Deck 5: Treatment

Question 1

After completing a thorough assessment, Kim was diagnosed with Panic Disorder. As you work with Kim, you realize that she is able to fully recall her episodes of panic in great detail. As a therapeutic technique, you might ask Kim to:

A)Think of something else entirely
B)Develop a thought record
C)Submit to the panic
D)Close her eyes and think of a tropical, sandy beach

Answer 1

Develop a thought record

Question 2

Roseanne has been diagnosed with an eating disorder. As you are considering routes to take in therapy and building a collaborative team for her care, it would be best to reach out to which of the following for coordination of care?

A)Occupational therapist
B)Art therapist
C)A psychiatrist
D)A nutritionist/dietician

Answer 2

A nutritionist/dietician

Question 3

Alexis begins telling you about how her mother was never satisfied with the progress she had made in school, much like her mother had never been satisfied with her own progress. While Alexis continues on in detail about the family saga, it is clear that she lacks some insight into the transmission of certain feelings. One way to help Alexis begin to understand might be:

A)Draw a genogram
B)Convince Alexis to talk with her aunt for an unbiased perspective
C)Encourage Alexis to come back to the present moment
D)Align with Alexis in order to move on

Answer 3

Draw a genogram

Question 4

Recently, Diana stopped reinforcing her son for washing the dishes. When he did not receive reinforcement, the dishes began to mount. Her therapist advises her to reinforce her son intermittently on a variable schedule, because:

A)Variable schedules are easier to reinforce
B)Variable schedules are the most resistant to extinction, prolonging adherence
C)It's always a good idea to have a clean sink
D)She could use the schedule to reinforce many other behaviors

Question 5

When a client is unable to describe a symptom, such as emotional pain or anger, scaling is sometimes helpful. Scaling is defined as:

A)Letting it roll off your back, without a second thought
B)Verbally acknowledging that you are weighed down
C)A meditation balancing both hands
D)Using a rating scale to determine the gravity of the problem

Question 6

A client is coming to you for therapy, reporting that things in her home are "unbearable" since her daughter recently turned sixteen and refuses to abide by curfew. As the mother of a sixteen-year-old yourself, you want to tell the client what works in your house. You really see where she's coming from and hope this resolves quickly for her. What you're experiencing is:

A)Counter-Transference
B)Transference
C)Mirror Imaging
D)Complex Reiteration

Question 7

Julio is someone who self-injures on a regular basis, but has been able to reduce his instances of self-harm significantly. You have helped him understand the parameters around his safety and encouraged him to always find the safest methods. You are engaging in:

A)Motivational Interviewing
B)Harm Reduction
C)Grieving identity loss
D)Understanding needs

Question 8

Trisha brings her son Damian in for an evaluation. It has been determined that Damian has a conduct disorder. When working with him, one of your goals for treatment is to:

A)Continue building up a sense of outdone frustration
B)Practice harm reduction
C)Change the definition of the problem so that the teachers accept responsibility
D)Recognize and verbalize how feelings are connected to misbehavior

Question 9

Jack and Jane are settling into a new life with four children and two dogs. This is the second marriage for both of them and their children are starting to exhibit odd symptoms that haven't been seen in this family before. In order to cope with the situation, the therapist recommends that this newly blended family:

A)Notify the school of the behavior change immediately
B)Seek outside help from many sources
C)Reject myths regarding stepfamilies
D)Start having dinner together regularly

Question 10

Charlene appears in your office for therapy. She is very clearly depressed and you are looking for a way that she might walk out of your office with some hope. In order to encourage her, you begin encouraging activity, including:

A)Behavioral Activation
B)Self-Harm Adaptation
C)Creating a list of important activities
D)Dissection of high-energy activities

Question 11

Object Relations theory is derived from which of the following core psychological theories?

A)Family-Oriented
B)Humanistic
C)Psychodynamic
D)Cognitive Behavioral

Question 12

Which of the following exercises would be attempted in order to change the thinking and the assumptions and attitudes underlying that thinking?

