Deck 1: Assessment

Question 1

Sarah is a teenager who presents as very depressed. When you ask her how long she has felt the same way, she says, "It comes and goes." She tells you that she first noticed it when she was nine. Before making a diagnosis, what will you need to examine?

A)How long the depressive symptoms normally last
B)What helps Sarah out of her depression
C)How many of her friends think she's making it up
D)How committed she is to changing

Answer 1

How long the depressive symptoms normally last

Question 2

Herb is a seventy-year-old white male. During the intake session, he reveals that he is a recent widower, lives alone, and has a son who lives on the other side of the country. Herb is most at risk for which of the following?

A)Developing an eating disorder
B)Suicide
C)Ethnocentrism
D)Developing an identity disorder

Answer 2

Suicide

Question 3

Six years ago, Brian was in a car accident. Six months later, he was in another accident, just before moving to San Francisco. He has never driven a car since. Brian takes the streetcar to work every morning and home every night. What appears to be a classic case of post-traumatic stress might not be a problem at all, because:

A)The window for diagnosing PTSD has expired
B)No one else was injured in the accidents
C)It is not interrupting or distressing his daily life
D)There weren't any witnesses

Answer 3

It is not interrupting or distressing his daily life

Question 4

Ethical Emma and Safety Sam are great people to have around in your practice. Still, every now and then, like any old married couple, they can get into a heated debate. You work with a sixteen-year-old who shares that he smokes a little and drinks a little. To keep your internal therapist couple happy, you would choose to:

A)Tell his mother everything. Honesty is the best policy.
B)Never share any details with his mother, no matter what.
C)Report him as a danger to the DMV
D)Evaluate for frequency, duration, and context of use.

Question 5

Which of the following is not considered a psychosocial stressor?

A)Interaction with the legal system
B)Poor social support network
C)Misbehaving children
D)Lack of vocational support

Question 6

You have seen the Sopranos, who were referred for their out of control kids, for a number of weeks. As you continue your appointments, you begin to restructure your appointments so that the couple is given more time with each other. In doing this, you are also:

A)Testing a theory about what will happen if the children are ignored.
B)Hypothesizing about where the power is in the family relationship.
C)Hoping that one of the children will speak frankly and openly about what's happening.
D)Placing all of your eggs in one basket with a relationship rescue approach.

Question 7

Sam presents as a 35-year-old male who is having trouble relating to his ten-year-old son Ryan. The difficulty does not extend to the rest of the family, but is especially heightened around issues of sports, achievement, and athletic expectations. Treating the entire family could be useful because:

A)Sam may have expectations of others that go unspoken and that he's unaware of.
B)They've never gotten a chance to tell Sam how they feel.
C)Ryan needs to hear how much he's valued.
D)Sam needs a chance to defend himself against everything that may come up.

Question 8

"The client was oriented x 3, made appropriate eye contact, but had pressured speech and poor insight." The preceding summary might very well have been taken from:

A)Discharge summary
B)Summary of Treatment
C)Beck Depression Inventory
D)Mental Status Exam

Question 9

Assessment tools are often used during the first few sessions to obtain a clearer picture of the presenting problem. When using these assessment tools, one important consideration is:

A)How often they have been shown to be inaccurate
B)The accuracy of the information being reported
C)The date on which the assessment is given
D)How much data is available to support your theory

Question 10

Jennifer has been experiencing shortness of breath, helplessness, disorientation, and thoughts of impending death. Diagnostically, panic disorder seems to be the most appropriate diagnosis. However, in order to complete the diagnosis, you must specify whether or not it occurs with or without:

A)Substance use
B)Agoraphobia
C)Depressive symptoms
D)Gastrointestinal disturbance

Question 11

Paul the Personality has three different settings: dramatic, emotional, and attention-seeking. As he is sitting in your office, he begins telling you about how much he appreciates you listening to him, but that he isn't sure that you appreciate the gravity of his situation. He is unique in his problems and needs someone with a more unique perspective. In which Cluster does Paul's personality disorder belong?

