tf-cbt cert exam Questions With Complete Solutions
11. Which of the following is not a cognitive processing
intervention? Correct Answers a) Best friend role play.
b) Socratic questioning.
c) Presenting factual information inconsistent with the cognitive
distortion.
d) In vivo mastery.
13. Angel reports panic feelings when she remembers the worst
incidents of violence in her family. Which of the following
would be the best TF-CBT relaxation skill to reduce Angel's
panic symptoms? Correct Answers a) Talking on the phone
with friends.
b) Progressive muscle relaxation for only the abdominal muscles
and only if Angel is highly athletic.
c) Thinking about the violence and convincing herself that it was
accidental.
d) Deep breathing exercises.
14. Angel resists doing the trauma narrative because of
distressing flashbacks and concern about being disloyal to her
biological parents. What should you do? Correct Answers a)
Decide not to do a trauma narrative because it is too upsetting
for Angel.
b) Tell Angel that she can tell her story but leave out the parts
about the violence.
c) Tell Angel that she has to do a trauma narrative because it is a
mandatory part of TF-CBT.
,d) Normalize and validate Angel's fears and concerns and
remind her that she can gradually share the details about the
domestic violence.
16. If implementing the Trauma Narrative component with this
child is appropriate, what should you do if she becomes very
distressed when sharing details and indicates that she is at a "9"
on the Fear Thermometer? Correct Answers a) Tell the child to
stop the narrative and inform her that you will work on it again
at the next treatment session when she is feeling more relaxed
and calm.
b) Tell the child to stop the narrative and assist her in doing
relaxation for the remainder of this treatment session.
c) Tell the child to temporarily stop the narrative, have her
practice relaxation, praise her for calming herself, and then
return to the narrative during the same session.
d) Have the caretaker join the session to assist the child in
working on the narrative.
19. Sasha agrees to ask her cousin Leila, age 25, to participate in
treatment with her. Leila agrees without knowing why Sasha is
in treatment and promises to keep everything confidential.
During the next session Sasha tells Leila why she is in therapy.
Leila is very supportive and agrees to continue to participate in
treatment. Sasha says that in her religion any girl who loses her
virginity, even through rape, is no longer pure or fit for
marriage. You: Correct Answers a) Validate Sasha's concerns
and tell her you to understand why she is so depressed. Engage
her in psychodynamic treatment for adolescent depression
instead of TF-CBT.
, b) Tell her that no religion holds girls responsible for having
been forcibly raped.
c) Tell her that any religion that believes this is harmful to
women.
d) Tell her that you are very interested in her understanding of
how her religion addresses the issue of rape. After she has
explained this, ask her if she is interested in hearing how you
have heard it explained differently by a member of the clergy
from her religion.
2. How should the therapist proceed? (Alexa case) Correct
Answers a) Tell Alexa that it is not her fault and immediately
begin to process her statements.
b) Allow Alexa to complete her trauma narrative and then begin
cognitive processing of the trauma narrative, including her
statements.
c) Repeat the earlier components, beginning with
Psychoeducation as this is a clear example of the therapy not
"sinking in."
d) Ask Alexa to start the trauma narrative again but this time tell
her to only include details about the sexual abuse, not any
statements about herself or any thoughts.
20. After several sessions of treatment, Sasha's mother becomes
suspicious of all the time she is spending with Leila. She asks
Leila why she has been picking Sasha up every week and taking
her places. Leila does not feel comfortable lying to her aunt
about this and asks you how to handle this matter. You: Correct
Answers a) Suggest that they continue to come to therapy
without telling Sasha's parents. Nothing about Sasha's family
situation has changed since therapy began.
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