A)Mindfulness
B)Hopefulness
C)Cognitive restructuring
D)Deep breathing

Question 13

When developing a treatment plan, your therapist begins to consider the use of the I/Thou relationship, an idea that he has borrowed from philosopher Martin Buber, but that was brought into therapy by which school of thinking?

A)Gestalt
B)Psychodynamic
C)Cognitive Behavioral
D)Narrative

Question 14

A man of fifty is in your office, a regular client. Today, he is more distressed than usual. He talks about wishing he could tell his mother exactly how he felt about some of the things that she used to say. One of the best ways you think of to give him the opportunity is:

A)Thought blocking
B)Invariant prescription
C)Variant prescription
D)Empty chair

Question 15

Borderline Bill walks into your office with a downturned view of therapy, thinking that he won't have much luck when it comes to talking with yet another therapist. However, always the optimist, you ask Bill if he has heard of a treatment that may be especially helpful for those with Borderline Personality Disorder, known as:

A)Dialectical Behavior Therapy
B)Feminist Therapy
C)Client-Centered Therapy
D)Orthodox therapy

Question 16

"I only want to belong!" Sally yells. Like many people, Sally wants to belong, to feel important, but she is also having difficulty because of her behavior at school and at home. So often, she acts out and makes poor decisions in order to gain attention for herself. According to Adlerian therapy, Sally is in search of:

A)Proportional experience
B)Discouragement
C)Encouragement
D)The empty chair

Question 17

In order to appropriately develop groups, it is important to consider:

A)The ability of all involved to contribute equally
B)The ability of all involved to benefit from consistency
C)Structure, attention span, cognitive level of functioning
D)Length of time allotted to each participant

Question 18

When assigning homework to groups as part of psychotherapy, it is especially helpful to consider:

A)What assignments can be executed within the timeframe
B)Whether or not assignments can be executed by a particular group
C)How open the group may seem to pursuing things outside of therapy time
D)Which reward systems will work most readily to reward homework

Question 19

Alexis reports having what she describes as a "paralyzing fear of clowns." When confronted about the fear, it is decided that flooding would be the best way to proceed. Flooding is defined as:

A)Immersing the client in water to test the fear
B)Providing stimuli in a confined area when the client is not allowed to leave
C)Forgetting to allow the client to explain intermittent feelings
D)Promoting forgetfulness of the inspired events

Question 20

When assessing for whether or not family therapy is necessary, it is important to determine:

A)Diagnostic features
B)The willingness of parental participation
C)Appropriate children's interventions
D)Any of these could be considered reasonable steps

Question 21

When clients are given agency, they are given the ability to:

A)Act and speak for themselves
B)Provide ongoing support
C)Understand cultural dominance
D)Repeal any of the therapist's recommended changes

Question 22

A client is especially insightful about the changes that her family needs to make in order to survive in the current economic climate. Still, she wishes things were different. For this particular client, it may be helpful to ask:

A)The miracle question
B)For family histories
C)Resuming therapy when she feels up to it again
D)Any of these could be considered reasonable steps

Question 23

Teddy is a seven year-old who struggles with some regular bouts of anxiety around going to school, like making friends and being appreciated. By asking Teddy's parents to read psychoeducational material, you are encouraging them to:

A)Bring themselves into their son's disorder by observation
B)Understand all of the things that contribute to anxiety and its treatment
C)Consider what things are like in the scope of a seven year old mind
D)Respond more appropriately to Teddy's needs during this scary time

Question 24

Scott tells you that his parents can often be heard fighting in the next room. Sometimes he reports that he feels like one parent might run away and take him along. Scott doesn't think his parents would hurt him, but he's clearly upset. A safety plan for Scott might include:

A)A safe place in the house where Scott could hide
B)Calling a relative who can talk him through it
C)Running to the neighbor's house
D)How and when to call 911

Question 25

Heather has a history of using verbally abusive language with her mother, destruction of property, and overreaction. Heather could benefit from some education around:

A)Anger Management
B)Grief and loss
C)Movement and exercise
D)Relationships 101

Question 26

Which of the following could be considered a "long term" goal?