A)Cluster A
B)Cluster B
C)Cluster C
D)Cluster D

Question 12

You begin to notice that your practice is filling up with a number of personality disorder diagnoses, and you wonder if you are diagnosing correctly. Some important considerations are:

A)The general overdiagnosis of personality disorders
B)Verifying the origins of the impairments
C)The poor prognosis of certain personality disorders
D)All of the above

Question 13

Walter the Worrier is getting between three and four hours sleep each night. He feels as if he is moving at a snail's pace and has lost the ability to concentrate for more than a few minutes at a time. He finally made an appointment with you after his wife noticed that he wouldn't even go out for his Wednesday night bowling game. Before diagnosing Walter with a mood disorder, you must first rule out:

A)Eating disorder
B)Personality disorder
C)Substance use disorder
D)Connection to outside resources

Question 14

Manic Molly has been symptomatic over the last five days. When she arrived at work, her coworkers noticed that her mood was __________, and that she was especially __________. Her supervisor is beginning to notice that she has been very ________ with the company charge account. When confronted about her behavior, Molly becomes ___________.

A)Labile; upbeat; frivolous; defensive
B)Stable; upset; thrifty; distraught
C)Depressed; disagreeable; overdrawn; ecstatic
D)Volatile; angry; upfront; aware

Question 15

Glen is presenting in your office on referral and reports that he has certain obsessive thoughts, including thoughts of bodily injury. The further you examine, the more you see that these obsessions are beginning to intrude into Glen's personal and professional life. In the end, Glen also adds that the thoughts come from one of the overbearing male voices that he hears regularly. Your diagnosis would be:

A)Obsessive Compulsive Disorder
B)Generalized Anxiety Disorder
C)Post-Traumatic Stress Disorder
D)Psychotic Disorder

Question 16

Yolanda Yearly sees a therapist once every ten years. She reports that every year, around the time of her "tenth birthday" (20, 30, 40, 50), she gets very sad, sometimes irritable and upset, and spends between ten and twelve months in therapy. You know from the client's report that she presents every ten years, but do not have any of the records. When considering diagnosis for her, which might be most appropriate?

A)Major Depressive Disorder, Recurrent
B)Major Depressive Disorder, Single Episode
C)Adjustment Disorder
D)Bereavement

Question 17

George had an experience of auditory hallucinations for about a week that told him that he was the King of Spain. Within two weeks, George was able to return to work full-time and had been able to successfully give up finding the buried treasure from the discovery of California. He has not had any symptoms since the one episode. Still, he is seeking out some help for any remaining issues. Currently, George meets criteria for:

A)Schizophrenia
B)Major Depressive Disorder, Single Episode
C)Brief Psychotic Disorder
D)Adjustment Disorder

Question 18

Sammy Sickerson presents in your office immediately behind your last appointment with Frank the Faker. You're having a hard time telling the two of them apart. Working with Sammy, you begin to notice that he is in search of excessive prescription drug refills and referrals to other more specialized providers. Sammy should be diagnosed with:

A)Malingering
B)Factitious Disorder
C)Somatization Disorder
D)Conversion Disorder

Question 19

Mark is a sixth grader who has difficulty concentrating in class, difficulty following directions, and who is easily distracted. Considering that Mark is an elementary school-aged boy, there is a good chance that he could be labeled with:

A)Conduct Disorder
B)Attention Deficit Disorder
C)Adjustment Disorder
D)Histrionic Personality Disorder

Question 20

Hope is a seventy-year-old woman, just recently referred to your practice. In order to get a sense of whether or not Hope is "all there," you perform:

A)A safety plan
B)A 72-hour evaluation
C)A Mental Status Exam
D)Beck Depression Inventory

Question 21

Jane is seeking therapy on the advice of her husband, who has been noticing behaviors that are unhealthy. Jane is a 45-year-old software designer who is relatively isolated at work, but who can have some social interactions. In 2001, Jane had what could be considered her first manic episode, immediately following the events of September 11th. At 35, Jane's diagnosis could use the qualifier:

