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LMFT Mock Exam Rated A+ 2024
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LMFT Mock Exam Rated A+ 2024
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LMFT Mock Exam Rated A+ 202439-year-old Earl and 40-year-old Fiona are meeting with the therapist for the first time.
They have a 2-year-old Grace, and a 4-year-old son Victor, and now that both of their
kids are toddlers, Earl and Fiona find themselves arguing about discipline. "He sends
the kids up to their room for a time out any chance he gets," Fiona complains, "and I just
don't think that is helpful to them." "All Fiona does is talk to them," Earl retorts, "they
need to know clear limits." The couple also reports they've been distant from each other
both sexually and emotionally. During the assessment, the therapist notes that both
individuals demonstrate a high degree of self-reflection, openness, and are able to set
realistic goals. The practice approach utilized by the therapist should emphasize:
A. The clients' conflict resolution skills.
B. Common characteristics of marital problems.
C. The differences in family histories of the - ANSWER-D. Building on the clients'
strengths and competencies.
A 10-year-old girl is brought in to therapy by her parents because she has developed an
intense fear of the dark that is interfering with her ability to sleep. At the intake session,
the parents inform the therapist that their daughter's fear has progressively worsened,
stating, "Initially, she asked for the light on in her room at bedtime. Over the past few
months, however, she has become more and more fearful and now is refusing to go into
her room at night." The parents tell the therapist that the girl has been staying awake
late and eventually falls sleep in their room. The girl is constantly tired and often falls
asleep in school. How would a Cognitive Behavioral therapist address the client's fear of
the dark in the early stage of treatment?
A. Help client and her parents develop a list of the least to most scary aspects of her
room.
B. Normalize the client's behavior and help implement changes that would ma -
ANSWER-A. Help client and her parents develop a list of the least to most scary
aspects of her room.
A 15- year-old girl, Jill, is brought to therapy by her parents. They are concerned that
she is withdrawing from her usual activities, spending less time with the family and
choosing instead to do things on her computer in her room. After six weeks of therapy
the client asks that the therapist use the name JD, not Jill, and male-gender pronouns
when talking about "him." JD pleads that the therapist not tell his parents about this
because they are strictly religious and he has heard them reacting with disgust to items
in the news about transgender people. What actions should therapist take in this case?
A. Tell the client that his parents must be informed because this change may affect him
medically and process his reaction.
, B. Tell the client that his parents must be informed only if the client is considering any
medical changes to support his new gender and explore his discomfort at telling
parents.
C. Respect t - ANSWER-D. Explain client's rights to confidentiality and assess for
danger to self.
A 16-year-old client discloses that she is pregnant but plans to have an abortion
because she doesn't want to have the baby. She hasn't told her boyfriend or her parents
because she is worried they will pressure her to keep the baby. How should the
therapist clinically manage this case?
A. Explore the pros and cons of her decision and maintain confidentiality.
B. Explore the pros and cons of her decision and encourage her to tell her boyfriend
because he has a right to know.
C. Inform her that because she is a minor, her parents must be informed and
encourage her to tell her boyfriend because he has a right to know.
D. Explore the client's religious beliefs about abortion and provide psychoeducation
about the emotional impact of abortion. - ANSWER-A. Explore the pros and cons of her
decision and maintain confidentiality.
A 19-year old is brought to a family service agency by the parents who report a history
of school truancy, fights with classmates, and problems with authority. In order to make
a diagnosis of antisocial personality disorder, which of the following would need to be
true?
A. Client has a history of bullying, deliberately destroying property, and stealing.
B. Client has been lying to both his parents and his teachers since age of 12.
C. Client has a history of setting fires, being hostile and vindictive before age 15.
D. Client has had one incident of killing a neighbor's cat and refusing to take
responsibility for it at age of 16. - ANSWER-C. Client has a history of setting fires, being
hostile and vindictive before age 15.
A 21-year-old woman seeks treatment for anxiety at a community agency. She brings
her 18-month-old daughter with her to the session. The woman becomes angry with her
daughter when she pulls things off the desk and shelf. The woman becomes frustrated
and says "she never listens, she's such a bad girl." What should the therapist do NEXT?
A. Acknowledge the client's frustration with her daughter.
,B. Request client find childcare for next session so they can focus on her anxiety.
C. Normalize the child's age appropriate behavior.
D. Explore client's early childhood history. - ANSWER-A. Acknowledge the client's
frustration with her daughter.
A 22-year-old client with Bipolar is referred by his psychiatrist for therapy. He shares
that he is currently living at home with his parents. During the third session he
expresses anger that his parents frequently tell him how to manage his life and argue
with each other about his treatment. How would a Systems therapist proceed in this
case?
A. Suggest that the therapist talk with his parents and obtain a release to speak to the
parents.
B. Explore how he's been dealing with it and encourage him to express his feelings to
his parents.
C. Acknowledge his anger and offer a family session to address the issues.
D. Explore his early relations with his parents to identify patterns to their behavior. -
ANSWER-C. Acknowledge his anger and offer a family session to address the issues.
A 22-year-old woman seeks therapy for feelings of emptiness and frustration. She
shares that her parents got divorced a few years ago and she doesn't have any contact
with her father since he remarried and moved away. During the eighth session, she
reveals that she occasionally engages in non-suicidal self-cutting, the therapist should
FIRST:
A. Assess for suicide and insist that the client sign a no-harm contract.
B. Determine last incident and refer her for a medication evaluation.
C. Express concern about dangers of cutting and assess for suicide.
D. Explore the role of the cutting and ask about triggers for cutting. - ANSWER-D.
Explore the role of the cutting and ask about triggers for cutting.
, A 24-year-old college student has been having headaches, insomnia, and feelings of
dread for several weeks. The client reports that he has no insurance and cannot pay for
services. How should the therapist proceed in providing the client clinical case
management?
A. Initiate brief therapy to reduce client's symptoms.
B. Take a social history of client to evaluate support systems.
C. Refer the client to a physician for evaluation for mental illness medication.
D. Network resources with the client to secure treatment. - ANSWER-D. Network
resources with the client to secure treatment.
A 25-year old woman seeks help at a local mental health clinic. She complains of
nightmares, agitation, an inability to concentrate, and weight loss. She's worried she will
never feel normal again. During the assessment phase, the therapist learns that the
client had been recently raped and mugged. The therapist's initial interventions should
include:
A. Obtaining details of the attack; Assessing potential for self-harm; Referring to an MD.
B. Creating a safety plan; Filing a police report; Identifying coping strategies.
C. Assessing potential for self-harm; Referring to an MD; Identifying coping strategies.
D. Obtaining details of the attack; Referring to an MD; Identifying coping strategies. -
ANSWER-C. Assessing potential for self-harm; Referring to an MD; Identifying coping
strategies.
A 26-year-old woman seeks therapy to address her fears of getting married. The client
shares tearfully that she worked as a prostitute in college to help pay for her tuition. She
adds that her fiancé thinks she worked as a stripper but he doesn't know about the
prostitution. She doesn't want to tell him, but she feels bad keeping it from him. During
the fourth session she reports feeling guilt about her past. How would a Client-Centered
therapist respond in the middle phase of treatment?
A. Express appreciation of her struggle to accept that aspect of herself, highlighting the
fact that she did eventually choose to leave it.
B. Facilitate a discussion about the pros and cons of sharing her past with her fiancé.
C. Engage in reflective listening conveying unconditional positive regard for her feelings
of guilt.
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