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Flashcards in MFT Clinical Questions Deck (50):
1

Question 1 During a family therapy session, the therapist notices that both the 6-year-old and the 4-year-old children have bandages on their hands. The mother discloses tearfully that she can’t trust her 15-year-old stepson to stay alone with her young children because he super-glued their hands to his door. The husband shakes his head and says, “We already dealt with this. It won’t happen again.” What should the therapist do NEXT: 

A. Find out how they dealt with it.

B. Document the incident in your notes.

C. Inform the family that you must file a child abuse report.

D. Ask if other incidents like this have happened before.

Answer 1 During a family therapy session, the therapist notices that both the 6-year-old and the 4-year-old children have bandages on their hands. The mother discloses tearfully that she can’t trust her 15-year-old stepson to stay alone with her young children because he super-glued their hands to his door. The husband shakes his head and says, “We already dealt with this. It won’t happen again.” What should the therapist do NEXT:

A. Find out how they dealt with it. – possibility at some point

B. Document the incident in your notes. – yes, but not NEXT

C. Inform the family that you must file a child abuse report. – can I imagine myself calling CPS, YES

D. Ask if other incidents like this have happened before. – possibly, but not our responsibility to investigate or determine if child abuse happened

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Question 2

A new client is referred by her minister. The 49 year-old woman shares that she is overwhelmed taking care of her 72 year old mother who is often belligerent due to her dementia. The woman tearfully admits to giving her mother extra medication so that she will sleep longer. She asks for a referral to a support group for caregivers.  What should the therapist do initially in this case?

 

A. Provide a referral to a caregiver support group.

B. Further assess for Elder Abuse.

C. Assist her in developing alternative coping mechanisms.

D. File a report with Adult Protective Services and process it with client.

Answer 2

A new client is referred by her minister. The 49 year-old woman shares that she is overwhelmed taking care of her 72 year old mother who is often belligerent due to her dementia. The woman tearfully admits to giving her mother extra medication so that she will sleep longer. She asks for a referral to a support group for caregivers.  What should the therapist do initially in this case?

 

A. Provide a referral to a caregiver support group. – at some

B. Further assess for Elder Abuse. – we have enough

C. Assist her in developing alternative coping mechanisms. – do at some point

D. File a report with Adult Protective Services and process it with client. – technically do first by the letter of law and good to process

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Question 3

A married couple in their 30’s seeks therapy to improve their communication. The husband reports that he wants to have children but complains that his wife “wants to wait." The wife tears up when she shares that her mother recently died and that her husband expects her to “get over it already.” During the initial assessment, they report that their arguments frequently get physical because the wife makes the husband so mad.  How should the therapist proceed in this case:

 

A. Discuss the ways in which the wife makes the husband mad.

B. Explore the couple’s motivation to stay together and their expectations of therapy.

C. Require the couple to sign a no violence contract to ensure they won’t get violent in the session.

D. Refer each of them to individual therapy.

Answer 3

A married couple in their 30’s seeks therapy to improve their communication. The husband reports that he wants to have children but complains that his wife “wants to wait." The wife tears up when she shares that her mother recently died and that her husband expects her to “get over it already.” During the initial assessment, they report that their arguments frequently get physical because the wife makes the husband so mad.  How should the therapist proceed in this case:

 

A. Discuss the ways in which the wife makes the husband mad.  – makes it seem like wifes fault

B. Explore the couple’s motivation to stay together and their expectations of therapy.  – good if no DV

C. Require the couple to sign a no violence contract to ensure they won’t get violent in the session.  – no such thing

D. Refer each of them to individual therapy. – yes, indication of physical violence, tell them no couples and go individual

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Question 4

A 45-year old male client who has been unemployed for six months is referred by his wife for therapy. In the initial session, he reports that he wants to sleep all day and he doesn’t see his situation getting any better. He says that he can’t stand having his wife and children see him like this. As part of a complete assessment, the therapist should FIRST:

 

A. Determine if the client is currently using substances.

B. Refer the client to a medical doctor for issues of hypersomnia.

C. Ask if the client has thoughts of suicide.

D. Explore the client’s social supports and coping strategies.

Answer 4

A 45-year old male client who has been unemployed for six months is referred by his wife for therapy. In the initial session, he reports that he wants to sleep all day and he doesn’t see his situation getting any better. He says that he can’t stand having his wife and children see him like this. As part of a complete assessment, the therapist should FIRST:

 

A. Determine if the client is currently using substances. - Possibility

B. Refer the client to a medical doctor for issues of hypersomnia. – Possibility at some point

C. Ask if the client has thoughts of suicide. – are there reasons to ask, yes

D. Explore the client’s social supports and coping strategies. – include in assessment, but thoughts of SI more important

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Question 5

During a group therapy session, one of the group members reports that her sister-in-law has been butting into her life and if she keeps it up the client is “going to make sure she never butts in again.”  A few of the group members laugh uncomfortably. How should the therapist proceed:

 

A. Validate the client’s anger.

B.  Explore what the client means by “going to make sure she never butts in again."

C. Encourage group members to share their reactions.

D. Identify healthy ways for client to express her frustration.

Answer 5

During a group therapy session, one of the group members reports that her sister-in-law has been butting into her life and if she keeps it up the client is “going to make sure she never butts in again.”  A few of the group members laugh uncomfortably. How should the therapist proceed:

 

A. Validate the client’s anger.

B.  Explore what the client means by “going to make sure she never butts in again." – if you don’t follow up and something happens you’re fucked

C. Encourage group members to share their reactions.

D. Identify healthy ways for client to express her frustration.

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Question 6

A 28-year-old woman seeks therapy for depression.  She reports that she recently moved to the city and has had a difficult time making friends.  She works as a waitress and a graphic designer. She shares that she was in therapy a few years ago but reports that the other therapist “wasn’t very good” so she stopped going to therapy.  In addition to a risk assessment, what else should the therapist explore in the initial assessment?

 

A. Client’s thoughts of suicide or self-harm.

B. Client’s expectations of therapy and experience with other therapist.

C. Client’s motivation for treatment.

D. Client’s current and past substance use.

Answer 6

A 28-year-old woman seeks therapy for depression.  She reports that she recently moved to the city and has had a difficult time making friends.  She works as a waitress and a graphic designer. She shares that she was in therapy a few years ago but reports that the other therapist “wasn’t very good” so she stopped going to therapy.  In addition to a risk assessment, what else should the therapist explore in the initial assessment?