A)Late onset
B)Bridging
C)Early onset
D)NOS

Question 22

Speaking with one of your new clients over the phone, you begin to form a diagnostic impression. Wilma Wellspring has recently become overly concerned with whether or not her medications are being administered properly, her risk of three different cancers, and ruminations over potential side effects from her latest flu vaccine. When she arrives at your office, you find that those same worries now apply to the stock market, her finances, and the safety of her home. Initially, you were thinking _________, but on closer look, this feels more like _____________:

A)Panic Disorder; Generalized Anxiety Disorder
B)Hypochondriasis; Generalized Anxiety Disorder
C)Brief Psychotic Disorder; Hypochondriasis
D)Adjustment Disorder; Brief Psychotic Disorder

Question 23

Angry Austin is in your office because of the intense anger he feels toward those he's closest to. What's more, he's got rapid mood swings that are beginning to impact him at his after-school job. At fifteen, Austin is beginning to show signs of a personality disorder. Before diagnosing a personality disorder, you remember:

A)Personality disorders are not typically diagnosed until age eighteen
B)Other adolescent issues may well explain what Austin is going through
C)Adolescent behavior cannot be far enough removed to require treatment
D)Both A and B

Question 24

When Georgeanne appears in your office, she reports that you are her third therapist and that she has been told before that she has episodes too frequently and needs to find a way to stabilize her mood. She can never identify when the episodes will come, but knows that every year for the past four years, her mood has gone through four or five changes each year without ever seeming to disappear completely. Georgeanne qualifies for which of the following specifiers?

A)Seasonal Pattern
B)Interepisode Recovery
C)Rapid Cycling
D)Quarterly Withdrawal

Question 25

The DSM-5 differs significantly from the DSM-IV-TR in several ways. Under the new DSM-5, a patient's situation must satisfy at least one of two specific criteria in order to be diagnosed as having a paraphilic disorder. Those two criteria are:

A)The patient must experience personal distress
B)The patient must experience self-disgust
C)The patient must experience social distress
D)The patient must be causing distress, impairment or harm to others

Question 26

Olivia the perfectionist comes in for her assessment. As you are getting to know Olivia, you notice that her hands are chapped, she counts her steps to your desk and back to her chair, and that she only sits down after smoothing the seat under her. In total, this routine has taken Olivia ten minutes. From her presentation so far, you can see that:

A)She has compulsions
B)She has obsessions
C)She has obsessive-compulsive disorder
D)She is demonstrating very different behavior from her baseline

Question 27

Douglas is an eight-year-old referred to you for behavior complications. He has been deliberately destroying property in his third grade classroom for several (6) months. 3 months before that, he was starting fights with his friends back home. When completing your assessment, you ask about any pertinent changes in the client's life and you find out that the family recently moved into the school district from out of state. When considering diagnoses, which would be most accurate considering the circumstances?

A)Oppositional Defiant Disorder
B)Conduct Disorder
C)Adjustment Disorder, Mixed Episode
D)Intermittent Explosive Disorder

Question 28

Brenda presents as a very high-functioning client. Until last month, she had a job, owned her home, and served as one of the chaperones for her children's school events. After her trial for forgery, she is participating in counseling as part of a court mandate so that she will be able to see her children again. She has not seen or heard from any friends in three months and is currently in foreclosure on her home. Which of the following would be an appropriate list of her environmental and psychosocial factors?

A)Legal, social, support, financial
B)Home life, social life, justice system
C)Friends, money, children, crime
D)None of the above

Question 29

You perform a Global Assessment of Functioning (GAF) for your client Patrick and calculate a score of 70. At this level, what can be said for this client?

A)He has minimal symptoms that are translucent when present
B)He should be considered a risk to himself and those around him
C)He is mildly affected, but still has some important interpersonal relationships
D)He is performing at a superior level of functioning

Question 30

Your client has Persistent Depressive Disorder, Hypertension, Diabetes II, and poor social support. What can be said about the client's symptoms?

