to hide something or preparing to take offensive action c. Are giving the child the "evil eye" a bestowing a curse, evil will, or death on the child d. Are not prepared to do the work you are assigned or they expect from you

c. Are giving the child the "evil eye" a bestowing a curse, evil will, or death on the child

Parents bring their 15-year-old son for counseling to deal with behavioral issues and problems within the home. He is adopted and believes he would not have problems if his biological parents had raised him. What is your first step? a. Educate the family about the normal feelings and common beliefs held by adoptees when they experience the usual difficulties between parents and adolescent children b. Intervene with family therapy c. Assess the meaning of adoption to him and how he believes his life would be different with his biological parents d. Refer to an adoptee group

c. Assess the meaning of adoption to him and how he believes his life would be different with his biological parents

In Transactional Analysis, the group therapist: a. Must have full control of the group b. Facilitates the group c. Assumes an active role as the primary agent of change d. Sits back to allow the participants to produce change

c. Assumes an active role as the primary agent of change

Whitaker believed that families adhere rigidly to their rituals in order to: a. Avoid blurring the boundaries between generations b. Assign alliances and subsystems c. Avoid the conflict and friction the couple originally experienced when they first got married d. Create a sense of family tradition

c. Avoid the conflict and friction the couple originally experienced when they first got married

What therapeutic skill is essential in being able to recognize a client's maladaptive relational patterns? a. Use of empathic, non-judgmental statements b. Motivational techniques c. Awareness of countertransference d. Cognitive reframing

c. Awareness of countertransference

What are deficiency motives, according to Maslow? a. Superior needs b. B-needs c. Basic needs d. Emotional needs

c. Basic needs

According to Sullivan's theory, humans can have the most difficulty surviving without: a. Parental figures b. Assurance of self-worth c. Being physically touched by others d. Early exposure to a complex environment

c. Being physically touched by others

Lavona has been of average, to slightly above average, weight her entire life. After having her second child, she never lost her 'baby weight' and experienced binge eating about three times per week. Shortly thereafter, her mother died. Since that time, her weight has increased with binge-eating 6-7 times per week over the past few months. Lavona's pattern is to skip breakfast and eat a standard lunch served by the workplace with colleagues. She does not eat again until arriving home. When preparing dinner, Lavona samples what she prepares, eats a balanced meal with the family, then as she cleans up dinner eats what is not consumed by others, both from their plates and what is not served from pans. By the time the kitchen is cleared, she consumes the equivalent of 3 full meals. Afterward, Lavona alternates eating a variety of sweet and salty snacks until bedtime. An example of after dinner snacking is: a sleeve of saltines with a block of cheese, a bag of cookies, a bag of pretzels, two candy bars, a bowl of popcorn, and a bar of baking chocolate. This is consumed the 2 hours prior to bedtime. She hides what she eats, embarrassed by her behavior. Lavona's symptoms are consistent with: a. Anorexia Nervosa, binge-eating type b. Pica c. Binge-eating disorder d. Bulimia Nervosa

c. Binge-eating disorder

Child maltreatment includes: a. Abuse only b. Neither abuse nor neglect c. Both abuse and neglect d. Neglect only

c. Both abuse and neglect

Belle's dentist referred her for assessment after noting wearing on her teeth and inquiring about eating behaviors. Belle is a 26-year-old who presents within normal weight range. She reports binge-eating behaviors that trigger self-disgust and depression, which are following by both purging and intense, excessive exercise. Belle says, "I just can't control myself. I restrict my diet, but then I just give in, unable to maintain a low-calorie plan." She describes a habit that began around age 15 and has escalated from infrequent bingeing to bingeing with purging, to a binge-purge cycle that occurs 5-6 times each week. Belle's symptoms are consistent with: a. Avoidant/Restrictive Food Intake Disorder, in remission b. Anorexia Nervosa, binge-eating/purging type c. Bulimia Nervosa, moderate d. Binge-eating Disorder

c. Bulimia Nervosa, moderate

Which medication is NOT used in the treatment of alcoholism? a. Naltrexone b. Antabuse c. Buprenorphine d. Acamprosate

c. Buprenorphine

According to Kohlberg, what are "role-taking capacities?" a. Capacities to personify a role-model b. Capacities to play other characters c. Capacities to consider others' viewpoints d. Capacities to imagine new thinking strategies

c. Capacities to consider others' viewpoints

What is the Bowenian family term used to describe emotional "stuck togetherness"? a. Triangulation b. Compensatory family process c. Nuclear family emotional process d. Multigenerational transmission process

c. Nuclear family emotional process

Jake is 7 and has struggled with his speech for two years, and his parents do not want him stigmatized by placing him in therapy for his difficulty, nor does Jake want to be labeled "special" like some other kids in his classroom. Jake cannot make his speech effortless, no matter how hard he tries. His words jerk from his mouth in an uneven rhythm, and when he is anxious they seemingly are withheld from deep within his stomach. At times, consonants repeat like an old record player skipping. Jake has learned to do circumlocutions, in which he will substitute a related word when he cannot make his chosen word present. Jake's presentation is consistent with: a. Tourette's Disorder b. Speech Sound Disorder c. Childhood-Onset Fluency Disorder (Stuttering) d. Language Disorder

c. Childhood-Onset Fluency Disorder (Stuttering)

What age is required for a diagnosis of Encopresis? a. Chronologically 6 or older b. Chronologically 3 or older c. Chronologically 4 or older d. Chronologically 5 or older

c. Chronologically 4 or older

Understanding the interplay between psychiatric symptoms and substance use is a critical component in understanding: a. Personality disorders b. Tolerance and withdrawal c. Co-occurring disorders d. Course specifiers

c. Co-occurring disorders

Kohlberg argued that moral development reflects: a. Emotional development b. Social integration c. Cognitive development d. Behavior modification

c. Cognitive development

You have two sticks you believe to be the same size. Instead of moving the sticks, you imagine putting them together to see whether they would be the same length. Which type of operation are you using? a. Postoperational b. Formal c. Concrete d. Preoperational

c. Concrete

In the first three years of life, separation-individuation stresses the importance of: a. Contact comfort b. Apathetic attachment c. Consistent attentiveness d. Self-soothing abilities

c. Consistent attentiveness

Which does NOT characterize the four stages of cognitive development? a. Generalizable to other functions b. Stages are logically organized wholes c. Continue through adulthood d. Universal (not culturally specific)

c. Continue through adulthood

In Transactional Analysis, the parent ego state is our behaviors, thoughts, and feelings: a. That we have learned are socially acceptable b. Replayed from childhood c. Copied from our parents d. That are direct responses to the here and now

c. Copied from our parents

Which is NOT one of the seven caring habits, according to William Glasser? a. Accepting b. Supporting c. Criticizing d. Encouraging

c. Criticizing

What do narrative therapists focus on as a source of problems? a. Lack of boundaries b. Disruptions in the hierarchy c. Cultural beliefs and practices d. Inflexibility

c. Cultural beliefs and practices

Uncontrolled diabetes can be evidenced by all, EXCEPT: a. Increased hunger b. Decrease in energy c. Decreased urination d. Increased thirst

c. Decreased urination

Jake is a 39-year-old male who presents with difficulty in sexual performance with his spouse of 13 years. Jake reports the past two years have met with increased stressors with their youngest child's health, so the couple has experienced sleep deprivation and worry. As the health issues have resolved, Jake still finds their sex life difficult. He reports an inability to orgasm a majority of the time. It began about two years ago. At first, he believed it was just stress, but the issue has remained. The two previously engaged in sex about 3 times each week and he was unable to orgasm about 10 of 12 times each month. Now they have reduced a number of times they are even naked together because of Jake's shame. Jack is able to masturbate to orgasm about 50% of the time, which makes him feel more ashamed. The couple continues to attempt sex at least once each week, but Jake can rarely achieve orgasm. Jake's presentation is most consistent with: a. Erectile Disorder b. Premature Ejaculation c. Delayed Ejaculation d. Male Hypoactive Sexual Desire Disorder

c. Delayed Ejaculation

You are assessing a client for ongoing services. You ask if she's taking any medication. She responds yes, and gives you a little notebook with the brand names of her current medication. You notice on the list one medication that treats seizure-related disorders. The prescription medication listed is most likely to be: a. Oxycontin b. Zoloft c. Depakote d. Abilify

c. Depakote

Though she would never tell her doctors, Iris often feels disconnected from her own actions and thoughts. She feels like she's sitting just outside of herself, looking in on things that are actually happening but that she feels helpless to stop. What could this be classified as? a. Dissociative Identity Disorder b. Cyclothymic Disorder c. Depersonalization/Derealization Disorder d. Schizoid Personality Disorder

c. Depersonalization/Derealization Disorder

Avery, age 9, is currently living with her aunt and uncle because her mother has been ordered into a 30-day treatment program. Since she was 4, Avery has lived with several family members due to her mother's drug addiction. Avery's aunt describes her as an extremely friendly child, who is not impulsive and is very polite. Yet over the past year, family members have been concerned about Avery's safety. Even though she has been repeatedly taught about "stranger danger," Avery will go off with an unfamiliar adult with very little hesitation. Her past two teachers have also expressed concern that Avery is overly physical towards them, wanting to hold their hands when walking in the hallway and giving them kisses upon dismissal. What diagnosis is most consistent with this scenario? a. Reactive Attachment Disorder b. Separation Anxiety Disorder c. Disinhibited Social Engagement Disorder d. Acute Stress Disorder

c. Disinhibited Social Engagement Disorder

Hannah is a 24-year-old recent college graduate who disappeared shortly after school began. She had been teaching for one year, and was looking forward to greeting her second-year Spanish students when she went missing. It was as if she dropped off the face of the earth. Her roommates were baffled. Hannah is seen on surveillance footage checking her email at a local coffee shop, then nothing. Her phone and wallet are found on a park bench. Friends and family launch a search. Nothing is seen of her again for 2 weeks until a barge operator spots someone in the water and signals for help. Hannah is fished out of the water wearing running shorts and a t-shirt. She is dehydrated, has hypothermia, but is otherwise physically okay and recovers. However, she has no memory of the previous weeks. Hannah's presentation is consistent with: a. Malingering b. Depersonalization/Derealization Disorder c. Dissociative Amnesia d. Dissociative Identity Disorder

c. Dissociative Amnesia

Annie has a long history of trauma dating back to early childhood. Today there is evidence of at least 10 alternative personalities that possess her person, with three being dominant. One is aware of the others, but most have no apparent awareness of one another. Annie has difficulty recalling day-to-day events and managing her schedule, much more than what stress should do to managing information. Annie does not engage in illicit drug use, but two of her alter egos drink socially. Annie's diagnosis is consistent with: a. Schizoaffective Disorder b. Derealization/Depersonalization Disorder c. Dissociative Identity Disorder d. Schizophrenia

c. Dissociative Identity Disorder

While completing an initial assessment, the client states that she often imagines herself driving off of a cliff. What is the BEST way for the social worker to respond? a. What are triggering these thoughts? b. Do you want to die? c. Do you have an actual plan on how to carry this out? d. What else have you dreampt about?

c. Do you have an actual plan on how to carry this out?