 

A. Client’s thoughts of suicide or self-harm.  – tempting, but we did it in the risk assessment

B. Client’s expectations of therapy and experience with other therapist.  – Absolutely, past therapy is very important, especially cuz previous therapist not good, very important

C. Client’s motivation for treatment.  – Always good, but no indication that she is not super motivated or resistant to therapy

D. Client’s current and past substance use. – Part of risk assessment

 

 

 

 

if there is a quote, focus on the quote

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Question 7

 

A new client starts off the first session sharing how she feels overwhelmed with her life.  She shares that she doesn’t like her new job but is uncertain of what career she wants to pursue.  She reports feeling like her relationship with her boyfriend is unhealthy and wants to get along better with him. Then she adds that she’s been having a lot of conflict with her new roommate and can’t decide whether she should move out.  When formulating the initial treatment plan, the therapist should:

 

A. Assist the client to prioritize her treatment goals.

B. Determine the most important issue to focus on.

C. Assess the client’s level of coping.

D. Identify her social supports.

  

Answer 7

 

A new client starts off the first session sharing how she feels overwhelmed with her life.  She shares that she doesn’t like her new job but is uncertain of what career she wants to pursue.  She reports feeling like her relationship with her boyfriend is unhealthy and wants to get along better with him. Then she adds that she’s been having a lot of conflict with her new roommate and can’t decide whether she should move out.  When formulating the initial treatment plan, the therapist should:

 

A. Assist the client to prioritize her treatment goals. – No pressing issue, good to assist

B. Determine the most important issue to focus on.  – Therapist should not determine goal if no crisis

C. Assess the client’s level of coping. – This has to do more with assessing and intervention

D. Identify her social supports. – This has to do more with assessing and intervention

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Question 8

During the walk between the waiting room and the office, a new client declares a strong affinity for the therapist and a hopeful attitude toward therapy, saying she knows this will be different from previous treatment experiences. After acknowledging the client’s positive reactions the therapist should NEXT:

 

A. Ask what interfered with previous treatment.

B. Explore expectations regarding this helping relationship.

C. Determine the basis for attraction to the therapist.

D. Assess client’s reasons for seeking therapy.

Answer 8

During the walk between the waiting room and the office, a new client declares a strong affinity for the therapist and a hopeful attitude toward therapy, saying she knows this will be different from previous treatment experiences. After acknowledging the client’s positive reactions the therapist should NEXT:

 

A. Ask what interfered with previous treatment. – too negative

B. Explore expectations regarding this helping relationship. – Yes, cuz it’s in line with where client is at right now

C. Determine the basis for attraction to the therapist. – determine is a strong word and a little confrontational

D. Assess client’s reasons for seeking therapy. – eventually, but not with where client is at now

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Question 9

A therapist has been working with a 6-year-old boy for one month.  The child was brought in by his mother after witnessing his father get hit by a car. The mother reports that the child has been less anxious since starting therapy but continues to have nightmares and doesn’t want to go to bed. What intervention should the therapist employ in the middle phase of therapy?

 

A. Provide psychoeducation to mother about trauma in children.

B. Engage in art therapy with the child encouraging him to draw his dreams.

C. Create a bed in the office and instruct the child to practice lying down.

D. Teach the child self-soothing techniques to use when he wakes up from a nightmare.

Answer 9

A therapist has been working with a 6-year-old boy for one month.  The child was brought in by his mother after witnessing his father get hit by a car. The mother reports that the child has been less anxious since starting therapy but continues to have nightmares and doesn’t want to go to bed. What intervention should the therapist employ in the middle phase of therapy?

 

A. Provide psychoeducation to mother about trauma in children. – This is initial phase

B. Engage in art therapy with the child encouraging him to draw his dreams. – Good, relative to what is happening, and middle phase requires more structure

C. Create a bed in the office and instruct the child to practice lying down. – Child doesn’t want to go to bed cuz of nightmare, also, the word instruct is bad

D. Teach the child self-soothing techniques to use when he wakes up from a nightmare. – Good, cuz it addressing sleep, but main issue is that he doesn’t want to GO TO bed.

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Question 10

A client who has been in therapy for two years for depression has been symptom free for four months.  During the final scheduled session, she begins crying and states that she is afraid her depression will come back without therapy. How should the therapist address her concern:

 

A. Schedule another session in a week.

B. Discuss extending treatment until client is more stable.

C. Normalize her feelings and make a plan if symptoms return.

D. Provide client with referral to support group for depression.

Answer 10

A client who has been in therapy for two years for depression has been symptom free for four months.  During the final scheduled session, she begins crying and states that she is afraid her depression will come back without therapy. How should the therapist address her concern:

 

A. Schedule another session in a week. – avoiding talking about experience

B. Discuss extending treatment until client is more stable. – Already symptom free, stable now

C. Normalize her feelings and make a plan if symptoms return. – addresses feelings and includes plan

D. Provide client with referral to support group for depression. – could do, but not addressing core issue of clients fear

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Question 11

A therapist is working with a family with three children, ages, 7, 9 and 15. The parents are concerned that the 15-year-old daughter does not want to participate in family activities and wants to spend time in her room or with her friends.  They share that they are concerned she is depressed and are worried she may disengage from school. What should the therapist do FIRST?

 

A. Obtain a release to speak to the school.

B. Refer the 15-year-old for a medication evaluation.

C. Provide psychoeducation about normal adolescent development.

D. Encourage parents to share their concerns directly with their daughter.

Answer 11

A therapist is working with a family with three children, ages, 7, 9 and 15. The parents are concerned that the 15-year-old daughter does not want to participate in family activities and wants to spend time in her room or with her friends.  They share that they are concerned she is depressed and are worried she may disengage from school. What should the therapist do FIRST?

 

A. Obtain a release to speak to the school. – If you determine there is a need, but right now there is not

B. Refer the 15-year-old for a medication evaluation. – Not enough to refer yet

C. Provide psychoeducation about normal adolescent development. – is there reason o psycheducate? Yes

D. Encourage parents to share their concerns directly with their daughter. – do at some point, but normalize adolescent development first

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Question 12

An older couple comes to therapy. The husband reports that since he retired one year ago, he spends much of his time completing his wife’s daily chores. He does not understand why she is so upset all the time. “I feel so useless,” she says. What intervention would address their dilemma?

 

A. Help them set more adaptive boundaries so they can shape new roles for themselves.

B. Reframe her uselessness as an attempt to distract her husband from his feelings of loss.

C. Encourage the wife to involve herself in volunteer activities so she will feel more useful.

D. Encourage the husband to obtain part-time employment to divert his attention from his wife.

Answer 12

An older couple comes to therapy. The husband reports that since he retired one year ago, he spends much of his time completing his wife’s daily chores. He does not understand why she is so upset all the time. “I feel so useless,” she says. What intervention would address their dilemma?

 

A. Help them set more adaptive boundaries so they can shape new roles for themselves. – new roles, addresses dilemma and does so by having them work together

B. Reframe her uselessness as an attempt to distract her husband from his feelings of loss. – No indication that he is experiencing feelings of loss

C. Encourage the wife to involve herself in volunteer activities so she will feel more useful. – This focusing on the wife (picking sides)

D. Encourage the husband to obtain part-time employment to divert his attention from his wife. – focusing only on husband (picking sides)

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Question 13

After the fourth session of couple’s therapy, a woman calls the therapist after finding sexually explicit reading material, which her boyfriend left out in their bedroom.  The therapist’s best response is to:

 

A. Ask the woman if she would like an individual appointment to discuss this.

B. Suggest that the woman get her boyfriend to call the therapist for an individual appointment.

C. Suggest that the woman present her concern at their next appointment.

D. Ask the woman how this made her feel.

Answer 13

After the fourth session of couple’s therapy, a woman calls the therapist after finding sexually explicit reading material, which her boyfriend left out in their bedroom.  The therapist’s best response is to:

 

A. Ask the woman if she would like an individual appointment to discuss this. – addressing as individual unit

B. Suggest that the woman get her boyfriend to call the therapist for an individual appointment. – addressing as individual unit

C. Suggest that the woman present her concern at their next appointment. – Good example of having it addressed as a couple

D. Ask the woman how this made her feel. – addressing as individual unit

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Question 14

A therapist is working with a family with three children, the youngest of whom, age 12, is in a wheelchair because of cerebral palsy.  The parents describe the child’s withdrawal from outside activities and believe that he is depressed.  The child remarks that his mother hovers over him, and that his siblings dislike him because he has no chores at home. He expresses an interest in staying with a cousin over Christmas break and says he wants more responsibility at home.  What should the therapist do FIRST?