A)Depressive symptoms have persisted for over two years with little relief
B)The client is only mildly impacted by these symptoms
C)The client has plenty of family to help them through the situation
D)All of the above

Question 31

Consider the following client's diagnoses and psychosocial factors: The client has Cyclothymic Disorder, financial and legal troubles, and a GAF of 70. What can be said about the client's symptoms?

A)The client is in the middle of a divorce
B)The client is severely impacted by these symptoms
C)The client has fluctuating hypomanic and depressed periods
D)None of the above

Question 32

When a clinician is trying to decide between two diagnoses in order to plan the proper course of treatment, they may be able to use:

A)ICD-9 Manual
B)Differential Diagnosis
C)Physician's Desk Reference
D)NCLEX Workbook

Question 33

Which of the following is not included in the diagnosis for categorizing substance abuse?

A)Abuse
B)Dependence
C)Tolerance
D)Withdrawal

Question 34

Bryan presents reporting depression and some anxiety. While he appears very anxious, you are not quite sure whether or not he fits the criteria for depression and begin searching for assessment tools. One of the assessment tools that you are able to provide and interpret as an MFT is:

A)Beck Depression Inventory
B)MMPI
C)MBTI
D)PPD

Question 35

When working with acute episodes of change, many clients are able to classify Adjustment Disorder. However, when there are other factors at play, other diagnoses might be more appropriate. One of those factors may be:

A)Time since last episode
B)Client age
C)Duration of most recent episode
D)All of the above

Question 36

You are a therapist who sees many clients who are diagnosed with different types of panic and stress disorders. Pete the Pilot presents as having flashbacks, recalling the crash, showing physical signs of recall. Mandy the Mapmaker had a traumatic accident with her T-Square about ten minutes ago and is beginning to show many of the same symptoms, but no flashbacks. Considering Mandy's presentation, she would most appropriately qualify for:

A)Mood Disorder, NOS
B)Adjustment Disorder
C)Acute Stress Disorder
D)Posttraumatic Stress Disorder

Question 37

When making a diagnosis of a disorder that is primarily oriented to one of the relationships in the client's life, it would be most appropriate to use:

A)Relationship Disorder
B)V Codes
C)Conflicting Issues, NOS
D)Psychosomatic Complaint

Question 38

When making a diagnosis of Schizophrenia, it is important to keep in mind that Schizophrenia differs from Schizoaffective in which of the following ways:

A)Schizoaffective contains episodic mood disorders
B)Only schizophrenia can be helped with medication
C)Schizoaffective is much shorter term
D)Schizoaffective does not involve hallucinations

Question 39

Which of the following can most be classified as depressive behavior?

A)Isolating from others
B)Increased sexual activity
C)Radical changes in spending behavior
D)Intermittent crying

Question 40

You are being asked to evaluate Dylan, a seven-year-old boy who is showing signs of regression. He no longer plays with friends, can only show interest in two patterns of play, and has lost the ability to hold a conversation with his peers. Dylan fits criteria for:

A)Adjustment Disorder
B)Conduct Disorder
C)Childhood Disintegrative Disorder
D)Oppositional Defiant Disorder

Question 41

When treating Dylan, you were considering Asperger's Disorder, but then realized that he was not able to have complete conversations and therefore did not meet which of the following criteria for Asperger's?

A)Repetitive activities
B)Measurement of language capability
C)Nonproductive rituals
D)Repetition of key words or phrases

Question 42

Stuttering is classified as a disorder in the DSM-5:

Question 43

You are evaluating a client who has been coming to you for court-mandated treatment for about four months. He is beginning to show signs and symptoms that have never been present before and is using language that would lead you to believe that he is angling for a lower level of care or to have his sentence or fine reduced. Overall, he fits criteria for:

A)Relationship issues
B)Mental retardation
C)Personality disorder
D)Malingering

Question 44

Kleptomania, pyromania, and pathological gambling all belong to which grouping of disorders?

