TEST BANK for Mastering Competencies in Family Therapy A Practical Approach to Theories and Clinical

Mastering Competencies In Family Therapy 3rd Edition Gehart Test Bank MULTIPLE CHOICE 1 : The key to mapping a successful therapeutic journey involves which of the following?

A : Labeling clients into groups such as depressed clients or clients with anxiety B : Understanding each clients life as a one-of-a-kind journey C : Honing in on the small picture of the clients life D : Conceptualizing the clients situation without the help of theory Correct Answer : B 2 : Therapists can rule out possible medical issues and identify psychiatric issues by doing which of the following with their client?

A : A treatment plan B : Case management C : Mental status exam D : A therapeutic inventory Correct Answer : C 3 : When working with clients, therapists should create a preferred path or general set of directions for the course of therapy. This document is known as: A : a road map.

B : a clinical assessment.

C : a treatment plan.

D : a case management file.

Correct Answer : C 4 : When working with clients in therapy, it is very important to make sure the plan is working and that you and the client are sticking with the plan. If the client is not making progress, it is recommended that the therapist do all of the following EXCEPT: A : always stick to the original treatment plan.

B : reassess the accuracy of the treatment plan.

C : make improvements where needed on the treatment plan.

D : assess the clients perspective of their progress.

Correct Answer : A 5 : It is important for therapists to leave a trail of where they have been when working with a client. The purpose of the trail is to: A : get paid by third-party payers.

B : avoid lawsuits.

C : help therapists find their way back if they get lost.

D : All of these are correct.

Correct Answer : D 6 : Which of the following is the primary tool therapists use to help their clients?

A : A theory B : A hammer C : A treatment plan D : A supervisor 1/4

Correct Answer : A 7 : According to the author, why do theories matter in therapy?

A : They provide a means for dominating clients.

B : They allow therapists to target specific thoughts, behaviors, or emotional processes for change.

C : They help clients to explain their presenting problems.

D : They allow therapists to select the proper medications for clients.

Correct Answer : B 8 : How can all the talk about competency in family therapy help you to better serve your clients?

A : It clearly defines what therapists should know to be able to help their clients.

B : It ensures that students know how to meaningfully apply the knowledge and skills of their given profession.

C : It both clearly defines what therapists should know to be able to help their clients and ensures that students know how to meaningfully apply the knowledge and skills of their given profession.

D : It neither clearly defines what therapists should know to be able to help their clients nor ensures that students know how to meaningfully apply the knowledge and skills of their given profession.

Correct Answer : C 9 : To be a competent therapist, you are required to do all of the following EXCEPT: A : figure out what worked best in your personal therapy and apply it to your clients.

B : get outside your comfort zone and learn what works for you.

C : learn a wide range of theories and techniques.

D : understand which of the many possible approaches will be most effective for the client.

Correct Answer : A 10 : Which of the following statements about the role of diversity in the therapy process is FALSE? A : Diversity factors include age, gender, race, ethnicity, ability, and language.

B : Diversity factors of the client should not be considered when selecting theory.

C : Everything you think, do, or say as a professional should be informed by diversity factors.

D : Effectively responding to diversity is not easily learned and can be messy.

Correct Answer : B 11 : Which of the following statements is TRUE about a therapist competent in working with and acknowledging diversity issues in the counseling relationship?

A : A competent therapist is one who admits that handling diversity issues is a career-long struggle and journey that adds depth to the person-of-the-therapist.

B : A competent therapist is one who says, I dont have any culture, so they cannot help with diversity issues.

C : A competent therapist is one who reports that being from a diverse or marginalized group qualifies them as an expert in diversity issues.

D : A competent therapist is one who assumes that, because they have read about topics in diversity, they are competent in diversity issues.

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Correct Answer : A 12 : What should a competent therapist do with the research-related material in their mental health field?

A : Avoid the research literature altogether to prevent confusion B : Stop reading the research literature upon graduation C : Use the research literature to inform clinical decisions and treatment planning throughout their career D : Learn at least one evidence-based treatment and implement it with all clients Correct Answer : C 13 : Being a competent therapist requires which of following specific personal characteristics?

A : The ability to exude empathy, compassion, and charisma to connect with clients B : The ability to ignore personal emotions and reactions when working with clients C : The ability to avoid personal issues in order to build therapeutic relationships D : The ability to use personal bias to pathologize clients Correct Answer : A 14 : When thinking about family therapy theories, the author of the text suggests which of the following to make the most of your theoretical education?

A : Pick your favorite theory and stick with it, because it is likely to meet the needs of all of your clients just by the nature of it being in this book B : Appreciate that every theory is universally useful C : Theories are generally equally effective because they are simply different modes for delivering the same factors D : All of these are correct Correct Answer : C 15 : In family therapy, our case conceptualizations can be considered our to identify the steps that will need to be taken along the way to the resolution of a family issue.

A : list B : map C : client resource D : all of these are correct Correct Answer : B 16 : Countertransference refers to: A : inappropriate observation of the clients language.

B : inappropriate relationship with the client.

C : inappropriate pathologizing of the client.

D : inappropriate determination of the clients therapeutic presence.

Correct Answer : C 17 : Two key practices of evidence-based family therapy include: A : using anecdotal opinions and determining therapies based on your own family life.

B : relying on the advice of other practitioners and on your own beliefs to determine your approach.

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C : using previous theories to determine your approach and creating new theories about therapy treatment.

D : using existing research to inform decisions and learning to use evidence-based treatments.

Correct Answer : D

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MULTIPLE CHOICE 1 : The minimum standard of practice for those in the medical field is known as evidence-based practice. Which of the following statements is the best definition?

A : Evidence-based practice uses research findings to inform medical decisions for the care of individual clients.

B : Evidence-based practice encourages using clients in experiments to determine what works for medical decisions.

C : Evidence-based practice uses the same practices to treat all problems for all clients.

D : Evidence-based practice refers to a therapists own way of doing things based on his or her experience in the field.

Correct Answer : A 2 : Which of the following is NOT one of the five steps for family therapists implementing evidence-based practice into their practice?

A : Develop an answerable question to focus on in the search for evidence-based information B : Search the literature for the best empirical evidence to answer the question C : Evaluate the validity, impact, and applicability of the research to determine its usefulness in this case D : Assume the research findings are applicable to the current clients situation Correct Answer : D 3 : Which of the following statements is FALSE about common factors research?

A : The effectiveness of therapy has more to do with the key elements found in all theories than with the unique components of a specific theory.

B : The similarities among theories matter more than the differences.

C : There is major evidence in the research literature to support the superiority of one theory over another in family therapy.

D : There is major evidence in the research literature to support the superiority of one theory over another in family therapy.

Correct Answer : C 4 : According to Wampolds common factors model, which of the following factors matters LEAST in therapeutic outcomes for clients?

A : Client hope B : Therapeutic model C : Therapeutic relationship D : Client motivation and resources Correct Answer : B 5 : In both Lamberts and Wampolds research, the quality of the therapeutic relationship appears to be more important than the specific model in predicting outcome. Which one of the following would be considered a positive factor in an effective therapeutic relationship?

A : The therapist accommodates the clients level of motivation.

B : The therapist sets the goals for the client.

C : The therapist expresses judgment when the client is not making progress.

D : The therapist is reserved and professional at all times.

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Correct Answer : A 6 : According to the author of this textbook, an appropriate answer to the question Do we still need theory? is: A : Theory is most relevant for the client, not the therapist.

B : Theories prevent therapists from using a systematic way for dealing with the wide range of difficulties clients can bring.

C : Theories are important because they are the vehicles through which the common factors do their work.

D : Theories do not allow therapists to take into consideration unique issues related to diversity.

Correct Answer : C 7 : When therapists, licensing boards, or funding institutions refer to therapy models as evidence-based, they are generally referring to: A : evidence-based therapies (EBTs) B : empirically validated treatments (EVTs) C : empirically supported treatments (ESTs) D : effectively tested therapies (ETTs) Correct Answer : C 8 : Empirically supported treatments (ESTs) meet each of the following criteria EXCEPT: A : treatment is significantly better than the no-treatment control group.

B : the treatment is based on a written treatment manual.

C : a specific population with a specific problem is identified.

D : researchers have no need for reliable and valid outcome measures.

Correct Answer : D 9 : Which of the following would be considered a DISADVANTAGE of an empirically supported treatment (EST)?

A : They have greater scientific support.

B : They are expensive.

C : They are highly structured.

D : They do not target a specific population with a specific problem.

Correct Answer : B 10 : Why is it important to keep the evidence-based therapy movement and research in perspective?

A : The evidence-based therapy movement aims to debunk the current theories in search of one grand theory.

B : The evidence-based therapy approach is important because nothing in the field has ever been researched or studied before.

C : Research indicates that any therapy, no matter what the theory, is better than no treatment at all.

D : Research is yet another thread in the theory debate to confuse therapists in training.

Correct Answer : C 11 : Practicing any form of therapy in a professional manner means understanding three levels of rules that govern professional behavior: laws, ethics, and standards of care. Which of the 2/5

following is the best definition for laws?

A : Laws are either by the local, state, or federal government, in the form of legislation establishing specific responsibilities for professionals.

B : Laws are often about what you want to do and do not want to do.

C : If a law conflicts with an element of an ethical code, the therapist must abide by the ethical code.

D : Laws define in detail the expectations of family therapists and specific guidance on every possible scenario a therapist will encounter.

Correct Answer : A 12 : Each major branch of professional associations in mental health publishes a code of ethics that serves as a guide for responsible and professional behavior. Which of the following is NOT an ethical principal?

A : Justice B : Autonomy C : Infidelity D : Beneficence Correct Answer : C 13 : The standard of care for therapists means: A : establishing a set code of ethics for your private practice.

B : what most people at the same professional level are doing in practice.

C : making a personal decision on which laws to follow and which to ignore.

D : making a personal decision on which laws to follow and which to ignore.

Correct Answer : B 14 : When working with couples and families in therapy, why is it important to define who your client is?

A : It will impact how the therapist organizes treatment.

B : It will impact how the therapist documents the case.

C : It will impact how the therapist documents the case.

D : All of these are correct.

Correct Answer : D 15 : Confidentiality is both a legal and ethical requirement for therapists. Why does confidentiality become more complex when working with couples and families?

A : Therapists cannot share what their clients tell them one-on-one.

B : Therapists are obligated to keep secrets no matter what.

C : Therapists could cause harm to their clients if they do not keep secrets.

D : Therapists need to establish their own secrets policy and make sure clients understand it.

Correct Answer : D 16 : When working with minors, why is maintaining an individual therapist stance versus a family therapist stance nearly impossible?

A : Family members must give consent for the minor to receive treatment.

B : Family members often do not want to be included in the therapy process.

C : Family members do not have the right to access treatment records for the minor.

D : All of these are correct.

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Correct Answer : A 17 : In working with children and families, a therapist is considered a mandated reporter of child abuse in which of the following circumstances?

A : When the therapist has collected enough thorough information to confirm that abuse has taken place B : When the therapist hears from another therapist that a client has been abused C : When the therapist has a reasonable suspicion that abuse has taken place D : All of these are correct Correct Answer : C 18 : When working with a couple who has experienced intimate partner violence (IPV), the therapist should follow which of the following guidelines for working with the couple?

A : Discontinue couple therapy immediately.

B : Follow state, county, or agency rules governing the treatment of IPV. C : Treat the couple together.

D : Work with the non-offending partner only.

Correct Answer : B 19 : Which of the following is NOT a true statement regarding working with couple or family clients via videoconference or related technology?

A : Therapists should be trained and have experience using technology.

B : Therapists should be aware of potential risks and benefits of electronic therapy.

C : Therapists must ensure the privacy and confidentiality by securing the connection.

D : Therapists do not need to be licensed in the state their clients are residing in.

Correct Answer : D 20 : Which of the following statements is TRUE regarding therapists values and their practice of family therapy?

A : Family therapy can be value-free.

B : Family therapists cannot be sued for imposing their values on clients.

C : Family therapists can refuse to see clients based on their own value system.

D : Family therapists must contend with the struggle between their obligations to serve clients and their right to practice based on their own values.

Correct Answer : D 21 : Which of the following represent two general categories of client factors described by Miller et al.?

A : Client characteristics and extratherapeutic factors B : Client values and family factors C : Client attitudes and social support D : Client characteristics and intratherapeutic factors Correct Answer : A 22 : According to the review of Journal of Family Therapy discussed in the chapter, what are some of the areas involving infants that family therapy has been effective at addressing?

A : Family division of labor in child care 4/5

B : Sleep, feeding and attachment problems C : Sibling rivalries, premature birth, and breastfeeding D : All of these are correct Correct Answer : B 23 : According to the chapter, what are included as major elements of Christensens unified protocol for couples therapy?

A : Provide contextualized, dyadic, and objective conceptualization of problems B : Modify emotion-driven dysfunctional and destructive interactional behavior C : Foster productive communication D : All of these are correct Correct Answer : D 24 : Which of the following is NOT a true statement regarding suicide when working with couple or family clients?

A : Current family therapy codes do not address the issue of suicide, leaving many therapists without clear guidance on how to proceed.

B : Under the 2014 ACA Code of Ethics, counselors have the option to maintain the confidentiality of terminally ill clients planning to take their own lives.

C : In states where assisted suicide is legal, it typically does not require that a patient be diagnosed as terminally ill.

D : Even in states where assisted suicide is not allowed, some patients engage in a conscious effort to take their own life before an illness overtakes them.

Correct Answer : C 25 : Beneficence refers to the therapists obligation to: A : provide accurate, complete, and objective information to clients.

B : avoid harm to clients or others.

C : actively work to benefit clients.

D : keep promises and uphold loyalty to the client.

Correct Answer : C

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MULTIPLE CHOICE 1 : To some degree or another, all schools of family therapy have been influenced by which two closely related philosophical traditions?

A : Systems theory and Freudian psychology B : Systems theory and social constructionism C : Freudian psychology and social constructionism D : Rogerian ideology and social constructionism Correct Answer : B 2 : The Macy Conferences gave birth to which two theories that ultimately describe how biological, social, and mechanical systems operate?

A : Intergenerational theory and external-generational theory B : Negative feedback theory and cybernetic systems theory C : General systems theory and cybernetic systems theory D : Postmodern theory and cognitive theory Correct Answer : C 3 : The term cybernetic hints at the functional principles of cybernetic systems, which are and able to steer their own course.

A : self-destructing B : self-directive C : self-correcting D : none of these are correct Correct Answer : C 4 : The unique set of behavioral, emotional, and interactional norms that create stability for the family or other social group is known as which of the following?

A : Dependence B : Balance C : Dynamic D : Homeostasis Correct Answer : D 5 : The idea that no new informationor more of the same feedbackis in the system refers to which of the following?

A : Negative feedback B : Positive feedback C : Universal feedback D : General feedback Correct Answer : A 6 : New information or news experienced in a system is referred to as which of the following?

A : Negative feedback B : Positive feedback C : Universal feedback D : General feedback 1/8

Correct Answer : B 7 : Which of the following statements is FALSE regarding positive feedback?

A : Positive feedback is news that things are within expected parameters.

B : Positive feedback can be experienced as a problem or crisis.

C : Positive feedback can be experienced as good news.

D : Positive feedback can result in a return to former homeostasis or create a new homeostasis.

Correct Answer : A 8 : During the early stages of counseling, shifts in family structure can seem like radical change, but the underlying family rules remain the same. To what kind of change does this refer?

A : Radical change B : Expected change C : First-order change D : Second-order change Correct Answer : C 9 : In therapy, you are working with parents and their 11-year-old daughter. In the beginning, both parents want their daughter to take more responsibility for getting her homework and chores done; however, their daughter does not want to give up her childhood and assume personal responsibility. In the early stages of therapy, a shift occurs, and suddenly you notice the daughter pulling away from her parents and doing more things on her own, while her parents begin lamenting the days when their daughter needed them more. This is an example of: A : radical change.

B : expected change.

C : first-order change.

D : second-order change.

Correct Answer : C 10 : Which of the following terms describes the process of a system restructuring its homeostasis in response to positive feedback?

A : Cybernetics B : Feedback loop C : Second-order change D : Systemic response Correct Answer : C 11 : The phrase one cannot not communicate refers to which of the following concepts?

A : We do not want to communicate.

B : We just cannot communicate.

C : We are always communicating.

D : We lovingly communicate.

Correct Answer : C 12 : The elements of a communicated message include (relationship).

(content) and 2/8

A : stories; truths B : definitions; data C : primary; secondary D : report; command Correct Answer : D 13 : Each of the following statements about metacommunication is true EXCEPT: A : metacommunication is the literal meaning of the statement.

B : metacommunication is the communication about how to interpret the communication.

C : metacommunication helps to define the relationship between two people.

D : in therapy, it often helps to move the discussion directly to the metacommunication level.

Correct Answer : A 14 : Batesons double-bind theory of schizophrenia reconceptualized psychotic behavior as a familys attempt to meaningfully respond in a family system characterized by double-bind communications. Which of the following is required for double-bind communication?