 

A. Support the mother’s understandable need to be protective.

B. Focus on the 12-year-old’s need for greater self-esteem.

C. Help the family address the 12-year-old’s expressed needs.

D. Suggest the family explore outside activities for the 12-year-old.

Answer 14

A therapist is working with a family with three children, the youngest of whom, age 12, is in a wheelchair because of cerebral palsy.  The parents describe the child’s withdrawal from outside activities and believe that he is depressed.  The child remarks that his mother hovers over him, and that his siblings dislike him because he has no chores at home. He expresses an interest in staying with a cousin over Christmas break and says he wants more responsibility at home.  What should the therapist do FIRST?

 

A. Support the mother’s understandable need to be protective. – No indication that mom is feeling protective, also just focuses on mom

B. Focus on the 12-year-old’s need for greater self-esteem. – Client didn’t really say there were any self-esteem issue, plus, just focusing on identified patient

C. Help the family address the 12-year-old’s expressed needs. – this included all the different family members

D. Suggest the family explore outside activities for the 12-year-old. – making a suggestion, don’t want to push

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Question 15

A therapist is running a therapy group for people going through divorce.  The therapist suspects that one member of the group is abusing drugs and determines that his erratic participation is detrimental to the group process.  The therapist should FIRST:

 

A. Confront the client in the group.

B. Schedule an individual session with the client.

C. Provide the client with a referral for substance abuse treatment.

D. Process the group members' feelings about the client’s departure.

  

Answer 15

A therapist is running a therapy group for people going through divorce.  The therapist suspects that one member of the group is abusing drugs and determines that his erratic participation is detrimental to the group process.  The therapist should FIRST:

 

A. Confront the client in the group. – Not best

B. Schedule an individual session with the client. - Yes

C. Provide the client with a referral for substance abuse treatment. – could do this during individual session

D. Process the group members' feelings about the client’s departure. – After individual session do this one

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Question 16

A 40 year-old accountant is referred by his Employee Assistance Program. He reports irritability, moodiness, and extreme fatigue. He shares that it is affecting his work performance and his relationships with his family. He adds, “I’m tired of not feeling like myself.  I want to get better.” The therapist should FIRST:

 

A. Refer him to couples therapy.

B. Assess for suicidal ideation.

C. Rule out substance use issues.

D. Ask when he had his last full physical.

Answer 16

A 40 year-old accountant is referred by his Employee Assistance Program. He reports irritability, moodiness, and extreme fatigue. He shares that it is affecting his work performance and his relationships with his family. He adds, “I’m tired of not feeling like myself.  I want to get better.” The therapist should FIRST:

 

A. Refer him to couples therapy. – takes about relationship, but don’t do first

B. Assess for suicidal ideation. – he made statement that he wants to get better, which is a good sign

C. Rule out substance use issues. – gunna wanna do at some pint

D. Ask when he had his last full physical. – Extreme fatigue is a good indicator that something might be wrong; extreme fatigue is the clue

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Question 17

A family is referred by their minister for family therapy due to conflict between the parents regarding how to discipline their 5 and 7 year-old boys.  During the initial assessment the therapist learns that the mother drinks alcohol daily. There is no indication of domestic violence or child abuse. Which of the following interventions should the therapist take FIRST?

 

A. Involve the family in creating a family map of their problem.

B. Obtain a release to speak with their minister.

C. Work with the mother regarding her need for an alcohol use assessment.

D. Conduct a comprehensive assessment of the family members.

Answer 17

A family is referred by their minister for family therapy due to conflict between the parents regarding how to discipline their 5 and 7 year-old boys.  During the initial assessment the therapist learns that the mother drinks alcohol daily. There is no indication of domestic violence or child abuse. Which of the following interventions should the therapist take FIRST?

 

A. Involve the family in creating a family map of their problem. – Possibility, but issue is substance use

B. Obtain a release to speak with their minister. – Possibility, but not pressing

C. Work with the mother regarding her need for an alcohol use assessment. – Yes, talk about needing maybe more specialized care

D. Conduct a comprehensive assessment of the family members. – says during the initial assessment, assessment has been done

  

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Question 18

Parents of a 6-year old are referred to the therapist by the teacher who reports that the child is struggling to complete the coursework and frequently acts out in class. The parents are confused and report that the child is healthy and well behaved at home. The therapist obtains an authorization from the parents to speak to the teacher and the teacher confirms the parents’ description. How should the therapist proceed with the parents:

 

A. Provide psychoeducation about ADHD.

B. Refer the child to a psychiatrist for medication evaluation.

C. Encourage the parents to get psychological testing.

D. Recommend that the parents switch teachers.

Answer 18

Parents of a 6-year old are referred to the therapist by the teacher who reports that the child is struggling to complete the coursework and frequently acts out in class. The parents are confused and report that the child is healthy and well behaved at home. The therapist obtains an authorization from the parents to speak to the teacher and the teacher confirms the parents’ description. How should the therapist proceed with the parents:

 

A. Provide psychoeducation about ADHD. – Not at home

B. Refer the child to a psychiatrist for medication evaluation. – do at some point, but not enough info

C. Encourage the parents to get psychological testing. – identify or rule out learning disorder

D. Recommend that the parents switch teachers. – No indication there is problem between teacher and child

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Question 19

A client is referred to the therapist after being discharged from the psychiatric hospital. The records indicate that he has been hearing voices for the past four months and he believes he is being followed. According to the DSM 5 criteria, the most likely diagnosis for the client is:

 

A. Brief Psychotic Disorder

B. Schizophrenia

C. Schizoaffective

D. Schizophreniform

Answer 19

A client is referred to the therapist after being discharged from the psychiatric hospital. The records indicate that he has been hearing voices for the past four months and he believes he is being followed. According to the DSM 5 criteria, the most likely diagnosis for the client is:

 

A. Brief Psychotic Disorder – under a month

B. Schizophrenia – over 6 months

C. Schizoaffective – when there is also a mood disorder (mania or depressive disorder)

D. Schizophreniform – 1 to 6 months

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Question 20

For the past year, a 21-year-old male college student reports feeling irritable, arguing with his roommates and girlfriend, and having difficulty sleeping and studying. The client reports occasionally drinking a few beers but has not done so in the past month. The client is MOST likely exhibiting:

 

A. Substance Induced Mood Disorder

B. Adjustment Disorder with Depressed Mood

C. Major Depressive Disorder

D. Persistent Depressive Disorder

Answer 20

For the past year, a 21-year-old male college student reports feeling irritable, arguing with his roommates and girlfriend, and having difficulty sleeping and studying. The client reports occasionally drinking a few beers but has not done so in the past month. The client is MOST likely exhibiting:

 