A)Improve academic grades
B)Express feelings of sadness, hurt, or anger
C)Identify what is missing that contributes to happiness
D)Initiate social communication with peers

Question 27

Which of the following would be an appropriate referral before completing a diagnosis with a young client who exhibits signs and symptoms of Attention-Deficit-Hyperactivity Disorder?

A)Occupational therapist
B)A neuropsychologist
C)A learning disorder specialist
D)A medical doctor, in order to rule out medical issues

Question 28

Amy cannot remember much about her maternal grandparents, but she does remember that both were married twice, that one was an alcoholic, and that her maternal grandmother had a twin. This information, while not complete, is enough to begin:

A)Wondering what happened
B)Searching for meaning
C)A genogram
D)A family medical history

Question 29

Each time the therapist is making progress toward understanding another part of the family's presentation, Ashley's father comes up with a reason for her behavior. It appears that in this family, Ashley is serving to protect:

A)Family homeostasis
B)Her identity
C)Her father's role
D)Her right to misbehave.

Question 30

Elena presents in therapy with you after trying four other therapists who don't quite understand where she's coming from. When she explains that she suffers from low self-esteem, you suggest some of the following. Which is not considered a short term objective?

A)Take responsibility for daily self-care
B)Reduce negative self-talk
C)Identify and verbalize feelings
D)Build a consistently positive self-image

Question 31

Relaxation, breathing control, and covert modeling are all positive examples of:

A)Warding off negative influences
B)Coping skills to cope with PTSD
C)Responding to positive reinforcement
D)Making a difference

Question 32

When a client presents who wants answers very quickly and is only willing to work minimally on his own issues, but wants you to focus instead on fixing his family, you might suggest:

A)Behavior therapy / modification
B)Virginia Satir family modeling
C)Structural or strategic therapy
D)Solution-focused brief therapy

Question 33

You are running up against roadblocks with the teenagers in your practice. Your tried and true methods are no longer satisfactory. A colleague suggests that you try giving the power of the story to the client. In doing that, you begin making an effort to:

A)Engage more school personnel in treatment options
B)Recognize more parents for the difficult work they do
C)Use more phrases from popular culture
D)Use more narrative therapy

Question 34

When it comes to working with school personnel who are uncooperative, it may help to remind them that:

A)Students are most often supported and redirected in the classroom
B)People may present differently in different situations
C)You are not a miracle worker
D)The client does not choose to behave this way

Question 35

Terry and Belinda are doing their best to raise their kids appropriately, but keep running up against some popular myths. For example, Terry is worried that unless he gives in to some demands, his kids will grow up disliking him. Which of the following might benefit Terry most closely:

A)Bowenian therapy
B)Strategic therapy
C)Structural therapy
D)Individual work

Question 36

"When I feel like I want to harm myself, I will instead do 3 of the following:" - read a book
- plant in my garden
- call a friend
- go to a movie
- go to a church function.
If I need immediate help, I will call my therapist or 911.
The above would be considered:

A)A safety plan
B)A list of activities
C)Something to do in case of boredom
D)A behavioral warning

Question 37

In looking at an effective safety plan, which of the following important items are missing?
"When I feel like I want to harm myself, I will instead do 3 of the following:"
- read a book
- plant in my garden
- call a friend
- go to a movie
Go to a church function.

A)What to do
B)A contact person
C)A safe place to go
D)Listing key medications

Question 38

You are a structural therapist. When a family comes into your office and presents themselves in need of someone to help fix their daughter/sister who has a drinking problem, your first question or first musing would be:

A)How many people are coming to therapy?
B)Which relationship needs to be disrupted?
C)Who started it?
D)How many people know the presenting issue?