Individuals who are diagnosed with Pyromania experience relief or gratification: a. Just prior to the fire event b. After cleanup of the fire event c. During the fire event d. Once monetary damages are attained (e.g. insurance payouts)

c. During the fire event

According to experiential family therapy, the cause and effect of family problems is: a. Dysfunctional behavioral patterns b. No established hierarchical structure c. Emotional suppression d. Enmeshment

c. Emotional suppression

A Gestalt therapist might utilize which technique? a. Psychodrama b. Family floor plan c. Empty chair d. Free association

c. Empty chair

Four-year-old Kevin potty trained at age 2. He met all of his developmental markers and is a well-rounded, happy child. However, in the past few months, he has begun soiling himself several times each month. He denies a need to defecate, and may not for as many as four days. Then he will defecate in his pants and on two occasions has defecated in a plant at his pre-school. Kevin's presentation is consistent with: a. Encopresis, without constipation and overflow incontinence b. Enuresis, Diurnal only c. Encopresis, with constipation and overflow incontinence d. Enuresis, Nocturnal, and Diurnal

c. Encopresis, with constipation and overflow incontinence

Eleven-year-old Chris began voiding urine into his clothes and hiding the wet clothing under his bed, in his closet or in his dresser, occurring a few times each week over the past several months. Chris' behavior is consistent with: a. Elimination Disorder b. Encopresis c. Enuresis d. Oppositional Defiant Disorder

c. Enuresis

Jay is an 8-year-old boy who has never fully achieved nighttime dryness since completing potty training at 42 months of age. Jay is involved with scouting and desires to attend a jamboree with his troop later in the year, but cannot if he is unable to achieve nighttime dryness. Jay is anxious about whether or not he will be able to go with his troop. The therapist gives a diagnosis of: a. Enuresis, Diurnal b. Oppositional Defiant Disorder c. Enuresis, Nocturnal d. Social Anxiety Disorder

c. Enuresis, Nocturnal

Annie repeatedly urinates in her bed at night. Annie potty trained at age two but continues to have incidents of bedwetting though she is now age 9. Annie is ashamed of her behavior, and it disables her from doing sleepovers with friends. Annie's diagnosis is consistent with: a. Adjustment reaction, nocturnal enuresis b. Enuresis, involuntary c. Enuresis, nocturnal only d. Enuresis, nocturnal and diurnal

c. Enuresis, nocturnal only

In Horney's view, men and women are ______ outside of the cultural restrictions often placed on being female. a. Unequal b. Relevant c. Equal d. Irrelevant

c. Equal

Don was adopted when he was 5. Now, 7 years later, his parents have come to a counselor seeking help. A recent growth spurt has hit Don, and he is grasping new concepts in school. He is interacting with new toys and making new friends. Piaget would suggest bringing all three - maturation, experience and social interaction - together in order for Don to form a full mental schema. This is called: a. Softening b. Pyramiding c. Equilibrium d. Tenure

c. Equilibrium

According to Freud, the mouth, anus, and genitals are: a. Anxiety zones b. Phallic symbols c. Erogenous zones d. Part of the Oedipus complex

c. Erogenous zones

Which term describes a type of paradoxical intervention that forces a client to give up a symptom or maladaptive behavior or to admit that the symptom is under voluntary control? a. Ordeal b. Role play c. Prescribing the symptom d. Double bind

c. Prescribing the symptom

Ethical and legal issues are important within all areas of psychological practice. As a psychological consultant, it is important to use which of the following as a guiding principle? a. Ethical principles already take into account cultural context so additional consideration of cultural factors is unnecessary b. Consulting with a colleague regarding any ethical issue that is encountered c. Ethical guidelines need to be interpreted in each situation, for and within each cultural context d. One should apply all ethical standards as outlined by their profession during consultation

c. Ethical guidelines need to be interpreted in each situation, for and within each cultural context

Claire began seeing a therapist for therapy. During the first session, the therapist should provide all, EXCEPT: a. Fees, scheduling information, cancellation policies b. Therapist's responsibilities for the therapeutic relationship c. Evaluation of services d. Claire's responsibilities for the therapeutic relationship

c. Evaluation of services

After exploring the internal experience of the client, the history behind an emotional experience, and how the client's partner triggers that experience, the therapist will then: a. Deconstruct irrational beliefs behind the emotional experience b. Prompt the client to let go of feeling and move on with the session c. Examine how the session's context and the therapist's input could affect the interactions between the partners d. Examine behavioral responses related to the feelings

c. Examine how the session's context and the therapist's input could affect the interactions between the partners

Which is NOT a function of family policy? a. Creates or organizes structures b. Distribution or redistribution of resources c. Execution of family policy d. Regulates behaviors

c. Execution of family policy

Reflection is designed to: a. Prepare for confrontation b. Offer support c. Expand comprehension d. Offer interpretation

c. Expand comprehension

Kohlberg would say that moral stages are a reflection of: a. The innocence of childhood b. How children mature as they grow older c. Expanded insights into how perspectives differ and might be coordinated d. The limitation of adult's adaptation to the environment

c. Expanded insights into how perspectives differ and might be coordinated

Jennifer, 30 years old, cannot seem to recover emotionally from the abortion she had last year. Since she had it, she has tried to forget it and put it in the past. You encourage her to: a. See a physician for medication b. Let time heal all wounds c. Experience catharsis d. Have a memorial service

c. Experience catharsis

A client tells a therapist that sometimes the client finds the therapist attractive. The therapist should: a. Share any feelings they may have for the client, but make a contract not to act on them with the client b. Transfer the client immediately c. Explain transference to the client and reinforce boundaries d. Refer the client for sex therapy

c. Explain transference to the client and reinforce boundaries

Amy is a nurse. While she was caring for a 13-month-old child suffering from an infection of the blood, the baby went into respiratory distress and died. Two weeks later, a 6-month-old child was admitted with a chest infection, and later went into respiratory arrest and died. The following day, a 2-year-old child died in Amy's care, unable to be resuscitated. Over the following year, several children came close to dying or died. When a 28-month-old could not be resuscitated, two of the physicians noted odd puncture wounds under his left armpit. However, it was not until a year later that a hospital consultant became alarmed and began investigating. The case that brought the issue to attention is a 17-month-old boy. High amounts of potassium were found in his blood. His body was exhumed, and lignocaine found. Lignocaine is commonly used with cardiac arrest, but never administered to children. Amy is arrested and charged with seven counts of murder, 13 counts of attempted murder, and 13 counts of causing grievous bodily injury. Leading up to the trial, assessment reveals Amy faked illness much of her preadolescence and adolescence, at times wearing a cast or other significant bandaging to gain attention. Her presentation is consistent with: a. Malingering b. Factitious Disorder Imposed on Self c. Factitious Disorder Imposed on Another d. Conversion Disorder

c. Factitious Disorder Imposed on Another

Which term describes a nonverbal technique used in experiential family therapy in which family members position themselves in a tableau that reveals significant aspects of their perceptions and feelings? a. Sand tray b. Role-playing c. Family sculpting d. Family drawing

c. Family sculpting

In terms of Adler's five psychological positions, what would be the position of the middle child? a. Behaves as in a race and is often opposite to the first child b. Receives more attention, spoiled, and center of attention c. Feels squeezed out d. Does not learn to share well

c. Feels squeezed out

Tommy's teacher graded him poorly on a recent essay exam because his handwriting was unintelligible. Tommy was able to verbalize his answers when asked, though. What type of disability would this be classified as? a. Sensori-motor control b. Modification control c. Fine motor control d. Impulse control

c. Fine motor control

In Rational Emotive Behavior Therapy, which is associated with positive mental health? a. Temperament b. Generalization c. Flexibility d. Accommodation

c. Flexibility

______ developed an existential therapy called logotherapy. a. Perls b. Kierkegaard c. Frankl d. Sarte

c. Frankl

In order to experience individuation, or ______, children need good bonding experiences with their parents and other adult caregivers during the first six to nine months of life. a. Narcissistic needs b. A neurotic-symbiotic relationship c. Psychological birth d. Development of morality

c. Psychological birth

James is 33 years old and currently in a same-sex relationship. James is seeking a consultation to do sex reassignment surgery, believing in his heart he is fully female. As a young child, James recalls always wanting to play with girls and dolls, never his peers or any form of the boy-oriented toys his family provided him. James found it easy to have female friends, and as time went on, was attracted to boys in school. However, he has never felt fulfilled in any relationship because at his core he believes he is a woman and does not believe he can fully be in a friendship or romantic relationship as a man because he is a woman. James recalls fantasizing for many years that his penis would fall off, leaving him the vagina he was meant to have. The depression suffered as a result of feeling deformed nearly took his life several times. James' presentation is most consistent with: a. Body Dysmorphic Disorder b. Homosexuality c. Gender Dysphoria d. Transvestism Disorder

c. Gender Dysphoria

Mary is a 22-year-old who presents after returning to her parent's home following a brief marriage to a man. Mary reports she had no sexual feelings for her spouse despite many attempts over the past year. Mary reports feeling as though she should have been a boy, beginning at about age 9. She never had an interest in traditionally feminine toys. Mary loved sports and played soccer, softball, and volleyball, and she spent her summers running with the neighborhood boys playing ball and riding her bike. In junior high school, Mary wrote a few love letters to females as if she were a boy, and engaged in some same-sex kissing and fondling at this time and in high school, seeing herself as a good "boyfriend." Mary does not see herself as a female and does not like the fact that she has breasts. Mary's presentation is most consistent with: a. Transvestic Disorder b. Body Dysmorphic Disorder c. Gender Dysphoria d. Fetishistic Disorder

c. Gender Dysphoria

At age 11 Shelly's body began to change. That brought with it feelings of betrayal, anger, and resentment. Shelly's parents do not know what to do to help her. Shelly told them, "I can't live in my body if it is going to have breasts. I'm really a boy and have been my whole life. This was not supposed to happen." Her parents were not surprised at the revelation, having watched her have strong preferences for male friends and traditionally boy activities and toys her entire life. But this sounded serious. The two tried working with her, believing this was part of another normal phase. At 14, Shelly begged to see a surgeon to have her breasts removed and start hormone replacement therapy. Shelly said, "I can't be me if I have to live this way. I want to be a boy." Shelly's presentation is consistent with a diagnosis of: a. Gender Dysphoria in Children b. Adjustment Disorder c. Gender Dysphoria in Adolescents or Adults d. Body Dysmorphic Disorder

c. Gender Dysphoria in Adolescents or Adults

Which activity has the LOWEST risk of contracting HIV? a. Deep kissing b. Breast feeding c. Getting a mosquito bite d. Oral sex

c. Getting a mosquito bite

Which is NOT a symptom of Dependent Personality Disorder? a. Needs others to assume responsibilities b. Seeks another relationship when one ends c. Grossly disorganized or catatonic behavior d. Difficulty making decisions without advice

c. Grossly disorganized or catatonic behavior

Although group-therapy members were hesitant to speak about their lives, participants now are comfortable with sharing their lives and helping other group members do the same. The reluctant members eventually do so. The most probable reason for this is: a. Typical process of group stages b. Peer pressure c. Group norming leading to cohesiveness d. Hawthorne effect

c. Group norming leading to cohesiveness

Typically, the spouse of a depressed person: a. Makes his or her needs known b. Does not encourage the depressed spouse to take prescribed medication c. Has more responsibilities and resentment than average d. Realizes that many family problems are not caused by the depression

c. Has more responsibilities and resentment than average

A couple that frequently argues, comes to therapy. One of the presenting problems observed by the cognitive-behavioral family therapist is the ongoing use of criticism between partners. An appropriate homework assignment the therapist could give this couple to target the problem would be to: a. Have each partner list the negative behaviors he or she observes in the other partner on a given day b. Have one partner list the negative behaviors he or she observes in the other partner on a given day c. Have each partner make a list of something positive that the other partner did on a given day d. Have each partner make a list of something positive he or she did on a given day and show it to the other partner

c. Have each partner make a list of something positive that the other partner did on a given day

Solution-focused therapists understand that clients may want to bring up past or current problems, but they discourage this in favor of: a. Having the clients explore their part in constructing these problems b. Having the clients list the things they are grateful for in their lives c. Having the clients describe, in detail, the future they want d. Having the clients organize their lives into functional daily goals

c. Having the clients describe, in detail, the future they want

______ saw the existence of other people, with whom we are fallen into a world where the anonymous 'They' in our own mind decides our actions and our identity, as the major obstacle to authenticity. a. Yalom b. Jung c. Heidegger d. Kierkegaard

c. Heidegger

A plan of care document should include several components. One of which is 'treatment modality'. This information includes: a. Clinical impressions b. Objectives of the counseling services c. How counseling will be provided (via group, individual, etc.) d. The client's diagnosis

c. How counseling will be provided (via group, individual, etc.)

Joy is 33 and feels as though nothing can penetrate her mood. She completed several projects despite a lack of sleep during the past five days. She has spent hours on the shopping network, spending several thousand dollars. Joy's best friend cannot get a word in each time Joy calls to tell her about the amazing buys she made. Joy's state of mind is consistent with: a. Manic episode b. Major depressive episode c. Hypomanic episode d. Mixed episode

c. Hypomanic episode

Suzie comes to you for therapy and reports a history of childhood abuse. She has been having trouble with abuse in her current relationship. She has previously been diagnosed with Borderline Personality Disorder. What term would object relations theory use to best describe the state she is in? a. Catatonia b. Qualitative state c. Identity diffusion d. Altered mental state

c. Identity diffusion

To become a culturally competent counselor, which should a therapist NOT do? a. Be aware of and sensitive to his or her own cultural heritage and to valuing and respecting differences b. Become aware of how his or her own cultural backgrounds and experiences and attitudes, values, and biases influence psychological processes c. Ignore the limits of his or her competencies and expertise d. Become comfortable with differences that exist between himself or herself and clients in terms of race, ethnicity, culture, and beliefs

c. Ignore the limits of his or her competencies and expertise

Oxygen delivery systems for patients with low blood oxygen levels can be administered: a. In hospital and home only b. In the hospital only c. In hospital, at home, and portably d. In the hospital or doctor's office only

c. In hospital, at home, and portably

Which service role is MOST appropriate for the parents of an emotionally disturbed child in need of child management, structure, and consistency in the home? a. Case manager b. Clinical counselor c. In-home counselor d. Child advocate

c. In-home counselor

Which is NOT a qualifying symptom of Alcohol Use Disorder? a. Withdrawal b. Tolerance c. Inability to pay for one's alcohol d. Spending time thinking about or yearning for alcohol

c. Inability to pay for one's alcohol

In person-centered therapy, the therapist seeks to increase the client's insight and self-understanding through: a. Formal instructive questions b. Formal clarifying questions c. Informal clarifying questions d. Informal interrogatory questions

c. Informal clarifying questions

Members of a group engage low risk-taking and tentative exploration, akin to trust versus mistrust, during what stage in group formation? a. Transition b. Consolidation c. Initial d. Working

c. Initial

The contract approach in Transactional Analysis is a part of which stage? a. Final b. Transitional c. Initial d. Working

c. Initial

A man shows no emotional response to the "dear John" letter he received from his fiancee. Instead he tells his roommate he is trying to figure out why she changed her mind about the upcoming wedding. Which defense mechanism does this scenario best represent? a. Regression b. Rationalization c. Intellectualization d. Projection

c. Intellectualization

The main feature of Sullivan's personality theory is its emphasis on: a. Sexual development b. Adolescence c. Interpersonal relations d. Self-fulfillment

c. Interpersonal relations

According to Kohlberg, during which stage do individuals try to live up to social expectations and roles? a. Universal ethical principles b. Obedience and punishment c. Interpersonal relationships d. Individualism and exchange

c. Interpersonal relationships

From what symptom category in Post-Traumatic Stress Disorder are the following symptoms: Tom has an ongoing "film" he cannot turn off of events that happened in the war, Rose dreams of cars plowing into her much like the accident she had a year ago, every time Bob feels a stiff breeze, his heart races and he is back in the tornado; and Brad's blood pressure rises and his body perspires each time he gets into his car? a. Avoidance b. Negative mood and cognitions c. Intrusion d. Altered arousal

c. Intrusion

Social cognitive theory differs from traditional behavioral learning theories in all ways, EXCEPT: a. It acknowledges that chance encounters can shape one's behavior b. It places more emphasis on observational learning c. It asserts that human activity is a function of behavioral and environmental variables d. It suggests that reinforcement is mediated by cognition

c. It asserts that human activity is a function of behavioral and environmental variables

