A 14-year old girl discloses to her therapist that she is being harassed and physcially threatened by a gang. Recently, a member of the gang pulled a knife on her. She does not want her parents to know. The therapist should:

a.       call her parents

b.      determine the danger, then report

c.       call the police and her parents

d.      assess the girl’s needs

A number of psychological disorders have been linked to family characteristics. Which of the following disorders is commonly associated with parental rejection, harsh discipline, large family size, early institutionalization, and/or absent father:

a.       ADHD

b.      Conduct Disorder

c.       Autism

d.      Anorexia Nervosa

You are treating a 12-year old boy who has been having trouble concentrating at school. The parents describe him as irritable. These symptoms have lasted over a year. A likely diagnosis would be:

a.       specific developmental disorder

b.      developmental reading disorder

c.       dysthymic disorder

d.      oppositional defiant disorder

An MFT is treating an 8 year old boy who has been physically abused by his parents. In a session, the boy dreaws a picture that depicts some violent content. the MFT interprets the picture as reflecting the boy's angry feelings coming tot the surface. To verify the boy's feelings, the MFT should:

a.       ask the boy to explain the picture

b.      ask the boy why the picture looks “angry”

c.       interpret the picture for the boy and assess his reaction

d.      explore the possibility that the boy is a victim of more recent and severe additional abuse

    According to the DSM, which of the following would indicate that a client’s substance misuse represents “substance abuse:”

a.       recurrent social problems caused by substance use

b.      persistent desire or multiple unsuccessful attempts to control substance use

c.       continued use of the substance to reduce or avoid withdrawal symptoms

d.      any of the above

a.       recurrent social problems caused by substance use

b.      persistent desire or multiple unsuccessful attempts to control substance use

c.       continued use of the substance to reduce or avoid withdrawal symptoms

d.      any of the above

     A family who has been seeing you for two-and-a-half-months starts missing  appointments and complaining that therapy is doing them no good.   You should:

a.       terminate their treatment immediately

b.      confront them about their obvious resistance

c.       seek consultation from a colleague

d.      refer them to three other competent psychotherapists in the community

    B.     confront them about their obvious resistance

    The Green family consists of a step-father, age 50, a mother, age 35, and daughter Susie, age ten.  Mr. and Mrs. Green have been a couple for about a year and married two months ago.  They recently moved into a new house, which they are now remodeling.  Susie is in a new school. The family has no contact with Susie’s biological father, an alcoholic who left the mother when Susie was age two.  The  presenting problem is that Susie has recently started setting small fires in the trash bins at her school.  When asked why, she appears confused and doesn’t acknowledge what she did.  Mr. and Mrs. Green report that, at home, Susie seems “a bit out of it” these days.  They describe her as a usually quiet and well-behaved child.  What would be an important FIRST step to take in treating this family:

a.       attempt to make contact with Susie’s biological father since it appears she has

been emotionally damaged by his absence

b.      begin play therapy with Susie to offer her alternative means of expressing her

feelings

c.       educate the parents about the effects of remarriage on children

d.      refer Susie for a psychiatric evaluation to rule out organic causes for her behavior

D.      refer Susie for a psychiatric evaluation to rule out organic causes for her behavior

      Based solely on the information given in the above vignette (question#7),

       which of the following would be the MOST likely diagnosis for Susie:

a. adjustment disorder with disturbance of conduct

b. V-code for childhood anitsocial behavior

c. oppositional defiant disorder

d. conduct disorder

    A.   adjustment disorder with disturbance of conduct

      A behavior therapist would be MOST likely to argue that symptoms are the result of which of the following:

a. underlying conflicts

b. irrational thoughts and beliefs

c. learning

d. physiological processess

     C  learning

What would be your BEST diagnostic test with a child:

a. Bender-Gestalt

b. 16PF

C. Goodenough-Harris Test

D. Draw a family portrait

a.       Bender-Gestalt

b.      16PF

c.       Goodenough-Harris Drawing Test

d.      Draw a family portrait

 A 13-year-old girl is brought into therapy by her parents, who are paying for the sessions.  When seeing her alone, you are told by the girl that she is being sexually abused by someone; she then quickly asks you not to tell her parents that she has told you this.  What is (are) your PRIMARY consideration(s):

a. contact the  parents

b. report to CPS

c. report to CPS and tell the parents

d. maintain the client's confidentiality and do not report to anyone

      If a therapist, for whatever reason, cannot continue therapy with a client, he or she should:

a. make a proper referral

b terminate the client

c. notify the client by phone within 24 hours of termination

d. continue seeing the client and make an effort to overcome the reasons for termination