Question 39

Therapeutic contracts can be helpful when determining:

A)How much help is expected from family members
B)Whether or not progress has been made
C)The definition of a mental illness
D)Any of these

Question 40

As a Bowenian therapist, which of the following would be on your list of interventions?

A)Determining which triangles exist
B)Evaluating the homeostatic process of the family
C)Maneuvering family members around the room
D)Finding one family member to identify as the "problem"

Question 41

You are seeking to do family therapy with one person. Sounds strange, but Bowen pulled it off. When working with the individual, one must attempt to find out:

A)How fast the individual drives, given tendency for road rage
B)Whether or not any emotional fusion exists between him and other family members
C)Where the triangle begins and ends
D)How much it matters when individual preferences are called out

Question 42

According to Bowenian therapy, the therapist must:

A)Be disentangled from the inappropriate behavior
B)Work only with the problem unit
C)Find reasons to triangulate the family
D)Provide valid excuses for family behavior

Question 43

As a solution-focused therapist, you can appreciate the importance of being able to quantify a lot of the progress that has been made in any therapeutic relationship. One of the ways that solution-focused practitioners do this is through "scaling." How would you know when scaling would be inappropriate?

A)Based on a client's response to the first scaling attempt
B)When a number could not accurately be assigned to a thought or feeling
C)Scaling can almost always be applied, regardless of situation
D)There will always be a sense of inadequacy around scaling

Question 44

Becky is a 40-year-old single mother of two, who is recently divorced and lives in a 2 bedroom condo in one of the most expensive areas of town. She comes from a somewhat prominent family in town. She has come to see you because things are changing for her family. Contextually, she may be seeking:

A)Permission for things to go back to the way they were
B)Permission for things to be different
C)Advice on how to change her image
D)Coping skills for dealing with sudden change

Question 45

When going through a divorce, the couple is showing some anxiety over their separation. However, there are other systems involved that will be impacted. For example, children of divorce could benefit from:

A)Two sets of everything in opposite homes
B)Groups that teach children how to cope with divorce
C)Going back and forth every week
D)Family therapy that includes everyone

Question 46

When child custody is determined, most courts now take an approach that is a bit more equitable with regard to visitation. Nearly every court would rule that:

A)A child benefits from the influence of both parents
B)A child benefits more from a mother's influence than a father's
C)A child benefits more from a father's influence than a mother's
D)A child would benefit more from placement with couples who will remain married

Question 47

A couple who is dealing with infertility comes to see you. As you can imagine, they arrive heartbroken and upset. How would you treat the couple, knowing that they had very little chance of conceiving children on their own?

A)Individual therapy for both of them
B)Marital counseling
C)Couples enrichment counseling
D)Refer them to a group so they learn to cope better

Question 48

You are working with a thirty-year-old Chinese American female, who is not very talkative. In fact, she is very resistant. Which therapy might be an excellent choice for those who are especially resistant?

A)Emotionally-focused therapy
B)Ericksonian therapy
C)Satir family therapy
D)Narrative therapy

Question 49

When it comes to Ericksonian therapy, it is an especially useful treatment intervention when:

A)Clients have responded to little else
B)Everyone involved believes in hypnotism
C)Systems need to be able to contradict themselves
D)Coping skills are unavailable

Question 50

According to the Milan therapy model, systems are limited by which of their aspects?

A)Structure
B)Group members
C)Environment
D)Subsystems

Question 51

If Joe playing football is more important to this family than anything else, Milan family therapy would suggest that:

A)The goal is to get him back out onto the field
B)The structure of the family is such to promote Joe's playing football
C)Whether or not he wants to, Joe will play
D)Desire plays a large role in whether or not Joe plays football

Question 52

When establishing a story for herself, young Isabella begins by telling her therapist "I have always been depressed and alone." Her therapist stops her and encourages her to be very real with herself. He wants to know "What story do you really want to tell?" He is helping her to step away from:

A)Powerful images
B)Stories that cause increased anxiety
C)Problem-saturated stories
D)Optimum stories

Question 53

Which of the following is one of the more effective techniques that summarizes the abilities of narrative therapy to work with any structure or system of people?