A : Two people in an intense relationship B : The presence of both a primary injunction and a simultaneous, contradictory, secondary injunction C : The receiver of the injunction cannot escape the contradictions without threatening the relationship D : All of these are correct Correct Answer : D 15 : A child commands, Play with me to her sister. When her sister sits down to play, the child will not share her toys. This is an example of which of the following?

A : Command B : Double bind C : Feedback loop D : Self-correction Correct Answer : B 16 : Which of the following is an accurate reflection of a symmetrical relationship?

A : Partners have an unequal relationship in the system.

B : Partners have evenly distributed abilities and roles in the system.

C : Partners have distinct, separate roles that balance the system.

D : Partners have roles that result in a hierarchy for the system.

Correct Answer : B 17 : Select the best example of common complementary dynamics.

A : Visionary/planner B : Apple/oranges C : Pursuer/distancer D : Cooker/baker Correct Answer : C 18 : Which of the following statements is TRUE when viewing the family as a system?

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A : One single person in the family orchestrates the interactional patterns.

B : One single person can be blamed for family distress.

C : All behavior makes sense in context.

D : Personal characteristics are independent of the system.

Correct Answer : C 19 : is the study of knowledge and the process of knowing.

A : Systems theory B : Epistemology C : Cybernetics D : Complementarity Correct Answer : B 20 : Family therapists pay careful attention to the familys epistemology. What does this mean?

A : Understanding the operating premises that underlie family actions and cognitions B : Assuming that what families believe to be true is true C : Disregarding how the observer and the observed reciprocally affect each other D : Relying on assumptions to understand families Correct Answer : A 21 : With regard to second-order cybernetics, which of the following statements is TRUE? A : The therapist can be neutral.

B : The therapist is an unbiased observer.

C : The therapist remains outside the client system as an observer.

D : The therapist becomes an active participant in creating what is observed.

Correct Answer : D 22 : Systemic counselors view the presenting problem not as an individual problem but as a(n) one, specifically an interactional one, even if the counselor is working with an individual.

A : relational B : pathological C : independent D : dysfunctional Correct Answer : A 23 : Of the various postmodern schools, which of the following philosophies were family therapists the first to embrace?

A : Constructivist B : Social constructionist C : Structuralist D : Poststructuralist Correct Answer : B 24 : It is said that systemic and postmodern therapies have more shared views than differences.

Which of the following statements is NOT TRUE about their shared assumptions?

A : A persons lived reality is relationally constructed.

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B : Personal identity and an individuals symptoms are related to the social systems of which they are a part.

C : Changing ones language and descriptions of a problem alters how it is experienced.

D : An objective outsider perspective is the only way to determine truths.

Correct Answer : D 25 : According to postmodernism, the construction of reality is a complex process that involves four levels, including which one of the following?

A : Literal level B : Professional level C : Rational level D : Societal level Correct Answer : D 26 : According to postmodern therapists, the meaning a person gives to a particular behavior, haircut, job, sex act, or religious view is developed through: A : language B : relationships C : action D : construction Correct Answer : B 27 : When a group of people coordinates meanings and values in order to coordinate social action or to get along with each other, this is referred to as: A : culture B : interaction C : chaos D : relationships Correct Answer : A 28 : How does postmodern philosophy heighten awareness of diversity issues?

A : Postmodernists define what is normal B : Postmodernists accept singular truths C : Postmodernists see multiple realties and multiple truths D : Postmodernists know what a good life is for their clients Correct Answer : C 29 : Which of the following descriptions best captures the postmodern spirit?

A : When a couple comes in for therapy with entirely different perspectives on the same problem, the therapist works to weave the stories together B : When a couple comes in for therapy with entirely different perspectives on the same problem, the therapist works to figure out who is right C : When a couple comes in for therapy with entirely different perspectives on the same problem, the therapist works to build a hierarchy D : When a couple comes in for therapy with entirely different perspectives on the same problem, the therapist is interested in figuring out who is wrong Correct Answer : A 5/8

30 : According to the author of the textbook, philosophical foundations of family therapies are divided into four main categories, including each of the following EXCEPT: A : modernist.

B : humanistic.

C : systemic.

D : realistic.

Correct Answer : D 31 : is founded on the assumption that there is an external and knowable truth.

A : Modernism B : Humanism C : Systems theory D : Postmodernism Correct Answer : A 32 : Which of the following family therapies illustrates a humanistic philosophical stance?

A : Cognitive behavioral therapy B : Satirs communication approach C : Strategic therapy D : Narrative therapy Correct Answer : B 33 : Which of the following statements most accurately reflects humanistic assumptions?

A : All people naturally tend toward growth and strive for self-actualization, a process of becoming authentically human.

B : The therapist is an expert who assumes the primary responsibility for identifying pathology, problems, and goals, often assuming the role of teacher or mentor.

C : An individuals behavior and symptoms always make sense in the persons broader relational contexts.

D : What a person experiences as real and believes to be true is shaped primarily through language and relationships.

Correct Answer : A 34 : No one individual unilaterally controls behavior in a system. Thus, no one person can be blamed for problems in a couple or family relationship; instead, problematic behavior is viewed as emerging from the interactions between members of the system. This statement fits with which philosophical stance?

A : Modernist B : Humanistic C : Systemic D : Postmodernist Correct Answer : C 35 : therapies are based on the premise that objective truth can never be fully known because it must always pass through subjective and intersubjective filters.

A : Modernist B : Humanistic 6/8

C : Systemic D : Postmodernist Correct Answer : D 36 : As you master one theoretical approach and deepen your understanding of its underlying assumptions, you are able to understand other theories at a greater depth, as well as effectively incorporate a wider range of practices within a coherent approach to therapy.

A : dark B : truthful C : philosophical D : false Correct Answer : C 37 : One of the major uses of Karl Tomms IPscope approach to conceptualizing systemic dynamics is to identify interpersonal patterns between two or more people that are: A : recurrent and relatively stable.

B : opposing and unalike.

C : unpaired behaviors.

D : mutually self-diminishing.

Correct Answer : A 38 : Which of the following statements is TRUE regarding epistemology?

A : It refers to the systemic principles of the observing system.

B : It represents the operating premises that underlie a familys actions and cognitions.

C : It is a particular strand of postmodern philosophy.

D : It represents the natural evolution and continuation of systemic concepts.

Correct Answer : B 39 : Which of the following statements best describes the concept of reflexivity?

A : A persons lived reality is relationally constructed.

B : Within any group of people, the dominant cultural norms fit everyone.

C : Any given culture remains humane to the extent that it is able to examine its effects on others.

D : The extent to which a culture listens and response to the minority voices within it is the extent to which that culture maintains its oppressive forces.

Correct Answer : C 40 : Postmodern theory offers many possibilities for family therapy. However, which of the following could be considered a DISADVANTAGE of applying the postmodern perspective?

A : Some of the ideas of postmodern theory are a bit complex or difficult to quickly grasp.

B : Some of the ideas of postmodern theory are a bit oversimplified or lead therapists to make quick assumptions about their clients.

C : Postmodern theory fails to challenge established norms in a society.

D : Postmodern theory assumes that reality is objective.

Correct Answer : A 41 : The chapter discusses guidelines for identifying interpersonal patterns (IPs). One aspect of 7/8

this includes the concept of collapsed time. What does this refer to?

A : The need for therapists to see how interaction patterns occur over a very short span of time B : The need for therapists to see how interaction patterns develop over days or weeks, rather than in the same conversation C : The desire for therapists to visualize the lifespan of the couples relationship from past to present D : The desire for therapists to create a lasting result for clients that can diminish the negative effects of time in their relationships Correct Answer : B 42 : Which of the following depictions best describes Deteriorating Interpersonal Patterns (DIPs)?

A : They describe the beliefs, values, and societal discourses that inform interpersonal interaction patterns.

B : Any interaction that facilitates moving from a PIP to WIP. C : Behaviors that typically lead to a slip into a pathologizing interpersonal pattern.

D : Behaviors that bring forth competence, positivity, and intimacy.

Correct Answer : C 43 : Which of the following is true of heterosexual couples in various cultures?

A : Both men and women describe unequal relationships as fair because of the belief that men have more entitlements than women.

B : Despite widely espoused egalitarian ideals, heterosexual couples tend to replicate cultured, gendered patterns of inequity.

C : Neither of these statements is true.

D : Both of these statements are true.

Correct Answer : D 44 : Which of the following is NOT a principle of the sociocultural relationship therapy model?

A : Sociocultural contexts and their inherent power differentials structure both a persons identity and their relational processes.

B : Emotion is unrelated to ones sociopolitical context and ones societal and power positions.

C : Power is relational.

D : Relationships should be mutually supportive to each partner.

Correct Answer : B

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MULTIPLE CHOICE 1 : MRI systemic therapists conceptualize symptoms of individuals within the larger network of their family and social systems. MRI systemic therapists take a stance toward all members of the family.

A : nonblaming B : nonpathologizing C : nonblaming and nonpathologizing D : none of these are correct Correct Answer : C 2 : In response to a mothers report that her daughters no longer bringing her tea in the morning must mean that her daughter does not love her, the therapist says: Your daughters bringing you tea fewer times a week may mean she is building friendships with girls her own age, which could be a sign she is making progress toward her goal of becoming more independent. What is the term to describe this?

A : Reframe B : Paradox C : Metacommunication D : Attempted solution Correct Answer : A 3 : Which of the following best describes the basic component of a reframe?

A : Therapists seeing the problem not as an individual problem, but as a relational one.

B : Therapists discussing what the client has been doing to solve his/her problem.

C : Therapists identifying the interactional behavioral sequences that constitute the problem.

D : Therapists finding an alternative yet equally plausible explanation for the same set of facts.

Correct Answer : D 4 : MRI therapists focus on viewing the presenting problem as a part of which of the following?

A : The individuals inherent neuroses B : As a dysfunctional element of all familial relationships C : The interactional sequence of behaviors that have emerged through repeated exchanges D : Attempts at second-order change Correct Answer : C 5 : In the big picture of treatment, MRI therapists focus solely on which of the following?

A : Fixing the problem B : Interrupting the problems interactional sequences C : The therapists agenda D : Repeating attempted solutions Correct Answer : B 6 : MRI therapists view the problematic interactional sequences in families as families attempting to do which of the following?

A : Assert independence from each other B : Destroy the family dynamics 1 / 13

C : Sabotage parent-child relationships D : Maintain family homeostasis Correct Answer : D 7 : The general flow of MRI systemic therapy is as follows: A : assess the interactional sequence and meanings; interrupt the sequence; evaluate the outcome; and interrupt the new pattern.

B : assess the interactional sequence and meanings; interrupt the sequence; evaluate the outcome; and assess for new problems.

C : assess the interactional sequence and meanings; interrupt the sequence; evaluate the outcome; and terminate.

D : assess the interactional sequence and meanings; fix the sequence; evaluate the outcome; and fix the new pattern.

Correct Answer : A 8 : When establishing the therapeutic relationship with clients, MRI systemic therapists respect the family as a system with its own unique way of knowing and understanding the world. Which of the following is one way MRI systemic therapists demonstrate respect to their clients?

A : The therapist instructs the family on how to change.

B : The therapist pushes the clients to adapt to his/her language and viewpoint.

C : The therapist may maintain a one-down stance or an expert position with clients.

D : The therapist maintains a position to always be liked by the clients.

Correct Answer : C 9 : Maneuverability refers to: A : the therapists freedom to use personal judgment in defining the therapeutic relationship.

B : the therapists ability to try different therapeutic approaches to finding a solution for the client.

C : the therapists freedom to explore different aspects of a persons relationships.

D : repositioning the power differentials in the family to readjust the system.

Correct Answer : A 10 : When MRI systemic therapists view families in therapy, they always focus on: A : the interaction.

B : the dance.

C : the game.

D : all of these are correct Correct Answer : D 11 : When a couple is arguing about how to discipline a defiant child, the therapist will not focus on solving the problem with the child but rather will focus on how the parents communicate. This example represents which of the following?

A : Detecting the problem B : Detecting the interaction pattern C : Detecting the roles in the family D : Detecting who to blame for the problem Correct Answer : B 2 / 13

12 : The interactional pattern is traced through four general phases. Which of the following is NOT one of the phases?

A : Homeostasis B : Positive feedback C : Negative feedback D : Self-correction Correct Answer : C 13 : When an MRI systemic therapist (a) explores the behaviors and interactions when an anxious client feels okay or normal; (b) identifies the behaviors, contexts, and relational interactions when the anxiety starts to rise; (c) specifies what the client does when she feels the anxiety at its height and how others respond; and (d) traces the behaviors and interactions until she feels okay or back to normal again, this is known as which of the following?

A : Identifying the interaction patterns B : Returning the client to homeostasis C : Reframing the clients problem D : Self-correcting the client Correct Answer : A 14 : MRI therapists view all problems as fundamentally: A : biological.

B : psychological.

C : systemic.

D : individual.

Correct Answer : C 15 : If parents always respond to a childs defiant behavior with some form of lecture and verbal punishment, an MRI systemic therapist would categorize this as what type of solution?

A : Genius B : More of the same C : Old hat D : Illogical Correct Answer : B 16 : All of the following are examples of metacommunication EXCEPT: A : voice tone.

B : eye glances.

C : gestures.

D : content.

Correct Answer : D 17 : According to MRI systemic therapists, what type of change is necessary for problems in families to be resolved?

A : Permanent change B : First-order change C : Second-order change D : Dramatic change 3 / 13

Correct Answer : C 18 : Which of the following most accurately reflects how MRI systemic therapists target change in therapy?

A : Help the family to create a new game or dance without symptoms.

B : Help the family to create a problem-free family homeostasis.

C : Help the family to develop a new set of interaction patterns.

D : All of these are correct.

Correct Answer : D 19 : Which of the following statements is TRUE about MRI systemic therapys theory of health?

A : MRI systemic therapy does not have a predetermined definition of healthy family functioning.

B : MRI systemic therapy defines a healthy family as one that is completely symptom free.

C : MRI systemic therapy believes individual family members, not the family system, will reorganize to functional interaction patterns.

D : None of these is correct.

Correct Answer : A 20 : A therapist states, My son is always defiant is not a well-defined problem. A preferred problem description is, When I ask my son to do something, he refuses, and when I push further he starts yelling and cursing. Thats when I give in. The MRI systemic therapist is trying to do what in regard to setting goals for therapy?

A : Concretely defining the problem B : Identifying attempted solutions C : Describing the behavioral change D : Developing a plan Correct Answer : A 21 : When developing goals in therapy, MRI systemic therapists approach therapy by focusing on which of the following?

A : Targeting the parents B : Targeting the preferred solution C : Targeting the attempted solution D : Targeting the presenting problem Correct Answer : C 22 : Which of the following does NOT fit with the definition for a therapeutic double bind in MRI systemic theory?

A : The MRI therapeutic double bind is used to undo a double-bind message in a family or relationship.

B : The MRI therapeutic double bind means no matter what you do, you are wrong; there is no escape.

C : The MRI therapeutic double bind means no matter what you do, you do something different.

D : The MRI therapeutic double bind is used to move the family in a new direction.

Correct Answer : C 23 : Which of the following is an example of an initial phase intervention used in MRI systemic therapy?

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A : Paradoxical behavioral prescriptions B : Dangers of improvement C : Behavioral prescriptions D : Reframing the problem Correct Answer : D 24 : Strategic therapy, which shares many similarities with the MRI approach, was developed by whom?

A : Haley B : Erickson C : Bateson D : Minuchin Correct Answer : A 25 : In strategic therapy, directives are used to: A : center the family on the intent of the session.

B : bring to the attention of an individual the repercussions of their actions.

C : complete a specific task, usually between sessions but sometimes within the session.

D : simulate a problem that the family is experiencing.

Correct Answer : C 26 : Which of the following statements about the use of directives in strategic therapy is FALSE? A : The tasks are usually logical or linear solutions to the problem.

B : The tasks perturb the systems interaction patterns to create new interactions.

C : Directives get people out of their ruts with the smallest change possible.

D : Directives create visceral aha! moments because clients are in the midst of the action that needs to change.

Correct Answer : A 27 : During the social stage of the initial interview, the therapist must complete all of the following in just a few minutes EXCEPT: A : personally greeting everyone in the family who attends the session.

B : carefully observing and assessing the interactions and moods of family members.

C : sharing his or her observations with the client family.

D : helping the family feel comfortable.

Correct Answer : C 28 : Virtually all interventions used by traditional systemic-strategic therapists have a single intention. What is it?

A : To interrupt negative interaction patterns between therapists and clients B : To interrupt negative interaction patterns that prevent collaboration in therapy C : To interrupt negative interaction patterns that include the presenting problem or symptom D : To interrupt negative interaction patterns that include the presenting problem or symptom Correct Answer : D 29 : Gorge, a therapist practicing strategic therapy, says to the family after they describe their 5 / 13

problem: Im not sure if I am able to handle such a problem. What is Gorge doing?