According to Maslow, neurotic needs are activated: a. Only when satisfied b. Only when frustrated c. Whether or not they are satisfied d. When love and belongingness needs are met

c. Whether or not they are satisfied

What is true about "willingness" as a critical component of motivation? a. Willingness is not a critical component of motivation b. Willingness is a crucial aspect of motivational interviewing. It is collaborative rather than authoritative. c. It is the degree of discrepancy between status and goal - what is happening at present and what one values for the future. When the discrepancy is great, there is a perceived importance to change d. Two early studies found that clients reported high willingness and significant self-perceived gains in proficiency after motivational interviewing and a willingness to change

c. It is the degree of discrepancy between status and goal - what is happening at present and what one values for the future. When the discrepancy is great, there is a perceived importance to change

The underlying ethical principles on which the therapy relationship and ethical codes are based do NOT include: a. Autonomy b. Justice c. Kindness and compassion d. Nonmaleficence

c. Kindness and compassion

A therapist says to her client, "I see, so you are feeling like being more assertive with Al when he disparages you. I'd bet you have some past experiences wherein you've been assertive and things have worked out well for you." What type of statement is this? a. Confrontational b. Non-attending c. Leading d. Attending

c. Leading

With a group whose focus is support, what is the level of leadership activity? a. Focus is on the leader who maintains the agenda and holds the group to the day's topic b. Non-existent because support groups require no leadership c. Low to moderate, with a focus on the group interaction and process d. High, with significant direction from the leader to direct content and process

c. Low to moderate, with a focus on the group interaction and process

Over the past month, Linda reports depressed mood and a lack of pleasure in any activity. Her movements are slowed, and her clothes appear to be at least one size too large. Linda reports feeling especially bad in the mornings, usually waking between 3 and 4 am, unable to return to sleep. Linda's presentation is consistent with: a. Persistent Depressive Disorder (Dysthymia) b. Major Depressive Disorder with Catatonia c. Major Depressive Disorder with Melancholic Features d. Major Depressive Disorder with Mixed Features

c. Major Depressive Disorder with Melancholic Features

A person has a dream in which he or she is flying. According to Freud, the perceived subject matter of the dream, in this case flying, is its: a. Symbolic content b. Latent content c. Manifest content d. Objective content

c. Manifest content

Which theorist's concept of self-actualization is compatible with Carl Rogers' notion of the formative tendency of human beings to strive to become all that they can? a. Perls b. Ellis c. Maslow d. Jung

c. Maslow

Which is NOT an example of a material aid benefit offered through a social welfare institution? a. Surplus commodities b. Shelter c. Medical treatment d. Food stamps

c. Medical treatment

Structural family therapy was founded by: a. Bettelheim b. White c. Minuchin d. DeShazer

c. Minuchin

Psychological autopsy studies found that the most common co-occurring disorders for those who died by suicide are substance use disorders and: a. Autism Spectrum Disorder b. Psychotic disorders c. Mood disorders d. ADHD

c. Mood disorders

You are treating a white male senior citizen who exhibits paranoid ideations. The treatment team, including a physician, has ruled out psychosis and dementia. As a therapist, you might want to suggest to the treatment team that they: a. Use some of Beck's theoretical orientation and have the client confront these belief structures b. Continue psychotherapy focusing on the experiences in terms of childhood experiences and parental interjections c. Move the client out of his current living situation to decrease the perceived threat d. Have the physician order phenothiazines to control the symptoms

c. Move the client out of his current living situation to decrease the perceived threat

What is the 10-digit numeric identifier that will uniquely identify and numerate therapists on the national level, increasing the ease with which electronic billing and transmission of health information may be accomplished for health care providers? a. Federal Register therapist Identifier (FRSWI) b. Therapist Billing Identifier (TBI) c. National Provider Identifier (NPI) d. National Employer Identifier (NEI)

c. National Provider Identifier (NPI)

In MRI brief therapy, after the therapist develops a strategy to change the problem-maintaining cycle, the therapist: a. Implements the strategy in session b. Applies the strategy without letting the family know what he or she is doing c. Needs to convince clients of the value of that strategy d. Models the strategy to the family

c. Needs to convince clients of the value of that strategy

According to Erikson's stages of psychosocial development, who are the significant relationships with in the industry vs. inferiority stage? a. Peer groups and role models b. Family members c. Neighborhood and school d. Partners and friends

c. Neighborhood and school

What did the Milan group believe changed behavior? a. Intact hierarchy b. Restructuring c. New meanings d. Therapist directives

c. New meanings

What specifiers are given with a diagnosis of Enuresis? a. Voluntary or involuntary b. Early onset, late onset c. Nocturnal, Diurnal or both d. Mild, Moderate, Severe or Extreme

c. Nocturnal, Diurnal or both

The term __________ means do no harm. a. Beneficence b. Morality c. Nonmaleficence d. Justice

c. Nonmaleficence

Problems are commonly depathologized in the Milan model by viewing them as: a. External challenges b. Funny ways families adapt to difficulties c. Normative life cycle complications d. Repetitive intergenerational patterns

c. Normative life cycle complications

Mark's hands are red, chapped, and raw. He begins to describe fears about contamination in his body and his world. Mark is afraid that if he touches a surface in his kitchen, his family will become ill or his food will become poisoned. He alleviates his fears and the thoughts by cleaning kitchen and car surfaces and hand washing. When tension builds, Mark washes his hands. Mark has a hand washing kit that includes a pre-wash, scrub brush used by surgeons, which he uses from his elbows to his fingertips for seven minutes per arm, a separate fingernail brush, and hand sanitizer. If he does not use the items in order for the correct amount of time or it does not feel right, he starts over with a new kit. He uses 12 kits per day, never 13. If the end of the day arrives and he is at 13, he washes again to be at a number other than 13. Mark's presentation is consistent with: a. Triskaidekaphobia b. Superstitious Disorder c. Obsessive-Compulsive Disorder d. Excoriation Disorder

c. Obsessive-Compulsive Disorder

The Milan group often used ______ when assigning homework rituals. a. Behavioral graphs b. Charts c. Odd and even day scheduling d. Designing a team leader

c. Odd and even day scheduling

Which specifier would be indicated for Opioid Use Disorder, provide that no other substance use disorder criteria were met, if the client were being prescribed methadone? a. In a controlled environment b. In remission c. On maintenance therapy d. In early remission

c. On maintenance therapy

Most experiential therapists believe that ______ can have a positive impact on the individual and the family. a. Reorganizing the family boundaries b. Allowing subsystems to develop their own rules c. Openly sharing feelings d. Giving power back to the hierarchical structure

c. Openly sharing feelings

Jim is a troubled young man who struggles with irritability and often loses his temper. Jim argues with anyone who is able to exercise power over him, including teachers, parents and law enforcement. Rules annoy him, especially community curfews by age. The diagnosis most consistent with Jim's presentation is: a. Oppositional Defiant Disorder, mild b. Disruptive Mood Dysregulation Disorder c. Oppositional Defiant Disorder, severe d. Conduct Disorder

c. Oppositional Defiant Disorder, severe

The prefix "dys-" means: a. Child b. Like c. Painful or difficult d. One

c. Painful or difficult

An example of _______ is when a partner in the relationship is being put in a situation in which he or she is required to take care of his or her partner on an ongoing basis, like a parent would. a. Multidirected partiality b. Undergiving c. Parentification in adulthood d. Destructive entitlement

c. Parentification in adulthood

An important rule of communication is: a. You should always say what you think b. Children should speak when spoken to c. People should speak directly to one another d. A family should speak as a whole

c. People should speak directly to one another

According to REBT, ______ is a way of thinking that will make you feel badly or behave in dysfunctional ways. a. Tolerating frustration and discomfort b. Preferring rather than demanding c. People-rating d. Realistic thinking

c. People-rating

Bob is 26 and often catches people off guard when he yelps loudly or repeats the last word or words of a sentence they have just spoken. Bob began this around puberty, and despite significant efforts on his part, he cannot stop it. The more he tries to control it, the worse it gets. He has tried to control it because it is embarrassing to him, often times leading to tears. If he is fatigued, it occurs several times each hour, but if he is rested, it may only happen once or twice within the day. Bob's scenario is consistent with a diagnosis of: a. Persistent Depressive Disorder (Dysthymia) b. Autism Spectrum Disorder c. Persistent (Chronic) Motor or Vocal Tic Disorder, with vocal tics only d. Disruptive Mood Dysregulation Disorder

c. Persistent (Chronic) Motor or Vocal Tic Disorder, with vocal tics only

Multiple Personality Disorder was renamed Dissociative Identity Disorder because it better reflects: a. Failure of the individual to engage in multiple relationships b. The need for additional literature and research c. Personality fragmentation associated with identity d. Proliferation of identities

c. Personality fragmentation associated with identity

Rose is 68-years-old, and despite having few physical problems, she will no longer drive on interstates, go to any store that is crowded, or travel by airplane or train. Rose previously traveled extensively, but over the past two years has stopped, believing her age puts her at risk. Rose's family is frustrated by her decision to make these changes and sees her stated anxiety and concern as out of proportion. However, Rose believes her situation is not without merit and prefers to play it safe. Rose's situation is most closely related to: a. Generalized Anxiety Disorder b. Adjustment Disorder with Anxious Mood c. Phase of Life Problem d. Agoraphobia

c. Phase of Life Problem

Some people with Intermittent Explosive Disorder also report that their aggressive episodes are often preceded or accompanied by: a. Feeling of slow motion b. Emotional numbness c. Physical symptoms d. Drug use

c. Physical symptoms

Stroking can be: a. Discouraging, inconsiderate, and selfish b. Positive, negative, or neutral c. Physical, verbal, or nonverbal d. Kind, encouraging, and affirming

c. Physical, verbal, or nonverbal

Which psychologist outlined four stages of cognitive development ranging from infancy to early adolescence? a. Kohlberg b. Freud c. Piaget d. Erikson

c. Piaget

Eating substances such as charcoal, cigarettes, chalk, dirt, hair, paper, ice, clay, or sticks persistently over an extended period of weeks or months, when the practice is not associated with a developmental delay, psychosis or other culturally affiliated practice is known as: a. Obsessive-Compulsive Disorder b. Feeding and Eating Disorder c. Pica d. Rumination Disorder

c. Pica

A consultant is hired to implement a system-wide change within a department of an organization. A key consideration as a consultant when recommending an intervention in this situation is: a. Focusing solely on consultee input when planning the change in the department b. Establishing boundaries within the consultation to prevent consultant involvement in implementation c. Potential impact on other parts of the organization once the change is implemented d. Waiting until the plan is set and ready for implementation before informing the client(s)

c. Potential impact on other parts of the organization once the change is implemented