A. Substance Induced Mood Disorder – not enough for this diagnosis, hasn’t drank

B. Adjustment Disorder with Depressed Mood – nothing that says he has had recent stressors, had it over 6 moths

C. Major Depressive Disorder – irritable and difficulty sleeping and studying  

D. Persistent Depressive Disorder – low level depressive symptoms for at least two years

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Question 21

A client seeks therapy for feelings of anxiety and panic that she’s had since losing her job three months ago. She reports that she has a second interview at a good company at the end of the week, but she is having a hard time concentrating and is doubting her abilities.  She adds that she hasn’t been getting along with her boyfriend and wants to lose weight because she can’t fit into old work clothes.  The immediate focus of treatment with this client should be:

 

A. Teaching her communications skills to better connect with boyfriend.

B. Discuss strategies for her to prepare for her interview.

C. Explore her eating habits and exercise routine.

D. Refer her to a psychiatrist for a medication evaluation.

  

Answer 21

A client seeks therapy for feelings of anxiety and panic that she’s had since losing her job three months ago. She reports that she has a second interview at a good company at the end of the week, but she is having a hard time concentrating and is doubting her abilities.  She adds that she hasn’t been getting along with her boyfriend and wants to lose weight because she can’t fit into old work clothes.  The immediate focus of treatment with this client should be:

 

A. Teaching her communications skills to better connect with boyfriend. -

B. Discuss strategies for her to prepare for her interview. – Direct response to the pressing need

C. Explore her eating habits and exercise routine. -

D. Refer her to a psychiatrist for a medication evaluation. – Not clear level of anxiety, explore later

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Question 22

A 55-year-old woman presents for treatment three months after the death of her husband. Prior to his death she worked full time and enjoyed many hobbies. Since then, she has started missing work and isolating herself, stating that she doesn’t enjoy anything, feels guilty about being a “bad wife” and cannot sleep. She reports that she started drinking whiskey every night to help with the pain. What initial diagnoses should the therapist consider?

 

A. Adjustment Disorder, Alcohol Use Disorder, Major Depressive Disorder

B. Bereavement, Substance Induced Depressive Disorder, Major Depressive Disorder

C. Adjustment Disorder, Major Depressive Disorder, Substance Induced Depressive Disorder

D. Bereavement, Adjustment Disorder, Substance Use Disorder

Answer 22

A 55-year-old woman presents for treatment three months after the death of her husband. Prior to his death she worked full time and enjoyed many hobbies. Since then, she has started missing work and isolating herself, stating that she doesn’t enjoy anything, feels guilty about being a “bad wife” and cannot sleep. She reports that she started drinking whiskey every night to help with the pain. What initial diagnoses should the therapist consider?

 

A. Adjustment Disorder, Alcohol Use Disorder, Major Depressive Disorder – adjustment not what you would consider after someone died; also not enough for substance USE disorder based on question

B. Bereavement, Substance Induced Depressive Disorder, Major Depressive Disorder – drinking could be causing symptoms of depression

C. Adjustment Disorder, Major Depressive Disorder, Substance Induced Depressive Disorder – adjustment not what you would consider after someone died

D. Bereavement, Adjustment Disorder, Substance Use Disorder - adjustment not what you would consider after someone died; also not enough for substance USE disorder based on question

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Question 23

A 23-year-old woman seeks therapy for relationship issues.  When she arrives at the first session she is visibly underweight with pale skin and thin hair. During the intake it is clear that the client suffers from Anorexia Nervosa. What resources should be included when formulating the treatment plan?

 

A. Medical stabilization; Pharmacotherapy; Peer support

B. Pharmacotherapy; Nutritional rehabilitation; Cognitive Behavioral Therapy

C. Medical stabilization; Nutritional rehabilitation; Cognitive Behavioral Therapy

D. Nutritional rehabilitation; Peer support; Psychodynamic psychotherapy

  

Answer 23

A 23-year-old woman seeks therapy for relationship issues.  When she arrives at the first session she is visibly underweight with pale skin and thin hair. During the intake it is clear that the client suffers from Anorexia Nervosa. What resources should be included when formulating the treatment plan?

 

A. Medical stabilization; Pharmacotherapy; Peer support – pharmacotherapy doesn’t help eating disorders

B. Pharmacotherapy; Nutritional rehabilitation; Cognitive Behavioral Therapy - pharmacotherapy doesn’t help eating disorders

C. Medical stabilization; Nutritional rehabilitation; Cognitive Behavioral Therapy – yes!

D. Nutritional rehabilitation; Peer support; Psychodynamic psychotherapy – psychodynamic therapy may work, but CBT I a stronger anser; plus, this answer doesn’t have MEDICAL STABALIZATION

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Question 24

A therapist is working with a male client who reports occasional impotence and anxiety when having sex with his new girlfriend. The client shares that he has had issues like this in the past but did not have an issue with his previous girlfriend. The therapist has training and experience working with sexual disorders. What therapy intervention should the therapist consider?

 

A. Desensitization

B. Sensate Focus

C. Exposure Therapy

D. Dialectic Behavioral Therapy

Answer 24

A therapist is working with a male client who reports occasional impotence and anxiety when having sex with his new girlfriend. The client shares that he has had issues like this in the past but did not have an issue with his previous girlfriend. The therapist has training and experience working with sexual disorders. What therapy intervention should the therapist consider?

 

A. Desensitization – when somebody has a traumatic reaction, anxiety, or phobia around a particular situation

B. Sensate Focus – YES!

C. Exposure Therapy – treatment used for PTSD and trauma disorder

D. Dialectic Behavioral Therapy – used for borderline personality disorders

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Question 25

A 31-year old woman seeks therapy for relationship issues after losing her job as a bank teller. The client reports a history of suicidal gestures. She shares how much she likes the therapist compared to the horrible therapists she’s had in the past. When working with this client the therapist should pay close attention to:

 

A. Countertransference issues that may arise.

B. Maintaining clear boundaries for the therapeutic relationship.

C. Limiting self-disclosure.

D. Addressing the transference issues that may arise.

  

Answer 25

A 31-year old woman seeks therapy for relationship issues after losing her job as a bank teller. The client reports a history of suicidal gestures. She shares how much she likes the therapist compared to the horrible therapists she’s had in the past. When working with this client the therapist should pay close attention to:

 

A. Countertransference issues that may arise. -

B. Maintaining clear boundaries for the therapeutic relationship. – working with borderline; best answer

C. Limiting self-disclosure. – yes, but this is also included in “B”

D. Addressing the transference issues that may arise. -

  

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Question 26

A 42-year old woman is in treatment for depression and anxiety that resulted from a severe abuse history she experienced as a child. During the sixth session the client experiences a flashback of a particularly violent exchange with her father when he choked her until she went unconscious.  During the session she appears to have difficulty breathing then begins to hyperventilate and appears very scared. How should the therapist proceed with the client?

 

A. Ground the client by focusing on what is happening in the here and now.

B. Offer education about the experience of triggers and flashbacks.

C. Normalize her reaction as a common traumatic stress reaction.

D. Remain silent until the client calms down.

Answer 26

A 42-year old woman is in treatment for depression and anxiety that resulted from a severe abuse history she experienced as a child. During the sixth session the client experiences a flashback of a particularly violent exchange with her father when he choked her until she went unconscious.  During the session she appears to have difficulty breathing then begins to hyperventilate and appears very scared. How should the therapist proceed with the client?

