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TF-CBT CERT EXAM QUESTIONS AND ANSWERS A GRADED
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TF-CBT CERT EXAM QUESTIONS AND ANSWERS A GRADED
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TF-CBT CERT EXAM QUESTIONS ANDANSWERS A GRADED
Alexasissans8-year-
oldsgirlswhosdisclosedssexualsabusesbysherstwosoldersadolescentsstepbrothers.sWhilesdev
elopingsthesfirstspartsofsherstraumasnarrative,ssheswrotes"Isamsasbadsgirl.sIsthinkstheysmess
edsupsmysbody.sIswassreallysdumbsbecausesIsneverstoldsanyone."s-
sans✔✔1.sAlexa'ssstatementssaresexamplessof:
a)sHealthysorsfunctionalsthoughts.
b)sCognitivesdistortions.
c)sCognitivesrealities.
d)sAccuratesbutsunhelpfulsthoughts.
2.sHowsshouldsthestherapistsproceed?s(Alexascase)s-
sans✔✔a)sTellsAlexasthatsitsissnotshersfaultsandsimmediatelysbeginstosprocessshersstateme
nts.
b)sAllowsAlexastoscompletesherstraumasnarrativesandsthensbeginscognitivesprocessingsofst
hestraumasnarrative,sincludingshersstatements.
c)sRepeatsthesearlierscomponents,sbeginningswithsPsychoeducationsassthississasclearsexa
mplesofsthestherapysnots"sinkingsin."
d)sAsksAlexastosstartsthestraumasnarrativesagainsbutsthisstimestellsherstosonlysincludesdetail
ssaboutsthessexualsabuse,snotsanysstatementssaboutsherselfsorsanysthoughts.
Justinsissans11-year-
oldsboyswhoswitnessedshissfathersbrutallysattackshissmotherswithsasbaseballsbat.sDuringsth
esmiddlesofswritingshisstraumasnarrative,sheswrotesthatshesintervenedsandsattemptedstosdef
endshissmothersbysfightingshissfather.sHowever,sduringsindividualssessionsswithshissmother
,sitsbecamesapparentsthatsJustinshadshiddensbehindsthessofasandscriedsduringsthesattack.s-
sans✔✔3.sHowsshouldsthestherapistsproceed?
a)sDuestosthesproblemssassociatedswiths"falsesmemories,"sconfrontsJustinsaboutsthesinacc
uracysimmediately.
b)sTalkstosJustinsaboutsthesdifferencesbetweensthes"truth"sandsas"lie."
, c)sRecognizesthatsitsissnotsunusualsforschildrenstosmakesfantasysorsrescuesstatements;sallo
wsJustinstoscompleteshisstraumasnarrativesandsgentlyschallengeshissstatements.
d)sTalkswithsJustin'ssfatherstosdetermineswhethersJustinsorshissmothersisstellingsthestruth;st
henssharesthissinformationswithsJustin.
Insthesexamplesabove,stheresissasconcernsthatsthesfathersmayshavesaccessstostheshomesa
ndsthestherapistsissworriedsaboutsJustin'sssafety.sThestherapistsissconcernedsaboutsfollowi
ngsthesTF-
CBTsmodelswithsfidelitysandsissnotssureswhethersitsissokaystosimplements"EnhancingsSafet
ysandsFuturesDevelopment"swithoutscompletingsthesearlierscomponents.s-
sans✔✔4.sHowsshouldsthestherapistsproceed?
a)sMeetswithstheschild'ssfathersandsdiscusssthessafetysconcerns.
b)sDosnotsdiscussssafetysbecausesJustinsandshissmotherswouldsthensblamesthemselvessfo
rsthesdomesticsviolence.
c)sEngagesinsshort-termssafetysplanningswithsJustinsandshissmother.
d)sEngagesJustinsinsInsVivosDesensitizationsasshissconcernsaboutssafetysissascognitivesdist
ortion.
Montysissas7-year-
oldsboyswhoswassasvictimsofssexualsabusesforstwosyearssbyshissadoptivesparents.sAsspartso
fsthesassessment,shescompletedsthesUCLAsPTSDsReactionsIndexsandshisstotalsscoreswass
insthesseveresrange,sincludingsverysserioussre-
experiencingssymptoms.sWhensthestherapistsdiscussedsthesTF-
CBTstreatmentsapproachswithshim,sincludingsthatsheswouldsbeswritingshissstorysaboutsthes
sexualsabuse,sMontysbecamesexcitedsandsbeganstosdiscusssthestraumasinsgreatsdetail.sSo
,sthestherapist,sencouragedsbysMonty'sswillingnessstostalk,scompliedswithshisswishessandsa
llowedshimstoscreateshisstraumasnarrativesoversthesfirststhreestreatmentssessions.sDuringsa
ndsaftersthescompletionsofsthestraumasnarrative,sMonty'ssbehaviorsbeganstosdeteriorate,sin
cludingsacting-
outssexually,ssoilingshimself,srefusingstossleepsinshissownsroom,sandsengagingsinsothersda
ngeroussbehaviorssthatswarrantedsasshort-termshospitalization.s-
sans✔✔5.sWhatsshouldsthestherapistshavesdonesinstead?
a)sListenedstosMontysforsasfewsminutessandsredirectedshim;sinitiatedsPsychoeducationsan
dssubsequentsskills-basedscomponentssbeforesmovingstosthestraumasnarrative.
b)sBrieflysreviewedsthesinitialsfoursTF-
CBTscomponentssandsstartedsthestraumasnarrativesthesnextsweek.
c)sNothing.sItsissimperativestosfollowsaschild'sscuessandswishessrathersthansasmoresdirectiv
esapproach.
d)sSkippedsthestraumasnarrativesentirelysbecausesitsissimportantstosdosjuststhesoppositesofs
whatsaschildsbelievesshe/shesneeds.
6.sWhichscomponentsofsTF-
CBTssometimessneedsstosbesimplementedsoutsofsorder,susuallystowardsthesbeginningsofstr
eatment?s-sans✔✔a)sTraumasNarrative,sparticularlysifsaschildsissextremelysanxious.
b)sConjointssessionsstossharesthesnarrative,sespeciallysforsoldersteenssorsfosterschildrensw
hosresistshavingstheirsfostersparentssinvolvedsinstreatment.
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