A)Hiding
B)Adherence
C)Recompensating
D)Reauthoring

Question 54

If you were a Milan-oriented therapist, you would be most focused on how families:

A)Had a number of different relationships
B)Put blame on just one person
C)Saw themselves as inseparable
D)Maintained homeostasis

Question 55

A therapist can sometimes be an overwhelming authority figure. For those who do not respond well to authority figures, Milan therapy could be an especially appealing choice, since:

A)Young people tend to present most problems
B)The clients get to run the show
C)The therapist maintains absolute neutrality
D)The therapist promises not to make judgments

Question 56

Many clients come to therapy very indecisive. They have a difficult time adhering to one choice or another or decide not to make choices at all. For them, the removal of all choice but time makes a big difference. The idea of "now or later?" provides therapists with an option known as:

A)Double bind
B)Refusal
C)Acceptance of choice
D)Determination

Question 57

Working with a dual diagnosis patient using Ericksonian techniques could be difficult because:

A)There isn't enough resistance when working with a dually diagnosed population
B)Erickson uses intentional relapse as a method of growth
C)They recall too many things from the past
D)Patients have a hard time forgiving themselves

Question 58

Bob has a difficult time considering things in the present moment. He is constantly in the past, without much luck engaging the present. For those who have a hard time, a therapist may wish to draw upon Adlerian therapy when working with them. Adlerian therapy provides:

A)Conventional breathing exercises
B)Immediacy
C)Guided imagery
D)Redirection

Question 59

What for others is called joining is called ________ by Adler. It is different in that it provides a good deal of positive influence.

A)Encouragement
B)Excitement
C)Believability
D)Stress-reduction

Question 60

Often, Jack has a difficult time accepting his circumstances. When it comes to his reality, he has a difficult time realizing that he can have a positive outlook, even when so many things are stacked against him. For those clients who are especially downtrodden, it may be helpful to explore:

A)Value-driven positive behavior
B)Cognitive behavioral therapy
C)Existentialism
D)Experiential therapy

Question 61

Mark is 20 years old. He is engaging in therapy because he has always had an interest in psychology and wants to examine how he could benefit. As a therapist, you might begin with Mark by talking about:

A)What he hopes to get from therapy
B)How he came into school for studying
C)His family history
D)The true self

Question 62

When a client is showing very little insight into his or her problem behaviors, it demonstrates that he or she would be a great candidate for:

A)Cognitive behavioral therapy
B)Gestalt therapy
C)Communication theory
D)Emotionally-focused therapy

Question 63

Which of the following could be defined as a crisis?

A)Being late on the rent
B)Being the victim of an assault
C)Witnessing a crime in progress
D)Any of these

Question 64

While we might know how to see a crisis coming or recognize it when it's active, what happens to our clients, the individuals who were involved, witnessed, or heard about the crisis?

A)They recover almost immediately
B)They lose all concept of their coping skills
C)There is no noticeable difference
D)They are completely overwhelmed

Question 65

As part of Roberts' Seven Stage Crisis Intervention Model, at what point during an incident would it be appropriate to examine feelings?

A)Before the assessment
B)Before the dimension of presenting problems
C)After generating alternatives
D)After identifying crisis participants

Question 66

John and Julie come to see you for therapy. They are a nice couple, mid-thirties, have one son. But now, they are finding that they do not feel they know each other all that well. As a Gottman therapist, you might suggest:

A)Permission for things to go back to the way they were
B)Constructing a couple's reality together
C)Building a love map
D)Sending the kids away for one night

Question 67

Again, using your Gottmann training, you are working with a couple who is having a hard time seeing anything but the negative. You bring out the idea that the couple engage in:

A)Reactionary engagement
B)Sharing love and admiration
C)Apathy
D)Skills building

Question 68

If you are a Gottman therapist, what kind of dreams are couples encouraged to discuss in your office?