A : He is taking a one-down stance to increase the clients motivation.

B : He is taking the hopeless stance to motivate the client to find hope.

C : He is demonstrating a deep respect for the power and ways of the client.

D : All of these are correct.

Correct Answer : D 30 : A person may appear to be powerless; however, their behavior can tend to generate significant power indirectly. This may manifest by making unreasonable demands, or receiving more attention or care than would traditionally be warranted. This type of problem conceptualization in strategic therapy is referred to as: A : involuntary vs. voluntary.

B : helplessness vs. power.

C : hierarchy vs. equality.

D : hostility vs. love.

Correct Answer : B 31 : Many family interactionsrejecting a lover because one feels unworthy, disciplining a child, pursuing a partner for sex or communicationcan be viewed as motivated by: A : involuntary vs. voluntary.

B : helplessness vs. power.

C : hierarchy vs. equality.

D : hostility vs. love.

Correct Answer : D 32 : Strategic therapists pay attention to and respect family hierarchy. When observing the hierarchy between parents and children, when a parent makes a request and the child complies willingly, this is known as what type of hierarchy?

A : An effective hierarchy B : An ineffective hierarchy C : An equilateral hierarchy D : An excessive hierarchy Correct Answer : A 33 : When working with a family in therapy, Caitlin, a strategic therapist, requests that dad disciplines the child instead of mom when the child breaks the house rules. What technique is Caitlin using with her clients?

A : An indirect directive B : A paradox C : A straightforward directive D : A metaphorical task Correct Answer : C 34 : An indirect or paradoxical intervention involves which of the following?

A : Teaching the client that their behavior is justified within a safe context and to feel validated by the therapist B : Enhancing the symptoms so the full realm and scope of emotions fueling the behavior can be evaluated 6 / 13

C : Demonstrating that the behaviors can be controlled voluntarily and that the client has more control than may be perceived D : Allowing the individual to perform the behavior in the appropriate context, therefore allowing them to move on Correct Answer : C 35 : Which of the following statements is TRUE about paradoxical tasks?

A : The therapist wants to resolve the problem for the family.

B : The therapist expresses sincere concern about the family.

C : The therapist uses them when he/she thinks the family is abnormal.

D : The therapist must enforce the change in order for a paradox to be successful.

Correct Answer : B 36 : Logan, a strategic therapist, is working with a client who reports uncontrollable worrying all of the time. The client reports she cannot stop worrying and feels like her worrying is out of control. Logan asks her client to set an egg timer to worry for 10 minutes at a set time each day for the next week. What is Logan doing?

A : Symptom prescription B : A straightforward directive C : A metaphorical task D : None of these is correct Correct Answer : A 37 : Strategic therapists use pretend techniques to help clients obtain their desired goal.

Pretend techniques can best be described by which of the following statements?

A : A series of interventions that allow the system to pretend that problematic behaviors do not exist B : Faking a behavior or achievement of the goal for a designated period of time C : Allowing the negativity of the behavior to affect the individual D : Engaging in communication about the problem, therefore not allowing the problem to permeate the relationship Correct Answer : B 38 : If one makes it more difficult for a person to have a symptom than to give it up, the person will give up the symptom. This statement sums up the basic premise of what in strategic therapy?

A : Symptom prescription B : Paradox C : Ordeals D : Pretend techniques Correct Answer : C 39 : Josiah is working with a family of six in therapy. The two oldest daughters are struggling with competition for everythingthe best grades, making sports teams, and their parents attention. Josiah works with the family over a period of time and decides to use an ordeal with the oldest daughters. Which of the following is an example of an effective ordeal?

A : Josiah tells the daughters to each write in their journal for 20 minutes before coming to their parents with their most recent argument/competition.

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B : Josiah tells the daughters to fake not wanting to compete with each other for one evening.

C : Josiah tells the daughters to compete at a designated time each day for 30 minutes.

D : Josiah tells the daughters that they need to compete more; if they stop, things might get worse than they are currently between them.

Correct Answer : A 40 : Which of the following statements is TRUE about Milan systemic therapy?

A : The Milan approach uses more language-based interventions.

B : The Milan approach uses more action-oriented interventions.

C : Milan therapy began as an attempt to move away from pure cybernetics.

D : Milan therapy uses uniquely crafted behavioral prescriptions.

Correct Answer : A 41 : Circular questions are useful for which of the following purposes?

A : To diagnose the identified client B : To make the overall dynamics and interactive patterns in the system overt C : To help the therapist verbally provide a reframe to the clients D : None of these is correct Correct Answer : B 42 : A therapist asks, After Jenny got sad, what did Mom and Susie do next? What did Dad do?

What did your grandma do? After the responses, the therapist asks, What did Jenny do next?

These are examples of what type of circular questions?

A : Behavioral sequence questions B : Comparison ranking questions C : Before-and-after questions D : Hypothetical circular questions Correct Answer : A 43 : A therapist asks, Who is the most upset when Jenny has a crying spell? Who is the least affected? Who is the most helpful when Jenny is upset? Who is the least helpful? These are examples of what type of circular questions?

A : Behavioral sequence questions B : Behavioral difference questions C : Comparison ranking questions D : Before-and-after questions Correct Answer : C 44 : What kind of circular questions are the following: If Grandma were to suddenly lose her job, who would be the most likely person to support her? Who would be the least likely?

A : Behavioral difference questions B : Comparison ranking questions C : Before-and-after questions D : Hypothetical circular questions Correct Answer : D 45 : In the Milan approach, the therapeutic stance is one of neutrality. Which of the following is 8 / 13

NOT a correct explanation of neutrality from the Milan perspective?

A : Nonpartiality toward particular family members or problem descriptions B : Mulitpartiality, i.e., the willingness to honor all perspectives C : Not becoming attached to particular meanings or outcomes D : Never taking sides in therapy Correct Answer : D 46 : Milan therapists are not interested in the best or most accurate description, but rather how the multiple stories fit togetherthe pattern that connects. This means the therapist has a stance of which of the following?

A : Boredom B : Disbelief C : Curiosity D : Multiplicity Correct Answer : C 47 : Irreverence clearly demonstrates the therapists relationship with the problem, not the client.

How is this demonstrated by the therapist?

A : In the therapists confident and un-panicked response to the problem B : When the therapist shows limited respect for the client, therefore grounding them in reality C : When the therapist demonstrates they are not intimidated by the clients behavior D : When the therapist minimizes the presenting problem and allows the client to view it from a different perspective Correct Answer : A 48 : A critical component of Milan therapy is for the therapist to actively monitor their influence on the client system. This is grounded in which philosophical stance?

A : Humanism B : Second-order cybernetics C : Post-modernism D : Modernism Correct Answer : B 49 : When Milan therapists are assessing the family games, they are: A : determining how family members manipulate each other.

B : examining the unconscious relational rules for how the family interacts.

C : taking note of the overt rules the parents have created for the family.

D : figuring out how the children in the family work together against the parents.

Correct Answer : B 50 : Which of the following statements most accurately reflects the overarching focus of Milan therapy?

A : To generate new meanings and distinctions for the system that change the games in the family B : To fix or correct the familys interactions C : To reduce perturbing or shaking up the system so that it self-corrects D : To punctuate the problems in the family and command new interactional sequences 9 / 13

Correct Answer : A 51 : Which of the following statements is FALSE about the goals of health in Milan therapy?

A : The goal is simply symptom reduction by means of new systemic interaction patterns.

B : The goal is for the family to integrate new information in such a way as to alter the rules of the family game so that no member has symptoms.

C : The goal is for the family to be able to maintain stability and cohesion in the system.

D : None of these is correct.

Correct Answer : D 52 : A teens sneaking-out behavior may serve to bring the parents closer together; without the childs problem, the parents may not come together. This statement, made by a Milan therapist, is an example of which of the following?

A : Critiquing B : Paradox C : Hypothesizing D : Circular questions Correct Answer : C 53 : A hypothesis usually defines the role of the symptom in maintaining the familys homeostasis. Which of the following are NOT common types of hypotheses identified by the Milan team?

A : Hypotheses that analyze communication B : Hypotheses about myths and premises C : Hypotheses that analyze homeostasis D : Hypotheses about alliances Correct Answer : C 54 : A Milan therapist interprets the behavior of each member of the family positively and as having an underlying benevolent motivation. This is known as which of the following?

A : Positive connotation B : Milan-style reframe C : None of these is correct D : Positive connotation and Milan-style reframe Correct Answer : D 55 : When a Milan therapist requests that the family not change, even though they have come in for change, the therapist is using what technique?

A : Circular questions B : Counterparadox C : Ritual D : Invariant prescription Correct Answer : B 56 : Zena is a first-year therapist using the Milan approach. She is working with a family in which the only child and the stay-at-home father have a very close bond or covert coalition. Zena instructs the parents to arrange to go on a date and not tell the child where they are going. This creates a secret between the parents to hopefully end the inappropriate coalition between the 10 / 13

father and child. What type of intervention did Zena use?

A : Circular questions B : Counterparadox C : Ritual D : Invariant prescription Correct Answer : D 57 : Which of the following statements is TRUE regarding the adaptability of systemic and strategic family therapies when working with various cultural groups?

A : Systemic and strategic family therapies rely on a theory-based definition of health and normalcy, so they do not adapt easily to different cultural groups and subpopulations.

B : These therapies aim to work from within the therapists worldview; when this is successfully achieved, the therapist adapts the language and interventions to the therapists values and beliefs.

C : Since a specific therapeutic plan is designed for each problem in strategic family therapy, there are no contraindications in terms of patient selection and suitability.

D : Systemic ideas and approaches cannot be easily modified to meet the needs of families from various cultural groups and ethnicities.

Correct Answer : C 58 : Although there has been less systematic research on the outcomes of strategic, Milan, or MRI, there is growing research on the effectiveness of evidenced-based systemic approaches for each of the following specific conditions EXCEPT: A : adolescent substance abuse.

B : eating disorders.

C : severe mental illness.

D : couple distress.

Correct Answer : B 59 : Multisystemic family therapy, an evidence-based treatment developed to treat serious juvenile offenders, places emphasis on each of the following during the adolescents treatment EXCEPT: A : imprisoning the adolescent for an extended period of time.

B : removing the offender from problematic social networks.

C : improving the adolescents school performance.

D : developing a strong support network for the adolescent and the family.

Correct Answer : A 60 : Which of the following represent major propositions of systemic reframing according to MRI theorists?

A : We experience the world through our categorization of objects, people, and events.

B : Once an object, person, or event is categorized, it is relatively easy to see it as part of another category.

C : None of these is correct.

D : Both; we experience the world through our categorization of objects, people, and events, and once an object, person or event is categorized, it is relatively easy to see it as part of another category.

Correct Answer : B 11 / 13

61 : Which of the following was a major development of Karl Tomms IPscope therapy?

A : He developed the concept of maneuverability in family therapy.

B : He realized that in a different context, a persons problem behaviors would be different.

C : His approach provides opportunities for the family to reorganize itself.

D : He developed internalized other interviewing.

Correct Answer : D 62 : Wendel Ray has made several contributions to systemic therapies including which of the following?

A : Training therapists in brief therapy with Latino families B : Developing resource-focused therapy C : Focusing on meaning and ritual D : Using directives for interventions Correct Answer : B 63 : When therapists are told to respect and trust the system, it means they should: A : adapt to client language and viewpoint.

B : trust that clients will be able to resolve their own problems without interference.

C : identify symptoms of family problems as indicators of individual pathology.

D : respect the family as a system with its own unique epistemology.

Correct Answer : D 64 : The chapter discusses the treatment of LGBTQ clients. Which of the following suggestions was NOT put forth by Butler?

A : Therapists should be aware that family of choice and family of origin have very different meanings with these couples.

B : Gender roles are thought to have more impact in same-sex relationships.

C : Therapists can help couples to deconstruct their gender role expectations.

D : Therapists should keep in mind that the family life cycle for LGBTQ couples and families looks similar to heterosexual couples and families.

Correct Answer : D 65 : There is little research to guide therapists when working with transgender youth. About of transgender youth report negative parental reactions to their gender identity.

A : 59% B : 28% C : 79% D : 13% Correct Answer : A 66 : What are some of the major issues and concerns regarding LGBT youth that therapists should be aware of, as mentioned in the chapter?

A : Risky sexual behaviors, bipolar disorder, delinquent behaviors, and home issues B : Suicidality, substance abuse, depression, anxiety, and school issues C : Bullying, substance abuse, depression, anxiety, and school issues D : Substance abuse, bipolar disorder, delinquent behaviors, and home issues 12 / 13

Correct Answer : B 67 : According to the text, which of the following is NOT a major phase in the family life cycle?

A : Single adult B : College student C : Later life D : Blended family Correct Answer : B 68 : All of the following represent common complementary roles described in the text EXCEPT: A : good/bad parent.

B : pursuer/distancer.

C : pursuer/underfunctioner.

D : emotional/logical.

Correct Answer : C 69 : Internalized other interviewing is a process in which a therapist: A : interviews a clients extended family and friends to understand their motives.

B : interviews him or herself to demonstrate appropriate communication to clients.

C : interviews a clients internalized image of his or her partner.

D : interviews a clients externalized image of his or her partner.

Correct Answer : C 70 : Which of the following schools of therapy do NOT have a predetermined definition of healthy family functioning?

A : Psychodynamic therapy B : Systemic therapy C : Humanistic therapy D : None of these is correct Correct Answer : B 71 : Strategic humanism refers to: A : the therapists freedom to use personal judgment in defining the therapeutic relationship.

B : the therapists ability to try different therapeutic approaches to finding a solution for the client.

C : the therapists emphasis on increasing the familys ability to love and nurture.

D : the therapists emphasis on the familys ability to establish order through dominance.

Correct Answer : C 72 : According to Haley, what is the initial stage of therapy used by therapists to assess interactions and mood?

A : The collaboration stage B : The problem assessment stage C : The social stage D : The linguistics stage Correct Answer : C

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MULTIPLE CHOICE 1 : According to the author of the text, structural family therapists map: A : the road home.

B : family structure.

C : happiness.

D : mental health.

Correct Answer : B 2 : After assessing the family structure, what is the goal for structural therapists?

A : Make the familys boundaries more rigid to promote a better structure B : Realign the systems boundaries and hierarchy C : Repair the emotional damage by encouraging more diffuse boundaries D : Introduce a new pattern of behavior to promote a new dance for the system Correct Answer : B 3 : Boundaries are rules for managing physical and psychological distance between family members, and defining the regulation of closeness, distance, hierarchy, and family roles. Which of the following is the best definition for a boundary?

A : Families with overly diffuse boundaries do not make a clear distinction between members, creating a strong sense of mutuality and connection at the expense of individual autonomy.

B : Autonomy and independence are emphasized at the expense of emotional connection, creating isolation that may be more emotional than physical.

C : Boundaries allow for close emotional contact with others while simultaneously allowing each person to maintain a sense of identity and differentiation.

D : None of these is correct.

Correct Answer : C 4 : Which of the following is the best definition for disengaged or rigid boundaries?

A : There is not a clear distinction between members, creating a strong sense of mutuality and connection at the expense of individual autonomy.

B : Autonomy and independence are emphasized at the expense of emotional connection, creating isolation that may be more emotional than physical.

C : Boundaries allow for close emotional contact with others while simultaneously allowing each person to maintain a sense of identity and differentiation.

D : None of these is correct.

Correct Answer : B 5 : When working with enmeshed and diffused boundaries, a structural therapist will primarily see which of the following in the familys interactions?

A : Family members insisting on high levels of protectiveness or appearing to be over concerned B : Significant freedom for most family members to do as they please C : Few demands for or expressions of family loyalty and commitment D : Family members lack of reaction and few repercussions, even to problems Correct Answer : A

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6 : Minuchin preferred to talking about interactions because often people describe themselves as one way but behave quite differently. This allowed Minuchin to see the family in action.

A : reframes B : boundaries C : enactments D : one-way mirrors Correct Answer : C 7 : Enactments allow the structural therapist to do each of the following EXCEPT: A : to discover the familys rules and assumptions.

B : to develop a hypothesis that maps the familys boundaries.

C : to closely monitor content and process.

D : to discount the familys strengths and resources.

Correct Answer : D 8 : Minuchin describes three main phases of structural therapy. What are they?

A : Joining the family, mapping the structure, and transforming the structure B : Boundary-making, establishing hierarchy, and creating subsystems C : Joining the family, boundary-making, and creating subsystems D : Mapping the structure, family reenactment, and processing the outcome Correct Answer : A 9 : When a structural family therapist joins the family system, they are: A : becoming member of the family.

B : agreeing with the family.

C : accommodating the familys style.

D : processing the familys problems.

Correct Answer : C 10 : The process of joining refers to which of the following?

