71. A 14-year-old boy engages in “acting-out” behaviors whenever his parents talk about separating, and his actions temporarily disrupt their plans.  From the perspective of family therapy, the boy’s behavior is BEST described as:

a.     scapegoating

b.     a blurring of boundaries

c.     triangulation

d.     an attempt to restore homeostasis

72. After four sessions with Mr. Al Aronowitz, MFT, a client calls and says that he would be more comfortable with a female therapist and asks Mr. Aronowitz to make  a referral.  Mr. Aronowitz makes the referral and reminds the client that he has an outstanding balance of $100.  Six months go by and the client does not pay his bill. After calling and writing the client about this issue numerous times, Mr. Aronowitz decides to turn the bill over to a collection agency.  His best course of action would be to:

a.     not reveal to the client that he is doing this

b.     not contact the collection agency until one week after his last call to the client

c.     warn the client that he is going to do this

d.     write off the outstanding bill as a loss

73. All of the following statements are true about crisis intervention EXCEPT:

a.  the therapist should be more or less non-           directive in order to support the client’s skills       and strengths

b.   it should focus on short-term goals

c.   the provision of support is essential

d.   it is problem-oriented

74.  A client informs you during the third therapy session that she is also seeing another therapist.  As an ethical therapist, you should: 

a.     terminate treatment with the client immediately

b.     determine the nature of the client’s relationship with the other therapist and proceed with therapy only if you have the agreement of that therapist

c.     call the other therapist to discuss the matter with him, but don’t tell the client you are doing this to avoid having the client call the therapist first to influence him

d.     let the client know that she will have to make a decision in the near future about which therapist she will continue to see

75. With regard to the issue of confidentiality in group therapy, a therapist must:

a.     be aware that confidentiality is waived in group therapy because it is

impossible to control what is said outside the group by group members

b.     make sure, at the onset of therapy, that all members understand that they are

legally required to maintain confidentiality

c.     discuss the limits of confidentiality with potential members during the

screening interview and obtain signed waivers of confidentiality

d.     discuss the need for confidentiality during the initial session and periodically

remind members about confidentiality in subsequent sessions

76. To prevent therapists from becoming desensitized to abuse and not noticing warning signs:

a.   have one therapist for intake and another therapist for treatment

b.   do not have a practice devoted exclusively to children

c.  take CEUs about child therapy on a regular basis

d.  use a team approach

77. A therapist receives a subpoena to release information about a client.  The first think to do is:

a.     release the information

b.     call the client

c.     claim privilege

d.     find out who issued the subpoena

78. You have been seeing a gay man in therapy for the past six months.  Two months ago he tested positive for the HIV virus.  He is planning to tell his long-term partner about this.  Recently, however, he has begun to visit gay bars and is considering having sex with other men.  He says that he feels angry and confused and feels like doing to others what was done to him.  Your best course of action would be to:

a.     Call the police and warn the client’s partner because this falls under the “duty

to warn” law.

b.     Maintain confidentiality and continue therapy

c.     Urge your client to disclose to his partner that he is HIV-positive, as well as to any potential sexual partners.  If your client refuses to do so, maintain confidentiality and continue therapy, however, call a lawyer for legal advice.

             d.  Make an anonymous call to the client’s partner to                    warn him of the danger he is in.

79. Your client is a woman who was raped six weeks ago.  As a child, she was sexually abused.  Right after the rape, she seemed to be okay, but recently she has begun having nightmares about being attacked.  She says that, now, she “cannot stop thinking about the rape.”  She speaks in a monotone voice and reports being “jumpy” and is having difficulty eating and sleeping.  In terms of diagnosis, what is likely:

a.     Major Depression

b.     Adjustment Disorder

c.     Suicidality

d.     PTSD

80. A 14-year-old client tells her therapist that she is pregnant and is going to have an abortion without tell her parents.  The therapist should:

a.     talk the client out of her decision

b.     maintain confidentiality and urge the client to tell her     parents

c.     tell the client’s parents, but don’t tell the client you’re     doing this

d.     maintain confidentiality

81. You receive hearsay information about one of your clients, stating that the client is going to harm someone.  You should:

a.     take whatever steps are necessary to protect the           public (e.g., the protective

  privilege ends where the public peril begins)

b.     make a report once you have determined the               validity of this information

c.     discuss this information with the client

d.     report this to the police and the individual in danger   of being harmed, when possible