A)The honest kind; creating an honest environment
B)Dreams that they would like supported
C)Dreams that they need to forget
D)Dreams that are tied to marital trauma

Question 69

You use a lot of psychodynamic theory in your practice. When you hear your client talk about his work in a positive light one week and a negative light the next, you feel as if you need to bring it up to him. You decide to use confrontation. In confrontation, the role of the therapist is:

A)To ask questions about the discrepancy
B)Do nothing but point it out
C)Figure out where the truth lies between things
D)Demonstrate superior listening skills

Question 70

As a psychodynamic therapist, you are having a difficult time with someone who is showing features of narcissistic personality disorder. This is because, in your terms, the person is more accurately portraying:

A)Distortion; a defense mechanism
B)Loneliness
C)Inability to cope
D)Hopelessness

Question 71

You are seeing parents who do not believe in the negative effects of punishment. They define punishment as the removal of things in order to get what they want. After doing some structural work to help them understand the systemic hierarchy, you then give them a lesson in response cost, which is:

A)A chance to be seen imitating appropriate authority
B)The cost associated with a negative response (loss of privileges)
C)Ability to respond while minimizing cost to others
D)The cost of responding to unmet needs

Question 72

A blended family presents in your office for help with their son, Eric. Ever since mom was remarried, Eric has been unable or unwilling to connect with his stepdad. When discussing how to proceed with treatment, you identify that Eric may be dealing with:

A)Not wanting to be around other kids
B)Conflicting loyalties
C)Trouble expressing himself if he's not talking to the stepdad
D)Trouble at school

Question 73

A family that you had seen for a year returns to you for an appointment after six months without therapy. They are reporting that while the individuals in the family made a change and it seemed to work, that they actually needed something else. They couldn't see the family getting any closer or having any major changes. What they are seeking is:

A)Ways to deal with their new living situation
B)Sibling conflict resolution
C)Second order change
D)First order change

Question 74

As a Gestalt therapist, how could your controlled involvement benefit the client?

A)Invariable attention given to the correct issues
B)Controlling the involvement of outside influences
C)Insisting on making therapeutic changes
D)Being fully present while not standing to gain

Question 75

As a narrative therapist, you find that your client is unwilling to accept the reality of her situation, but is even more unwilling to explain it to you. When a client believes that we as therapists know too much, which of the following narrative interventions can be helpful?

A)Deliberate ignorance
B)Forgotten requests
C)Landscaping
D)Unilateral commitment

Question 76

When clients are having a very difficult time articulating what is going on for them, which of the following narrative techniques is designed to make it easier for them?

A)Emotional regulation
B)Invisible separation
C)Externalizing conversation
D)Internalizing conversation

Question 77

When you have exhausted many of the conventional methods for addressing PTSD, you decide that it might be worthwhile to examine being trained in which of the following methods?

A)Hypnosis
B)EMDR
C)Critical exposure
D)Grounded theory

Question 78

In order to give the client more power in determining what the situation looks like, the Adlerian-trained therapist can:

A)Determine when therapy is over
B)Offer possibilities for explanations
C)Offer advice on how to change client image
D)Maintain neutrality

Question 79

You see couples and families in your practice. You just finished an appointment with a couple who decided to put their child on a contingency contract. You see a couple now who could benefit from the same treatment. How do you approach it?

A)You don't; contingencies are only for kids.
B)Anyone can benefit from contingencies; bring it up to them.
C)Find a way to make it sound much more appealing to adults
D)Very carefully; they are liable to leave therapy.

Question 80

When examining patient records for the potential to do excellent work, you see that the patient has some depressive symptoms. The most notable symptom is:

A)Anhedonia
B)Clarity of thought
C)Distinct differences in appetite
D)Willingness to change