A : The process after the work in therapy has been achieved and the family is joined together in their new patterns B : The therapist illustrating a sense of openness to the roles of the family system C : Something the family must do in order to show they are ready for therapy D : The therapist demonstrating adapting to the rhythm and style of the family Correct Answer : D 11 : Structural therapists strive to cultivate therapeutic spontaneity. What is this referring to?

A : The therapist doing as they please with their clients B : The therapist flying by the seat of their pants when working with clients C : The therapist flowing naturally and authentically in a variety of contexts and situations D : The therapist avoiding being natural in clinical situations Correct Answer : C 12 : According to Minuchin, therapists must use themselves to relate to the family, varying from being highly involved to professionally detached. Which of the following words best fits with this 2/8

description?

A : Rigid B : Selfless C : Permeable D : Flexible Correct Answer : D 13 : Structural family therapists examine the relationship between the symptom and the family system. What does family as ineffectual challenger of the symptom refer to?

A : The family is aggressive and attempts to challenge the symptomatic member.

B : The family is assertive and challenges members in order to maintain homeostasis.

C : The family is assertive and challenges members in order to maintain homeostasis.

D : The symptom performs a regulatory function in maintaining the family structure.

Correct Answer : C 14 : Minuchin conceptualized a family as a single system that also had multiple subsystems.

Some subsystems can be found in almost every family. Which of the following would NOT be considered a subsystem?

A : Couple B : Parents C : Sibling D : Pets Correct Answer : D 15 : Which of the following best defines a cross-generational coalition?

A : The children form an alliance against the parents B : A subsystem is formed between a parent and child against the other parent C : A subsystem is formed between members of one generation against members of another (i.e., grandparents vs. children) D : A conflict is formed between the parents in the upbringing of their child Correct Answer : B 16 : Claudia, a structural family therapist, is working with a family in therapy. At one point in the session, she hears mom tell her son, Dont tell your dad and step-dad about this. The therapist is observing: A : covert coalition.

B : overt coalition.

C : triangle coalition.

D : hierarchical coalition.

Correct Answer : A 17 : When parents set rules that are developmentally too strict and unrealistic with consequences that are too severe, this is considered what kind of hierarchy?

A : Effective B : Insufficient C : Excessive D : All of these are correct 3/8

Correct Answer : C 18 : The parents of a 13-year-old girl allow their daughter to have a cell phone. They put in place certain rules for its use such as her homework must be done before using it, and it must be turned off by 9:00 p.m. This could be considered an example of what type of parental hierarchy?

A : Effective B : Insufficient C : Excessive D : All of these are correct Correct Answer : A 19 : It is not uncommon for an insufficient parental hierarchy to lead to which of the following outcomes?

A : Disengaged family boundaries B : Enmeshed family boundaries C : Appropriate family boundaries D : Invested family boundaries Correct Answer : B 20 : The over/underfunctioner, the good/bad child, the understanding/strict parent, the logical/emotional partner, and so forth are examples of what type of patterns?

A : Symmetrical B : Asymmetrical C : Complementary D : Adaptable Correct Answer : C 21 : At each state of , family members need to negotiate boundaries to support individual members growth needs. It is when families do not do this that problems occur.

A : personality development B : psychosexual development C : family development D : faith development Correct Answer : C 22 : All of the following are examples of structural goals EXCEPT: A : establishing clear boundaries between subsystems.

B : promoting development and growth of the individual and the family.

C : distinguishing between the marital/couple subsystem and the parental subsystem.

D : forgiving and repenting for an injustice.

Correct Answer : D 23 : Reframing from a structural viewpoint is seen as: A : a way to highlight complementary relationships in the family, which often involves removing blame from one person and spreading it evenly.

B : a way of piecing together each members description of the problem and reframing it so that the broader systemic dynamic is revealed.

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C : a way of viewing a problem to determine how much each individual contributes to the conflict and then finding an agreeable solution.

D : as a way to highlight complementary relationships in the family and a way of piecing together each members description of the problem and reframing it so that the broader systemic dynamic is revealed.

Correct Answer : D 24 : When a structural therapist asks family members to change seats, has separate sessions with individuals or subsystems, or asks one member of the family to remain silent during an interaction, the therapist might be doing what kind of intervention?

A : Boundary making B : Challenging the familys worldview C : Reframing D : Unbalancing Correct Answer : A 25 : Alexis, a structural family therapist, had been working with a volatile couple in family therapy for a few months. During one session, she verbally questioned the assumption of the couple that it is better for the children if we stayed married to determine whether that belief was having the effect the couple thought it should. What intervention was Alexis using?

A : Boundary making B : Challenging the familys worldview C : Reframing D : Unbalancing Correct Answer : B 26 : Occasionally, when a structural therapist is having extreme difficulty realigning a hierarchy in a family, or when a particular family member is being scapegoated, the therapist might use which of the following interventions?

A : Boundary making B : Challenging the familys worldview C : Reframing D : Unbalancing Correct Answer : D 27 : Intensity is an intervention best described by which of the following statements?

A : It is a technique in which the therapist turns up the heat by using his or her tone of voice, pacing, and word choice to break through a barrier.

B : It is a technique in which the therapist and the client hypothesize a worst-case scenario, therefore allowing the client to manage their own anxiety more effectively.

C : It is a technique in which the clients reenact the problem to a heightened degree, therefore highlighting the family interactional patterns.

D : It is a technique in which the therapist allows the family to discuss what they would do in a hypothetical situation, therefore realigning the boundaries of the system.

Correct Answer : A 28 : Giving compliments and shaping competence are used by a structural therapist in order to do which of the following?

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A : Make therapy more enjoyable to clients B : Augment and reinforce the familys natural positive interaction patterns and strengths C : Encourage the client about the progress that they are making in their own self discovery D : Help the family function in therapy Correct Answer : B 29 : Mikayla and Jenna have been married for six years. They have recently decided to try therapy because they find they argue incessantly and are drifting apart emotionally. They are no longer able to spend quality time together without fighting, and both would rather spend time with friends or by themselves than with each other. They state that their arguments tend to follow the same theme time after time, regardless of what they are fighting about. Mikayla sees Jenna as overly emotional and states that she always breaks down during their fights. Jenna states that Mikayla never tries to understand her, that she cant share her emotions and that shed rather be logical all the time. From a structural viewpoint, how might you describe this relationship pattern?

A : The boundaries within their relationship are too diffuse B : The boundaries are rigid, and the couple doesnt want to change C : Complementary their roles have become rigidly polarized D : Symmetrical each partner tries to match the others role Correct Answer : C 30 : Based on the previous vignette, Harold, the structural family therapist working with Mikayla and Jenna, takes into account that all behavior has reciprocal antecedents and describes their pattern of interaction like this: M affects Js response, which then affects Ms response, ad infinitum. Harold is: A : reframing the complementary relationship, removing blame from one person and describing how each person contributes to the problem dynamic.

B : boundary making to help the couple strengthen diffuse boundaries.

C : challenging the couples assumptions by overtly questioning whether they are actually having the effect the couple anticipated.

D : using crisis induction by bringing the symptom into the room.

Correct Answer : A 31 : Which of the following statements about using structural family therapy with diverse populations is TRUE? A : The structural family therapy model was developed to attend to the dynamics and needs of diverse families, especially those families with children having difficulties.

B : Structural family therapy employs an active and engaged approach in which the therapist often takes an expert stance in relation to the family, an approach that often fits with the values of traditional cultures.

C : The structural family therapy model was both developed to attend to the dynamics and the needs of diverse familiesespecially those families with children having difficultiesand also employs an active and engaged approach in which the therapist often takes an expert stance in relation to the familyan approach that often fits with the values of traditional cultures.

D : None of these is correct.

Correct Answer : C 32 : Brief strategic family therapy is a model that draws on structural and strategic therapies to address drug abuse problems with African-American and Hispanic populations. All of the 6/8

following are principles of intervention in brief strategic family therapy EXCEPT: A : joining to connect with the family system.

B : enactments to assess family functioning.

C : reframing to promote caring and concern in the family.

D : using paradoxical directives to get family members to do something different.

Correct Answer : D 33 : Ecosystemic structural family therapy (ESFT), an empirically supported adaptation of structural family therapy, was developed to treat which population?

A : Children and adolescents with severe emotional or behavioral problems and their families within the context of their communities B : Adolescents with substance problems and their families within the context of their communities C : Couples with one member who is severely depressed and their extended families within the context of their communities D : Young adult men and women with severe eating disorders and their families within the context of their communities Correct Answer : A 34 : Which of the following is NOT one of the four fundamental concepts of intensive structural therapy (IST)?

A : Social environment B : Asymmetric relations C : Homeostatic maintainer D : Crisis induction Correct Answer : B 35 : The IST scorecard is designed to enable clinicians to: A : work with conduct disorder and delinquency.

B : aggregate outcome data scores to track a positive direction from baseline.

C : determine the degree to which a child may be triangulated into a couple relationship.

D : track their outcomes using clear measures and benchmarks.

Correct Answer : D 36 : Which of the following are potential missteps when working with Asian American families according to Epstein and colleagues?

A : Accounting for the couple-focused mindset of Chinese parents, who are not used to focusing their attention solely on the child B : Avoiding mislabeling the collectivist values of closeness as a form of enmeshment C : None of these is correct D : Accounting for the couple-focused mindset of Chinese parents who are not used to focusing their attention solely on the child and avoiding mislabeling the collectivist values of closeness as a form of enmeshment Correct Answer : C 37 : Which of the following is NOT considered a major difference between heterosexual couples and LGBT couples?

A : The basic structure and dynamics of gay and lesbian families differs from those of 7/8

heterosexual couples B : Lesbian families are generally found to have highly egalitarian parenting practices C : Gay male couples must acknowledge that the development of their family structures are more complex and unique to each couple D : None of these is correct Correct Answer : A 38 : When assessing families, FFT therapists attend to the familys cultural and community contexts. Which of the following BEST defines the term community contexts?

A : The familys social influences B : The familys regional culture C : The familys local community D : The familys adoption of global societal norms Correct Answer : C 39 : What is the typical order of problem solving steps in FFTs mutual problem solving strategy?

A : Identify the problem, reevaluate outcomes, agree on how to accomplish the goal, identify potential obstacles, identify the desired outcome B : Reevaluate outcomes, agree on how to accomplish the goal, identify the problem, identify potential obstacles C : Identify the desired outcome, identify the problem, identify potential obstacles, agree on how to accomplish the goal, reevaluate outcomes D : Identify the problem, identify the desired outcome, agree on how to accomplish the goal, identify potential obstacles, reevaluate outcomes Correct Answer : D 40 : Which of the following is NOT considered to be a protective factor in families according to FFT? A : Clear limits and consistent enforcement of discipline B : Lack of involvement in conventional activities C : Parental involvement in a childs life D : Supportive parenting that meets the social needs of the child Correct Answer : B

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MULTIPLE CHOICE 1 : Each of the following therapies fall into the category of experiential family therapies EXCEPT: A : the Satir growth model.

B : symbolic-experiential therapy.

C : emotionally focused therapy.

D : external family systems.

Correct Answer : D 2 : Which of the following experiential family therapies is the leading evidence-based approach to couples therapy that uses experiential, systemic, and attachment theories?

A : Satir growth model B : Symbolic-experiential therapy C : Emotionally focused therapy D : Internal family systems Correct Answer : C 3 : It is said that rather than focus primarily on behavioral interaction sequences, experiential family therapists focus more on the layer of those interactions.

A : emotional B : internal C : external D : intermittent Correct Answer : A 4 : Experiential therapists assert that warmth and empathy are essential to effective therapy. To foster an environment where this is evident, a therapist must: A : make a strong, affective connection with clients to create a sense of safety, allowing clients to explore areas of emotional vulnerability.

B : acknowledge that the client is the expert in their own life and the therapist is merely there to facilitate the process of self-discovery.

C : fully explore the amount of empathy the members of the family have for each other.

D : all of these are correct.

Correct Answer : D 5 : The Satir growth model focuses mostly on which of the following?

A : Fostering individual growth and improving family interactions B : Reframing the problem in a completely positive light C : Creating a sense of safety for interpersonal learning D : Realigning the patterns and alliances to which the family has adhered Correct Answer : A 6 : According to the Satir growth model, there are five communication strategies for survival.

Which of the following suggestions would be best for a therapist working with clients who have adapted the placator stance or role?

A : Encourage the client to take a firm stance from the onset of therapy.

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B : Use less directive therapy methods, such as multiple choice questions and open-ended reflections, to require them to voice their opinion and take a stand.

C : Use therapeutic techniques, such as reflecting, to highlight hidden emotions.

D : Applaud the placator; after all, they can be the easiest people to get along with.

Correct Answer : B 7 : When a Satir-oriented therapist is working with a client who takes on a blamer stance, the therapist should NOT: A : placate the client by not speaking honestly and directly to them.

B : increase the clients awareness of the thoughts and feelings of others.

C : help the client to communicate their personal perspectives in a way that is respectful of others.

D : directly confront the client when necessary.

Correct Answer : A 8 : When a Satir-oriented therapist is spending time floating along with the clients distractions to identify the unique anchors of the clients reality that the therapist can tap into, they might be working with what type of client?

A : Placator B : Blamer C : Superreasonable D : Irrelevant Correct Answer : D 9 : Satirs six-stage model of change is best described by which of the following statements?

A : The model emphasizing the therapist perturbs the system, shakes it up, and respects its ability to naturally reorganize itself in a more useful way.

B : The model identifies the different communication stances each family adapts to through the process of therapy.

C : The model addresses conflict resolution and recovery in the family system.

D : The model highlights the inconsistencies and patterns into which the family system has fallen.

Correct Answer : A 10 : There are four primary assumptions about people and therapy according to Satir and her associates. Which of the following is NOT one of those assumptions?

A : People naturally tend toward positive growth.

B : All people possess the resources for positive growth.

C : Every person, thing, or situation impacts and is impacted by everyone and everything else.

D : Therapy is a process that involves interaction between therapist and client; in this relationship, the therapist is responsible for him/herself and the client.

Correct Answer : D 11 : Satirs work and relationships with clients was characterized by her foundation of warmth and humanity. These conditions can be achieved by other therapists practicing the Satir model by: A : emulating Virginia Satir.

B : reading Carl Rogers On Becoming a Person.

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C : systematically developing accurate empathy.

D : being congruent.

Correct Answer : D 12 : The importance of making contact and establishing credibility with clients, according to the Satir model, can be established by: A : using paradoxes in therapy.

B : asking family members to rearrange themselves in the therapy room.

C : sitting or standing at the same physical level so that eye contact is easy.

D : asking the family to engage in an enactment.

Correct Answer : C 13 : A Satir-oriented therapist says, I believe this childs exaggerated acting out and drug use may serve to reduce tension in his parents marriage by getting his parents to focus on him.

What is the therapist doing?

A : Determining the family life chronology B : Viewing the symptoms as having a role in the family system C : Figuring out the survival stance of the family D : Using a mandala to understand the childs drug use Correct Answer : B 14 : Power struggles, parental conflicts, lack of validation, and lack of intimacy are considered what according to the Satir model?

A : Family life chronology B : Survival stances of the family C : Family dynamics D : Family role Correct Answer : C 15 : The use of which metaphor allows Satir practitioners to use six levels of experience to help clients transform their feelings about feelings to make lasting change and more effectively meet their underlying need for love and acceptance?

A : Ice cube B : Iceberg C : Ice age D : Iceland Correct Answer : B 16 : Sacha, a Satir-oriented therapist, notices that her client, who often reports feeling overwhelmed, is often ill and exhausted. What might Sacha be doing during her assessment of the client?

A : Making a mindbody connection between her clients emotional issues and how they are manifesting in his or her body B : Considering the specific aspects of self her client values and the aspects of which he or she is ashamed C : Assessing the motivation behind the clients problematic behaviors and interactions D : Viewing the context for the potential problems and determining the clients potential weaknesses 3 / 11

Correct Answer : A 17 : What is the heart of relational goals in Satirs approach?

A : Restructuring the family boundaries B : Reconfiguring the familys interaction sequences C : Congruent communication for all family members D : Reducing emotional reactivity through detriangulation Correct Answer : C 18 : The overarching individual goal of Satirs approach is consistent with other humanistic approaches. Which of the following is the individual goal?

A : To promote self-actualization of members of the system B : To promote independence of all members of the system C : To promote interdependence of all members of the system D : To promote self-assurance of all member of the system Correct Answer : A 19 : The ingredients of an interaction intervention detail the internal communication process of clients and can be used to teach clients about internal and relational processes. This intervention can be use with which type of clients?

A : Individuals B : Couples C : Families D : All of these are correct Correct Answer : D 20 : A Satir-oriented therapist working in a session with a client said the following: As I listen to you explain what happened to you during that argument with your sister, I am getting a sense that you were feeling hurt. Does that sound right? What is the therapist attempting to do with the client?

A : Understand the ingredients of the interaction B : Facilitate emotional expression C : Soften the family rule D : Coaching communication Correct Answer : B 21 : A Satir-oriented therapist working with a couple asks the partners to turn their chairs toward each other and gives the following prompt: Tell your partner how you feel about what happened New Years Eve. The therapist might be doing which of the following?

