Theory
A 16-year-old is brought to treatment for an eating disorder. How would a therapist using Feminist Theory Therapy view this issue?
A. Unresolved issues of early childhood can manifest as eating disorders.
B. Her automatic thoughts cause unhealthy body-image.
C. Cultural expectations of women negatively affect their sense of self.
D. Denial of food is a defense mechanism to manage anxiety.
C. Cultural expectations of women negatively affect their sense of self.
A client is referred to a 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-V criteria, the most likely diagnosis for the client is:
A. Brief Psychotic Disorder
B. Schizophrenia
C. Schizoaffective
D. Schizophreniform
D. Schizophreniform
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 neighbor to babysit 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. File a child abuse report.
D.Ask if other incidents like this have happened before.
C. File a child abuse report.
A new client is referred by her minister. The 49-year-old woman shares that she is overwhelmed taking care of her 80-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. This is an example of?
A. Proper care on behalf of the client.
B. Abandonment.
C. Neglect.
D. Physical abuse.
D. Physical abuse.
A therapist at a day treatment facility for teens with mood disorders is asked to provide crisis intervention following the suicide of a program participant. The therapist should FIRST:
A. Refrain from sharing information due to confidentiality.
B. Contact the residents’ parents to inform them of the situation.
C. Facilitate a group session to discuss the incident with the other participants.
D. Have individual meetings with each participant to discuss the incident.
C. Facilitate a group session to discuss the incident with the other participants.
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A therapist has been seeing a 19-year-old male client for over a year. The client presented with depression and disengagement at his university. A therapist based in Adlerian theory would believe the following actions to be a sign of improvement:
A. Client has initiated discussions with his mother about his childhood.
B. Client has deep understanding of false beliefs that lead to depressive thoughts.
C. Client is contributing to and involved in a community group on campus.
D. Client continues to feel inferior to others.
C. Client is contributing to and involved in a community group on campus.
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 is MOST likely exhibiting:
A. Substance Induced Mood Disorder
B. Adjustment Disorder with Depressed Mood
C. Major Depressive Disorder
D. Cyclothymia
C. Major Depressive Disorder
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.
B. Explore what the client means by “going to make sure she never butts in again.”
A couple seeks therapy to improve their communication. During the initial session they report that their arguments frequently get physical because the wife makes the husband so mad. The therapist should FIRST:
Score: 1 of 1
A. Explore the ways in which the wife makes the husband mad.
B. Discuss a safety plan.
C. Require the couple to sign a no violence contract.
D. Interview each member of the couple individually.
D. Interview each member of the couple individually.
A therapist relocated to another city. Prior to moving, the therapist referred all active clients to appropriate therapists and services. A new therapist of a former client contacts the therapist with a release of information wanting to know about the past treatment and diagnosis of the client. This particular client had multiple suicide attempts and a history of substance use. The therapist should:
A. Only answer the new therapist’s questions.
B. Contact the client before sharing any information.
C. Answer the new therapist’s questions and include information about suicide and substance history.
D.Contact the client after sharing the information.
C. Answer the new therapist’s questions and include information about suicide and substance history.
A client reports that she is nervous to go to a social event with her colleagues from work. She states, “I know no one will talk to me at the party. I will be alone and awkward”. Utilizing Cognitive Behavioral theory this statement would be considered:
A. A Schema
B. An Automatic Thought
C. A Core Belief
D. Homework
B. An Automatic Thought
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 her self, 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?
Score: 0 of 1
A. Adjustment Disorder, Alcohol Use Disorder, Major Depressive Disorder
B. Bereavement, Substance Induced Mood Disorder, Major Depressive Disorder
C. Adjustment Disorder, Major Depressive Disorder, Substance Induced Mood Disorder
D. Bereavement, Adjustment Disorder, Substance Use Disorder
B. Bereavement, Substance Induced Mood Disorder, Major Depressive Disorder
A 40-year-old accountant is encouraged to see a therapist by his wife. He reports irritability, moodiness, and extreme fatigue. He shares that it is affecting his work performance and his relationships with his family. The therapist should FIRST:
A. Refer him to couples therapy.
B. Assess for suicide.
C. Rule out substance abuse.
D. Ask when he had his last full physical.
D. Ask when he had his last full physical.
A therapist is utilizing a brief, six-week crisis intervention model with client who is referred by his EAP provider following a break-in at his company. The general goal of this model is:
A. Improve clients coping skills.
B. Develop insight into how past is impacting the current situation.
C. Restore client to previous level of functioning.
D. Increase social support system.
C. Restore client to previous level of functioning.
Therapists from a community counseling center are providing crisis intervention at a local middle school. A recent earthquake killed two students and a teacher while they were on school grounds. The students report feeling scared to come to school and anxious that another earthquake will occur at any moment. When meeting with students, the therapists should:
A. Validate the client’s feelings and reassure them that their feelings are normal.
B. Create a support group for the students.
C. Develop a safety/evacuation plan with the students in the event of another earthquake.
D. Provide the students with local mental health resources.
A. Validate the client’s feelings and reassure them that their feelings are normal.
Your client, a 45-year-old female, tells you she has had several serious relationships end because she does not trust that her partners genuinely care for her. She ends up leaving the relationships and feels alone and discouraged. Which theory would best inform you regarding a root cause of this pattern?