A)Disorders first diagnosed in childhood
B)Impulse control disorders
C)Personality disorders
D)Autism spectrum disorders

Question 45

You are working with a client who seems to present with schizophrenic features. However, when the delusions are more closely examined, they are shown to be non-bizarre, with all other measurements in order. Hallucinations are reported to be intermittent, but certainly not prominent. An appropriate diagnosis would be:

A)Schizophreniform disorder
B)Schizoaffective disorder.
C)Delusion disorder
D)Schizophrenia, NOS

Question 46

What qualifies a diagnosis of Schizophreniform disorder?

A)Delusional features between 1 and 6 months
B)Delusional features more than 6 months
C)Recovery period between episodes
D)Less than one hallucination per week

Question 47

Kevin, a four-year-old foster child, has been referred to you for individual work. His social worker believes that he needs to have someone to talk to because socially, he's very difficult to relate to and had very few figures that he could turn to over the last few years. Given the constant change of primary caregivers and inability to relate, you are able to diagnose Kevin with:

A)Grandiose thinking
B)Reactive Attachment Disorder
C)An elimination disorder
D)A tic disorder

Question 48

You are attempting to make a final diagnosis on whether a particular client's Bipolar Disorder is Bipolar I or Bipolar II. The main differentiating factor between the two is that Bipolar I Disorder is characterized by:

A)Hypomanic episodes
B)Manic episodes
C)No impairment in daily functioning
D)Early onset

Question 49

Felicia presents in your office after being referred by friends and family. She is recovering from a recent episode of having been away from home and having assumed a new identity for a brief period of time. Diagnostically, Felicia meets the criteria for:

A)Dissociative Fugue
B)Dissociative Identity Disorder
C)Schizophrenia, Paranoid
D)Schizoaffective

Question 50

Being so anxious, Hank decided to consult a therapist. He is anxious, experiencing muscle tension, and having fear of not being able to control the anxiety. Hank is most likely experiencing:

A)Panic disorder
B)Generalized anxiety disorder
C)Agoraphobia
D)Tachycardia

Question 51

Conversational Connie comes to the assessment appointment with her husband, Mute Michael. From the beginning, you sense that the two of them have difficulty communicating. But as you watch, you begin to notice a pattern between the two that makes conversation difficult. Most often, that pattern will be:

A)Advance/retreat
B)Singular/plural
C)Wet/dry
D)Popular/Unpopular

Question 52

You are treating a family that has issues with their oldest son. When you ask him about the issue, he answers, "Nothing I do is ever good enough." When you ask his parents about the problem, they answer, "He's not living up to his potential." What can be said about this family?

A)Their standards are set too high
B)Their standards aren't clearly communicated enough
C)They are on different wavelengths
D)The expectations of one generation and the other don't match

Question 53

In strategic therapy, it may be referred to as a "ritual," but in diagnosis and assessment, clinicians are always interested in:

A)What plays a role in maintaining the problem
B)How a family got to be a certain way
C)Which way is the fastest way out, bar none
D)How much something will cost in the end

Question 54

When assessing an individual or family, some things are looked over. One of the most overlooked, but crucial areas of evaluation when it comes to family function is:

A)The strength of the patriarch in administering discipline
B)The number of individuals engaging in clinically significant behavior
C)The strengths that the family performs well
D)Birth order

Question 55

When assessing for diagnosis and evaluating certain causes, it is important to remember that ruling out certain causes can almost always be helpful in determining what factors are at play in an individual or family system. Which of the following are always considered separate diagnoses?

A)Medical conditions, drug abuse
B)Drug abuse, domestic violence
C)Comorbidity, dual diagnosis
D)Variable cycle, whole cycle

Question 56

You have diagnosed a 7-year-old client with Attention Deficit Hyperactivity Disorder. Considering he is the third of four children, each of whom has had a similar diagnosis. What can you expect from the parental and sibling units?