A : Understanding the ingredients of an interaction B : Creating an enactment C : Softening the family rules D : Coaching communication Correct Answer : D 22 : Satirs most distinctive intervention is family sculpting, which is done either with the family or in a group setting. How is sculpting accomplished?

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A : By enacting a new way of interacting and communicating among family members B : By allowing individuals to convey how they believe they are viewed in the system, therefore sculpting their image C : By putting family members in physical positions that represent how the sculptor sees each persons role in the family D : By self-reflecting in order to determine areas in need of personal growth and fostering an environment where the individual can sculpt how they want to improve Correct Answer : C 23 : In most cases, sculpting is a highly-effective cognitive defenses.

A : nonverbal B : artistic C : creative D : problematic

confrontation that bypasses

Correct Answer : A 24 : When a Satir-oriented therapist is working with a client by facilitating a process in which the client is better able to accept different aspects of self and to identify the contexts in which they have been useful, the therapist might use which of the following interventions?

A : Ingredients of an interaction B : Sculpting C : Touch D : Parts party Correct Answer : D 25 : Symbolic-experiential therapy is an experiential family therapy model developed by: A : Virginia Satir.

B : Carl Whitaker.

C : Susan Johnson.

D : Richard Schwartz.

Correct Answer : B 26 : Similarly to the Satir model of family therapy, Whitakers symbolic-experiential model focuses on family structure and: A : behavioral sequences.

B : cognitive processes.

C : emotional process.

D : structural sequences.

Correct Answer : C 27 : The therapist needs to win the battle for structure because they are responsible for setting up a program for change and need to ensure a structure for change is in place. Which of the following factors is NOT noted for contributing to the structure for change?

A : The necessary people attend therapy B : The therapy occurs frequently enough to produce progress C : The session content goes into depth or covers necessary areas D : The session process will produce change 5 / 11

Correct Answer : C 28 : Which of the following statements most accurately summarizes Whitakers concept of the battle for initiative?

A : Therapists should avoid tension and crisis in therapy at all costs.

B : Therapists should never work harder than their clients.

C : Clients should not initiate change; the therapist should.

D : Clients should allow their therapist to be overly helpful and to push their change.

Correct Answer : B 29 : In symbolic-experiential therapy, absurdity is used to do which of the following?

A : Perturb the family system in a compassionate and caring way B : Render the family system into a state of confusion C : Condition the family system into a meaningless existence D : Disturb over-involved family relationships in a shocking way Correct Answer : A 30 : If a symbolic-experiential therapist is bored in session and shows it to their client or says something about feeling bored, this is considered the therapists: A : absurdity.

B : integrity.

C : authenticity.

D : professionalism.

Correct Answer : C 31 : In symbolic-experiential therapy, what is the therapists primary responsibility?

A : Be responsive to the family without being responsible for them B : Be responsible for the family without being responsive to them C : Be responsive to the family without being responsible for them and be responsible for the family without being responsive to them D : None of these is correct Correct Answer : A 32 : Whitaker believed that therapists should walk away from therapy doing which of the following?

A : Growing and becoming more fully authentic B : Not having allowed therapy to transform them C : Feeling more fully in charge of the process of therapy D : Feeling they are the same person they were when they began working with the client Correct Answer : A 33 : During the assessment process, symbolic-experiential therapists attend to two broad patterns in the family: the of the family and the emotional processes and exchanges within the family.

A : cognitive sequences B : behavioral actions C : triangulation 6 / 11

D : structural organization Correct Answer : D 34 : Symbolic-experiential therapists have three primary long-term goals for all clients. They include all of the following EXCEPT: A : increasing family cohesion by creating a sense of nurturance and confidence in problem solving.

B : enacting effective parental hierarchy and the severing of cross-generational coalitions.

C : promoting personal growth by supporting the completion of developmental tasks for all family members.

D : expanding the familys symbolic world.

Correct Answer : B 35 : Symbolic-experiential family therapy involves increasing family cohesion and the authenticity of family relationships. Therapists accomplish this goal by focusing on which two key areas?

A : Intrapersonal boundaries and transgenerational boundaries B : Transgenerational boundaries and self-actualization C : Interpersonal boundaries and self-actualization D : Interpersonal boundaries and transgenerational boundaries Correct Answer : D 36 : More than many other family therapists, symbolic-experiential therapists focus on increasing the sense of family cohesion. Family cohesion is defined as which of the following?

A : The symbiotic relationship the family has in place for all to benefit B : Clear communication patterns between generations C : A strong sense of belonging, being loved, being wanted, and loyalty D : There is no clear definition since each family system is affected by different cultural and economic tendencies Correct Answer : C 37 : How will a therapist know when their client has achieved personal growth and successfully navigated developmental tasks, a process also referred to as self-actualization?

A : Self-actualization is a lifelong process; therefore, only the client will know when they have achieved self-actualization B : The therapist will know that their client has achieved self-actualization when the client is no longer attending sessions regularly C : The therapist will know that their client is making progress towards self-actualization when the client is no longer experiencing symptoms at the individual level and they are able to function in most areas of daily life D : There is no clear definition of self-actualization; therefore, one can never fully achieve it Correct Answer : C 38 : A symbolic-experiential therapist working with a family says to the mother, When did you divorce your husband and marry your son? The therapist is attempting to: A : deeply offend the family to the point of changing out of embarrassment.

B : affectively confront the family to interrupt rigid patterns.

C : help the client to separate personal issues from interpersonal issues.

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D : expand the symptom from an individual matter to a family matter.

Correct Answer : B 39 : When a client is unrealistically hopeless, the therapist might augment the clients despair and amplify it so the client can see how the despair and negative assumptions are out of proportion with the facts. This is also known as: A : reframe.

B : triangle.

C : paradox.

D : boundary.

Correct Answer : C 40 : When conceptualizing a case from a symbolic-experiential framework, it is important to assess each of the following areas EXCEPT: A : structural organization.

B : emotional process.

C : lack of competency.

D : symptom development.

Correct Answer : C 41 : Which of the following factors has been researched and supported by the evidence base related to experiential therapies?

A : The therapeutic relationship B : The interventions C : The client D : The outcome Correct Answer : A 42 : Heightening involves which of the following therapeutic practices?

A : Using images and metaphors B : Repeating a high-impact phrase C : Directing clients to enact responses D : All of these are correct Correct Answer : D 43 : In EFT, how does the therapist address the pathologizing interpersonal pattern (PIP) to resolve issues between couples?

A : The therapist shows the client that they must internalize the PIP B : The therapist shows the client that the PIP is the problem, not ones partner C : The therapist shows the client that the PIP is a problem separate from the broader family system D : All of these are correct Correct Answer : B 44 : According to the Satir model, it is generally unhelpful to assess self-esteem in an all-ornone fashion. What is recommended instead?

A : Consider aspects of the child that a client values and the aspects of which he or she is 8 / 11

ashamed B : Consider aspects of the couple that a client values and the aspects of which he or she is ashamed C : Consider aspects of the self that a client values and the aspects of which he or she is ashamed D : Consider aspects of the family system that a client values and the aspects of which he or she is ashamed Correct Answer : C 45 : Which of the following is considered one of the main goals of family reconstruction group interventions?

A : Identify the roots of old learning and their role in the present B : Develop a more unrealistic picture of the clients parents C : Discovering unique strengths and deficits D : All of these are correct Correct Answer : A 46 : Which of the following statements is NOT true regarding primary emotions?

A : Primary emotions are the initial reactions to a given situation.

B : The therapist focuses on salient primary emotions in the early phases of therapy.

C : By the working stage of therapy, the focus is mainly on the primary emotions.

D : Primary emotions typically represent attachment fears and needs.

Correct Answer : B 47 : Which of the following does NOT represent one of the four basic pursue/withdraw patterns of couples?

A : Pursue/withdraw B : Complex cycles C : Withdraw/withdraw D : Attack/withdraw Correct Answer : D 48 : A specific type of betrayal, abandonment, or violation of trust in a couples relationship is referred to as in the Satir model.

A : attachment injury B : sociocultural factors C : attachment history D : negative interaction cycle Correct Answer : A 49 : A Satir-oriented therapist says, On the surface you look angry and sure of yourself when you are arguing with your spouse. But inside, it seems more like you feel like a sad lonely little girl who isnt too sure of herself. Is that what is going on here? What strategy is the therapist using?

A : Validation B : Evocative responding C : Empathetic conjecture D : Heightening 9 / 11

Correct Answer : B 50 : A Satir-oriented therapist says, I think that part of the reason you may be pulling away is that you want closeness and connection so badly; if you were to be rejected, you would be devastated. What strategy is the therapist using?

A : Validation B : Evocative responding C : Empathetic conjecture D : Heightening Correct Answer : C 51 : In assessing the family through a trial of labor, the therapist attends to which of the following two broad patterns?

A : The structural organization of the communitys resources and the emotional processes and exchanges within the family B : The structural organization of the couple and the emotional processes and exchanges within the individual C : The structural organization of the interpersonal problem and the emotional processes and exchanges within the parents D : The structural organization of the family and the emotional processes and exchanges within the family Correct Answer : D 52 : Chapman and Caldwell (2012) propose the following adaptation of the EFT attachment resolution model to help trans-identified (TI) couples work through attachment injuries for the non-TI partner. Select the answer that represents the correct order for these steps from first to last.

A : Reengagement, reestablish a safe connection, differentiate the injured partys primary emotions, and forgiveness and reconciliation B : Reestablish a safe connection, differentiate the injured partys primary emotions, reengagement, and forgiveness and reconciliation C : Differentiate the injured partys primary emotions, reengagement, reestablish a safe connection, and forgiveness and reconciliation D : Reengagement, differentiate the injured partys primary emotions, reestablish a safe connection, and forgiveness and reconciliation Correct Answer : B 53 : Which of the following statements is true regarding the attachment needs of diverse populations and EFT therapy?

A : EFT therapists need to adapt and tailor their interventions to work effectively with diverse clients.

B : Many of the signature nonverbal interventions of EFT work equally well across a wide array of cultures.

C : None of these is correct.

D : EFT therapists need to adapt and tailor their interventions to work effectively with diverse clients and many of the signature nonverbal interventions of EFT work equally well across a wide array of cultures.

Correct Answer : A 10 / 11

54 : The process of family life chronology refers to: A : an assessment that helps to identify problematic family dynamics.

B : a timeline of when symptoms first began to occur and the triggers that signal their reoccurrence.

C : a timeline that includes major events in an individuals or familys life.

D : an assessment of the quality of the relationship between the father, mother, and child.

Correct Answer : C 55 : Common factors research identifies the quality of the therapeutic relationship as highly correlated with therapeutic outcome, with Lambert (1992) estimating that % of the therapeutic outcome in any form of therapy can be attributed to the therapeutic relationship.

A : 30% B : 15% C : 60% D : 50% Correct Answer : A 56 : Research shows that writing to express emotions has positive therapeutic impacts. Which of the following can be considered benefits of this method?

A : Constructive expression of emotion characterizes more satisfying intimate relationships B : It transforms meaning to increase positive emotions related to the event C : Constructive expression of emotion characterizes more satisfying intimate relationships and it transforms meaning to increase positive emotions related to the event D : None of these is correct Correct Answer : C

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MULTIPLE CHOICE 1 : Object relations family therapy, family-of-origin therapy, and contextual therapy share several key concepts and practices. They include each of the following EXCEPT: A : examining a clients early relationships to understand present functioning.

B : tracing transgenerational and extended family dynamics to understand a clients complaints.

C : promoting insight into extended family dynamics to facilitate change.

D : focusing on the nature of being human rather than families or family therapy.

Correct Answer : D 2 : A key concept in Bowens intergenerational theory is the therapists use of which of the following?

A : Techniques B : Self C : Interventions D : Coaching Correct Answer : B 3 : Differentiation is one of the most useful concepts for understanding interpersonal relationships. Which of the following statements is true?

A : Differentiation refers to a persons ability to separate intrapersonal and interpersonal distress.

B : Differentiation is the ability to balance two life forces: the need for togetherness and the need for autonomy.

C : Differentiation is a lifelong journey that is colloquially referred to as maturity in the broadest sense.

D : All of these are correct.

Correct Answer : D 4 : Which of the following does NOT accurately describe a differentiated person?

A : A person who is differentiated is better able to handle the ups and downs of life B : A person who is differentiated has the ability to separate feelings and self from others C : A person who is differentiated lacks emotion or emotional expression in emotional situations D : A person who is differentiated does not immediately react in emotional situations Correct Answer : C 5 : What is a genogram?

A : A genealogy covering the complete history of a family B : A type of self report and discovery of family secrets C : A type of family tree that specifically maps key multigenerational processes D : A complete medical history of a family Correct Answer : C 6 : In the hands of an intergenerational therapist, the genogram is used simultaneously as: A : a way to help the family implement new patterns individually and as a family.

B : a way to map out family medical complications and how each affected the family.

C : an assessment instrument and intervention.

D : an intervention and tool for the closing phase of therapy.

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Correct Answer : C 7 : Intergenerational therapists focus on developing a therapeutic relationship that encourages all parties to further their differentiation process. What does this mean?

A : Intergenerational therapists believe that clients are in charge of the therapeutic process B : Intergenerational therapists believe that clients can only differentiate as much as their therapists have differentiated C : Intergenerational therapists believe that the differentiation of the client is the technique D : Intergenerational therapists believe that they must take sides with the most differentiated family member Correct Answer : B 8 : When an intergenerational therapist maintains an emotionally engaged stance that is nonreactivemeaning that the therapist does not react to attacks, bad news, and so forth without careful reflectionthis is known as: A : a detached presence.

B : a non-caring presence.

C : an emotional presence.

D : a nonanxious presence.

Correct Answer : D 9 : The greater the therapists level of differentiation, the better able the therapist is to maintain a nonanxious presence with clients. A nonanxious presence refers to: A : a therapist who does not overreact to strong emotion and is able to reflect before reacting.

B : a therapist who is free and clear from any and all mental problems.

C : a therapist who works better when his/her own emotions run high and who is aware of any countertransference.

D : a therapist who maintains a cold and detached stance that allows the clients to fully explore themselves without the influence of the therapist.

Correct Answer : A 10 : Intergenerational therapists focus squarely on a familys unique rather than on environmental or general cultural factors, and they seek to identify the rules that structure the particular system.

A : interactive system B : external system C : self-esteem system D : emotional system Correct Answer : D 11 : When a family lacks sufficient differentiation, it may become emotionally fused. An undifferentiated family may become a(n): A : ego mass.

B : mess.

C : cell.

D : nucleus.

Correct Answer : A 2/8

12 : When working with a family, an intergenerational therapist can only accurately see what is going on in the family or clearly conceptualize family dynamics if they are: A : anxious.

B : differentiated.

C : emotionally distant.

D : disengaged.

Correct Answer : B 13 : Jordin, an intergenerational therapist, is working with a mom and daughter in therapy. The mom feels extremely guilty about her daughters lack of social success in college. The mom, therefore remains very involved and emotionally reactive in her daughters life, even though her daughter is living in the dorms in another town. How might Jordin view the mothers reactivity?

A : As low self-esteem B : As chronic anxiety C : As a paradox D : As healthy Correct Answer : B 14 : Differentiation is measured along a continuum that ranges from 1 to 100, with lower levels of differentiation represented by lower numbers. Bowen believed that the average person or people rarely reached higher than what on this scale?

A : 50 B : 95 C : 70 D : 65 Correct Answer : C 15 : From the perspective of an intergenerational therapist, which of the following is NOT true of a triangle?

A : A triangle is a stabilizing unit for the primary dyad B : A triangle is a process in which a dyad draws in a third person or thing C : A triangle is a healthy way to relieve tension D : A triangle is a fundamental process in natural systems Correct Answer : C 16 : The father of a family in therapy complains that his wife is so involved with their childrenalways running them back and forth to school, sports practices, dance recitals, and attending PTA meetingsthat he never sees her. When he does see his wife, they fight.

According to a Bowen intergenerational therapist, this might be considered a classic example of: A : differentiation.

B : emotional triangle.

C : emotional cutoff.

D : regression.

Correct Answer : B 17 : Which of the following refers to situations in which a person no longer emotionally engages with another in order to manage anxiety?

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A : Differentiation B : Emotional triangle C : Emotional cutoff D : Regression Correct Answer : C 18 : Like any theory with a definition of health, intergenerational therapy has clearly-defined, long-term therapeutic goals that can be used with all clients. Which one of the following fits for this theory?

A : Congruent communication for all family members B : Effective parental hierarchy and the severing of cross-generational coalitions C : Promote personal growth: support the completion of developmental tasks for all family members D : Increase each persons level of differentiation (in specific contexts) Correct Answer : D 19 : Which of the following statements is TRUE about the intergenerational therapy goal to decrease emotional reactivity to chronic anxiety in the system?

A : As differentiation increases, anxiety decreases.