82. Inappropriate affect can be described as:

a.     inconsistencies in behavior

b.     erratic patterns of emotions

c.     emotional responses inconsistent with the context in which they are displayed

d.     responses that are emotionally highly charged when       compared to a typical response

83. The parents of a 32-month-old boy complain that he has begun to stutter.  Prior to this time, the child displayed no speech problem.  You:

a.    refer the child to a child psychologist because stuttering beyond age two usually indicates emotional problems

b.    refer the child to a physician because stuttering beyond age two almost always

indicates a physical disorder

c.    refer the child to an educational psychologist for testing because stuttering beyond age two usually indicates a learning disorder

d.    tell the parents that speech dysfluencies before age three are relatively common and normal

84. The concerned mother of a teenaged girl calls you to set up an appointment for her daughter.  She tells you that she has been concerned about her daughter’s   behavior for some time now.  She was finally prompted to call you after being contacted by the security office at the local mall when her daughter was caught shoplifting.  When she asked her daughter for an explanation, the girl said, “I wanted the outfit, so I took it.”  According to Kohlberg, which of the following stages is next:

a.     avoidance of authority

b.     social awareness

c.     personal gratification

d.     ethical conscience

85. You are seeing a father in treatment.  Which of the following characteristics would make you concerned that he might sexually abuse or be sexually abusing his child:

a.     low frustration tolerance and substance abuse

b.     substance abuse and impulsivity

c.     need for approval and impulsivity

d.     social isolation and substance abuse

86. To reduce the risk of relapse for a 23-year-old man who has been hospitalize with a diagnosis of schizophrenia and who will now be returning home to live with his parents, the best intervention would be:

a.     individual psychotherapy plus pharmacotherapy

b.     family therapy plus pharmacotherapy

c.     milieu therapy plus pharmacotherapy

d.     pharmacotherapy alone

87. Which of the following is NOT true about the five axes of the DSM-IV:

a.     clinical syndromes are recorded for Axis I

b.     Axis II is for coding only two classifications

c.     Axis III is for coding physical disorders

d.     Axis V is for noting the contribution of environmental stressors

88. As a cognitive-behavioral therapist, you have been doing marital therapy with Justine and Nelson.  This couple owns an interior design business together and, after six years of togetherness, they have been arguing non-stop.  Their goal in therapy is to find new ways to communicate.  How would you know when it is time to terminate therapy:

a.    the couple has learned how to communicate without arguing

b.    the stated time limit set for therapy expires

c.    Justine and Nelson have altered their unrealistic ideas and expectations about their marriage

d.    the underlying dysfunctional patterns have changed

89. For refugees and immigrants, the major source of stress in their new country is most often:

a.    rejection by members of the mainstream culture and the resulting social isolation

b.   intergenerational conflicts arising from different degrees of acculturation among family members

c.   insecurity due to economic loss and unemployability

d.   an inability to adjust to the new environment due to a lack of communication skills

90. Use of the Premack Principle is based on the assumption that:

a.    any more frequent behavior will serve as a reinforcement for any less frequent

behavior

b.   an increase in behavior following the removal of an aversive stimulus is due to the fact that behaviors that terminate an averse event tend to occur again

c.   if a response antagonistic to anxiety is paired with the anxiety-producing stimulus, the bond between the stimulus and the anxiety response will weaken

d.   consistent removal of an unconditioned stimulus will result in a corresponding

decrease in the conditioned response

91. Tom, age 33, tells you that he has been depressed lately.  His concentration is poor and he has had feelings of hopelessness.  He is also an alcoholic.  What kind of  referral would you make:

a.     aversion therapy

b.     group therapy

c.     a dual diagnosis setting

d.     a medical doctor

92. What must you do in the first session with a client:

a.     discuss your fees and how you calculate them

b.     discuss your fees and confidentiality

c.     discuss your fees and the status of your license

d.     discuss your credentials

93. You see a client who is court-referred for therapy.  The client is late for the first session and states that he does not want to be there.  He fails to show up for the second session.  In this situation, you should:

a.   explain the court order to the client

b.   report what is happening in therapy to the court

c.   call the client on the phone and ask him why he does not want to participate in therapy

d.   maintain the client’s confidentiality under all circumstances

94. A 45-year-old client was sexually abused as a child by her father.  She says she’s not angry with him and, in fact, has kept up a close relationship with him over the years.  She sees him often and says she intends to continue doing so.  This is an example of:

a.     blurred boundaries

b.     enmeshment

c.     disengagement

d.     pseudohostility