A. Drive Theory
B. Attachment Theory
C. Gestalt Theory
D. Cognitive Behavioral Theory
B. Attachment Theory
A 38-year-old woman is referred by her medical doctor. She anxiously shares that her left arms becomes temporarily paralyzed whenever she and her boyfriend get in a heated argument. Her doctor has ruled out a medical condition. What diagnosis should the Tx consider?
A. Panic Disorder
B. Generalized Anxiety Disorder
C. Conversion Disorder
D. Illness Anxiety Disorder
C. Conversion Disorder
A therapist at a family mental health clinic sees a young boy whose parents have noticed recent behavioral changes in him. They report that he no longer hangs out with his friends at school, does not enjoy the same activities he used to, and appears withdrawn. Throughout the interview it becomes apparent that the changes occurred after the parents and child moved into a family friend’s house. The therapist should NEXT:
A. Explore the recent changes in the home environment.
B. Inform the parents that these changes in behavior are developmentally normal.
C. Address the possibility of child abuse with the parents.
D. Encourage the parents to find a new living arrangement for the child.
A. Explore the recent changes in the home environment.
A therapist begins having nightmares and intrusive thoughts of her own childhood trauma while she is working with a client with a severe abuse history. The therapist begins to feel overwhelmed before seeing the client. What strategy should the therapist use to deal with this issue?
Score: 0 of 1
A. Share the experience with the client and process their reaction.
B. Seek consultation immediately.
C. Begin therapy to address personal issues.
D. Document countertransference reaction in notes
B. Seek consultation immediately
A 7-year-old child is referred to the school therapist because he is unable to sit still in class. The child exposes a large, red rash on his torso and complains that the lotion his mom puts on it makes it worse. The therapist calls the mother who shares that she doesn’t have time to take her son to the doctor and that she had the same thing as a kid and had to learn to be tough. Ethically the therapist should:
A. Inform the mother that she must take the child to the medical doctor.
B. Process a possible child neglect report with mother.
C. Schedule a meeting with mom and child.
D. Schedule an appointment at a community health clinic.
B. Process a possible child neglect report with mother.
As a therapist works more on becoming differentiated from his or her own family of origin, the less likely he or she is to take sides when working with a family. This statement best reflects ________theory.
A. Family Narrative Therapy
B. Gestalt Therapy
C. Milan Therapy
D. Bowenian Family Therapy
D. Bowenian Family Therapy
is afraid to go out at night now, and finds it difficult to sleep because she “sees it happening over and over again in my head.” The MOST likely diagnosis is anorexia nervosa and:
A. Adjustment disorder
B. Nightmare disorder
C. Posttraumatic stress disorder
D. Amnesic disorder
C. Posttraumatic stress disorder
A 13-year-old girl meets with a therapist after being discharged from a psychiatric hospital. During the assessment, the therapist learns that the child has a history of suicidal ideation and aggressive behavior at school and home. These behaviors have become worse over the past year. The family also has a history of mental illness, and the client’s father is in jail. After conducting a risk assessment, the therapist should NEXT:
A. Explore the child’s aggressive behaviors.
B. Encourage the mother to place her daughter in a residential treatment home.
C. Evaluate the child’s behaviors that occur at school.
D. Evaluate the overall functioning of the family and the child.
D. Evaluate the overall functioning of the family and the child.
With p < .05, what is the sampling error?
A. More than 95%.
B. Less than 5%.
C. More than 5%.
D. Less than 95%.
B. Less than 5%.
A therapist is referred a woman who was recently discharged from a short-term stay in a mental hospital following a manic episode. The woman is living with her parents and is being seen monthly for medication monitoring by a psychiatrist. Legally, the therapist should:
A. Request to meet with client’s family to gather additional information.
B. Obtain signed consent to speak with client’s psychiatrist.
C. Ask client to sign a no harm contract.
D. Identify treatment goals that the client should focus on.
B. Obtain signed consent to speak with client’s psychiatrist.