B : As anxiety increases, differentiation increases.

C : As emotional cutoff increases, differentiation increases.

D : As emotional cutoff increases, anxiety decreases.

Correct Answer : A 20 : A Bowenian therapist asks a client, How do the struggles you are experiencing with your wife now compare to the struggles your own parents had? Are they similar or different? The therapist is asking which type of questions?

A : Projection questions B : Protection questions C : Process questions D : Proactive questions Correct Answer : C 21 : Whether working with an individual, couple, or family, most therapists at some point will be invited by clients to triangulate with them against a third party who may or may not be present in the room. To be effective, the therapist must maintain therapeutic neutrality in order to interrupt a clients attempt to involve the therapist or someone else in a triangle. This ability to be neutral is also known as: A : chronic anxiety.

B : regression.

C : differentiation.

D : validation.

Correct Answer : C 22 : Which intervention is designed to interrupt triangulation by increasing direct communication between the dyad experiencing problems or to reverse pursuerdistancer dynamics?

A : Relational experiments B : Communication experiments 4/8

C : Acting as if experiments D : Family attachment experiments Correct Answer : A 23 : Nathan and Alexander, a couple who have been in a relationship for seven years, complain of a lack of communication and a dissatisfying intimate life. Nathan says he wants more emotional and physical intimacy with Alexander, but that Alexander is happy with cuddling on the couch or doing activities such as gardening together. Alexander complains that their closeness is never enough for Nathan and that he often feels pressured to do more to make Nathan happy. David, a Bowenian therapist, might use which type of intervention with this couple to promote Nathan and Alexander differentiating more and taking responsibility for their individual needs?

A : Teaching each person to self-soothe rather than demand that the other change B : Hugging to relax and working with the couple to be seen by each other C : Creating a genogram to identify patterns and alternative ways for relating to each other D : All of these are correct Correct Answer : D 24 : According to Boszormenyi-Nagy, families use which system to maintain trustworthiness, fairness, and loyalty between family members (its breakdown results in individual and/or relational symptoms)?

A : Mechanical B : Ethical C : Electrical D : Debt Correct Answer : B 25 : Which classic psychoanalytic concept refers to when a client projects onto the therapist attributes that stem from unresolved issues with primary caregivers (therapists use the immediacy of these interactions to promote client insight)?

A : Countertransference B : Transference C : Protection D : Centered holding Correct Answer : B 26 : Which of the following statements is TRUE about the nature of the therapeutic relationship in contextual family therapy?

A : Therapists are viewed as neutral blank screens.

B : Therapists keep their own feelings and expressions of empathy at bay.

C : Therapists are relationally-focused, creating a relationship they call the holding environment.

D : Therapists do not handle therapy arrangements; they leave that to the receptionist.

Correct Answer : C 27 : What does the concept of multidirected partiality in contextual family therapy mean?

A : The therapist must be accountable to extended family members not in the therapy room B : The therapist must be accountable to monstrous family members C : The therapist must be accountable to the youngest family members 5/8

D : All of these are correct Correct Answer : D 28 : A therapist works with a couple where partner A sees partner B as perfect in the early parts of the relationship. When partner B no longer conforms to expectations, however, partner B becomes the enemy. The therapist might call this: A : interlocking pathologies.

B : self-object relating.

C : splitting.

D : projective identification.

Correct Answer : C 29 : According to Framo, what are parental interjects?

A : The internalized negative aspects of parents B : When clients defend against anxiety by projecting certain split-off or unwanted parts of themselves onto another person C : Anxiety that is repressed when a child experiences separation from their primary caregiver D : Transference from one family member to another family member Correct Answer : A 30 : Which of the following would NOT be considered a goal in psychoanalytic therapy?

A : Increase autonomy and ego-directed action by making conscious processes unconscious B : Decrease interactions based on projections or a revolving slate of entitlements C : Increase capacity for intimacy without loss of self (fusion with object) D : Develop reciprocal commitments that include a fair balance of entitlements and indebtedness Correct Answer : A 31 : In psychoanalytic family therapy, when the therapist dismisses the symptomatic child from therapy and proceeds to work with the couple to address the issues that created the need for the childs symptoms, the therapist is doing what type of intervention?

A : Interpreting B : Detriangulating C : Working through D : Eliciting Correct Answer : B 32 : Which therapist developed a three-stage model for working with couples that involved couples therapy, couples group therapy, and family of origin therapy?

A : Boszormenyi-Nagy B : Framo C : Ackerman D : Sharff Correct Answer : B 33 : The Womens Project was developed to promote a greater awareness of womens issues in the field of family therapy. Which of the following is one suggestion for how family therapists can 6/8

reduce sexism in their work with couples and families?

A : Openly discuss the gender role expectations of each partner and parent and point out areas where the couple or family should increase those traditional roles B : Encourage men to take time for themselves to avoid losing their individual identity to the roles of husband and father C : Use the self-of-the-therapist to model an attitude of gender equality D : Push women to take on equal responsibility in family relationships and the household, as well as for scheduling therapy, attending therapy with children, and/or arranging for babysitting for couples sessions Correct Answer : C 34 : Minority groups who prefer action and concrete suggestions from therapists may have difficulty with Bowen intergenerational and psychoanalytic therapies. Which one of the following reasons FALSELY reflects the risks?

A : These therapies are aimed at thinkingor psychologically-mindedclients, which minority groups are not B : The therapist may use inappropriate cultural norms to analyze family dynamics, thereby imposing a set of values and beliefs that are at odds with the minority clients culture C : The therapist will assume that attachment in all cultures looks the same and the minority client may be inaccurately and unfairly evaluated D : The therapist may expect minority clients to conform to common cultural norms Correct Answer : A 35 : Which of the following statements is TRUE about research and the evidence base for Bowenian and psychoanalytic therapies?

A : Research is needed on the outcomes and effectiveness of Bowen and psychoanalytic family therapies so that these models can be refined and further developed.

B : Research shows support for Bowens assumption that people marry a person with a similar level of differentiation.

C : Research does not support the relation between differentiation and (a) chronic anxiety, (b) marital satisfaction, and (c) psychological distress.

D : Research does not support the therapeutic alliance and therapeutic outcome from the therapists relationship with his or her parents, discrediting the Bowenian emphasis on the self-ofthe-therapist.

Correct Answer : A 36 : Which of the following is true regarding sibling position within families?

A : The oldest child is generally the least likely to avoid responsibility in favor of freedom B : More often, later born children identify with responsibility and authority C : The more the family members exhibit expected characteristics of their sibling position, the lower the level of differentiation D : The more the family members exhibit expected characteristics of their sibling position, the higher the level of differentiation Correct Answer : D 37 : In the Bowenian approach, how does the therapist address the pathologizing interpersonal pattern (PIP) to resolve issues among families?

A : The therapist asks how the lack of sibling hierarchy is expressing itself B : Bowenian therapists would conceptualize not just the PIPs the couple presents as a 7/8

problem, but also the PIPs in each family of origin C : The focus is on how conflict is managed and the level of hierarchy in these cycles D : All of these are correct Correct Answer : B 38 : When therapists encourage clients to interact with family members while maintaining a clearer boundary between self and other, this is an example of what therapeutic technique?

A : Detriangulation B : Relational experiments C : Going home again D : Genograms Correct Answer : C 39 : Which of the following is considered one of the main components of Schnarchs sexual crucible model of marriage?

A : Marriage functions as a vessel that physically contains a volatile transformational process B : The contents of marriage must be let loose because they are unstable and explosive C : Schnarch directs partners to soothe each other rather than retreat to accommodate their individual needs D : All of these are correct Correct Answer : A 40 : Which of the following statements is true regarding immigration and intergenerational conflict?

A : Intergenerational cultural conflict is correlated with acculturation mismatch between parents and children.

B : Intergenerational conflict related to acculturation is significantly correlated with internalizing symptoms.

C : Higher levels of perceived discrimination were associated with more intergenerational conflict among Asian immigrant families.

D : All of these are correct.

Correct Answer : D 41 : Therapists should pay particular attention to the role of friendship relationships with LGBTQ clients, also known as: A : extended kinship circles.

B : families of choice.

C : families of circumstance.

D : extended community ties.

Correct Answer : B

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MULTIPLE CHOICE 1 : Of the behavioral and cognitive-behavioral couple and family therapies, which one is a scientifically-based approach to couple therapy based on 30 years of research on the key differences between happy and unhappy marriages?

A : Cognitive-behavioral family therapy B : Integrative behavioral couples therapy C : Gottman method couple therapy D : Functional family therapy Correct Answer : C 2 : In general in the mental health field, which therapies are some of the most commonly used therapeutic approaches?

A : Systemic therapies B : Cognitive-behavioral therapies C : Experiential therapies D : Psychoanalytic family therapies Correct Answer : B 3 : Cognitive-behavioral family therapies have had the greatest influence in: A : parenting.

B : couples dynamics.

C : individual pathology.

D : attachment.

Correct Answer : A 4 : Reinforcement refers to: A : implementing boundaries.

B : rewarding a client to make the therapeutic process more enjoyable and easy for the therapist.

C : using punishment to force clients to adapt to the way the therapist thinks they should be living their lives.

D : how positive or negative responses from the environment shape future behaviors.

Correct Answer : D 5 : Reinforcement is typically only effective if parents are: A : cordial.

B : authoritarian.

C : consistent.

D : emotionally involved.

Correct Answer : C 6 : Rather than use a general goal such as improve communication, cognitive-behavioral family therapists identify what kind of behaviors and thoughts for interventions?

A : All B : Specific C : Problematic 1 / 10

D : Easy Correct Answer : B 7 : What is the role of the therapist in CBFT? A : Friend B : Equal C : Expert D : Advisor Correct Answer : C 8 : Why do cognitive-behavioral family therapists use empathy to build the therapeutic alliance?

A : To create rapport, allowing therapists to get to the real interventions of therapy B : Because empathy is a curative process in and of itself C : To integrate experiential concepts to make better therapy D : To manipulate clients into feeling more comfortable with the therapy process Correct Answer : A 9 : What is the primary reason CBFT therapists use contracts?

A : To make sure the client comes to therapy consistently and pays on time B : To trick the client into thinking that something is required so they will work harder and take therapy seriously C : To force the client to work on the behaviors they want to target D : To give the client a sense of commitment to the process as well as motivate them Correct Answer : D 10 : The CBFT therapists problem analysis focuses on present day and that make the situation a problem.

A : behaviors; emotions; thoughts B : actions; reactivity; rationale C : behaviors; actions; thoughts D : actions; emotions; rationale

,

,

Correct Answer : A 11 : Which type of assessment do CBFT therapists conduct at the beginning of therapy as a starting point for measuring change?

A : Target B : Antecedent C : Baseline D : In-depth Correct Answer : C 12 : Tess is working with a couple who has reported marital problems. She is working from a CBFT perspective and thinks that it would be helpful to have a detailed and accurate account of the problems the couple wants to work on. Tess asks the couple to log the frequency, duration, and severity of specific behavioral symptoms, such as their anger, outbursts, conflict, and social withdrawal. This is known as: A : necessary intake procedures.

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B : baseline functioning.

C : creating a contingent environment.

D : arbitrary inference.

Correct Answer : B 13 : In CBFT, a allows the therapist to look for mutually reinforcing behaviors between family members and examines how these patterns are maintaining the symptom.

A : baseline assessment B : interactional sequencing C : functional analysis D : family life chronology Correct Answer : C 14 : Albert Ellis A-B-C theory has been applied to working with families. In this model, what does the A-B-C stand for?

A : Action, behavior, and cognition B : Activating event, behavioral reaction, and cognitive response C : Action, belief, and cause D : Activating event, belief, and consequence Correct Answer : D 15 : The concept of personalization is a cognitive distortion defined by which of the following?

A : External events are attributed to oneself; it is especially common in intimate relationships B : It is a belief based on little evidence C : It is a belief based on one or two incidents used to make a broad, sweeping judgment about anothers essential character D : It is the assigning of a personality trait to someone based on a handful of incidents, often ignoring exceptions Correct Answer : A 16 : The concept of dichotomous thinking is a cognitive distortion defined by which of the following?

A : Going to the extreme of either overemphasizing or underemphasizing based on the facts B : Generalizing one or two incidents to make a broad, sweeping judgment about anothers essential character C : Focusing on one detail while ignoring the context and other obvious details D : An all-or-nothing mentality: always/never, success/failure, or good/bad Correct Answer : D 17 : All of the following would be considered examples of late-phase treatment goals in cognitive-behavioral family therapy EXCEPT: A : developing a positive mutual reinforcement cycle to reduce negativity and labeling.

B : replacing perfectionist beliefs about a child school performance with more realistic expectations.

C : redefining family schemas to increase tolerance of difference between members.

D : redefining couple schemas to reduce pressure for perfection and increase tolerance of weaknesses in the other.

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Correct Answer : B 18 : Pavlov was able to train dogs to salivate at the sound of a bell by pairing the dogs natural response to salivate at the sight of food with a bell. When the bell was rung each time food was presented, the dog learned that the bell signaled food was coming and began salivating. After enough repetition, the dog began to salivate with just the sound of the bell. What is this called?

A : Classical conditioning B : Operant conditioning C : Reinforcement training D : Punishment training Correct Answer : A 19 : In operant conditioning, desired behaviors can be positively or negatively reinforced or punished, depending on desired behaviors. What techniques are designed to do this?

A : Positive reinforcement or reward B : Negative reinforcement C : Positive punishment and negative punishment D : All of these are correct Correct Answer : D 20 : There are four options for shaping behavior in operant conditioning. Which of the following is the best definition for positive reinforcement or reward?

A : Rewards desired behaviors by adding something desirable (e.g., a treat) B : Rewards desired behaviors by removing something undesirable (e.g., relaxing curfew) C : Reduces undesirable behavior by adding something undesirable (e.g., assigning extra chores) D : Reduces undesirable behavior by removing something desirable (e.g., grounding) Correct Answer : A 21 : In operant conditioning, positive punishment is defined as: A : rewarding desired behaviors by adding something desirable (e.g., a treat).

B : rewarding desired behaviors by removing something undesirable (e.g., relaxing curfew).

C : reducing undesirable behavior by adding something undesirable (e.g., assigning extra chores).

D : reducing undesirable behavior by removing something desirable (e.g., grounding).

Correct Answer : C 22 : Positive reinforcement is strongly encouraged to increase desired behavior with children.

Which of the following is NOT a good example of positive reinforcement?

A : A toy or treat B : A chore C : A compliment D : Expressions of appreciation Correct Answer : B 23 : If a teens grade point average is above 3.0, the parents agree to an 11:00 p.m. curfew on Friday and Saturday. This is an example of: A : behavior exchange.

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B : quid pro quo.

C : contingency contract.

D : token economy.

Correct Answer : C 24 : When working with couples, mutual behavior exchanges can be useful to help partners negotiate relational rules. This is also known as: A : behavior exchange.

B : quid pro quo.

C : contingency contract.

D : token economy.

Correct Answer : B 25 : Which interventionconsidered a hallmark of CBFTinvolves teaching clients psychological and relational principles about their problems and how best to handle them?

A : Psychoeducation B : Psychoanalysis C : Psychopharmacology D : Psychology Correct Answer : A 26 : When a therapist must decide whether or not to challenge a clients irrational beliefs, the therapist should consider each of the following EXCEPT: A : the therapeutic relationship.

B : the therapists style.

C : the clients culture and/or gender.

D : the frequency of sessions.

Correct Answer : D 27 : A CBFT therapist can challenge a clients irrational beliefs in many ways. Which of the following would NOT be considered appropriate for confrontation?

A : For the therapist to explicitly tell the client their belief is irrational B : For the therapist to ask the client a series of questions to help them see their belief is irrational C : For the therapist to replace the irrational beliefs with realistic ones D : All of these are correct Correct Answer : C 28 : A therapist might work with a client to help them understand their beliefs are illogical or dysfunctional using which of the following methods?

A : Guided discovery B : Inductive reasoning C : None of these is correct D : Guided discovery and inductive reasoning Correct Answer : D 29 : To help clients confront their own irrational beliefs, a CBFT therapist might ask a client to 5 / 10

keep a thought record. What kind of information is NOT generally kept in a thought record?

A : The trigger situation B : The emotional response C : The cognitive distortion D : The homework task Correct Answer : D 30 : CBFT homework tasks are described as: A : linear and literal.

B : metaphorically making the covert overt.

C : interrupting the problem interaction.

D : enacting the solution.

Correct Answer : A 31 : One of the key factors in CBFT case conceptualization is: A : to describe the relationship between the family and the symptom.

B : to define the problem in concrete, measurable terms.

C : to describe each persons role in the interaction sequence.

D : to define the parts patterns between people.

Correct Answer : B 32 : In this paradoxical approach to cognitive-behavioral approaches, the client is guided to accept difficult thoughts and emotions in order to transform them. What is the name of this therapy?