What do you call schools that implement reality therapy theories in the classroom? a. Reality schools b. Efficient schools c. Quality schools d. Theoretical schools

c. Quality schools

Macy is 4 and has been in two foster homes, in addition to several unofficial placements with family members. She is now in a children's home until a determination can be made about appropriate placement following multiple disputes about custody and paternity. Macy is observed to be detached, and regardless of what is occurring around her she does not reach out to the housemother for help when stressed. When the housemother attempts to comfort Macy, Macy rejects her. Macy seems to not emotionally respond to others, and in contrast shows fear and sadness when there is no obvious stressor placed upon her by her house parents. Macy has a history of neglect. The diagnosis most consistent with Macy's presentation is: a. Autism Spectrum Disorder b. Disinhibited Social Engagement Disorder c. Reactive Attachment Disorder d. Posttraumatic Stress Disorder

c. Reactive Attachment Disorder

The basic element of person-centered therapy is to have a more personal relationship with the client to help the client reach a state of: a. Resentment b. Irrationality c. Realization d. Depression

c. Realization

Your client, Calvin, is 77-years-old. He says that recently he's been having trouble remembering his apartment block number and how to get to it. Calvin is worried that he's losing his cognitive abilities due to aging. What is your best response? a. Refer Calvin to a psychiatrist for an evaluation and medical prescription b. Note in your records that Calvin may suffer from a neurocognitive disorder, but do not tell the client about the notation c. Refer Calvin to a medical physician for evaluation d. Refer him for group therapy and use behavior modification

c. Refer Calvin to a medical physician for evaluation

You discover during your first session with a family that you cannot understand them due to their use of colloquial dialects. Which option would be the best practice? a. Continue to treat the family as before b. Refer them to an therapist who understands the family's colloquial dialects c. Reflect back upon the messages you hear and respectfully ask if you have understood them d. Use an interpreter in future sessions

c. Reflect back upon the messages you hear and respectfully ask if you have understood them

Person-centered therapists employ a special method called ______, which consists of paraphrasing or summarizing what a client has just said. a. Disrupting b. Clarifying c. Reflection d. Reframing

c. Reflection

The tremendous amount of criticism over the fact that stage six was purely hypothetical caused Kohlberg to take which action: a. Forgetting about the stage b. Changing the stage c. Removing the stage d. Editing the stage

c. Removing the stage

A therapist is seeing a client who was referred by the court for therapy. The client is reluctant to talk in the first session and says he does not want to come to therapy. He does not show up for the second session. The therapist should: a. Phone the client and give him an opportunity to explain why he does not want to come to therapy b. Phone the client and explain the court order to him c. Report the client's behavior to the court d. Maintain the client's confidentiality

c. Report the client's behavior to the court

What are the subtypes of Anorexia Nervosa? a. Starvation and Restriction b. Binging and Purging c. Restricting and Binge-eating/purging d. Alpha and Beta

c. Restricting and Binge-eating/purging

According to cognitive-behavioral family therapy, the way family members interact with each other is affected by their beliefs about the world and how it functions, also referred to as their: a. Reframes b. Irrational beliefs c. Schemas d. Automatic thoughts

c. Schemas

Marcus is 9 and struggles to engage effectively with peers and those of other ages. His mother explained how he launched into a disquisition with her friend about how to organize items effectively in a kitchen, assuming she both needed and wanted the information, and that she had never engaged in effective organizing. When she tried to redirect the conversation, Marcus continued speaking over her. His mother noted Marcus does not know how to take turns in a conversation, to read body language, or to alter his level of formality to the age of his audience. Marcus' presentation is most consistent with: a. Avoidant Personality Disorder b. Autism Spectrum Disorder c. Social (Pragmatic) Communication Disorder d. Speech Sound Disorder

c. Social (Pragmatic) Communication Disorder

________ increases self-efficacy when a trusted person convinces an individual that he or she has the ability to perform an activity. a. Social determination b. Social observation c. Social persuasion d. Social modeling

c. Social persuasion

Match the following statement with the correct stage: "Heinz should steal the medicine because he will be much happier if he saves his wife, even if he will have to serve a prison sentence." a. Stage four b. Stage one c. Stage two d. Stage three

c. Stage two

Depression appears to have an especially significant effect on the life expectancy of older _________ adults. a. Hispanic male b. Asian male c. White male d. White female

c. White male

Behavior modification has been shown to work: a. Only with males b. Only with older adolescents who have impulse-control issues c. With all children, regardless of age, gender, or behavior d. Only with children under age eight

c. With all children, regardless of age, gender, or behavior

Tammy began chemotherapy shortly after her mastectomy. She dealt well with the diagnosis and surgery, though the process was arduous. As chemotherapy began, Tammy's support team was strong and remains so. Tammy has no history of a depressive disorder, but two months into treatment she is experiencing restlessness, difficulty concentrating, anhedonia, tearfulness, a sense of emptiness inside, and feelings of worthlessness. Tammy knows she will survive her cancer, but wonders if it would just be better for everyone if she were just not around anymore. The diagnosis most consistent with Tammy's presentation is: a. Other Specified Depressive Disorder, Onset with Cancer Treatment b. Adjustment Disorder, with depressed mood c. Substance/Medication-Induced Depressive Disorder, Chemotherapy d. Major Depressive Disorder, with anxious distress

c. Substance/Medication-Induced Depressive Disorder, Chemotherapy

Whenever the traumatic memories of his time in jail start to surface, Kurt goes to see a funny movie. It helps him to forget the bad memories. Which defense mechanism does this scenario best represent? a. Regression b. Splitting c. Suppression d. Projection

c. Suppression

The therapist's role in cognitive-behavioral family therapy is that of a(n): a. Friend b. Expert c. Teacher d. Confidant

c. Teacher

What type of clinical interview is characterized by summarizing previous procedures or services? a. Evaluation interview b. Orientation interviews c. Termination or debriefing interviews d. Crisis interviews

c. Termination or debriefing interviews

Which of Horney's theories is considered to be holistic in nature? a. That we are all children and must adapt to life b. That we all go through childhood with the express desire to learn how to be an adult c. That we are all naturally healthy and growth seeking d. That we all have problems in life and there is nothing that can be done about it

c. That we are all naturally healthy and growth seeking

Mikey is nine years old. He is now able to see that if John is taller that Pete, and Pete is taller than Bob, then John is taller than Pete and Bob. According to Piaget, this child mastered transitivity in the third stage of cognitive development known as the concrete operational stage. This notion suggests: a. Children can sort and name sets of objects according to different characteristics b. The ability to sort objects according to different criteria c. The ability to understand logical relationships between different things d. That children are now aware that actions can be reversed

c. The ability to understand logical relationships between different things

Your client has been showing a decrease in baseline negative behavior in recent weeks. One of the highest risks over the next week will be: a. The client harboring resentment against his parents b. The client returning to therapy on a regular basis c. The client testing results by increasing negative behaviors d. The client stopping the behavior altogether

c. The client testing results by increasing negative behaviors

In most states, reasons to commit a client involuntarily would NOT include: a. The client's mental state is causing a danger to self b. The client's mental state is causing a danger to others c. The client's mental state has led to job loss or family disruption d. The client's mental state prevents self-care

c. The client's mental state has led to job loss or family disruption

A supervisee has been criticized by group members for his or her treatment of a young runaway girl. What is the best response of the clinical director of group supervision? a. The clinical director should observe only, trusting that the supervisees will resolve their differences. b. The clinical director should recognize that the supervisor must be doing something wrong to allow the group to be so out of control. c. The clinical director should try to constructively redirect the critical comments to allow for expression of different opinions while minimizing personal attacks. d. The clinical director should forcibly take control of the group.

c. The clinical director should try to constructively redirect the critical comments to allow for expression of different opinions while minimizing personal attacks.

Object relations theorists believe that people are motivated by: a. The need for homeostasis b. Separation anxiety c. The death instinct d. The need for self-actualization

c. The death instinct

Which organ is the principal site of medication metabolism? a. The Duodenal Diverticulum b. The stomach c. The liver d. The lungs

c. The liver

Which best describes the stage of change known as "preparation" in the stages of change model? a. In this stage, clients are either unaware of problem behavior or are unwilling/discouraged when it comes to changing it b. The person acknowledges that he/or she has a problem and begins to think seriously about solving it c. The person is ready for change in the near future, and he/or she is on the verge of taking action. People in this stage may have tried and failed to change in the past, yet they have often learned valuable lessons from past change events. d. In this stage, the client modifies his/or her behavior by making a change and implementing the plan

c. The person is ready for change in the near future, and he/or she is on the verge of taking action. People in this stage may have tried and failed to change in the past, yet they have often learned valuable lessons from past change events.

If a family member is concerned about a potential problem drinker in the family, he/she can seek clarification from all, EXCEPT: a. Alcoholic's Anonymous b. A minister or clergy member c. The problem drinker d. A family physician

c. The problem drinker

According to Heinz Kohut's self psychology, what is transmuting internalization? a. The physiological needs of infants b. The acquisition of language and its role in higher mental processes c. The process by which the self evolves d. The effects of the Oedipus complex

c. The process by which the self evolves

Narrative therapists believe that people get caught up in problems when: a. They do not establish clear boundaries in their relationships b. Their unconscious desires manifest in their behavior c. The stories they tell themselves lead them to construe their experience in unhelpful ways d. They perpetuate feedback loops in their interactions

c. The stories they tell themselves lead them to construe their experience in unhelpful ways

According to Horney, ______ is often labeled as the "moving-away-from". a. Compliance b. Aggressive c. Withdrawal d. Perfection

c. Withdrawal

Avoidant attachment partners look like: a. They are hyper-vigilant for threats to the relationship and are jealous and distrustful. They can become very reactive and less than coherent in their presentation of the problems and the relationship. Bids for attention escalate into angry blaming. They see others as unreliable and untrustworthy. They can be hostile and have affairs. b. They generally suppress attachment concerns. They prefer to focus on objects and instrumental task, anything but attachment cues or issues. They avoid and stay clear of their partner's needs or vulnerabilities. c. They do not invest much emotion in relationships and experience little distress when a relationship ends. Other common characteristics include a failure to support partners during stressful times and an inability to share feelings, thoughts, and emotions with partners. d. They feel reluctant about becoming close to others and worry that their partner does not reciprocate their feelings. This leads to frequent breakups, often because the relationship feels cold and distant. These individuals feel especially distraught after the end of a relationship.

c. They do not invest much emotion in relationships and experience little distress when a relationship ends. Other common characteristics include a failure to support partners during stressful times and an inability to share feelings, thoughts, and emotions with partners.

According to Bandura, which is NOT characteristic of people with a strong sense of self-efficacy? a. They develop deeper interest activities b. They recover quickly from setbacks c. They sidestep challenging tasks d. They form a stronger sense of commitment

c. They sidestep challenging tasks

The ultimate purpose of Rational Emotive Behavior Therapy is to change the way we: a. Think and behave b. Think and feel c. Think, feel, and behave d. Think

c. Think, feel, and behave

What is the goal of object relations family therapy? a. To restructure the family system in healthier ways b. To change the way the client thinks to feel and act better even if the situation does not change c. To bring into the conscious awareness patterns of interactions and help the client find new ways of relating d. To design strategies for change

c. To bring into the conscious awareness patterns of interactions and help the client find new ways of relating

According to Adult Children of Alcoholics, the main mission of its members is: a. To understand alcoholism in the family b. To learn about their drinking behavior c. To learn how to reparent themselves d. To prevent alcoholism from hurting children

c. To learn how to reparent themselves

The goal of psychoanalysis is: a. To suppress and redirect the id b. To be in the here and now c. To make the unconscious conscious d. To challenge irrational beliefs

c. To make the unconscious conscious

Client: "What's wrong with you? You sound just like my wife!" Assuming that you're not this person's wife, what is probably going on here? a. Catharsis b. Displacement c. Transference d. Countertransference

c. Transference

Psychoanalysts believe that ______ is an important cause of relationship problems. a. Individuation b. Regression c. Transference d. Honesty

c. Transference

Mr. Howard had a neurological deficit that lasted only a few hours. What is this called? a. A stroke b. Degenerating facet joints c. Transient Ischemic attack d. Chronic Obstructive Pulmonary disease

c. Transient Ischemic attack

Julie says, "I have no idea why I do what I do, I just do it." Julie talks as she twirls one of her curly locks around her finger, finally plucking it from her head. Julie is 40 and has pulled her hair since she was around age 14 when studying for a history test. "I just remember trying to stay awake, and it made my head tingle. It worked for a long time, but then I couldn't stop." She reports her mom got angry with her and made her wear gloves in the evenings to slow her pulling because a bald spot began to emerge. Julie felt like she always had a beanie on, something she knows does not turn men on, So I may as well be a child because my love life looks like one." Julie's presentation is consistent with: a. Denial b. Generalized Anxiety Disorder c. Trichotillomania d. Obsessive-Compulsive Disorder

c. Trichotillomania

A social worker is interviewing a family for family therapy. Their pastor made the referral due to their daughter's on-going behavior problems. During the family interview the 11-year-old child interrupted the therapist to ask for snacks and games to play. She wandered around the therapist's office, searching for things to do, violating the social worker's personal space. When re-directed by the social worker, she had a tantrum and tried to leave the office. The parents ignored her behaviors and proceeded as if they did not notice what she was doing. The social worker will most likely note their parenting style as: a. Permissive b. Authoritative c. Uninvolved d. Authoritarian

c. Uninvolved

Most families' behaviors are governed by: a. The hierarchical structure in the system b. Clearly established rules c. Unspoken rules d. Authoritarian parents

c. Unspoken rules

When devising schedules of reinforcement for an experiment, the two schedules of reinforcement that will result in the greatest rate of subject response are: a. Variable interval and fixed ratio b. Fixed and variable ratio c. Variable interval and variable ratio d. Continuous and fixed ratio

c. Variable interval and variable ratio

What is the core principle of reality therapy? a. There are eight stages of development b. We are unaware of our internal conflicts c. We are always acting to meet our needs d. Our problems are rooted in the subconscious

c. We are always acting to meet our needs

Which would NOT be an appropriate reason to terminate a counseling relationship with a client? a. When the client no longer requires counseling services b. When the client has not paid fees as agreed upon c. When the therapist has conflicting values or beliefs d. When the therapist is at risk of harm by the client

c. When the therapist has conflicting values or beliefs

Conducting an assessment with a divorced mother of three, a social worker learns that the client has been in a homeless shelter for six months even though she has a full-time job. Should the social worker inquire about her monthly income? a. Yes, because this will help gain a clear understanding of how the client utilizes her resources b. No, that it private information c. Yes, knowing the client's economic situation will help with understanding what type of services or resources are available to her d. No, because it won't change the current situation she's in

c. Yes, knowing the client's economic situation will help with understanding what type of services or resources are available to her

During the initiation of Phase 2, why is it important to "elicit a commitment"? a. Without a commitment, the therapist will have to revisit the client's ambivalence and resistance b. Sometimes the client's own commitment to change takes over and he/or she proceeds without you c. You are looking for the client's approval of and assent to the plan. The basic question is, "Is this what you want to do?" d. You may have to stay in contact with the client and keep the door open. Always check on the client's progress with his/or her plan to change.

c. You are looking for the client's approval of and assent to the plan. The basic question is, "Is this what you want to do?"