 

A. Ground the client by focusing on what is happening in the here and now. - Helpful

B. Offer education about the experience of triggers and flashbacks. – Eventually, but not now

C. Normalize her reaction as a common traumatic stress reaction. – Not in this moment, can’t learn anything right now

D. Remain silent until the client calms down. – having client just know somebody is there with them is helpful

  

27

Question 27

A therapist is utilizing a brief, six-week crisis intervention model with client who is referred by his Employee Assistance Provider following a break in at his company. The client reports that his girlfriend of seven months recently broke up with him and he was forced to move out of their shared apartment. What treatment goal is most appropriate in this case?

 

A. Improve the client’s coping skills.

B. Develop insight into how the client’s past is impacting the current situation.

C. Restore the client to his previous level of functioning.

D. Increase the client’s social support system.

Answer 27

A therapist is utilizing a brief, six-week crisis intervention model with client who is referred by his Employee Assistance Provider following a break in at his company. The client reports that his girlfriend of seven months recently broke up with him and he was forced to move out of their shared apartment. What treatment goal is most appropriate in this case?

 

A. Improve the client’s coping skills. – Smaller term goal

B. Develop insight into how the client’s past is impacting the current situation. – crisis intervention does not care about developing insight

C. Restore the client to his previous level of functioning. – Overarching goal

D. Increase the client’s social support system. – Smaller term goal

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Question 28

A 28-year-old Asian American graduate student seeks treatment for anxiety and depression. She reports that for the past three months she has been unable to concentrate, is unable to sleep and cannot complete her coursework on time. She is worried she will be kicked out of the university and everyone will see she’s a failure.  What interventions would a Cognitive Behavioral Therapist utilize during the initial session of treatment?

 

A. Explain how therapy works; Explore client’s relationship with parents; Assess for suicide.

B. Teach client how thoughts influence behaviors; Assign thought-stopping homework; Assess for suicide.

C. Explain how therapy works; Teach client how thoughts influence behaviors; Assess for suicide.

D. Explain how therapy works; Teach client how thoughts influence behaviors; Provide client with a journal to track negative thoughts.

  

Answer 28

A 28-year-old Asian American graduate student seeks treatment for anxiety and depression. She reports that for the past three months she has been unable to concentrate, is unable to sleep and cannot complete her coursework on time. She is worried she will be kicked out of the university and everyone will see she’s a failure.  What interventions would a Cognitive Behavioral Therapist utilize during the initial session of treatment?

 

A. Explain how therapy works; Explore client’s relationship with parents; Assess for suicide. – always want to explain; but CBT isn’t concerned with family shit; there is a reason to assess for SI; no matter what theoretical approach, keep SI in mind

B. Teach client how thoughts influence behaviors; Assign thought-stopping homework; Assess for suicide. – assigning thought stopping might be a little to early;

C. Explain how therapy works; Teach client how thoughts influence behaviors; Assess for suicide. – will do all of these

D. Explain how therapy works; Teach client how thoughts influence behaviors; Provide client with a journal to track negative thoughts. – if possible crisis, should have addressed SI

29

Question 29

A 55-year-old spa manager is referred to treatment by her colleague. She reports having one failed relationship after another and her most recent break up left her utterly devastated. For the past several months she finds herself with a huge bowl of popcorn every night and feeling disgusted in the morning because she ate too much yet again.   During the fourth session the client shares a detailed story of how she was bullied during middle school and her mother refused to believe her.  She begins to sob then grows quiet. What would a Gestalt therapist be likely to say to the client at this moment?

 

A. "What are you experiencing as you tell me this story?”

B. “Was you mother there for you in other ways?”

C. “Do you think your overeating is a way you bully yourself?”

D. “How did you cope?”

  

Answer 29

A 55-year-old spa manager is referred to treatment by her colleague. She reports having one failed relationship after another and her most recent break up left her utterly devastated. For the past several months she finds herself with a huge bowl of popcorn every night and feeling disgusted in the morning because she ate too much yet again.   During the fourth session the client shares a detailed story of how she was bullied during middle school and her mother refused to believe her.  She begins to sob then grows quiet. What would a Gestalt therapist be likely to say to the client at this moment?

 

A. "What are you experiencing as you tell me this story?” – concerned with the here and now and the client experience

B. “Was your mother there for you in other ways?” – This question is shifting focus of what client said

C. “Do you think your overeating is a way you bully yourself?” – More of an interpretation question

D. “How did you cope?” – possible question, but not unique to gestalt

30

Question 30

A 42-year-old African American dentist is referred for therapy by his minister for anger issues.  He has been married for 8 years and his wife and him have 2 little kids.  He reports that he “blows his top” when his 4-year-old and 6 year-old talk back to him. He cannot stand it when they give him attitude or do not immediately do what he asks of them.  He shares that his father was a violent drunk who used to slap the client across his face any time he would misbehave. The client states that he has never physically hurt his kids, but he has thoughts that scare him when he gets really angry. How would a Solution Focused Therapist develop an initial treatment plan?

 

A. Incorporate cultural issues into focus of treatment; ask when the anger problem began.

B. Assist the client in articulating the problem he wants to address; inquire about the client’s early recollections of his father’s anger.

C. Ask the client to describe a recent situation where he got angry in order to understand the problem; ask the client what would be different in his life if he woke up tomorrow and the anger issue has been solved.

D. Clarify with the client what he hopes to achieve in therapy; acknowledge the client’s desire to be a better dad.

Answer 30

A 42-year-old African American dentist is referred for therapy by his minister for anger issues.  He has been married for 8 years and his wife and him have 2 little kids.  He reports that he “blows his top” when his 4-year-old and 6 year-old talk back to him. He cannot stand it when they give him attitude or do not immediately do what he asks of them.  He shares that his father was a violent drunk who used to slap the client across his face any time he would misbehave. The client states that he has never physically hurt his kids, but he has thoughts that scare him when he gets really angry. How would a Solution Focused Therapist develop an initial treatment plan?

 

A. Incorporate cultural issues into focus of treatment; ask when the anger problem began. – the word “problem” is not good

B. Assist the client in articulating the problem he wants to address; inquire about the client’s early recollections of his father’s anger. – The word “problem” is bad; solution focus doesn’t care about past;

C. Ask the client to describe a recent situation where he got angry in order to understand the problem; ask the client what would be different in his life if he woke up tomorrow and the anger issue has been solved. - The word “problem” is bad

D. Clarify with the client what he hopes to achieve in therapy; acknowledge the client’s desire to be a better dad. – both good solution focused interventions

31

Question 31

A 36-year-old client seeks therapy after a recent divorce from his wife of four years.  He explains that the main disagreement that pulled him and his wife apart was about having kids. His ex-wife wanted children but he did not.  He works in a legal department of a large corporation, but finds his work to be unfulfilling and draining. He noted that it deadens him on the inside. He shares that he doesn’t have much of a social life, rarely goes out, and frequently drinks himself to sleep. After establishing a therapeutic alliance with the client, how would an Adlerian therapist proceed?

 

A. Assess for suicidal ideation; Explore client’s expectation of therapy; Identify positive relationships client currently has.

B. Explore client’s expectation of therapy; Refer client to Alcoholics Anonymous; Encourage client to use alternative coping strategies.

C. Assess for suicidal ideation; Explore family dynamics of early childhood; Inquire about client’s early memories.

D. Explore client’s expectation of therapy; Explore family dynamics of early childhood; Inquire about client’s early memories.