A : Pure-behavioral therapy B : Cognitive-behavioral family therapy C : Mindfulness-based therapy D : Dialectical-behavioral therapy Correct Answer : C 33 : In order for a therapist to lead a client in mindfulness practices, a therapist must: A : be fully congruent with him or herself.

B : be free of any mental difficulties.

C : be fully differentiated from their family of origin.

D : be engaged in their own mindfulness practices.

Correct Answer : D 34 : Mindfulness has been integrated into two therapy approaches that have shown great promise in treating a wide range of clinical conditions. What are they?

A : Humanistic therapy and acceptance and commitment therapy B : Dialectical behavioral therapy and acceptance and commitment therapy C : Humanistic therapy and existential therapy D : Dialectical behavioral therapy and existential therapy Correct Answer : B 35 : In mindfulness-based stress reduction and mindfulness-based cognitive therapy, clients learn to do all of the following EXCEPT: 6 / 10

A : deliberately distract their attention and thereby better control their thoughts.

B : become curious, open, and accepting of their thoughts and feelings (even those that are unpleasant).

C : develop greater acceptance of self, other, and things as they are.

D : live in and experience themselves in the present moment.

Correct Answer : A 36 : The process of dialectical behavioral therapy involves helping clients learn to increase balance in their lives by better managing the inherent dialect tensions in life including all of the following EXCEPT: A : being able to seek to improve oneself as well as accept oneself.

B : being able to accept life as it is and also seek to solve problems.

C : taking care of ones own needs and putting them before the needs of others.

D : balancing independence and interdependence.

Correct Answer : C 37 : What therapy is based on the postmodern premise that we construct our realities through language, which shapes our thoughts, feelings, and behaviors?

A : Dialectical behavioral therapy B : Cognitive-behavioral family therapy C : Acceptance and commitment therapy D : Mindfulness-based therapy Correct Answer : C 38 : In which approach is it psychologically healthy to feel bad feelings as well as good feelings?

A : Acceptance and commitment therapy B : Cognitive-behavioral family therapy C : Mindfulness-based therapy D : Dialectical-behavioral therapy Correct Answer : A 39 : Which of the following statements about the Gottman method couples therapy approach is NOT true?

A : The therapist coaches couples to develop the interaction patterns that distinguish successful marriages from marriages that end in breakup.

B : This model is grounded entirely in research results rather than theory.

C : Improving communication helps couples stay together.

D : Better communication produces short-term gains but does not significantly affect whether or not couples stay together.

Correct Answer : C 40 : In the Gottman method of couples therapy, what role does the therapist have with his or her clients?

A : Coach B : Observer C : Peer D : Partner 7 / 10

Correct Answer : A 41 : In Gottmans studies, the presence of four behaviors during a couples argument predicted divorce with 85% accuracy. Criticism, one of the four horsemen, is best described as: A : seeing oneself as superior to ones partner.

B : a statement that implies something is globally wrong with the partner.

C : when the listener withdraws from interaction, either physically or mentally.

D : a way to ward off attack and defensiveness claims.

Correct Answer : B 42 : Which of the following statements about the Four Horsemen of the Apocalypse in Gottmans studies is TRUE? A : Men tend to criticize more than women.

B : Happy marriages have many instances of contempt.

C : Women are more likely to stonewall than men.

D : Most couples criticize, defend, and stonewall to a certain extent.

Correct Answer : D 43 : According to Gottmans research, which of the following statements is NOT true?

A : When failed repair attempts are combined with the Four Horsemen, Gottman can predict whether a couple will divorce in the next five years with 97.5% accuracy.

B : Marriages in which men are willing to accept influence from their wives are 80% more likely to end in divorce.

C : For 96% of couples, only the first minute of data is necessary to predict divorce or stability; harsh startup is one of several key variables in predicting divorce in that first minute.

D : Stable couples have five times as many positive interactions as negative interactions during conflict; distressed couples may have a 1:1 ratio.

Correct Answer : B 44 : In the Gottman method of couples therapy, what are love maps?

A : A series of questions to help the couple understand what helps their partner feel loved B : An outline of things that are hurtful to each partner in the couple C : A series of questions to help the couple become more aware of the issues that are important to their partner D : An outline of the ways each partner expresses love in the relationship Correct Answer : C 45 : Gottman teaches couples a series of rules to help soften startup. Which of the following is NOT a soft startup rule?

A : Complain but dont blame B : Avoid sharing negative feelings C : Ask for what you need D : Be polite and appreciative Correct Answer : B 46 : By design, cognitive-behavioral therapies aim to help clients conform to dominant cultural values, because that is equated with functional within a given society. Therefore, therapists need to carefully consider which of the following when using CBFT? 8 / 10

A : Ensuring treatment goals do not clash with cultural values of the client B : Whether or not the expert stance of the therapist is in conflict with a clients cultural values or beliefs C : Ensuring treatment goals do not clash with cultural values of the client and whether or not the expert stance of the therapist is in conflict with a clients cultural values or beliefs D : None of these is correct Correct Answer : C 47 : When using CBFT with a diverse population, which of the following is important to keep in mind?

A : CBFT is a good fit with any cultural group because it focuses on thoughts and behaviors rather than emotion B : CBFT goals inherently conform to dominant cultural values; therefore, it is necessary to be culturally sensitive C : CBFT treatment goals outweigh religious, cultural, or socioeconomic values D : CBFT therapists should not take an expert stance if the family is of a different cultural background Correct Answer : B 48 : Which of the following statements about CBFT research and the evidence base is most accurate?

A : CBFT therapies are some of the best-researched approaches in family therapy.

B : CBFT is the panacea of mental health termagant.

C : CBFT is superior to other approaches in family therapy.

D : None of these is correct.

Correct Answer : A 49 : Despite the fact that CBFT therapies are some of the best-researched approaches in family therapy, there have been several critiques of the approach, including: A : therapists of other theories contending that the claims of superiority of CBT have more to do with the volume of research by CBT proponents rather than any substantive advantage.

B : that for certain issues, such as adolescent conduct, systemic approaches have been found to be superior to CBT. C : none of these is correct.

D : both that therapists of other theories contend that the claims of superiority of CBT have more to do with the volume of research by CBT proponents rather than any substantive advantage, and that for certain issues, such as adolescent conduct, systemic approaches have been found to be superior to CBT. Correct Answer : D 50 : In the CBFT approach, how does the therapist address the pathologizing interpersonal pattern (PIP) to resolve issues among families?

A : Therapists identify PIPs by tracking both the behaviors and the cognitions in the PIP B : Therapists would conceptualize not just the PIPs the couple presents as a problem, but also the PIPs in each family of origin C : They will have only minimal conversations about PIPs and will carefully assess it only if it seems necessary for a particular client D : None of these are correct 9 / 10

Correct Answer : A 51 : Which of the following is NOT considered a suggestion for using CBFT with Hispanic and Latino clients?

A : Working with spirituality B : Increasing experiential components of CBT C : Forming a collaborative relationship D : Respecting the cultural value of machismo Correct Answer : C 52 : Which of the following is NOT considered a suggestion for using CBFT with African American clients?

A : Addressing discrimination B : Focusing on behaviors and skills C : Forming a collaborative relationship D : Working with spirituality Correct Answer : D 53 : When working with LGBTQ youth and adults, therapists need to assess additional areas of stress and functioning including: A : acculturation bias.

B : intergenerational conflict.

C : internalized homophobia.

D : cultural differences in communication.

Correct Answer : C 54 : Hwang and colleagues recommend that CBFT therapists working with Asian American clients to link Western psychological concepts to the clients cultural beliefs and practices. This strategy is known as: A : cultural nuance.

B : cultural bridging.

C : self-reliance.

D : disputing stereotypes and expectations.

Correct Answer : B

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MULTIPLE CHOICE 1 : Solution-based therapies are arguably the first and leading A : short-term B : strength-based C : solution-oriented D : straight-laced

therapies.

Correct Answer : B 2 : As the name suggests, solution-based therapists spend a minimal amount of time talking about and instead focus on moving the client toward enacting solutions.

A : family B : problems C : sadness D : dreams Correct Answer : B 3 : Contrary to common myths, talking about the is one of the most important means of identifying solutions: what has worked and what has not?

A : past B : present C : future D : unknown Correct Answer : A 4 : Solution-based therapists believe are not considered curative.

A : solutions B : strengths C : emotions D : problems

cannot be avoided in therapy; however, they

Correct Answer : C 5 : According to solution-based therapists, strengths include the resources in a persons life.

Which of the following would NOT be considered a strength?

A : Family support B : Positive relationships C : Religious faith D : Pathology Correct Answer : D 6 : Solution-based therapists have been in the vanguard of a larger movement within mental health that emphasizes identifying and utilizing client to promote better clinical outcomes.

A : saviors B : solutions C : sorrow 1/8

D : strengths Correct Answer : D 7 : What is the key to successfully assessing strengths, no matter how dire and severe a clients situation appears?

A : Having an unshakable belief that all clients have significant and meaningful strengths B : Liking all clients in spite of their shortcomings C : Forgiving clients of their transgressions in order to see their good side D : Finding a clients religious or spiritual beliefs and drawing on those Correct Answer : A 8 : At a time when most therapies focused on the past, Milton Erickson (an inspiration in solutionoriented therapy) directed his clients to focus on which time periods, often envisioning times without the problem?

A : Past and present B : Present and future C : Past and future D : None of these is correct Correct Answer : B 9 : In solution-based therapies, what does it mean for the therapist to assume the position of a beginners mind?

A : To meditate before bringing each client into session B : To start at the very beginning of a clients story C : To make no assumptions about a clients experiences D : To reflect a blank slate to the client Correct Answer : C 10 : A solution-oriented therapist uses a clients description of feeling blue and having a case of the crazies. This is an example of: A : carefully attending to the clients word choice.

B : allowing the client to diagnose him or her self.

C : dismissing the clinical significance of symptoms.

D : colluding with the client against the problem.

Correct Answer : A 11 : Which of the following is an example of how a solution-oriented therapist uses reflection to delimit?

A : You were feeling down.

B : Your partner always does things that annoy you.

C : There is not anyone you are interested in right now.

D : You did not feel understood by your mom yesterday.

Correct Answer : D 12 : In solution-based therapy, and momentum.

A : happiness

is cultivated early in therapy to develop motivation

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B : helpfulness C : hope D : hallucinations Correct Answer : C 13 : A solution-oriented therapist asks a client, Are there any times when the problem is less likely to occur or less severe? Are there places or times when the problem is not as bad? What is the therapist looking for?

A : Exceptions B : Example C : Intensity D : Initiation Correct Answer : A 14 : Steve de Shazer assessed client motivation for change using which three categories?

A : Visitors, rejecters, and customers B : Travelers, complainants, and customers C : Visitors, complainants, and regulars D : Visitors, complainants, and customers Correct Answer : D 15 : Which of the following statements about a visitor in therapy is NOT true?

A : Most mandated clients are visitors in therapy.

B : Therapists need to find ways to connect to a visitors agenda in order to be successful in therapy.

C : Visitors do not have a complaint, but others generally have a complaint against them.

D : Visitors are in therapy to have their problems fixed by an expert.

Correct Answer : D 16 : Sara is a solution-oriented therapist working with Bill and Gina (parents) and their two children, Jake (15) and Madison (9). The parents say Jake is increasingly hostile and wont listen to them. They feel like their family is falling apart. Jake refuses to participate in therapy. He says his parents are the ones with the problem and he doesnt think anything is wrong. Bill and Gina want Sara to have some individual sessions with Jake, saying they cant make a difference and that she needs to fix him. What category describes Bill and Ginas motivation for change?

A : Customers B : Visionaries C : Complainants D : Visitors Correct Answer : C 17 : What are solution-oriented goal descriptions?

A : Problem-focused B : Ones that focus on symptom reduction C : Ones that describe what the client will be doing D : All of these are correct Correct Answer : C 3/8

18 : In solution-oriented therapy, goals are stated in positive, observable, solution-based terms.

Which of the following is NOT a good example of a solution-based goal?

A : Increase periods of enjoyable activity, social interaction, and hope for future B : Increase frequency of couples emotionally intimate conversations C : Increase cooperation and pro-social activities D : All of these are good examples of solution-oriented goals Correct Answer : D 19 : When successfully delivered, what does the miracle question allow clients?

A : To see how their life could have been if there really were miracles B : To envision the future without the problem C : To generate resolutions for their problem D : All of these are correct Correct Answer : B 20 : Which technique can best be used when asking a client to define their goals and rate their progress toward goals?

A : The miracle question B : Scaling questions C : Coping questions D : Pre-suppositional questions Correct Answer : B 21 : If 0 is where you were when you decided to seek help, and 10 is where you would be if the problem you came here for was resolved, where are you today? This is an example of: A : pre-suppositional questions.

B : coping questions.

C : the miracle question.

D : scaling questions.

Correct Answer : D 22 : When using scaling questions, it is up to to identify realistic expectations and to develop specific homework tasks to move the client toward goals.

A : the client B : the therapist C : the client and therapist D : none of these is correct Correct Answer : C 23 : In the beginning of therapy, what is the key to change for clients?

A : Doing one small thing differently B : Doing something different every day C : Planning for long term change D : Setting goals that instill faith Correct Answer : A 4/8

24 : Which of the following is NOT included in the basic tenets of solution-focused intervention according to de Shazer?

A : If it works, do more of it B : Small steps can lead to big changes C : The solution is usually related to the problem D : No problem happens all of the time; there are always exceptions Correct Answer : C 25 : A couple attends therapy with Julia, a solution-oriented therapist. The couple reports a very difficult relationship. They are always arguing, disagreeing, and separating. After a very intense first session, Julia says to the couple, Between now and the next time we meet, I would like you to observe so you can describe to me what happens in your relationship that you do not want to have changed by therapy. What kind of intervention is Julia using?

A : The miracle question B : A formula first session task C : Scaling questions D : Compliments and encouragement Correct Answer : B 26 : Which of the following is an example of a presuppositional question?

A : What are you going to do to resolve this issue?

B : What do you do to contribute to the problem?

C : What will you be doing differently once we resolve these issues?

D : What will your life look like when you change problem?

Correct Answer : C 27 : If a client has difficulty making friends and close relationships but has numerous pets, the therapist will the clients interest in animals to develop more human connections, perhaps by having the client take a dog for a walk in public places, join a dog agility class, or volunteer at a pet shelter.

A : minimize B : maximize C : energize D : utilize Correct Answer : D 28 : In solution-oriented therapy, when is it best for a therapist to compliment the client?

A : To acknowledge a clients progress toward their goals B : To get closer to the client C : To help the client feel good about themselves D : To acknowledge the clients personhood Correct Answer : A 29 : Solution-oriented therapists encourage clients to ask for what they want rather than what they dont want. In other words, they encourage a move from making complaints to making requests. Which of the following is an example of a request?

A : You dont do anything romantic anymore.

B : It would be nice if we went back to giving each other a kiss before we left the house.

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C : I would really enjoy adding some romance back into our relationship.

D : It would be nice if you would show me that you love me.

Correct Answer : B 30 : When working with survivors of sexual abuse and/or trauma, solution-based therapists honor the agency of the survivors. What does this mean?

A : Solution-based therapists insist the survivor share the details of their abuse B : Solution-based therapists take a more directive role in working with the survivor C : Solution-based therapists allow the client to decide whether or when to tell their abuse story D : Solution-based therapists determine the pacing of the therapy Correct Answer : C 31 : In order to help survivors of sexual abuse, solution-based counselors identify clients unique solutions using: A : miracle questions.

B : constructive questions.

C : scaling questions D : coping questions.

Correct Answer : B 32 : In what way is solution-oriented hypnosis different than traditional hypnosis?

A : Solution-oriented hypnosis is hierarchical B : Solution-oriented hypnosis is permissive C : Solution-oriented hypnosis reprograms the client once they are in a trance D : None of these is correct Correct Answer : B 33 : Ericksonian therapists identify client strengths that are in the same class of solutions that relate to the presenting problem. This means the therapist is: A : carefully listening for other situations where the client is able to follow directions.

B : carefully listening for other situations where the client is hopeful.

C : carefully listening for other situations where the client has a sense of success.

D : any of these, depending on the clients presenting problem.

Correct Answer : D 34 : Why is using solution-oriented therapy appropriate when working with diverse populations?

A : The goal-setting process of solution-based therapies is a good fit for many ethnic groups because the goals are predefined by the theory.

B : Focusing on emotions rather than behavior is more comfortable to many ethnic minority groups C : The focus on solving problems from the past rather than the future makes sense to many ethnic minorities D : The solution-based viewing of behaviors in context allows for a fairer understanding of problem behaviors of marginalized populations Correct Answer : D 35 : Which of the following statements most accurately reflects solution-focused therapies 6/8

empirical support as an evidenced-based practice?

A : Solution-based therapies have a steadily growing foundation of empirical support.

B : Solution-based therapies cannot be measured because there are no predetermined goals.

C : Solution-based therapies focus on the solutions, which makes it difficult for clients to remember their problems.