"My husband just sat there and laughed at me. I couldn't speak, I cried, and I feel like I don't matter." The response that BEST reflects the client's feeling is: a. You want to tell him to stop b. You felt angry c. You felt humiliated d. You are depressed

c. You felt humiliated

The court orders a drug user to seek therapy. The user tells you he doesn't believe he needs therapy and is attending only to avoid prison. Given the situation, which of these statements on informed consent is true? a. Informed consent is not applicable to court-ordered treatment b. You may or may not obtain informed consent, depending on the disposition of your client's case c. You must still obtain informed consent from the client d. Informed consent from a convicted felon does not meet ethical standards

c. You must still obtain informed consent from the client

Your client says, "My mother is in the hospital with cancer. She is not eating, and my sisters are not getting along. I see my mother a few times a week, but I think that there is more that I should be doing." The best paraphrase for this scenario might be: a. "You must really love your mother." b. "What does the prognosis look like for your mother?" c. "You feel angry and don't know which way to turn." d. "It seems that your life has been turned upside down lately by all of the struggles within your family."

d. "It seems that your life has been turned upside down lately by all of the struggles within your family."

An older adult client expresses concern that she won't be able to drive much longer and she doesn't know how she will get around. The therapist, using reflection, has the following response: a. "Can your family drive you places?" b. "Perhaps you can afford to hire someone to drive you where you need to go." c. "Why do you think you won't be able to drive?" d. "You are concerned you won't be able to travel to the places you need and want to go to if you aren't able to drive there yourself."

d. "You are concerned you won't be able to travel to the places you need and want to go to if you aren't able to drive there yourself."

How many symptoms must accompany functional impairment in the use of opioids to diagnose Opioid Use Disorder? a. 6 b. 4 c. 8 d. 2

d. 2

The DSM-5 defines "thought broadcasting" as: a. A delusion where one's thoughts are not one's own, but rather are inserted into one's mind b. A delusion where one sees his or her thoughts in somebody else's head c. A delusion in which one feels as though his or her thoughts are another person's d. A delusion that one's thoughts are being broadcast aloud so that they can be perceived by others

d. A delusion that one's thoughts are being broadcast aloud so that they can be perceived by others

Steve, a self-employed contractor, has been seeing a therapist for five months. Upon a visit to the therapist's office, he became extremely upset because the therapist had another contractor repairing some structural damage to the outside of the building. Steve told his therapist that he felt hurt that she did not hire him to do the job. Ethically, the therapist behaved the right way, as hiring Steve would have been a violation because it is: a. Accepting a gift b. Bartering c. Compromising Confidentiality d. A dual relationship

d. A dual relationship

MRI therapists believe that the family members' framing of the problem might derive: a. The rules b. Positive behavior c. A correct solution d. A false solution

d. A false solution

Personality disorders usually stem from: a. Reactions to stress or traumatic events b. Alcohol or drug addiction c. DNA from the person's parents d. A gradual development of inflexible or distorted patterns

d. A gradual development of inflexible or distorted patterns

The DSM-5 defines "stupor" as: a. Behavior that represents near-unconsciousness or insensibility b. Abnormal behaviors or physiological events occurring during sleep or sleep-wake transitions c. A state of unresponsiveness with immobility and mutism d. A lack of psychomotor activity, which may range from not actively relating to the environment to complete immobility

d. A lack of psychomotor activity, which may range from not actively relating to the environment to complete immobility

The DSM-5 defines "mood" as: a. An unpleasant emotion, such as sadness, anxiety, or irritability b. An exaggerated feeling of well-being, euphoria, or elation c. A mental state that arises spontaneously rather than through conscious effort and is often accompanied by physiological changes d. A pervasive and sustained emotion that colors one's perception of the world

d. A pervasive and sustained emotion that colors one's perception of the world

A Contextual therapist asks during the first session if a family member who was being used by the other members as a scapegoat may have been trying to be helpful at some point. This is an example of utilizing ________ to promote ________. a. Destructive entitlement; constructive entitlement b. Questioning; unconditional positive regard c. Fairness; multidirected partiality d. Acknowledgment; fairness

d. Acknowledgment; fairness

Your client cares for an older adult relative around the clock, and is suffering from anxiety and fatigue. She will not put her relative into a nursing home. What is the best referral? a. Urban League b. A nursing home c. Adult protective services d. Adult day care

d. Adult day care

Which nationality is affected the most by AIDS? a. Caucasians b. Hispanics c. Asian or Pacific Islander d. African Americans

d. African Americans

In shaping competence, the structural family therapist: a. Perfects his or her abilities as an interventionist b. Tells families in what way they are incompetent c. Pretends the family is competent d. Highlights positive behavior

d. Highlights positive behavior

During a regular family therapy session, a Contextual Family Therapist would: a. Pay more attention to the parents and/or hierarchical structure of the family system than other family members b. Only speak with the children, in order to better assess how they contribute to the problem c. Focus on speaking with the identified client or the family member who has been identified as owning the problem d. Allow each family member to participate in order to ensure the family knows everyone is equally important

d. Allow each family member to participate in order to ensure the family knows everyone is equally important

One of the main underlying premises of the narrative family therapy approach is that personal experience is: a. Analytical b. Concrete c. Definite d. Ambiguous

d. Ambiguous

Games, according to Transactional Analysis, consist of three basic elements, one of which is: a. No payoff that concludes the game b. A new ending that often results in a new beginning c. The psychological life position of I'm OK-You're OK d. An ulterior transaction that is the hidden agenda

d. An ulterior transaction that is the hidden agenda

Which is NOT an arousal symptom associated with Acute Stress Disorder? a. Connie is not able to fall asleep or remain asleep for more than an hour or so at a time b. Gennie cannot concentrate on her work c. Ellie jumps out of her skin at the smallest unexpected noise d. Annie experiences recurrent nightmares

d. Annie experiences recurrent nightmares

Bailey is a 15-year-old high school sophomore who presents with fears of becoming overweight and sees herself as chubby. Her current body weight is considered significantly low as compared to what is minimally expected for her age, health, and gender. Even though she has amenorrhea, Bailey refuses to recognize how her low weight may be responsible for serious health issues. What diagnosis is most consistent with Bailey's symptoms? a. Body Dysmorphic Disorder b. Avoidant/Restrictive Food Intake Disorder c. Bulimia Nervosa d. Anorexia Nervosa

d. Anorexia Nervosa

A 21-year-old female vegetarian presents with a Body Mass Index of 11.5. She has an abnormal liver count, and she restricts herself to a few carrots or some celery each day. She has not eaten cooked food in two years, or meat in 5 years. She weighs herself daily and engages in constant physical activity, bouncing her legs or walking. She fears becoming fat and believes she will die of obesity. Her diagnosis is consistent with: a. Other specified feeding or eating disorder, atypical Anorexia Nervosa b. Anorexia Nervosa, restricting type, requiring hospitalization c. Bulimia Nervosa, restricting type, extreme d. Anorexia Nervosa, restricting type, extreme

d. Anorexia Nervosa, restricting type, extreme

Dawn never got along with anyone in her family, not as far back as she or anyone can remember. She trusts no one and never has. Dawn began thrill-seeking behavior at age 12, kicking off this habit by taking her father's sports car and crashing it into a building downtown while racing her 18-year-old boyfriend. Dawn's little brother craved for her to just be kind and to see him, but instead she attempted to have sex with his friends and cause problems in his friendships. Dawn is now in her 30s and has never gotten her life together, seemingly incapable of being responsible, respectful, or honest. Dawn's behavior is consistent with: a. Histrionic Personality Disorder b. Borderline Personality Disorder c. Paranoid Personality Disorder d. Antisocial Personality Disorder

d. Antisocial Personality Disorder

When it comes to cultural issues, narrative therapists usually: a. Identify dominant cultural narratives and assist clients in incorporating these into their own stories b. Help clients to adjust and accommodate their stories to conform to cultural norms c. Overlook cultural issues and focus only on social norms d. Assist clients in separating from internalized dominant cultural narratives

d. Assist clients in separating from internalized dominant cultural narratives

Individuals with a persistent pattern of inattentiveness and over-activity that impairs daily functioning or development characterizes: a. Oppositional Defiant Disorder b. Developmental Coordination Disorder c. Tourette's Disorder d. Attention-Deficit/Hyperactivity Disorder

d. Attention-Deficit/Hyperactivity Disorder

Jack is 9-years-old and recently had a feeding tube placed after a long period of faltering growth and nutritional deficiency. Jack refuses to eat. His parents do not know how to encourage his appetite, trying a variety of methods recommended by their pediatrician, and by behavioral health specialists and mental health providers. Jack remains underweight, but his health is better managed. Jack's presentation is consistent with: a. Anorexia Nervosa b. Bulimia Nervosa c. Pica d. Avoidant/Restrictive Food Intake Disorder

d. Avoidant/Restrictive Food Intake Disorder

In what way do narrative therapists want to shift family members' perceptions of each other? a. As functional individuals b. With respect to appropriate hierarchy c. As collaborative team members d. Away from totalizing views

d. Away from totalizing views

______ is NOT considered part of the original Milan group. a. Prata b. Boscolo c. Palazzoli d. Bateson

d. Bateson

Contextual therapists are committed to their clients and the people affected by the clients. They are also committed to: a. The integrity of the family b. Being neutral at all times c. Taking the client's side even if they are wrong d. Being partial and taking other people's sides when it's called for

d. Being partial and taking other people's sides when it's called for

Troy, a 23-year-old, presents in the emergency room accompanied by the police. He is euphoric, having auditory hallucinations, and making claims of a large windfall coming his way from the billion dollar deals he is making with senior executives on Wall Street. He was picked up by the police while trying to enter a large home he claims to have bought. Troy's toxicology screen is negative for all substances, and his mother denies any substance history. During the interview, Troy paces and explains that time is wasting, he could be completing his big business deal, demonstrating his capacity for brilliance and wealth. Troy began having difficulties in high school at about age 17 when his father died. Troy says the when his father died, he remembers the world got small, and he responded by retreating to his room, playing video games, and watching television. Troy admits to not sleeping over the past week, but instead of limiting himself to his room as he did when this happened as a teen, he makes a difference out in the world, conquering business. Troy's diagnosis is most consistent with: a. Bipolar I Disorder, current episode hypomanic, early onset, with mood-congruent psychotic features b. Bipolar I Disorder, with rapid cycling and atypical features, with mood-congruent psychotic features c. Bipolar II Disorder, current episode hypomanic, severe, with mood-congruent psychotic features d. Bipolar I Disorder, current episode manic, severe, with mood-congruent psychotic features

d. Bipolar I Disorder, current episode manic, severe, with mood-congruent psychotic features

