Tf cbt Exam Questions With Complete Solutions
. How often should TF-CBT treatment sessions be conducted?
Correct Answers Once a week or more frequently
Weekly sessions are the TF-CBT standard, and treatment can be
delivered more frequently if circumstances make that possible.
Active ignoring is a strategy that is designed to help parents:
Correct Answers Avoid responding to their child's unharmful,
inappropriate behavior
Ignoring deprives the child of attention that might reinforce the
undesirable behavior.
All of the following are important aspects of the
psychoeducation module EXCEPT: Correct Answers
Assessing the child's trauma symptoms and appropriateness for
TF-CBT
Initial assessment of symptoms occurs prior to treatment onset.
Brian is a 4 year-old who has created a short, hand-drawn
"book" version of his trauma narrative. Brian had walked up to a
strange dog in his neighborhood hoping to pet him, but the dog
attacked him causing some significant injuries. Brian thinks the
dog attacked him because "I'm dumb and shouldn't have tried to
pet her." Which of the following methods is most appropriate for
helping reduce the "I'm dumb" thoughts that Brian has? Correct
Answers Read existing comic books or stories that contain
positive messages or "morals" about learning from mistakes.
Children Brian's age lack the cognitive capacity to identify and
analyze the content and accuracy of their thoughts; it's often
useful to use media that they're familiar with (stories, comics)
,that have relevant lessons or for which the "moral of the story"
is relevant to the issues being addressed in treatment.
Cognitive coping techniques do NOT involve direct discussion
of: Correct Answers Emotional reactions to the abuse
Although emotions are discussed as part of the "cognitive
triangle," cognitive coping techniques are aimed at countering
inaccurate, unrealistic, and unhelpful thoughts.
Cognitive coping tries to decrease problem thoughts by: Correct
Answers Identifying, challenging, and replacing them
Cognitive coping is intended to help children recognize
unhelpful/inaccurate thoughts and challenge them with more
accurate or helpful ones.
Cognitive processing activities with caregivers: Correct
Answers Can be initiated by reviewing the child's trauma
narrative and discussing caregivers' reactions to it
This serves both to help caregivers prepare for the narrative and
to explore caregiver reactions to the child's traumatic
experiences.
Dr. Johnson is seeing Alaina, a 9 year-old child sexual abuse
victim, for TF-CBT. They are in the process of creating Alaina's
trauma narrative, and she is providing very little information
about what happened to her during and after the trauma. Dr.
Johnson is not sure whether Alaina's difficulties represent
trauma-related avoidance or simply a deficit in the ability to tell
a story with a high level of detail. Which technique could Dr.
Johnson have used during the Psychoeducation phase of
, treatment to give her a clearer understanding of Alaina's
abilities? Correct Answers a baseline/neutral narrative task
Using the baseline/neutral narrative task early in treatment
provides an excellent insight into the child's natural narrative
abilities and provides a comparison to how easily s/he talks
about the trauma.
Dray, 15, and his mother are working through an exposure
hierarchy related to his exposure to community violence. It's
going pretty well, but Dray's mother tells you she doesn't know
what to say when he says he can't stay in the exposure exercise
any more. What suggestion should the therapist give her?
Correct Answers Ask Dray if he can tolerate another 30 seconds
in the situation before leaving. If he says no, then leave.
Encouraging Dray to try to tolerate a little more time in the
situation can increase his sense of mastery, but he should never
be forced to do so if he feels like he can't.
Due to the complicated and sensitive nature of the trauma
narration and processing component, parents should be advised
NOT to challenge their child's inaccurate or unhelpful thoughts
directly? Correct Answers TRUE
Cognitive processing activities can be challenging and usually
require patience and strategic questioning. Parents may be too
emotional to engage in these activities properly, and so it is the
therapist's responsibility to engage in processing activities.
During a conjoint session, a caregiver makes an inappropriate
comment. What is the best initial step to take? Correct Answers
Reframe the comment to prompt more appropriate behavior
from caregiver, if possible
. How often should TF-CBT treatment sessions be conducted?
