1. A couple reports increased marital conflicts. The husband notes that his
wife has become irritable, isolative, and lethargic since she was laid off from
her job three months ago. The wife states she is tired of her husband's
constant nagging for her to be more helpful around the house. Both r...
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1. A couple reports increased marital conflicts. The husband notes that his
wife has become irritable, isolative, and lethargic since she was laid off from
her job three months ago. The wife states she is tired of her husband's
constant nagging for her to be more helpful around the house. Both report
a lack of physical and emotional intimacy but express a desire to resolve their
problems. Which of the following areas should the therapist assess first to
identify the degree to which current stressors are impacting the relationship?
A. The wife's work history and her prognosis for re-employment.
B. The couple's styles of coping and their degree of effectiveness
C. The effect of socio-economic factors on the couple's problems
D. The effect of dysfunctional patterns in the couple's communication: C. The
effect of socio-economic factors on the couple's problems
2. Which of the following is both a symptom of Schizophrenia and Schizoid
Personality Disorder?
A. Delusions
B. Hallucinations
C. Frequent periods of social isolation
D. Hopelessness: C. Frequent periods of social isolation
3. Which of the following elements should be included in a biopsychosocial
assessment of a new client?
A. Baseline functioning, social support systems, information from adjunctive
resources
B. Baseline functioning, social support systems, assessment of risk
C. Client history, mental status examination, information from adjunctive re-
sources
D. Client history, mental status examination, assessment of risk: D. Client
history, mental status examination, assessment of risk
4. A new client comes in displaying lethargy and describes her situation as
"near hopeless." She failed her real estate examination two times. She tells
you no matter what she does, there is no way she can pass that examination.
She also says that she's been gaining weight since she's been studying. As a
Cognitive Therapist, which of the following would constitute elements of your
treatment plan?
A. Forming a collaborative relationship; working on her misperceptions of
physical symptoms; using Socratic questioning
B. Forming a collaborative relationship; working with her negative view of the
cognitive triad; working on her underlying assumptions that are fueling her
automatic thoughts
C. Forming a strong therapeutic relationship; working on her fear of being fat;
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employing collaborative empiricism
D. Assuming a directive stance; working on themes of loss and defeat; ex-
ploring her underlying negative schema: B. Forming a collaborative relationship;
working with her negative view of the cognitive triad; working on her underlying
assumptions that are fueling her automatic thoughts
5. A couple brings their 11-year-old child to therapy stating the child is with-
drawn and has trouble sleeping. The child has had several recurring health
problems. The mother states she had a difficult pregnancy and delivered early.
In addition, the family has moved five times since the child was born. Which
of the following diagnostic conclusions should the therapist make based on
this assessment information?
A. The symptoms are a sign of anxiety resulting from internal family conflicts.
B. The symptoms are a sign of anxiety resulting from environmental influ-
ences.
C. The symptoms are a sign of depression resulting from a genetic predispo-
sition.
D. The symptoms are a sign of depression resulting from intergenerational
family dynamics.: B. The symptoms are a sign of anxiety resulting from environ-
mental influences.
6. A couple in their 40's are self-referred and want to work on their marriage.
The wife tells you that they have been married 25 years and that things are
just not the same anymore. The husband tells you that they hardly talk to
each other and he misses the good relationship they once had. As a Strategic
Therapist, what interventions would you use with this couple in the middle
stage of therapy?
A. Give directives; explore the role that past family relationships are playing
in the present; model and educate about communication skills.
B. Do a genogram; utilize restraining and positioning strategies; comment on
patterns of each person attempting to control the relationship.
C. Give directives; utilize restraining and positioning strategies; model and
educate about communication skills.
D. Do a genogram; explore the impact of past family relationships on the pre-
sent; model and educate about communication skills.: C. Give directives; utilize
restraining and positioning strategies; model and educate about communication
skills.
7. A 42-year-old woman has been in therapy for two years for depression.
She has met the mutually agreed-upon goals. She requests ongoing therapy
because she does not want her life to go back to the way it was. What course
of treatment is most indicated at this point?
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A. Discuss termination issues and maintain regularly scheduled sessions.
B. Discuss termination issues and gradually decrease the frequency of con-
tact.
C. Reformulate goals and address anxiety inhibiting client autonomy.
D. Reformulate goals and normalize client's fears of independent living.: B.
Discuss termination issues and gradually decrease the frequency of contact.
8. A couple and their two children, ages two and four, come in for family
counseling. The couple tells the therapist that the kids are "out of control."
The father has a long history of alcohol abuse and the mother suffers from
frequent depression. The therapist should consider referrals to:
A. Child Protective Services (CPS), Alcoholics Anonymous (AA), Psychiatric
Emergency Team (PET)., and a physician.
B. parenting classes, Alcoholics Anonymous (AA), Al-Anon, and a psychia-
trist.
C. parenting classes, substance abuse treatment for mother, and a psychia-
trist.
D. substance abuse treatment for father, Alcoholics Anonymous (AA),
Al-Anon, a physician, and a psychiatrist.: B. parenting classes, Alcoholics Anony-
mous (AA), Al-Anon, and a psychiatrist.
9. A young man enters an outpatient clinic complaining of noises in his head.
Which of the following treatment plans should be implemented to provide safe
and effective care at the least restrictive level?
A. Outpatient treatment with medication evaluation.
B. Brief inpatient treatment with medication evaluation
C. Board and care placement without medication evaluation
D Intensive outpatient treatment without medication evaluation: A. Outpatient
treatment with medication evaluation.
10. Case Scenario: A 20-year-old student presents for therapy to address
feelings of anxiety and confusion. He indicates that he is in an intimate
relationship with another male student, and his parents are coming to visit
this weekend. He states, "I don't know what to do. They will disown me if they
find out."
A. Present a nonjudgmental stance regarding the student's sexual orientation
and encourage the student to be open with his parents.
B. Assist the student to problem-solve the immediate concern and work over
the longer term to explore issues of sexual identity.
C. Normalize the student's internal conflict regarding sexual dysphoria and
develop a plan to safely meet with his parents.
D. Schedule a family therapy session and allow disclosure of sexual orienta-
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