Matt has a long history of hypomanic episodes and depressive episodes. Over time, he has developed feelings of worry about his future and how he will be able to support his wife and child. During episodes, these feelings dominate his waking hours to the point of distraction, as well as tension and restlessness. As his therapist, what diagnosis are you treating? a. Major Depressive Disorder, with anxious distress b. Generalized Anxiety Disorder and Bipolar II Disorder c. Bipolar I Disorder, with anxious distress d. Bipolar II Disorder, with anxious distress

d. Bipolar II Disorder, with anxious distress

At age 12, Marta saw a photo of a girl who was "perfect," slender, shiny straight hair, sparkling green eyes, and an even smile. Immediately Marta began obsessing, ending in an overdose. Marta went on to have multiple suicide attempts, all following comparisons to others. "I hate myself. I hate mirrors, but I'm mesmerized by them." By age 18, Marta had managed to complete highs school, but college or a work was more than she could handle. She was constantly focused on weighing the correct amount and preening until she looked right. Marta's presentation is consistent with: a. Obsessive-Compulsive Disorder b. Bulimia Nervosa c. Anorexia Nervosa d. Body Dysmorphic Disorder

d. Body Dysmorphic Disorder

Lucy is a tall, slender, redheaded 26-year-old terribly worried about her appearance, especially her spotted skin and her ridiculously long fingers. Lucy worries people will notice her height and the length of her fingers anytime she is in public, so she stopped going out of her home for any reason other that the most necessary functions. She constantly studies the spots on her skin and cannot fathom how she will ever be able to go into public with the deformity. Lucy's father supports her financially because she has been unable to maintain employment. As a child, her family and many friends envied her lovely long locks and her darling freckles, but all Lucy can hear is echoes of how dreadful she appears. Lucy's presentation is consistent with: a. Social Anxiety Disorder b. Agoraphobia c. Obsessive-Compulsive Disorder d. Body Dysmorphic Disorder

d. Body Dysmorphic Disorder

Which is NOT a common cancer in people with AIDS? a. Immune System Cancer b. Cervical Cancer c. Kaposi's sarcoma d. Breast Cancer

d. Breast Cancer

Which will contain the MOST HIV virons? a. Sweat b. Saliva c. Tears d. Breast milk

d. Breast milk

How can managerial supervisors aid in developing a balance that allows interdisciplinary team members to develop effective team practice while maintaining professional integrity? a. Build a community of leaders in which all individual professions are enriched and encouraged to assert themselves and their disciplines equally. b. Build a community of interests among the disciplines so that members most closely identify with the team's senior leader. c. Build a team based on the client as the managerial supervisor of treatment. d. Build a community of interests among the disciplines so that the members more closely identify with the team's goals than with the goals of any particular profession.

d. Build a community of interests among the disciplines so that the members more closely identify with the team's goals than with the goals of any particular profession.

Social welfare administrators have to adapt to an environment shifting toward privatization. Which is NOT an indication of privatization? a. Restriction of the physical size of government and appeasing conservative party members b. Contracting vouchers, co-production, and grants c. Enabling the government to continue providing social services and appeasing liberal party members d. Bureaucracy and impersonalization

d. Bureaucracy and impersonalization

Piaget's work involved: a. Psychoanalysis b. Personality traits c. Human nature d. Child development

d. Child development

Farley, age 17, is referred for an evaluation by juvenile probation after he threatened to stab his mother. Over the past year, Farley has run away from home three times, stolen a car, destroyed a friend's iPod, and been suspended from school. He has a history of truancy starting from 6th grade. What diagnostic impression is most consistent with Farley's presentation? a. Intermittent Explosive Disorder b. Oppositional Defiant Disorder c. Antisocial Personality Disorder d. Conduct Disorder

d. Conduct Disorder

The main difference between a regular family tree and a genogram is that the genogram usually includes the family's history related to: a. Great grandparents, grandparents, and parents b. Occupations, ages, and relationships c. Ages, marriages, and childbirths d. Conflicts, cutoffs, and triangles

d. Conflicts, cutoffs, and triangles

Common behavioral indicators of neglect do NOT include: a. Inappropriate infantile behavior b. Constant nail biting or sucking c. Overly compliant or passive behavior d. Consistent lack of supervision

d. Consistent lack of supervision

Mark is a college student working toward a degree in human resources. He has no history of a speech or fluency disorder and denies any other psychiatric history. A couple days after a seminar, he enters the counseling center because of a stutter he cannot stop. The seminar was on sexual harassment, which turned to a discussion of sexual violations in general. The professor leading the course asked each student to comment on the topic. When Mark was asked to comment, he began to stutter so severely he stopped attempting to speak at all. Mark said, "I do-do-do-don't understand. No-no-no-no-nothing li-li-li-li-like this has ever ha-ha-ha-ha occurred." When giving a history, Mark reports a perfect childhood with a loving and supportive family. When asked if there has been any history of other problems or sexual abuse, Mark begins to tear and his face and neck flush. He shares about a family friend who was around for a short time when he was 12, until one night the friend fondled him. The friend never returned to the home. Mark told his mother, who said to never say a word to anyone, likely fearful of what the father would to do protect Mark. Mark does not stutter when telling the story about being 12. Mark's presentation is consistent with: a. Other Unspecified Somatic Symptom and Related Disorder b. Factitious Disorder Imposed on Self c. Somatic Symptom Disorder d. Conversion Disorder (Functional Neurological Symptom Disorder)

d. Conversion Disorder (Functional Neurological Symptom Disorder)

You are providing grief and loss counseling to a client whose mother just died from complications with cancer. You are suddenly overcome with sadness and attempt to hold back your own tears. You may be experiencing a _________ reaction. a. Burnout b. Transference c. Compassionate d. Countertransference

d. Countertransference

Behavioral family therapists conduct detailed assessments to: a. Determine the emotional maturity of each family member b. Understand the level of differentiation in the system c. Understand who owns the problem d. Define the problem behaviors and determine their frequency

d. Define the problem behaviors and determine their frequency

Handling emotional conflict or stressors by assigning exaggerated negative attributes to others or to self is called: a. Regression b. Projection c. Dissociation d. Devaluation

d. Devaluation

From a Bowenian perspective, in order to develop intimacy, one of the most important milestones to reach is: a. Ability to share b. Elimination of conflict c. Resolution of issues d. Differentiation of self

d. Differentiation of self

A child who tells you "I have a problem, but if I tell you about it, you have to promise not to tell anyone else" is displaying which type of disclosure? a. Indirect hint b. Incoherent disclosure c. Disguised disclosure d. Disclosure with strings attached

d. Disclosure with strings attached

Ackerman, a psychoanalytic-oriented family therapist, held that the first diagnostic aim of a family therapist is: a. Establishing psychoanalytic diagnoses of every family member b. Holding pathogenic family conflicts in abeyance until the entire family can take responsibility for them c. Helping the symptomatic family member understand and take responsibility for pathogenic family conflicts d. Discovering pathological family patterns that are stuck in the intrapsychic structure of a symptomatic member

d. Discovering pathological family patterns that are stuck in the intrapsychic structure of a symptomatic member

During the first session, a client lets you know that she really respects and likes you and hopes the two of you can become really good friends. What should you do? a. Arrange to have another therapist present during your meetings with her b. Talk openly about your feelings toward her, and assure her that you and she can move forward with a relationship once she is ready to terminate therapy c. Refer her to another therapist d. Discuss with the client the concept of transference

d. Discuss with the client the concept of transference

After a trying day at work in which she was berated by her boss for poor job performance, a mother walks into her house and immediately commences to yell at her two children for a minor behavioral problem. Which defense mechanism does this scenario best represent? a. Projection b. Regression c. Sublimation d. Displacement

d. Displacement

Pat is 24-years-old and reports having a good life. She has a boyfriend with whom she goes camping and hiking, a large circle of friends, and the start of a successful career in her field of study. However, she has a mystery that haunts her. Pat has numerous scars on her body she cannot explain. Pat's mother died in an auto accident when Pat was 9. A woman came by the house last week while she was visiting her father and step mother who claimed to be a nurse who helped care for her during the weeks Pat was in the hospital after the accident that killed her mom. Pat remembers clearly being told about the accident that killed her mom, but does not recall being in the car or any events from her 3rd or 4th grade years. This is disturbing for Pat, and she begins to study her scars looking for answers. She presents in your office with this information and you assess: a. Conversion Disorder b. Dissociative Identity Disorder c. Depersonalization/Derealization Disorder d. Dissociative Amnesia

d. Dissociative Amnesia

Jimmy has missed a lot of time from school. His probation officer made a referral for him to speak with a social worker to address his issue with truancy problem. While conducting her initial interview with Jimmy, and structuring her questions, the social worker keeps in mind that one of the major risk factors for chronic truancy is: a. Socioeconomic status. b. Participation in extra curricular activities c. Peer influence d. Poor academic performance

d. Poor academic performance

Jackie is often accused of being places and doing things she is certain she did not go to or do. She often experiences voices in her head that are not hers. Jackie looks in the mirror but often does not recognize the person she sees. At times Jackie feels as though she is more than just herself, or that she is watching herself move through her life rather than being fully present. Jackie's therapist has met Betty and Louis, both occupying Jackie's body in her office. Betty reports there are four others, but she decides if and when they emerge. Jackie's diagnosis is consistent with: a. Depersonalization/Derealization Disorder b. Dissociative Amnesia with Dissociative Fugue c. Dissociative Amnesia d. Dissociative Identity Disorder

d. Dissociative Identity Disorder

Katy is a 24-year-old married woman who reports hearing "hostile voices shouting in her head" and "people hurting." Katy loses periods of time and sometimes finds herself in places in which she is not familiar, wondering how and why she was there. Katy also has scars on her legs and arms where she cuts to "stop the pressure." The therapist asked to speak with the part of her that wants to protect herself and be healthy, and Mary introduced herself and said she assists Katy to be safe. The therapist has a working diagnostic impression of: a. Depersonalization/Derealization Disorder b. Borderline Personality Disorder c. Schizophreniform Disorder d. Dissociative Identity Disorder

d. Dissociative Identity Disorder

What could be considered the main homework assignment in solution-focused brief therapy? a. Use homework sparingly and follow up with all assignments b. Seek the simplest things first and do those c. Never give a homework assignment, only give a suggestion using the client's own stated future d. Do more of what works and less of what does not

d. Do more of what works and less of what does not

Spine health is NOT measured with: a. MRI b. CT scans c. X-rays d. EEG

d. EEG

Brian, age 8, has been habitually urinating in his clothing during the day for the past four months. Most of the time, this behavior is accidental, but Brian admits that he also does it on purpose. No medical etiology has been determined. His teacher and parents are frustrated by the behavior and do not know what to do. What diagnosis is most consistent with this scenario? a. Encopresis, Nocturnal Only b. Encopresis, Diurnal Only c. Enuresis, Nocturnal Only d. Enuresis, Diurnal Only

d. Enuresis, Diurnal Only

According to Sullivan, a well-fed infant in deep sleep is probably experiencing: a. Empathy b. Nothing c. Dreams d. Euphoria

d. Euphoria

According to existential therapy, ______ is a consciousness of our own freedom. a. Normal anxiety b. Separation anxiety c. Existential guilt d. Existential anxiety

d. Existential anxiety

When a high-school student gets above-average grades by studying only the stuff that will probably be on his tests, he is showing: a. Self-actualization b. A basic need for security c. A primary drive d. Extrinsic motivation

d. Extrinsic motivation

The sexual dysfunction in women in which there is difficulty with being sexually aroused, or with lacking sexual excitement or sexual pleasure during sexual activity or erotic play, is known as: a. Genito-Pelvic/Penetration Disorder b. Gender Dysphoria c. Female Orgasmic Disorder d. Female Sexual Interest/Arousal Disorder

d. Female Sexual Interest/Arousal Disorder

Working with Amanda, you discover that she speaks a lot about issues of power and control. When you consult with a colleague about potential modes of treatment, your colleague suggests: a. Systemic therapy b. Psychoanalytic therapy c. Structural therapy d. Feminist therapy

d. Feminist therapy

What type of change occurs only in a specific behavior and not in the rules of the system? a. Second-order change b. Strategic change c. Functional change d. First-order change

d. First-order change

What symptom duration is required in children and adolescents for Separation Anxiety Disorder? a. Six months of persistent anxiety, avoidance, or fear b. One year of persistent anxiety, avoidance, or fear c. Three months of persistent anxiety, avoidance, or fear d. Four weeks of persistent anxiety, avoidance, or fear

d. Four weeks of persistent anxiety, avoidance, or fear

A couple married eight years presents for treatment. They report a healthy and robust sexual life until about eight months ago when the wife reports intense, sharp pelvic pain during attempted vaginal intercourse. This led to anxiety about sex and fear about the pain she experiences during sex. She saw her physician who reports no organic reason for the pain, which makes the wife feel even worse about herself. The wife does not have a history of depression or anxiety prior to this issue. The couple desires to have children, and both are concerned about this issue impacting their desire for a family. The diagnosis is consistent with: a. Inadequate Sexual Stimulation/Preparation b. Relationship Distress c. Somatic Symptom Disorder d. Genito-Pelvic Pain/Penetration Disorder

d. Genito-Pelvic Pain/Penetration Disorder

Avoidant Personality Disorder is consistent with all, EXCEPT: a. Not getting involved with someone until he is certain he will be accepted b. Constant thoughts that he will be criticized when in a social setting c. Not risking personal information out of possible shame at being exposed d. Getting angry when his partner is sick

d. Getting angry when his partner is sick

Which statement is FALSE? a. HIV is transmitted through breast milk. b. HIV is transmitted through fellatio. c. HIV is transmitted through intercourse. d. HIV is transmitted through blood transfusions commonly still today.

d. HIV is transmitted through blood transfusions commonly still today.