Correct Answers Once a week or more frequently
Weekly sessions are the TF-CBT standard, and treatment can be
delivered more frequently if circumstances make that possible.
Active ignoring is a strategy that is designed to help parents:
Correct Answers Avoid responding to their child's unharmful,
inappropriate behavior
Ignoring deprives the child of attention that might reinforce the
undesirable behavior.
All of the following are important aspects of the
psychoeducation module EXCEPT: Correct Answers
Assessing the child's trauma symptoms and appropriateness for
TF-CBT
Initial assessment of symptoms occurs prior to treatment onset.
Brian is a 4 year-old who has created a short, hand-drawn
"book" version of his trauma narrative. Brian had walked up to a
strange dog in his neighborhood hoping to pet him, but the dog
attacked him causing some significant injuries. Brian thinks the
dog attacked him because "I'm dumb and shouldn't have tried to
pet her." Which of the following methods is most appropriate for
helping reduce the "I'm dumb" thoughts that Brian has? Correct
Answers Read existing comic books or stories that contain
positive messages or "morals" about learning from mistakes.
Children Brian's age lack the cognitive capacity to identify and
analyze the content and accuracy of their thoughts; it's often
useful to use media that they're familiar with (stories, comics)
,that have relevant lessons or for which the "moral of the story"
is relevant to the issues being addressed in treatment.
Cognitive coping techniques do NOT involve direct discussion
of: Correct Answers Emotional reactions to the abuse
Although emotions are discussed as part of the "cognitive
triangle," cognitive coping techniques are aimed at countering
inaccurate, unrealistic, and unhelpful thoughts.
Cognitive coping tries to decrease problem thoughts by: Correct
Answers Identifying, challenging, and replacing them
Cognitive coping is intended to help children recognize
unhelpful/inaccurate thoughts and challenge them with more
accurate or helpful ones.
Cognitive processing activities with caregivers: Correct
Answers Can be initiated by reviewing the child's trauma
narrative and discussing caregivers' reactions to it
This serves both to help caregivers prepare for the narrative and
to explore caregiver reactions to the child's traumatic
experiences.
Dr. Johnson is seeing Alaina, a 9 year-old child sexual abuse
victim, for TF-CBT. They are in the process of creating Alaina's
trauma narrative, and she is providing very little information
about what happened to her during and after the trauma. Dr.
Johnson is not sure whether Alaina's difficulties represent
trauma-related avoidance or simply a deficit in the ability to tell
a story with a high level of detail. Which technique could Dr.
Johnson have used during the Psychoeducation phase of
, treatment to give her a clearer understanding of Alaina's
abilities? Correct Answers a baseline/neutral narrative task
Using the baseline/neutral narrative task early in treatment
provides an excellent insight into the child's natural narrative
abilities and provides a comparison to how easily s/he talks
about the trauma.
Dray, 15, and his mother are working through an exposure
hierarchy related to his exposure to community violence. It's
going pretty well, but Dray's mother tells you she doesn't know
what to say when he says he can't stay in the exposure exercise
any more. What suggestion should the therapist give her?
Correct Answers Ask Dray if he can tolerate another 30 seconds
in the situation before leaving. If he says no, then leave.
Encouraging Dray to try to tolerate a little more time in the
situation can increase his sense of mastery, but he should never
be forced to do so if he feels like he can't.
Due to the complicated and sensitive nature of the trauma
narration and processing component, parents should be advised
NOT to challenge their child's inaccurate or unhelpful thoughts
directly? Correct Answers TRUE
Cognitive processing activities can be challenging and usually
require patience and strategic questioning. Parents may be too
emotional to engage in these activities properly, and so it is the
therapist's responsibility to engage in processing activities.
During a conjoint session, a caregiver makes an inappropriate
comment. What is the best initial step to take? Correct Answers
Reframe the comment to prompt more appropriate behavior
from caregiver, if possible