A)Less consideration as a disorder and more consideration as a way of coming together
B)A renewed sense of importance around the disorder
C)An overwhelming sense of failure on behalf of the whole family
D)Any of these

Question 57

Your diagnostic impression is that you are dealing with a 12-year-old child who is showing signs of conduct disorder. At school, he is acting out in large, undeniable ways that are characteristic of more severe diagnosis, such as CD. However, at home, the parents deny seeing any of this activity. As a next step, you might examine:

A)How much weight he has gained in the last year
B)What pressures he might face at school that are absent from home
C)The student's home life by his own definition
D)Where he goes after school

Question 58

This is Janet's first experience with grief and loss. As you work with her, you realize that she needs to build a support network. In order to assist her in doing this and to assess how much she knows about the process, you suggest that she:

A)Revisit where she saw the person last, to develop lasting memories
B)Read Kubler-Ross's book on stages of death
C)Imagine what life would be like were the person still here
D)Develop a list of questions that they can explore with different resources

Question 59

Robert has been referred to you for anger management counseling. As a teenager, he is being confronted with many issues at school. For the first six sessions, Robert has sat with you in silence. Even after your prompting, he does not say anything. What does this nonverbal communication most likely demonstrate?

A)A sense of helplessness
B)A fear that he will be misunderstood
C)There is a lack of trust; this will be a tough case to join with
D)Not knowing where to begin

Question 60

Michael's father has been incarcerated for the past seven years and his mother has been working three jobs to keep the family's situation stable. When Michael begins acting out in the seventh grade, he is referred to you for counseling. What could most likely be said about Michael's support network?

A)It may exist, but in very limited capacity; he must provide much for himself
B)It is nonexistent and without it, he will not survive
C)The support network needs to work harder in order to provide for him
D)It has little hope unless Michael's mom remarries

Question 61

As a standard practice Mental Status Exam, one might see AOx3 or AOx4. What do these mean?

A)Client can describe in detail the precipitating events that led to treatment
B)Client is oriented to presenting issue, medical history, and current medications
C)Client is oriented to person, place, history, and geography
D)Client is oriented to person, place, time, and situation

Question 62

When Hyper Harrison came into your office, you weren't sure what to think. During the third session, you are confident in an ADHD diagnosis. When you announce this, the family looks and sounds relieved. What is happening here?

A)All that time and they can finally leave
B)Understanding is coming for years' worth of misbehavior
C)The family is developing a group reaction to an individual's diagnosis
D)The family is in shock and doesn't know how to react or respond

Question 63

Evan is a thirty-year-old father of two. When his second son was born, Evan became overwhelmed with work and emotionally at home. When he considered everything going on, he couldn't quite put it all in perspective. Where might you begin to assess Evan's needs?

A)Encouraging him to hire a babysitter for additional help
B)Making sure his wife understands that he's new to this
C)Referring him out to a "new fathers" group
D)Taking a close look at how he is utilizing existing support

Question 64

You notice that Max, a veteran salesman, is coming to therapy so that he can improve his relationship with his wife and children. Really, when it comes down to it, Max's personality and past professional experiences may be:

A)Alleviating any responsibility he feels to provide for them
B)Impacting how he views his responsibility to those around him
C)Getting in the way of developing a very important personal relationship
D)Making it easier for his kids and family to take advantage of him

Question 65

Gary and Gail had their only child at 45, a bit later than most. Their son is now fifteen and there is a large gap between what Gary and Gail had expected for themselves and where their son needs attention. Overall, the communication problem here results from:

A)Individual misunderstandings
B)Being in different places with regard to developmental need and stages
C)A larger generation gap than most
D)An inability to meet one another in the middle

Question 66

The Allen family presents in your office in order to ask your help in resolving sibling conflict in the house. Brian and Vicky are brother and sister, 8 and 10 respectively. Where might you begin when assessing the family system?

A)Begin with the parents; which behaviors are learned?
B)Look at the outside influences first
C)Try to find what gets the children upset
D)Find out what cultural issues may be contributing

Question 67

Tara is a teenager who appears to have many demands on her time. She is a ballet student, plays soccer, and performs in school musicals. She presents as very quiet, but also reveals quite a bit about herself when she attempts to maintain control of the conversation. Tara looks very thin. Which of the indicators most likely speaks to an eating disorder?