   

Answer 31

A 36-year-old client seeks therapy after a recent divorce from his wife of four years.  He explains that the main disagreement that pulled him and his wife apart was about having kids. His ex-wife wanted children but he did not.  He works in a legal department of a large corporation, but finds his work to be unfulfilling and draining. He noted that it deadens him on the inside. He shares that he doesn’t have much of a social life, rarely goes out, and frequently drinks himself to sleep. After establishing a therapeutic alliance with the client, how would an Adlerian therapist proceed?

 

A. Assess for suicidal ideation; Explore client’s expectation of therapy; Identify positive relationships client currently has. – assess for SI, yes; should be done during therapeutic alliance; maybe

B. Explore client’s expectation of therapy; Refer client to Alcoholics Anonymous; Encourage client to use alternative coping strategies. – Not enough to refer to AA, may not be ready to quit, AA for quitters and he may not be ready

C. Assess for suicidal ideation; Explore family dynamics of early childhood; Inquire about client’s early memories. – assess yes; explore childhood, yes; memories, yes

D. Explore client’s expectation of therapy; Explore family dynamics of early childhood; Inquire about client’s early memories. - should be done during therapeutic alliance; leaves out assess SI

32

Question 32

A 38-year-old husband and 36-year-old wife seek marital counseling after the birth of their first baby. The wife left her job as a lawyer to stay home with the baby. She shares that she “gets no help from her parents” because her father is deceased and she’s been estranged from her mother since her parents got divorced. She adds that her husband’s parents are overbearing and always in their business.  The husband states that all his wife cares about now is the baby and she never pays attention to him. What interventions would a Bowenian therapist use in the beginning phase of treatment?

 

A. Facilitate enactments of the common arguments; Interpret the mother’s engagement with the baby as avoidance to marital problems.

B. Create a multigenerational family map of relationships; Interrupt arguments.

C. Teach “I” statements; Encourage reunification of wife with her mother.

D.  Create a multigenerational family map of relationships; Encourage reunification of wife with her mother.

Answer 32

A 38-year-old husband and 36-year-old wife seek marital counseling after the birth of their first baby. The wife left her job as a lawyer to stay home with the baby. She shares that she “gets no help from her parents” because her father is deceased and she’s been estranged from her mother since her parents got divorced. She adds that her husband’s parents are overbearing and always in their business.  The husband states that all his wife cares about now is the baby and she never pays attention to him. What interventions would a Bowenian therapist use in the beginning phase of treatment?

 

A. Facilitate enactments of the common arguments; interpret the mother’s engagement with the baby as avoidance to marital problems. – Enactments is more structural; second part may be triangulation

B. Create a multigenerational family map of relationships; Interrupt arguments. – Multi is good; Bowen would interrupt argument, not too much stress in communication, so interrupt is good

C. Teach “I” statements; Encourage reunification of wife with her mother. – I statement is good; Bowen does like reunification, but to early

D.  Create a multigenerational family map of relationships; Encourage reunification of wife with her mother. – Multi good; Bowen does like reunification, but to early

33

Question 33

A therapist is working at a community center that treats the homeless population. A client and her three-year-old daughter are assigned to the therapist for clinical case management services. The mom reports she has been feeling depressed since she lost her job and was evicted from her apartment. She starts crying when she says that she is not getting along with her family. She asks for help getting childcare. What task should the therapist focus on initially?

 

A. Finding stable housing.

B. Exploring her relationship with her family.

C. Developing a comprehensive care plan.

D. Validating the client’s feelings of depression.

Answer 33

A therapist is working at a community center that treats the homeless population. A client and her three-year-old daughter are assigned to the therapist for clinical case management services. The mom reports she has been feeling depressed since she lost her job and was evicted from her apartment. She starts crying when she says that she is not getting along with her family. She asks for help getting childcare. What task should the therapist focus on initially?

 

A. Finding stable housing. – if question asked for “what resources”

B. Exploring her relationship with her family. – saying not getting along with them

C. Developing a comprehensive care plan. – has a lot of things going on

D. Validating the client’s feelings of depression. – if question asked for intervention

 

Imagine your actually handing a client a brother and telling them why you think they need it

34

Question 34

A therapist is planning to expand his practice by offering therapy over the phone and internet to clients residing in rural areas with limited mental health providers.  When initiating therapy with a new client, what is the most important issue the therapist should address?

 

A. How fees will be managed.

B. Client’s location and emergency contacts.

C. Limits of confidentiality.

D. Managing dual relationships.

Answer 34

A therapist is planning to expand his practice by offering therapy over the phone and internet to clients residing in rural areas with limited mental health providers.  When initiating therapy with a new client, what is the most important issue the therapist should address?

 

A. How fees will be managed. – nothing unique here with regard to telemedicine

B. Client’s location and emergency contacts. – in case something happens you can appropriately respond

C. Limits of confidentiality. - nothing unique here with regard to telemedicine

D. Managing dual relationships. – unlikely to be a problem if you’re not residing in the same area

35

Question 35

A Korean family is referred by their 12-year-old daughter’s teacher. The daughter is complaining of stomach aches, is withdrawn in class and frequently tears up. The family doctor has ruled out a medical issue.  The father, mother, and 10-year-old sister attend the first session. The father shares that the daughter started acting like this after her older brother died in a car accident four months ago. The father asks the therapist to explain how she can help the daughter. How should the therapist proceed in this case?

 

A. Respond directly to the father, explain what they can expect from therapy, provide information about the therapist’s background and training.

B.  Respond directly to the daughter, explain what they can expect from therapy, provide information about the therapist’s background and training.

C. Ask each member of the family what they expect from therapy.

D. Provide the parents with psychoeducation about the grief process and discuss treatment alternatives.

Answer 35

A Korean family is referred by their 12-year-old daughter’s teacher. The daughter is complaining of stomach aches, is withdrawn in class and frequently tears up. The family doctor has ruled out a medical issue.  The father, mother, and 10-year-old sister attend the first session. The father shares that the daughter started acting like this after her older brother died in a car accident four months ago. The father asks the therapist to explain how she can help the daughter. How should the therapist proceed in this case?

 

A. Respond directly to the father, explain what they can expect from therapy, provide information about the therapist’s background and training. – honor father as he is the one talking to me, sign of respect; explain therapy is good; background and training is reassuring

B.  Respond directly to the daughter, explain what they can expect from therapy, provide information about the therapist’s background and training. – because dad asked, better to talk to him

C. Ask each member of the family what they expect from therapy. – good if working with diff kind of family, but these muh fuckahs are asian

D. Provide the parents with psychoeducation about the grief process and discuss treatment alternatives. – can do later on

36

Question 36

A mother brings her 11-year-old daughter for therapy following a contentious divorce.  The mother explains that she is worried about her daughter because she has been isolating herself and crying a lot. The mother states that the father does not believe in therapy.  How should the therapist legally proceed in this case?

 

A. Obtain signed informed consent to treat from mother.

B. Explain that the father must agree to treatment.

C. Offer to speak to the father.

D. Request a copy of the custody agreement.

 

Answer 36

A mother brings her 11-year-old daughter for therapy following a contentious divorce.  The mother explains that she is worried about her daughter because she has been isolating herself and crying a lot. The mother states that the father does not believe in therapy.  How should the therapist legally proceed in this case?