It is the psychoanalytic perspective that mature and healthy adults: a. Exhibit diffused boundaries b. Have structured families c. Put their family's benefit first d. Have happy and well-balanced families

d. Have happy and well-balanced families

John is working on a project in a very large group of coworkers and experiences diffusion of responsibility. What is most likely to happen to him? a. He undergoes regression to a different developmental stage b. He will blame the group for his personal inadequacies c. He will become very quiet and reserved d. He will not be as willing to help others

d. He will not be as willing to help others

Collaborative and narrative therapies do not place importance on: a. History b. Emotions c. Families d. Power

d. Power

Lonnie entered the office in a whirl and said, "I just saved two people from certain death!" He then whipped out the video of a fire that broke out after he pulled two passengers from their car. When asked questions about what happened, Lonnie described two people sitting in a car on the side of the road as it was burning when he came along side and worked to convince each to get out and away from the car, and as the second did, the car exploded. The session continued with Lonnie describing events occurring over the past six months since he had been out of treatment. During that time, he was in three serious relationships, the last of which was with an "amazing woman" whom he has known four weeks and who would learn whether or not she is pregnant in a matter of hours. Lonnie reported getting two different jobs that went well, until he literally crashed and burned in one and broke a $50,000 piece of machinery in the other. Lonnie began to fidget when asked about his family and responded by asking if the interviewer liked his new look, hair cut short and bleached to bring out his eyes. Lonnie's presentation is most consistent with: a. Dependent Personality Disorder b. Antisocial Personality Disorder c. Narcissistic Personality Disorder d. Histrionic Personality Disorder

d. Histrionic Personality Disorder

Standard medical care takes the form of clinician advice, which when repeated may be: a. Necessary, moving the client to action b. Understood, causing the desired results c. Therapeutic, increasing client willingness d. Iatrogenic, increasing client resistance

d. Iatrogenic, increasing client resistance

Breach notification exceptions are provided to all, EXCEPT: a. Unintentional, good faith access by employees of covered entities if the information was not further disclosed b. Business associates who access information by good faith, unintentional means and do not further disclose information c. Inadvertent disclosure made individual to individual within a covered entity who is authorized to access protected health information d. If the information impacted less than 500 people within a single demographic area

d. If the information impacted less than 500 people within a single demographic area

According to Bandura's observational learning method, what are the two key elements of successful retention? a. Thinking and remembering b. Speech and memory c. Recall and imaginal coding d. Imaginal coding and verbal coding

d. Imaginal coding and verbal coding

During therapy, structural therapists might use which technique to change interactions between family members? a. Redirecting b. Joining c. Reframing d. Intensity

d. Intensity

Jake is typically a levelheaded guy. He likes to go out with his drinking buddies and have a good time. He likes people, works hard, and loves his family. However, when his anger gets tipped, he becomes enraged. The rages can result in either physical or verbal altercations, but not usually any serious injury or damage. Jake just becomes a loud jerk, then his temper subsides and he is back to himself. Jake's episodes occur many times each month. Most people just say "that's Jake," but it has cost him a couple jobs and a his girlfriend. Jake's symptoms are most consistent with: a. Anger Management Issues b. Alcoholism c. Disruptive Mood Dysregulation Disorder d. Intermittent Explosive Disorder

d. Intermittent Explosive Disorder

The diagnosis most characterized by a pattern of impulsive, aggressive, non-premeditated outbursts, not intended to attain a specific outcome or objective, such as power, influence or intimidation, is most closely associated with: a. Conduct Disorder b. Bipolar Disorder c. Disruptive Mood Dysregulation Disorder d. Intermittent Explosive Disorder

d. Intermittent Explosive Disorder

In Transactional Analysis, how is phenomenological diagnosis different from behavioral, social, and historical diagnosis? a. It is not as effective b. It is more conclusive c. It is performed by a closely related individual d. It is undertaken by self-examination

d. It is undertaken by self-examination

Joan is 35 and wondering why she cannot move past her depression and fears what will happen this time since last time she was debilitated. She thought her last round of therapy handled what she needed to handle with her issues, and Joan has followed through on her aftercare plan for almost 2 years with healthy eating, exercise, and monitoring negative thoughts. However, over the past 2 weeks, Joan has slipped into a funk she cannot break out of, leaving her paralyzed, unable to get out of bed, afraid to make a call to her doctor because she believes she has failed at recovery. Joan's daughter is worried, watching her mom go from energetic parent to slow-motion sloth that is beginning to shrink before her eyes. Joan's symptoms are consistent with: a. Major Depressive Disorder, single episode b. Persistent Depressive Disorder (Dysthymia), late onset c. Persistent Depressive Disorder (Dysthymia), early onset d. Major Depressive Disorder, recurrent episode

d. Major Depressive Disorder, recurrent episode

Which is NOT consistent with a diagnosis of Premature (Early) Ejaculation? a. Ejaculation in less than one minute of penetration b. Sexual dissatisfaction c. Lack of control of orgasm d. Presence of alcohol or other drugs

d. Presence of alcohol or other drugs

Many older adults prefer to seek mental health care from: a. Psychologists b. Social workers c. Nurses d. Primary physicians

d. Primary physicians

Jim is an 83-year-old widower who is retired from the space program. He has been widowed for 11 years and lives alone. Jim lacks the ability to learn new information and is having difficulty recalling previous information about his history going back after one year. He has difficulty identifying common objects now, in contrast to a year ago when he was able to recall objects. Though there was a grieving process for a year after his wife's death, he has no signs of depression or any other significant health problem. The therapist suspects which disorder? a. Dissociative Amnesia b. Delirium c. Major Vascular Neurocognitive Disorder d. Major Neurocognitive Disorder Due To Alzheimer'S Disease

d. Major Neurocognitive Disorder Due To Alzheimer'S Disease

Ivan is a 71-year-old retired postal worker. He lives with his wife, Martha, whom he has been married to for 28 years. Over the past eight months, Ivan has had trouble remembering the recent past few years' events. According to his wife, he has been forgetting how to do specific tasks associated with lawn care, which had been a pastime with him. Just last week, he was unable to recall the word for a bowl. Ivan has become increasingly hostile towards others and has started to yell at others. Martha feels like Ivan is becoming his father right in front of her. She is worried about the changes in Ivan. What is the most likely diagnosis? a. Major Depressive Disorder b. Delirium c. Major Neurocognitive Disorder with Lewy Bodies d. Major Neurocognitive Disorder Due To Alzheimer's Disease

d. Major Neurocognitive Disorder Due To Alzheimer's Disease

When working with an older suicidal adult, which intervention would be least likely to prevent suicide completion? a. Involve family and friends b. Implement a no-suicide contract c. Supervision, including involuntary hospitalization if necessary d. Make it clear to family members that they are responsible for preventing the suicide

d. Make it clear to family members that they are responsible for preventing the suicide

Which is NOT a symptom of Schizotypal Personality Disorder? a. Inappropriate or constricted affect b. Lack of close friends or confidants other than relatives c. Odd thinking and speech d. Manic episode

d. Manic episode

Which term is used in communications theory to refer to the command of a message? a. Content b. Loop c. Report d. Metacommunication

d. Metacommunication

Which family therapy approaches are influenced by postmodernism? a. Bowenian, structural, and narrative b. Adlerian, solution-focused, and psychoanalytic c. Gestalt, narrative, and systemic d. Milan systemic, solution-focused, and narrative

d. Milan systemic, solution-focused, and narrative

An 81-year-old man who has been relatively healthy suddenly cannot remember how to find his favorite game on his computer. This symptom is associated with which diagnosis? a. Dissociative Amnesia b. Major Depressive Disorder c. Mild Neurocognitive Disorder Due To Alzheimer'S Disease d. Mild Vascular Neurocognitive Disorder

d. Mild Vascular Neurocognitive Disorder

When a client appears sad, a therapist matches her facial expression to the client's. When the client gets excited the therapist talks faster. This is an example of: a. Corrective conditioning b. Not managing facial expression well c. Inappropriate boundaries d. Mirroring

d. Mirroring

When trying to teach by example and illustrate a particular behavior to their clients, cognitive-behavioral therapist often use which technique? a. Accommodation b. Joining c. Positive connotation d. Modeling

d. Modeling

According to the DSM-5, Major Depressive Disorder occurs: a. In an undermined manner; gender patterns for this disorder have yet to be determined b. Equally in both men and women c. More in men d. More in women

d. More in women

Horney identified three ways of dealing with the world that are formed by an upbringing in a neurotic family: a. Moving toward people, moving with people, and moving away from people b. Moving toward people, moving against people, and moving around people c. Moving toward people, moving against people, and moving beyond people d. Moving toward people, moving against people, and moving away from people

d. Moving toward people, moving against people, and moving away from people

Which best describes how change occurs in Emotionally Focused Therapy? a. Core attachment responses are understood to be true to that person, new rituals are started to help redefine the partner bond, and new corrective emotional experiences begin. b. The couple begins to remove the ambivalence of their emotional responses, core attachment responses are then understood to be true to that person, and new rituals are started to help redefine the partner bond c. The couple begins to remove the ambivalence of their emotional responses, core attachment responses are then understood to be true to that person, new rituals are started to help redefine the partner bond, and new corrective emotional experiences begin d. New corrective emotional experiences begin, core attachment responses take on new and understood meaning, and new emotional responses help create new relational behaviors, which redefine the security of the bond between the partners

d. New corrective emotional experiences begin, core attachment responses take on new and understood meaning, and new emotional responses help create new relational behaviors, which redefine the security of the bond between the partners

If a medical entity is in compliance with the Division of Medical Assistance's (DMA's) Health Data Marketing Guidelines, is the entity in compliance with HIPAA guidelines? a. No. HIPAA law is federal and DMA law is state, so HIPAA supersedes DMA law. b. Yes. DMA's guidelines are stricter and will supersede those minimum standards of HIPAA. c. Yes. HIPAA is federal law and DMA is state law, which is usually more restrictive, and the more restrictive standard should be met. d. No. HIPAA is law while DMA guidelines are not law, and require less than HIPAA.

d. No. HIPAA is law while DMA guidelines are not law, and require less than HIPAA.

Bea began using pain pills following an injury to her knee playing soccer. Eventually her knee healed, but her cravings for the drug increased. Initially Bea found physicians who would prescribe based on her original injury, then she found friends who had "extra" pain pills, and eventually she began purchasing pills on the street. When this became cost prohibitive, she found heroin. It was cheap and effective. Health problems began to mount from her IV drug use, but Bea could no longer get by without the drug without experiencing severe abdominal cramping and other flu-like symptoms. The diagnosis closely resembling Bea's presentation is: a. Opioid Withdrawal b. Opioid Tolerance c. Opioid Use Disorder, in a Treatment Environment d. Opioid Use Disorder, Severe

d. Opioid Use Disorder, Severe

Allen blames everyone else for his mistakes and has for as long as anyone can remember. He likes to play tricks on classmates to see if he can provoke them. Allen sees not following rules as a game, as if the more rules he breaks the closer he is to victory. However, no matter how many "victories" he seems to score, he always seems resentful toward the world. Allen's symptoms are consistent with: a. Disruptive Mood Dysregulation Disorder b. Intermittent Explosive Disorder c. Other Disruptive, Impulse-Control, and Disorder, recurrent outbursts of insufficient intensity d. Oppositional Defiant Disorder

d. Oppositional Defiant Disorder

Jay is a 15-year-old male who has a 10-month history of bullying and threatening others. He has engaged in shoplifting repeatedly without remorse. Jay is easily annoyed and blames others for his behavior. He has also been caught lying to his parents so that he can get out of doing his chores. His teacher has called a meeting with his parents to let them know that Jay has skipped class more than a few times. The diagnosis most consistent with Jay's behavior is: a. Conduct Disorder b. Antisocial Personality Disorder c. Oppositional Defiant Disorder d. Other Specified Disruptive, Impulse-Control, and Conduct Disorder (Conduct Disorder with insufficient duration)

d. Other Specified Disruptive, Impulse-Control, and Conduct Disorder (Conduct Disorder with insufficient duration)

Bea is 22 and has been raised under difficult circumstances with limited resources. She desires to begin a family and create the home she never experienced. She has a boyfriend with whom she desires to spend her life, though he is clear he does not want such commitment at this time. She presents today with five months of missed menstrual periods. Her stomach is swollen, protruding on her small, slender frame. Bea complains of pain in her breasts, which are enlarged and sore. She feels fortunate to not have nausea and vomiting for the past month, but reports intense gastric upset for three months, now gaining about 15 pounds. Bea is excited about the life she feels inside her, but does not understand why her obstetrician keeps telling her she is not pregnant. Bea is excited to start a family, whether or not her boyfriend joins with her. Bea's presentation is consistent with: a. Malingering b. Somatic Symptom Disorder c. Conversion Disorder d. Other Specified Somatic Symptom and Related Disorder, Pseudocyesis

d. Other Specified Somatic Symptom and Related Disorder, Pseudocyesis

When conducting a comprehensive assessment with Cuban-Americans, it is important to be aware that: a. Contraceptive use may be impacted by religious beliefs b. Protestant is the primary faith practiced c. Displays of any emotion are considered undesirable d. Overweight individuals with robust cheeks are considered healthy, while skinny individuals are considered unhealthy

d. Overweight individuals with robust cheeks are considered healthy, while skinny individuals are considered unhealthy