A)Her participation in ballet
B)Her need to control everything
C)Her weight
D)Her attempt at cancelling therapy

Question 68

When Doug begins to tell you about the things he has attempted in order to reconcile his marriage, you begin to understand that he has involved many people, including family friends, in-laws, cousins, and others. You begin to understand:

A)The extent to which you must attempt to rebuild the relationship
B)That the system may need to be seen in its entirety
C)This particular client's willingness to work at something he believes in
D)How much time this could take

Question 69

An individual is in your office and threatening to do harm to himself or another. Your first step is to assess for:

A)Means to carry out the threat
B)Degree of seriousness
C)Whether or not a plan is in place
D)Mental status

Question 70

Once you have ascertained that the client has a plan and is in fact serious, your next step is to:

A)Call 911
B)Attempt de-escalating the client
C)Run
D)Lock the door

Question 71

For Matt, the origin of his social isolation came in high school, when he received the message both at home and at school that he wasn't good enough. As a result, Matt still lives at home, does not have many friends, and continues to isolate. As a structural therapist, you might be interested more in:

A)How long Matt has been continuing this behavior
B)How Matt can find a way out on his own
C)What seems to be maintaining the problem
D)Where Matt turns for help

Question 72

Maria reports that every time she attempts to break away from her relationship, she manages to get pulled back in by hopes of change, memories of years past, and the appeal being together. What is one of the underlying beliefs that is prompting Maria right now?

A)Life as a single woman is too difficult
B)I deserve the treatment I am receiving
C)Things are not very different in other relationships, anyway
D)Things will get better

Question 73

Every week, Hugo comes to therapy and is appreciative of the time his therapist gives him to talk about his own issues, in his own space. However, Hugo's parents always make a big scene about how much it costs and "When is he going to be fixed?" Inside the family system, one issue to explore might be:

A)Overstimulated sensitivity
B)Parentification
C)Lack of judgment
D)Excuses

Question 74

When a family comes to therapy reporting that they are unable to enter into emotional connections, you observe them for three sessions. When speaking to one another, they seem to fear reaction or retribution. One place to begin work might be:

A)Finding the problem child
B)Bending the rules
C)Coalition-building
D)Boundary issues

Question 75

The O'Connors have a seven-year-old son, Sean. When he is unable to participate in family activities, they tend to leave him with others his age, even if he doesn't know them too well. They've begun noticing some issues. As their therapist you point out:

A)The need for Sean to be included, even if it's outside of the norm
B)Sean's misguided attempt at grabbing for attention
C)Sean needs someone to look after him
D)Divorce can affect kids in strange ways

Question 76

Hilda is a sixty-four-year old Jewish Caucasian woman who attends temple regularly and who has three supportive children. Recently, just as her retirement benefits were about to kick in, Hilda received notice that her pension fund was nearing bankruptcy. She also reports that when her husband died last year, it was a really difficult transition for her. Which of the following types of environmental or contextual issues should be documented?

A)Support
B)Financial
C)Social
D)All of the above

Question 77

One of the sometimes invisible, but important factors to note when gathering information regarding elder abuse is:

A)Abuser history
B)The victim's timidity
C)Access to weapons
D)Access to safety

Question 78

When Carly presents for therapy, she identifies that she would like to get her children returned from social services and so is attending treatment. She refuses to acknowledge why, or for how long, but sees this as the way to her children. You will need to explore with her:

A)Your ability to assist her in that process
B)Her willingness to have some insight into the issue
C)How much difference she sees as possible
D)Ways in which to keep her children safe

Question 79

When a husband and wife present for therapy, it becomes clear that they are dedicated to maintaining homeostasis by identifying each other and their difficulties in relation to the other individual. She is clearly the higher functioning of the two. Try as he might, the husband cannot present as higher functioning. Both are dedicated to:

A)Finding a resolution
B)Redirecting attention from the issues
C)Making a scene
D)Holding specific roles

Question 80

When considering how to address spirituality in therapy, you must first evaluate:

A)The individual's spiritual belief
B)Whether or not there is spirituality to consider
C)How often spirituality has come up during treatment
D)How much spirituality can add to the client's dimension