 

A. Obtain signed informed consent to treat from mother. -

B. Explain that the father must agree to treatment. -

C. Offer to speak to the father. -

D. Request a copy of the custody agreement. – first step, allow to determine consent

 

Age is 11, can’t consent for own treatment

 

37

Question 37

A therapist meets with a client diagnosed with Bipolar I who is brought in for the first session by her father.  The father informs the therapist he was recently appointed conservator by the court.  The father would like to attend therapy sessions with the client to ensure she is providing the therapist with accurate information and benefiting from treatment.  He explains that the client has a history of lying to her therapists.  The therapist should:

 

A. Invite the father to attend the sessions.

B. Explore pros and cons of including father and set appropriate boundaries.

C. Deny the request and refuse to include the father in treatment.

D. Review conservatee’s rights to confidentiality with father.

Answer 37

A therapist meets with a client diagnosed with Bipolar I who is brought in for the first session by her father.  The father informs the therapist he was recently appointed conservator by the court.  The father would like to attend therapy sessions with the client to ensure she is providing the therapist with accurate information and benefiting from treatment.  He explains that the client has a history of lying to her therapists.  The therapist should:

 

A. Invite the father to attend the sessions. – making a decision

B. Explore pros and cons of including father and set appropriate boundaries. – acknowledging desire to be there and address both of them

C. Deny the request and refuse to include the father in treatment. – just making a decision

D. Review conservatee’s rights to confidentiality with father. – good, but leaves out conservatee

38

Question 38

A 22-year-old client struggling with depression is driven to her third therapy session by her mother.  The client reports that her parents are really worried about her and want her to move home. The therapist and the client weigh the pros and cons of moving back in with her parents and the client decides she wants to try living on her own a little longer. At the end of the session, the client’s mother enters the office and asks to see the therapist’s notes on the session.  How should the therapist respond?

 

A. Schedule a joint meeting with the client to discuss the records.

B. Ask the mother to write a request for disclosure of the records.

C. Inform the mother of the requirements for disclosure.

D. Explain that the records are the property of the client.

Answer 38

A 22-year-old client struggling with depression is driven to her third therapy session by her mother.  The client reports that her parents are really worried about her and want her to move home. The therapist and the client weigh the pros and cons of moving back in with her parents and the client decides she wants to try living on her own a little longer. At the end of the session, the client’s mother enters the office and asks to see the therapist’s notes on the session.  How should the therapist respond?

 

A. Schedule a joint meeting with the client to discuss the records. – may not be in best interest to client

B. Ask the mother to write a request for disclosure of the records. – client would have to do

C. Inform the mother of the requirements for disclosure. – best answer

D. Explain that the records are the property of the client. – not property of client, they are property of the therapist

39

Question 39

During the middle phase of therapy with an adult male client, a therapist finds herself having sexual fantasies about the client.  The therapist is married and is disturbed by these fantasies. As a result, the therapist becomes aware of heightened anxiety before seeing the client. How should the therapist ethically manage this situation?

 

A. Refer the client to another therapist.

B. Discuss the situation with the client.

C. Seek consultation immediately.

D. Begin personal psychotherapy.

  

Answer 39

During the middle phase of therapy with an adult male client, a therapist finds herself having sexual fantasies about the client.  The therapist is married and is disturbed by these fantasies. As a result, the therapist becomes aware of heightened anxiety before seeing the client. How should the therapist ethically manage this situation?

 

A. Refer the client to another therapist. – possibly do at some point, not now

B. Discuss the situation with the client. – person already has anxiety about this, should do

C. Seek consultation immediately. – is there a reason to seek consultation, yes = heightened anxiety

D. Begin personal psychotherapy. – could be done on the future

  

40

Question 40

A 43-year-old woman seeks therapy for anxiety and depression following the death of her sister. Over the course of therapy the client discloses that her husband is emotionally abusive and she is sure he is having an affair.  After working with a client for three months, the therapist realizes that the client’s husband works at the same company as the therapist’s husband. How should the therapist proceed in this case?

 

A. Review the importance of boundaries with the client.

B. Share the information with the client and discuss the impact.

C. Seek consultation for countertransference related to information.

D. Refer the client to another therapist due to the boundary issue.

  

Answer 40

A 43-year-old woman seeks therapy for anxiety and depression following the death of her sister. Over the course of therapy the client discloses that her husband is emotionally abusive and she is sure he is having an affair.  After working with a client for three months, the therapist realizes that the client’s husband works at the same company as the therapist’s husband. How should the therapist proceed in this case?

 

A. Review the importance of boundaries with the client. – wouldn’t understand where this is coming from

B. Share the information with the client and discuss the impact. – yeah

C. Seek consultation for countertransference related to information. – no indication of what countertransference is

D. Refer the client to another therapist due to the boundary issue. – wouldn’t do this unless had conversation first

 

 

41

Question 41

During a session with a 15-year-old client, she reports that she and her boyfriend have been having sex and she wants to go on birth control.  The therapist reminds the client that she is a mandated reporter and will have to file a report if she learns that the boyfriend is what age?

 

A. 18 or older

B. 14 or under

C. 21 or older

D. 24 or older

  

Answer 41

During a session with a 15-year-old client, she reports that she and her boyfriend have been having sex and she wants to go on birth control.  The therapist reminds the client that she is a mandated reporter and will have to file a report if she learns that the boyfriend is what age?

 

A. 18 or older -

B. 14 or under -

C. 21 or older -

D. 24 or older -

42

Question 42

A long-term client with depression and a history of trauma has recently become unemployed and cannot afford to pay the full fee.  The therapist believes that the client is in need of further therapy, especially under the current circumstances.  What should the therapist do FIRST?

 

A. Continue to provide services without fees until the client is able to pay.

B. Discuss how the client can budget in order to pay fee.

C. Arrange for a reduced fee for the client based on income.

D. Provide a referral to a low-fee agency.

  

Answer 42

A long-term client with depression and a history of trauma has recently become unemployed and cannot afford to pay the full fee.  The therapist believes that the client is in need of further therapy, especially under the current circumstances.  What should the therapist do FIRST?

 

A. Continue to provide services without fees until the client is able to pay. – don’t engage in therapy where there is no payment, this is a boundary issue, even if $1

B. Discuss how the client can budget in order to pay fee. - maybe

C. Arrange for a reduced fee for the client based on income. - yes

D. Provide a referral to a low-fee agency. – could do if couldn’t agree on lower fee

 

 

 

Never want to abandon client, temp reduce and revisit in future

TEST: if client negotiated a reduce fee, then reports a raise at work, you could bring it up before raising fee, if therapist feels like they are being taken advantage of, they become resentful

43

Question 43

A therapist is on a health insurance panel and receives notice that the insurance company is conducting a quality assurance audit on all client files seen in the past six months.  They are requesting copies of the records of all clients utilizing their insurance plan.  How should the therapist respond to the request?

 

A. Obtain a release of information from the clients.

B. Assert privilege on behalf of the clients.

C. Notify all the clients of the content of their notes.

D. Comply with the request in a timely manner.

 

Answer 43

A therapist is on a health insurance panel and receives notice that the insurance company is conducting a quality assurance audit on all client files seen in the past six months.  They are requesting copies of the records of all clients utilizing their insurance plan.  How should the therapist respond to the request?

