MFT NATIONAL EXAM LATEST WITH 484 ACTUAL
QUESTIONS AND CORRECT VERIFIED ANSWERS
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A family is referred for therapy with a family therapist in private practice. The daughter,
the IP, has asked to speak with the therapist privately. During her conversation with the
therapist she announces that she is pregnant. In this situation, the most appropriate
initial approach for the family therapist would be to:
a. encourage the daughter to talk to her family about her situation
b. refer the daughter to an individual therapist and continue family therapy
c. tell her you can't keep her secret and you will have to tell her parents
d. offer to counsel her as to whether she wants to keep the baby or abort
A - from a family perspective,, such need for such a secret would have certain important
assessment potential as to how the family is structured. Also important to note, a 16
year old has the right to keep certain information from her family if she so desires.
A family comes to therapy because the 30 year-old son, who is a Gulf War Veteran,
huards the perimeters of the house during the middle of the night. This behavior is
upsetting to the parents and they want the son's behavior to stop. A strategic therapist
suggests that the parents plan times throughout the night with the son to make sure the
house is secure. Within two weeks, the son no longer gets up to check the house. The
therapist then suggests the son begin looking for his own apartment. The family stops
coming to therapy. What statement might a strategic therapist make about the family
terminating therapy?
a. the therapy was successful
b. the family wasn't really ready for change
c. the first stage of therapy, symptom relief, was completed successfully
d. I chose the incorrect core structure
A- strategic therapy is oriented toward resolution of the presenting problem, therefore
the therapy was successful and complete
A family therapist is working with one member of a family who reports that when she
feels vulnerable, she desperately searches for ways to numb the pain . This family
member seems to be describing the role of the:
a. firefighter
b. parentified child
c. undifferentiated ego mass
d. distractor
A- Classic internal family systems defines the role of the firefighter as one who searches
for means to numb or dull the pain of the exile
,A family is referred for therapy because their 14 year old son has threatened suicide.
His grades have dropped from honors to failing and he spends much time in his room.
He has begun giving his things away and reveals to the therapist that he has thought
about suicide and has a plan for how he would kill himself. the therapist should:
a. tell the parents how manipulative their son is and that limits need to be set
b. discuss their son's active suicidality and encourage them to take it seriously
c. use a paradoxical intervention
d. refer the son to a psychiatrist
B- common clinical sense is that all suicidal must be taken seriously. Paradox is never
used in a life-threatening or dangerous contexts.
A similarity between Structural and Haley Strategic therapies is:
a. straightforward and confrontive
b. emphasis on negative-feedback cycles
c. therapeutic paradox is employed
d. emphasis on importance of maladaptive behavioral sequences in dysfunction
C- both approaches use paradox; only structural tends to be straightforward. Neither
really emphasize negative feedback, and the word cycle here does not really make
sense. Structural identifies dysfunctional sequences while Haley focuses on hierarchy
and family organization, rather than solely on the sequence level
Greenberg and Johnson's Emotionally focused couples therapy draws on:
a. attachment theory
b. EMDR
c. conjoint family therapy
d. rational emotive therapy (RET)
A- Bowlby's attachment theory, along with the works of Carl Rogers serves as the
theoretical underpinnings to EFT
An MFT correctly remembers that HIPAA allows for keeping psychotherapy notes
separate from PHI (Protected Health Information). However, the MFT also wants to
document his review of relevant outcome research as part of this treatment planning.
Where does the research review documentation go?
a. AAMFT Code of Ethics (revised 2012) clearly states that research documentation is
part of PHI
b. there are no definitive guidelines on where to place the research review, however,
because it's part of treatment planning, it most logically belongs in the official file along
with PHI, and should be made available for review anytime authorization to release the
file occurs
c. its clearly part of the notes becuase it was the MFT's option to include it
d. That's the MFT option. It can go wither in the PHI or the notes files
,B- there are currently no definitive guidelines on where or how to document your
research review. However, thinking it through, the review is part of treatment planning,
which itself is not an optional element of documentation. Because the treatment
planning goes in the official file, it would be most logical to put the research review there
as well
Mr. Oesco comes to therapy with his son Josh. Mr. Oesco and his wife are divorced. He
and Josh live together and Mrs. Oesco and her daughter Jessica live in another state.
The presenting problem appears to be Josh's anger at his mother and his refusal to
conform to the visitation arrangement set up by the court when the Oescos divorced.
Josh appears to have a good relationship with his sister which at times presents a
problem to his father and mother.
In assessing this family, the majority of family therapists would most likely do all of the
following except:
a. imbalance in the hierarchy
b. transgenerational history of triangles
c. problem solving skills
d. organization of the family
d. organization of the family
Structural therapists will always focus on how a family is organized, believing that
symptoms occur from improperly organized families. Imbalance in the hierarchy is
strategic, transgenerational history of triangles is trans generational, problem solving
skills is strategic.
under the HIPAA privacy rule, any therapist is liable for her/his entire practice if:
a. they are a licensed mental health clinician and have contracted support staff
b. they are a licensed, or unlicensed, mental health clinician who transmits PHI using
any electronic means
c. they are a licensed, or unlicensed, mental health clinician who transmits PHI using
any electronic. means for at least 50% of their current clients
d. they are a licensed or unlicensed mental health clinician who transmits PHI using
electronic means for even one client on one ocassion
D. Answer B is also correct but D is more specific and therefore the better answer.
In contextual therapy the intent of multidirectional partiality is to:
a. give due consideration to each individual's interests in the various relational
dimensions
b. join with the family
, c. establish circularity and neutrality
d. establish a hierarchy
a. give due consideration to each individual's interests in the various relational
dimensions.
at the core of contextual therapy is the clinical stance that therapists are accountable to
everyone whose well being is potentially affected by their interventions. this stance is
known as multidirectional partiality and requires that therapists keep channels open. to
all family members and that all solutions serve the best interests of everyone.
During a session a solution-focused therapist with a depressed client asks the client "on
a scale of zero to ten, with zero being how depressed you felt when you called me, and
ten being how you feel the day after the miracle, how do you feel right now?" this is a
good example of a:
a. scaling question
b. formula task
c. miracle question
d. exception question
a. scaling question
solution focused therapists use scaling questions to identify exceptions and to build a
positive mind set
Parentification is a term most closely associated with:
a. michuchin
b. nagy
c. Bowen
d. Whitaker
b. Nagy
by definition, parentification implies the subjective distortion of a relationship as if one's
partner or even children were his parent
A long term client is traveling for business for a number of weeks and asks if you could
video chat with them for a couple of sessions while they are away. Since you have
access to encrypted video chats technology, your next best course of action is to:
a. all of the choices presented