A    make a proper referral

    From the perspective of Beck’s cognitive therapy, the information processing of suicidal individuals is characterized by a high degree of hopelessness and:

a equivocation

b. dichotomous thinking

c. peronalization

d. automatic thinking

a.       equivocation

b.      dichotomous thinking

c.       personalization

d.      automatic thinking

The BEST way to reduce the likelihood of the development of PTSD following a crisis or other extreme life event is

a. stress-inoculation training prior to the event

b. immediate debriefing with opportunities to reprocess the event

c. in vivo or imaginal exposure with response prevention

d. systematic desensitization

What is MOST likely to hinder the success of a client in therapy:

a. the client is from a lower social class than the therapist

b. the client has a different sexual orientation than the therapist

c. the client's expectations are unrealistic and are not discussed

d. the client has a physical handicap

Schizophrenia is typically characterized by profound disturbances in thinking, affect, perception, and psychomotor behavior. It is generally believed that a poor prognosis for schizophrenia is associated with all of the following except:

a. onset in late adolescence

b. acute onset of symptoms

c. lack of emotional responsivity

d. obessive-compulsive symptoms

a. onset in late adolescence

b. acute onset of symptoms

c. lack of emotional responsivity

d. obsessive-compulsive symptoms

When faced with an “undifferentiated family ego mass,” a family therapist who has adopted a Bowenian approach would be MOST likely to do which of the following:

a. help differentiate family members by becoming emotionally triangulated into family dyads.

b. help differentiate family members by using behavioral and cognitive-behavioral techniques that promote individuation

c. work first with the most differentiated family member to help him or her achieve greater individuation

d. work first with the "identified patient" to help him or her become more differentiated

c. work first with the most differentiated family member to help him or her achieve greater individuation

A Latino client would have the most difficulty working with a non-Latino therapist who:

a. views interdependency as both healthy and necessary

b. emphasizes formality over informality

c. uses a multi-modal approach to treatment

d. emphasizes a here-and-now perspective

a. views interdependency as both healthy and necessary

b. emphasizes formality over informality

c. uses a multi-modal approach to treatment

d. emphasizes a here-and-now perspective

The primary distinction between a diagnosis of bipolar I disorder, most recent episode manic and bipolar II disorder, most recent episode depressed is that:

a. the former is diagnosed when the client is experiencing a manic episode at the time of diagnosis, while the latter is diagnosed when he or she is experiencing a depressive episode at the time of diagnosis

b. in the former, manic episodes occur more frequently than depressive episodes, while in the latter, the opposite is true.

c. the former requires a history of one or more depressive episodes only

d. the former may be diangosed in there is a history of one or more manic episodes only, while the latter requires both depressive and either manic or mixed episodes

B. in the former, manic episodes occur more frequently than depressive episodes, while in the latter, the opposite is true

Research on sex-role stereotyping has indicated that:

a. male and female mental health professionals rate males and females in a a nonstereotypic way

b. male mental health professionals rate males more favorably while female mental health professionals rate females more favorably.

c. male mental health professionals rate females more favorably while female mental health professionals rate males more favorably

d. male and female mental health professionals rate males more favorably

d. male and female mental health professionals rate males more favorably

When conducting short-term therapy, termination is discussed:

a. when the client has achieved the goals of therapy

b.  after an agreed upon number of sessions

c. during the initial session

d. after a therapeutic alliance has formed

c. during the initial session

A young man displays a variety of symptoms including headaches, dizziness, and anxiety. A physcial examination reveals no biological cause for his symptoms. Instead, it seems that the man has voluntary control over his symptoms and that they're related to his desire to avoid family responsibilities. The young man appears to be suffering from which of the following disorders:

a. somatization disorder

b. malingering

c. conversion disorder

d. phobic neurosis

d. phobic neurosis

An MFT is interviewing a lesbian couple. One of the women seems very uncomfortable. She says that she would feel better working with a gay therapist. She asks the MFT about her own sexual orientation. The MFT should do which of the following:

a. refer the clients to a gay therapist

b. ask the client why she wants to know this

c. ask the client what it would mean to her if she (the MFT) were gay

d. inform the clients that she has had a lot of experience working with gay and lesbians

c. ask the client what it would mean to her if she (the MFT) were gay