 

A. Obtain a release of information from the clients. -

B. Assert privilege on behalf of the clients. – legal term only used if lawyer or court is asking

C. Notify all the clients of the content of their notes. – not necessary or clinically important to do

D. Comply with the request in a timely manner. – when someone uses insurance, they know what they are signing up for, client already agreed with company

44

Question 44

The mother of a 14-year-old client calls the therapist prior to a session and requests a copy of the client’s record.  During the session the client starts crying and states that she thought everything she said was confidential and she knows her mom would be really hurt if she knew she talked about her. She adds, "I don’t want to keep coming if they are going to be able to see everything we talk about". How should the therapist address the parents' request?

 

A. Inform the client that her parents have a legal right to see her files.

B. Provide the parents with a copy of the records and process client’s feelings about it.

C. Inform the parents they cannot have access to the records because it would negatively affect the therapeutic relationship.

D. Inform the parents they cannot have access to the records because it would put the client in danger.

  

Answer 44

The mother of a 14-year-old client calls the therapist prior to a session and requests a copy of the client’s record.  During the session, the client starts crying and states that she thought everything she said was confidential and she knows her mom would be really hurt if she knew she talked about her. She adds, "I don’t want to keep coming if they are going to be able to see everything we talk about". How should the therapist address the parents' request?

 

A. Inform the client that her parents have a legal right to see her files. -

B. Provide the parents with a copy of the records and process client’s feelings about it. -

C. Inform the parents they cannot have access to the records because it would negatively affect the therapeutic relationship. – there is reason that this would affect the therapist client relationship

D. Inform the parents they cannot have access to the records because it would put the client in danger.  -

45

Question 45

A therapist in private practice decides to join two insurance panels in order to build his practice. He invests in an on-line record keeping system that includes electronic billing to insurance. He learns that he must become HIPAA compliant, as he will be a covered entity once he starts billing insurance electronically. Which of the following is required under HIPAA Privacy Rules?

 

A. The Notice of Privacy Practices must be kept in clients’ files.

B. The Notice of Privacy Practices must be provided to the clients prior to the onset of therapy.

C. The Notice of Privacy Practice must be verbally discussed with the clients prior to the onset of therapy.

D. The Notice of Privacy Practices may be displayed in the therapist’s office.

Answer 45

A therapist in private practice decides to join two insurance panels in order to build his practice. He invests in an on-line record keeping system that includes electronic billing to insurance. He learns that he must become HIPAA compliant, as he will be a covered entity once he starts billing insurance electronically. Which of the following is required under HIPAA Privacy Rules?

 

A. The Notice of Privacy Practices must be kept in clients’ files. – don’t keep notice, but have proof they received it

B. The Notice of Privacy Practices must be provided to the clients prior to the onset of therapy. - Yes

C. The Notice of Privacy Practice must be verbally discussed with the clients prior to the onset of therapy. – no, provide copy and get something signed

D. The Notice of Privacy Practices may be displayed in the therapist’s office. – MAY is the wrong word, it must be dis[played

46

Question 46

A therapist has a signed release to speak to a child’s teacher about his behavior at school.  During the phone call, the teacher asks questions about the parents’ relationship and whether the therapist thinks that is affecting the child.  The therapist should:

 

A. Explore why teacher thinks this.

B. Provide information about the nature of the parents’ relationship.

C. Encourage teacher to bring up concerns with parents.

D. Remind teacher of the scope of the release of information.

Answer 46

A therapist has a signed release to speak to a child’s teacher about his behavior at school.  During the phone call, the teacher asks questions about the parents’ relationship and whether the therapist thinks that is affecting the child.  The therapist should:

 

A. Explore why teacher thinks this. – outside of release

B. Provide information about the nature of the parents’ relationship. – breaking confidentiality

C. Encourage teacher to bring up concerns with parents. – possible, but not related to question

D. Remind teacher of the scope of the release of information. – can only talk about this

47

Question 47

A therapist receives a subpoena from a local law firm regarding a lawsuit in which the therapist’s former client is a defendant. The therapist calls the client but is unable to reach him and leaves a voice message to contact the therapist as soon as possible.  At this point, what action should the therapist take?

 

A. Schedule the deposition.

B. Call the law firm and discuss the case.

C. Assert privilege.

D. Contact the court and request that the subpoena be revoked.

  

Answer 47

A therapist receives a subpoena from a local law firm regarding a lawsuit in which the therapist’s former client is a defendant. The therapist calls the client but is unable to reach him and leaves a voice message to contact the therapist as soon as possible.  At this point, what action should the therapist take?

 

A. Schedule the deposition. – Not appropriate, assert privilege

B. Call the law firm and discuss the case. – breaking confidentiality

C. Assert privilege. - Yes

D. Contact the court and request that the subpoena be revoked. – Not coming from the court

48

Question 48

A newly licensed therapist moves next door to a former supervisor. Their supervision relationship terminated four months ago.  They have children the same age. The therapist is interested in meeting socially with the former supervisor and her children.  How should the former supervisor respond?

 

A. Discuss the importance of professional boundaries.

B. Explain that it would be unprofessional.

C. Agree to meet if the supervisor is interested.

D. Seek consultation about the issue.

  

Answer 48

A newly licensed therapist moves next door to a former supervisor. Their supervision relationship terminated four months ago.  They have children the same age. The therapist is interested in meeting socially with the former supervisor and her children.  How should the former supervisor respond?

 

A. Discuss the importance of professional boundaries. – Not engaged in that relationship anymore

B. Explain that it would be unprofessional. - Nope

C. Agree to meet if the supervisor is interested. - Yeah

D. Seek consultation about the issue. – don’t have to, any ethical or legal violation

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Question 49

A recently licensed therapist calls a colleague for marketing advice.  The therapist wants to know if it is permissible to write the term “psychotherapist” or “psychotherapy” on his business card.  How should the colleague respond?

 

A. It is not legally permissible to write “psychotherapist” or “psychotherapy.”

B. Yes, if full name, abbreviated license title and license number is included.

C. Yes, if full name and complete title and license number is included.

D. Both B and C are permissible.

Answer 49

A recently licensed therapist calls a colleague for marketing advice.  The therapist wants to know if it is permissible to write the term “psychotherapist” or “psychotherapy” on his business card.  How should the colleague respond?

 

A. It is not legally permissible to write “psychotherapist” or “psychotherapy.” -

B. Yes, if full name, abbreviated license title and license number is included. -

C. Yes, if full name and complete title and license number is included. -

D. Both B and C are permissible. – Yes, full name and license number

 

if yo u and somebody else make a clinic together, you need to share with clients and advertising material the people creating the business entity.  Have to let consumer’s know who is providing the services (if there has been any past complaints)

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Question 50

 A therapist, who also works as a real estate agent is working with a couple with relationship issues. The couple is planning to sell their house and the therapist has been giving them advice about various strategies to increase the value of their home and has offered to list the house. The therapist’s behavior is:

 

A. Acceptable because he has the training.

B. Acceptable if the therapist terminates current therapeutic relationship.

C. Illegal and unethical.

D. Illegal.

Answer 50

 A therapist, who also works as a real estate agent is working with a couple with relationship issues. The couple is planning to sell their house and the therapist has been giving them advice about various strategies to increase the value of their home and has offered to list the house. The therapist’s behavior is:

 

A. Acceptable because he has the training. - No

B. Acceptable if the therapist terminates current therapeutic relationship. – No, cuz it would constitute a dual relationship cuz even if one relationship just ended

C. Illegal and unethical. – Yes, cuz it is outside of scope of practice to be giving real estate advice and it is unethical cuz its dual relationship

D. Illegal. – also unethical