Alan enjoys his new position at the firm. However, a couple of months ago he experienced dizziness, palpitations, paresthesias, and derealization, and he felt as if he would choke. Since that time, he finds himself hiding out more and more, ducking opportunities he embraced just a short time ago. Alan has called in sick a few times out of fear and concern that he would have another episode. Alan's symptoms are consistent with: a. Depersonalization/Derealization Disorder b. Somatic Symptom Disorder c. Agoraphobia d. Panic Disorder

d. Panic Disorder

Tricyclic antidepressants are sometimes used in treating which anxiety disorder? a. General Anxiety Disorder b. Social Phobia c. Stress-related anxiety d. Panic Disorder

d. Panic Disorder

Sam cannot get his mind off the thought that he is being targeted by management and coworkers for the company's falling revenues. He is certain the kind things his coworkers are saying to him are a set up for a fall. He thought about speaking to his wife about it, but thinks his wife is helping his boss, certain the two are sleeping together. Sam accuses his wife of infidelity, she continually denies it, and Sam has no evidence to provide. Despite the lack of evidence, Sam will not forgive his wife for her betrayal. Sam wonders why people have it out for him and have since high school. Sam's presentation is consistent with a diagnosis of: a. Histrionic Personality Disorder b. Schizophrenia c. Obsessive-compulsive Personality Disorder d. Paranoid Personality Disorder

d. Paranoid Personality Disorder

Will has been depressed for three years, finding interest in very little, struggling with fatigue daily, and feelings of hopelessness. During the same timeframe, Will often turned friends away due to his sense of superiority and grandiose presentation. Will is also frustrated by his racing thoughts, and often his compulsive desire to feel better puts him into dangerous situations, such as with prostitutes. Will's presentation is consistent with: a. Bipolar I Disorder b. Persistent Depressive Disorder (Dysthymia) with anxious distress c. Major Depressive Disorder, with anxious distress d. Persistent Depressive Disorder (Dysthymia) with mixed features

d. Persistent Depressive Disorder (Dysthymia) with mixed features

A discipline that helps people stand aside from their usual way of thinking so they can tell the difference between what is actually being perceived and felt in the current situation and what is residue from the past is: a. Empiricism b. Congruence c. Psychoanalysis d. Phenomenology

d. Phenomenology

Linton was surprised to discover that the company rep who had flown in for a meeting was there to fire everyone. He was not there to give the expected bonuses. Although Linton's initial reaction was one of anger, he ended up consoling the rep and attempted to make him feel better about what he had done. Which defense mechanism does this scenario best represent? a. Sublimation b. Projection c. Regression d. Reaction Formation

d. Reaction Formation

You are working with someone who has a history of child molestation, an activity you find repulsive, impacting your ability to provide unconditional positive regard in the course of treatment. What is your best move? a. Take a brief time out from the session to compose yourself b. Tell the client about your strong reactions and feelings, giving him or her the option to remain in treatment with you or not c. Assess your reactions are appropriate, given the person's history and continue treatment, as the individual needs to know the negative impact of his or her behavior toward children d. Refer to a clinician who is able to establish effective and appropriate rapport

d. Refer to a clinician who is able to establish effective and appropriate rapport

John continues to see his son as the problem within the family system. A cognitive-behavioral therapist attempts to get John to rethink the problem by ______ the issue. a. Disengaging b. Confirming c. Ignoring d. Relabeling

d. Relabeling

Paul's relatives remember his childhood as having been very unhappy. His father was an alcoholic and physically abused him and his siblings. He has no memory of his childhood whatsoever. Which defense mechanism does this scenario best represent? a. Projection b. Suppression c. Reaction Formation d. Repression

d. Repression

Joel is a 27-year-old who has spent the last few years hiding the fact that he regurgitates his food after most meals, chews his food again, and swallows. Joel has isolated himself, realizing the practice is not socially acceptable. He confessed following recurrence of pneumonia. Physical etiology is ruled out, and he receives a behavioral health referral. The working diagnosis is most consistent with: a. Obsessive Compulsive Disorder b. Anorexia Nervosa c. Avoidant/Restrictive Food Intake d. Rumination Disorder

d. Rumination Disorder

Kim's boyfriends dumped her. She was devastated. Kim was invited to a party on campus the next night, so she and a friend decided to attend and "show him" he could not ruin her. Upon arrival Kim was handed a drink she did not pour. She later joined in drinking games. Kim drank on a semi-regular basis, but tonight was different. She felt beautiful, funny, and like the life of the party, until she was unable to walk. Kim's speech is slurred, and she does not feel well. One of the boys attempts to walk her to another room, but her friend intervenes and manages to get her out of the party and home. Kim has no memory for the night beginning shortly after arrival. The diagnosis consistent with Kim's presentation is: a. Alcohol Intoxication b. Alcohol Use Disorder c. Opioid Intoxication d. Sedative, Hypnotic, or Anxiolytic Intoxication and Alcohol Intoxication

d. Sedative, Hypnotic, or Anxiolytic Intoxication and Alcohol Intoxication

Beth takes up to 30 benzodiazepines per day. She never thought she would reach this level of using, and she cannot cut down. Attaining benzodiazepines is an all-consuming task. Child Protective Services has been involved, and her children have been in and out of the home. Despite the impact on her children and her daily life, Beth continues to use. Additionally, if she does not maintain a certain level in her system, she becomes agitated. The diagnosis consistent with Beth's presentation is: a. Sedative, Hypnotic, or Anxiolytic Use Disorder, Moderate b. Sedative, Hypnotic, or Anxiolytic Use Disorder, Mild c. Sedative, Hypnotic, or Anxiolytic Dependency d. Sedative, Hypnotic, or Anxiolytic Use Disorder, Severe

d. Sedative, Hypnotic, or Anxiolytic Use Disorder, Severe

During a session, Jean, the Miller family's therapist, shares an experience from her own childhood to illustrate a sense of understanding. This is: a. Self in relation b. Modeling behavior c. Unprofessional d. Self-disclosure

d. Self-disclosure

A child begins to cry when her mother leaves the room. The child believes her mother is gone and has possibly ceased to exist. This lack of object permanence would most likely occur during which stage of development? a. Conservation stage b. Concrete operational stage c. Reversibility stage d. Sensorimotor stage

d. Sensorimotor stage

Kohlberg further speculated there was a ______ stage. a. Prenatal b. Final c. Zero d. Seventh

d. Seventh

Feminist family therapy views neutrality on the part of the therapist as: a. A non-biased way to join the system b. A way to show respect c. Recommended for parity d. Sexual stereotyping

d. Sexual stereotyping

Julie, a 14-year-old survivor of sexual abuse, has the following symptoms. Which one does NOT reflect a numbing of general responsiveness? a. She binges when she is under stress b. She feels distant from people c. She is depressed d. She has flashbacks

d. She has flashbacks

What supervisory perspective is described by the specific problems and circumstance individuals encounter as part of the supervisory process, with a focus on the circumstances, and issues and how to address them? a. Personality Perspective b. Interactional Perspective c. Organizational Perspective d. Situational Perspective

d. Situational Perspective

For a diagnosis of Gender Dysphoria in adolescence or adulthood, for what duration must symptoms be present? a. Three months b. No time, just sufficient to cause significant duress c. One year d. Six months

d. Six months

What duration of symptoms is required for the diagnosis of Somatic Symptom Disorder? a. 12 months b. One month c. Three months d. Six months

d. Six months

Externalizing is easier in a couple's scenario because: a. It instills more hope b. People are happier to stay married c. It requires uncovering less d. There is a team approach to attributing dysfunction

d. There is a team approach to attributing dysfunction

Adam is age 8 and consistently has difficulty in communications. For example, this morning Adam's mother said, "It's 7:45, we're going to school now." Adam continued sitting in the living room until his mother specified, "Get in the car." When on the playground, Adam does not understand the need to take turns, so peers often avoid him. Even in telling a story or exchanging information, Adam does not seem to grasp the basic give and take involved in social interactions. Adam does not have restricted or repetitive patterns of speech, interests or behavior, currently or in his history. Adam's presentation is most consistent with: a. Social Anxiety Disorder b. Autism Spectrum Disorder c. Language Disorder d. Social (Pragmatic) Communication Disorder

d. Social (Pragmatic) Communication Disorder

Mark makes little eye contact and speaks softly. When observed with people for any length of time, his apparent desire is to disappear from his circumstances. Mark has worked 15 years as a computer programmer. He has never married and finds dating a struggle. Mark is certain that when he is with others, they find him boring and inadequate, and he is anxious about embarrassing himself. In fact, Mark finds he is anxious any time he must be with a large group or with new people. Mark's symptoms are most consistent with: a. Avoidant Personality Disorder b. Agoraphobia c. Generalized Anxiety Disorder d. Social Anxiety Disorder

d. Social Anxiety Disorder

A client who gives up or reduces important social, occupational, or recreational activities because of substance use falls into which type of substance use disorder diagnostic grouping? a. Pharmacological b. Risky use c. Impaired control d. Social impairment

d. Social impairment

Sensory maladjustment can occur in which stage of Erikson's stages of psychosocial development? a. Stage 2 b. Stage 4 c. Stage 3 d. Stage 1

d. Stage 1

Joshua is treated for his Attention-Deficit/Hyperactivity Disorder over the course of several years. At 15, Joshua reports he needs more of his medication to achieve the same results. His physician increases Joshua's dosage according to Joshua's reports, and his parents concur that Joshua seems to be happier. Joshua notices getting a "rush" one day when he doubles his dose, so he begins regularly taking the higher dose, pursuing the same feeling again and again. His tolerance quickly begins to increase, and he begins feeling highly agitated when skipping a dose. Joshua's presentation is consistent with: a. Stimulant Abuse b. Stimulant Tolerance c. Stimulant Withdrawal d. Stimulant Use Disorder

d. Stimulant Use Disorder

Lesions or bruises to both sets of cheeks or eyes are: a. Are suspicious of self-inflicted injury b. Are not suspicious because these marks can indicate an injury from a pet or other animal c. Are not suspicious because accidents typically injure both sides of a child's face d. Suspicious because accidents usually injure only one side of a child's face

d. Suspicious because accidents usually injure only one side of a child's face

Euphoria is defined by Sullivan as: a. A mode of cognition b. An isolating dynamism c. A magical link between mother and child d. The absence of tension and anxiety

d. The absence of tension and anxiety

How are goals are determined in behavioral therapy? a. The therapist determines the goal b. There are no goals, only outcomes c. Goals in behavior therapy are always pre-determined and the same for every client d. The client determines the goal

d. The client determines the goal

The concept of the "perfect empathetic response" is: a. A primary objective of client/therapist communication b. Possible but difficult to maintain over the course of therapy c. The signature of an effective therapist d. The goal of therapists who are looking for the "right" response to a client's statement

d. The goal of therapists who are looking for the "right" response to a client's statement

An older adult man has just been involved in a major car accident that was his fault. He is likely to be permanently in a wheelchair. He exclaims that he would rather be dead than in a wheelchair and that he wants to leave the hospital so he can die. The therapist recognizes that: a. The man is suffering from guilt that will likely worsen over time b. The man is unlikely to adjust to the wheelchair given his attitude c. The man's family should be prepared for his death d. The man is having an immediate reaction to this life change and he may feel differently in a few weeks or months

d. The man is having an immediate reaction to this life change and he may feel differently in a few weeks or months

In addition to the client's indication of their presenting problem, an assessment should also include: a. The presenting problem as listed by the client's close family member b. The presenting problem as listed by the client's spouse c. The presenting problem as listed by the counselor's supervisor d. The presenting problem as listed by the referral source

d. The presenting problem as listed by the referral source

Thought journaling could be helpful for families who need to share: a. The impact that schedules have on them b. What a waste of time therapy has become c. Their dislike for one another d. Their impressions of a number of problems

d. Their impressions of a number of problems

Obsessive-Compulsive Disorder will most likely NOT be treated successfully by: a. Clomipramine b. Prozac c. Sertraline d. Wellbutrin

d. Wellbutrin

There are many multicultural implications to consider during consultation. During the diagnosis stage of consultation multicultural implications may guide the consultant in what way? a. Whether the intervention begins immediately after the entry stage b. Whether the problem is defined before or after data collection c. Whether the diagnosis process is considered an on-going activity d. Whether the focus is on the group or the individual

d. Whether the focus is on the group or the individual

Solution-focused therapy focuses mainly on changing: a. The active parts of silent problems b. Future happiness c. The entire problem d. Whichever portion of the problem is causing dysfunction

d. Whichever portion of the problem is causing dysfunction