D : Solution-based therapies have a steadily decreasing foundation of empirical support.

Correct Answer : A 36 : Solution-focused therapists often reflect global statements back to clients as partial statements, such as Your partner sometimes does things that annoy you. This is a strategy known as: A : channeling language.

B : echoing your clients key words.

C : the beginners mind.

D : assumption of solution and possibilities.

Correct Answer : A 37 : In the solution-based approach, how does the therapist address the pathologizing interpersonal pattern (PIP) to resolve issues among families?

A : The therapist tends to assess PIPs when assessing for strengths and resources in facilitating WIPs B : Therapists would conceptualize not just the PIPs the couple presents as a problem, but also the PIPs in each family of origin C : They will have only minimal conversations about PIPs and will carefully assess it only if it seems necessary for a particular client D : None of these is correct Correct Answer : C 38 : By using videotalk, therapists help couples separate the to become less defensive with one another.

A : behaviors; interpretation of behaviors B : experience; facts C : stories; experience D : interpretation of behaviors; stories

from the

in order

Correct Answer : A 39 : Which of the following is NOT considered to be a benefit of solution-focused therapy when working with Muslim American clients?

A : Solution-focused practice places less emphasis on the clients inner world B : Muslim Americans may prefer the strength-based approach of solution-based therapies C : Solution-focused therapists typically define the focus of treatment using theoretical assumptions D : Muslim Americans are attracted to the brief and focused nature of solution-based therapy Correct Answer : C 40 : Meyer and Cottone (2013) note several ways that solution-based approaches are compatible with Native Americans. These include: A : the assumption that change is constant.

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B : an emphasis on honoring the clients preferred solution.

C : an orientation of time to the present moment.

D : all of these are correct.

Correct Answer : D 41 : Solution-focused therapy has been identified as a therapeutic approach that may be particularly successful with male clients due to the fact that it does not require expression of vulnerable emotions to be effective. This component of masculinity is known as: A : control B : stoicism C : self-reliance D : action-orientation Correct Answer : B

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MULTIPLE CHOICE 1 : Much like solution-based therapists, postmodern therapists optimistically focus on: A : problem solving.

B : facilitating hope.

C : family relationships.

D : client strengths and abilities.

Correct Answer : D 2 : Which of the following statements most accurately describes collaborative therapy?

A : It is based on Foucaults philosophical writings.

B : The therapist facilitates a dialogical process.

C : The interventions used are very structured.

D : Social justice issues are regularly included in therapy conversations.

Correct Answer : B 3 : What is meant by collaborative therapy as a two-way dialogical process?

A : The therapist and client co-explore and co-create new understanding related to the problem B : Therapists use scripted techniques to facilitate change C : Therapists interpret what the client is saying and reflect the interpretations back to the client D : The therapist directs the meaning-making process in therapy Correct Answer : A 4 : In collaborative therapy, therapists take a not knowing stance. What does this mean?

A : The therapist does not prepare for the session prior to meeting the client B : The therapist does not assume they understand the clients experience before the client tells them about it C : The therapist does not know how to make a diagnosis D : The therapist does not know what the outcome of therapy will be Correct Answer : B 5 : Which of the following would NOT be considered collaborative in collaborative therapy?

A : A monologue B : Using pejorative descriptions of clients C : Offering opinions D : All of these are correct Correct Answer : D 6 : When a collaborative therapist asks the client questions to better understand the clients perspective, or inquires whether the client believes the therapist is understanding what the client is saying, what type of stance is the therapist taking?

A : An impasse stance B : A directive stance C : A curious stance D : A guiding stance Correct Answer : C 1/8

7 : Which of the following statements would best describe the therapeutic relationship in collaborative therapy?

A : A conversational partnership B : A directive relationship C : An empathic relationship D : A loving partnership Correct Answer : A 8 : When Anderson and Goolishian radically proposed the client as the expert, what did they mean?

A : The therapist has no opinion of the client B : The therapist does not have a role in the therapeutic process C : The clients thoughts, ideas, and opinions are valued D : The client knows in which direction therapy should move and dictates when Correct Answer : C 9 : When thinking of the client as expert in collaborative therapy, it may be helpful to think of the client as holding more expertise in the area of and the therapist as holding more expertise in the area of .

A : process; content B : content; process C : stories; interventions D : interventions; stories Correct Answer : B 10 : Collaborative therapists invite clients to provide feedback about the therapeutic process.

Which of the following does process NOT refer to?

A : Who is in the therapy session B : The pacing of therapy C : The types of questions asked D : What needs to be talked about Correct Answer : D 11 : In collaborative therapy, outer talk refers to: A : negative self talk.

B : positive self talk.

C : the verbally spoken conversation between the participants in therapy.

D : the verbal sharing of conversations in therapy with people outside of therapy.

Correct Answer : C 12 : In collaborative therapy, inner talk refers to: A : the thoughts a client is afraid to share with the therapist.

B : talk among members of the inner circle of the family.

C : the internal conversation each individual is having during a conversation.

D : recurring self talk.

Correct Answer : C 2/8

13 : In collaborative therapy, it is said that problems dissolve. What does this mean?

A : Participants in therapy find traditional solutions to their problems or issues during the course of therapy B : Participants understandings of their problems or issues evolve through the dialogue of therapy C : Participants no longer have problems or issues to discuss in therapy D : Participants do not hold on tightly to their problems or issues Correct Answer : B 14 : Collaborative therapists work from a social constructionist, postmodern perspective, which maintains that our realities are constructed in and through relationships.

A : language B : congruence C : dreams D : collaboration Correct Answer : A 15 : The overall goal of collaborative therapy is to increase clients sense of lives: the sense that they are competent and able to take meaningful action.

A : strength B : agency C : power D : self-esteem

in their

Correct Answer : B 16 : The process of transformation through dialogue is inherently and inescapably .

This means that the therapist risks being changed themselves in the context of therapy with the client.

A : positive B : collaborative C : satisfying D : mutual Correct Answer : D 17 : Which of the following best describes appropriately unusual comments?

A : They disorient the persons traditional form of thought.

B : They clearly fit within the clients worldview while offering a new perspective.

C : They point out the obvious.

D : They passively disrupt a persons worldview.

Correct Answer : B 18 : Which of the following types of questions, used in collaborative therapy, comes naturally from the dialogue of therapy rather than from professional theory?

A : Conversational questions B : Unusual questions C : Contagious questions D : Conditional questions 3/8

Correct Answer : A 19 : A client lives in daily fear of having another psychotic episode after not having one for over 10 years. She says that it is her illness that keeps her from moving forward in life. The therapist says, Thats interesting. You say you havent had an episode in 10 years, so hallucinations dont seem to be plaguing you these days. It sounds like the worry about hallucinations is the problem at this point. Do you think of this as part of the original problem, or is it a new problem that only developed after the first was resolved? What is the therapist doing with the client?

A : Mutual puzzling B : Sharing inner dialogue C : Making an appropriately unusual comment D : Being public Correct Answer : A 20 : Collaborative therapists handle professional matterssuch as consulting with a psychiatrist, speaking with a social worker, or filing papers with the courtby discussing it first with the client.

What is another way a collaborative therapist might say this?

A : Being open B : Being public C : Being supportive D : Being professional Correct Answer : B 21 : In the process of collaborative reflecting teams, the goal is to develop diverse strands of conversations so the client can choose those that resonate and those that do not. This is achieved by having the reflecting team: A : observe the client behind a one-way mirror and consult only with the therapist.

B : discuss the client while offering multiple perspectives as the client listens.

C : sit in the therapy room with the therapist and client throughout the session.

D : offer their evaluation and diagnosis of the client while the client is listening.

Correct Answer : B 22 : Anderson offered several guidelines for the use of reflecting teams with clients. Which of the following is NOT one of these guidelines?

A : Only use with the clients permission B : Give the client permission to listen or not to listen C : Comment on what is seen or heard, not what is observed D : Talk from an expert perspective Correct Answer : D 23 : Narrative therapy is based on what premise?

A : We live in our dreams as if they are reality.

B : We get stuck in the past.

C : We project our past onto our future.

D : We story and create meaning from life events.

Correct Answer : D 4/8

24 : Philosopher Michel Foucault described a central concept for narrative therapy: culturallygenerated stories about how life should go that are used to coordinate social behavior, such as how married people should act, what happiness looks like, and how to be successful. What did Foucault call these stories?

A : Dominant discourses B : Local discourses C : Oppressive discourses D : Supportive discourses Correct Answer : A 25 : From the narrative perspective, which of the following is TRUE about the view of problems?

A : Problems are integrated into the person B : Problems are separate from the person C : Problems require reframing of their context D : Problems allow the person to fully experience personal awareness Correct Answer : B 26 : Instead of replacing the problem story with a problem-free story, narrative therapists help their clients do which of the following?

A : Redefine the clients problems as opportunities.

B : Help the client realize how others have wronged them.

C : Find new ways to view, interact with, and respond to problems in their lives by redefining the role of problems.

D : Speak their beliefs about the problem out loud, therefore realizing how absurd they are.

Correct Answer : C 27 : Which of the following does NOT allow the therapists to meet the problem, keeping the problem separate from the person?

A : When did the problem first enter your life?

B : Tell me about your impressions of your problem.

C : How has your relationship with the problem evolved over time?

D : Who else has been affected by the problem?

Correct Answer : B 28 : The role of the therapist in narrative therapy is often described as which of the following?

A : Director B : Coach C : Guide D : Co-author Correct Answer : D 29 : A narrative therapist is working with a client. If the problem-saturated story does not play out in its typical way, it is noted by the therapist as: A : unique outcomes.

B : sparkling events.

C : unique outcomes and sparkling events.

D : none of these is correct.

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Correct Answer : C 30 : A group of teenagers creates a subculture with different beauty standards, sexual norms, vocabulary, and friendship rules than are found in the adult culture. This would be known as: A : dominant discourse.

B : local discourse.

C : oppressive discourse.

D : supportive discourse.

Correct Answer : B 31 : Because narrative therapy is a postmodern approach, it does not include a set of predefined goals that can be used with all clients. It could be said, however, that the broad goal of narrative therapy is: A : to help clients enact their preferred realities and identities.

B : to help clients reduce the symptoms of their presenting problem.

C : to help clients find ways to communicate congruently.

D : to help clients increase their sense of agency in their lives.

Correct Answer : A 32 : A narrative therapist is working with a 17-year-old client, Alexa, and her mother regarding Alexas struggles with an eating disorder. As therapy has progressed, and the therapist has worked with Alexa to separate her from her problem, the therapist might phrase a middle-phase goal in therapy in which of the following ways?

A : Increase instances of defiance in response to anorexias directions to not eat.

B : Increase food intake from less than one time daily to three times daily in six weeks.

C : Reduce the rigid patterns that fuel the anorexic behavior.

D : Reduce the negative contact between Alexa and the anorexia.

Correct Answer : A 33 : In narrative therapy, the process or intervention of separating the person from the problem is known as: A : deconstruction.

B : mapping.

C : externalization.

D : scaffolding.

Correct Answer : C 34 : Externalization can have which of the following beneficial effects?

A : It increases unproductive conflict and blame between family members B : It highlights the times problems have had influence over the clients or family C : It invites people to unite in a struggle against the problem to reduce its negative influence D : It encourages constant, unhelpful interaction with the problem Correct Answer : C 35 : In narrative therapy, letters are used for each of the following purposes EXCEPT: A : to solidify preferred narratives.

B : to scrutinize the problem story.

C : to emphasize client agency.

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D : to consolidate gains in therapy.

Correct Answer : B 36 : When working with perpetrators of domestic violence, Jenkins uses a nine-step model that requires the client to: A : take full responsibility for the violence and for ending it.

B : externalize the violence and attack it.

C : identify powerlessness against violence and succumb to it.

D : identify the cause of the violence and reduce it.

Correct Answer : A 37 : Which of the following statements is TRUE about postmodern therapies?

A : They integrate consideration of cultural issues at the most fundamental level of their method.

B : They are often considered the quintessential approach for diverse populations.

C : They are particularly suitable for clients from marginalized groups.

D : All of these are correct.

Correct Answer : D 38 : According to Siegel (2012), processing experience using the bottom three layers of the prefrontal cortex to generate new understandings, categories, and stories for what is happening is known as: A : not knowing position.

B : reflection.

C : top-down processing.

D : bottom-up processing.

Correct Answer : D 39 : Consistent with their philosophical underpinnings, narrative and collaborative therapists have conducted more than investigations about their approaches to therapy.

A : qualitative; quantitative B : quantitative; qualitative C : process research; narrative D : clinical trials; qualitative Correct Answer : A 40 : In the CBFT approach, how does the therapist identify the pathologizing interpersonal pattern (PIP) to resolve issues among families?

A : Therapists identify PIPs by tracking both the behaviors and the cognitions in the PIP B : They will have only minimal conversations about PIPs and will carefully assess it only if it seems necessary for a particular client C : Therapists identify PIPs by mapping the influence of the problem and using a statement position map D : Therapists would conceptualize not just the PIPs the couple presents as a problem, but also the PIPs in each family of origin Correct Answer : C 41 : In dominant gendered discourses, that define how men and women should behave 7/8

themselves, women are expected to: A : sacrifice more for relationships and assert more personal needs.

B : sacrifice more for relationships and assert fewer personal needs.

C : form a collaborative relationship.

D : respect the cultural value of machismo.

Correct Answer : B 42 : In the 2010 census, more than multi-ethnic.

A : 15% B : 30% C : 6% D : 10%

of opposite-sex households identified as multiracial or

Correct Answer : D 43 : The open dialogue approach relies primarily on psychosis patients.

A : storytelling therapy; hero/heroine therapy B : subtle eye contact; active listening C : collaborative dialogue; reflecting practices D : remembering practices; externalizing conversations

and

when working with

Correct Answer : C

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MULTIPLE CHOICE 1 : The author of the text suggests that the first step in therapy is for the therapist to map the territory. To develop a good map, therapists need to master the art of , which in a talking profession like therapy refers to knowing where to focus your attention while listening.

A : painting B : viewing C : watching D : asking Correct Answer : B 2 : Case conceptualization starts by identifying the most salient demographic features that relate to treatment as well as: A : who the client is.

B : what the client had for dinner.

C : where the client lives.

D : how the client lives.

Correct Answer : A 3 : When eliciting descriptions of the presenting concern/problem in couples or family therapy, it is important to get a description from: A : each client in the room.

B : extended family.

C : broader systems.

D : all systems/parties involved in therapy.

Correct Answer : D 4 : Which of the following is NOT recommended that the family therapist include when obtaining a description of the presenting problem?

A : The reason each client states he or she is seeking therapy B : Information from the referring agent and his or her description of the problem C : A brief history of the problem and the family D : Descriptions of the failures the family has had when trying to solve the problem on their own Correct Answer : D 5 : The collaborative language systems approach maintains that each person who is talking about the problem is part of the ; therefore, each persons description of a situation should be considered when conceptualizing the problem.

A : somatic-generating system B : solution-generating system C : problem-generating system D : behavior-generating system Correct Answer : C 6 : Obtaining background information about the problem is an important part of case conceptualization. Which of the following would NOT be considered background information or the necessary facts of the case?

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A : History of trauma and abuse B : Substance use and abuse C : Precipitating events D : Nine-generation family history Correct Answer : D 7 : The author of the text recommends client strengths and resources be assessed in which stage of therapy?

A : First thing in the assessment B : Mid-way through treatment C : When therapy is about to terminate D : At no stage because client strengths and resources are not relevant to treatment Correct Answer : A 8 : To conceptualize client strengths and resources, therapists can think of strengths at several levels, including all of the following EXCEPT: A : personal/individual.

B : relational/social.

C : therapeutic.

D : spiritual.

Correct Answer : C 9 : What are the two general categories of personal/individual strengths?

A : Abilities and self-acceptance B : Abilities and personal qualities C : Personal qualities and traits D : Personal qualities and self-acceptance Correct Answer : B 10 : For what purpose should a family therapist assess a clients spiritual resources?

A : To enforce spirituality and religion as a part of the solution to the clients problems B : To access beliefs that may transform how the client feels, thinks, and responds to difficult situations C : To promote spiritual and religious tolerance among therapists D : All of these are correct Correct Answer : B 11 : Assessment of family structure often begins by identifying the client or familys stage in the: A : family circus.

B : family room.

C : family life cycle.

D : family plan.

Correct Answer : C 12 : Most commonly associated with structural family therapy, boundaries are the rules for negotiating interpersonal and .

A : closeness; intimacy 2/5

B : relationships; distance C : relationships; intimacy D : closeness; distance Correct Answer : D 13 : When a couple begins to over-value togetherness at the expense of respecting the individuality of each other, their boundaries become and the relationship becomes .

A : diffuse; enmeshed B : disengaged; diffused C : rigid; disengaged D : none of these is correct Correct Answer : A 14 : Three of these four terms refer to a similar process in relationships: tension between two people resolved by drawing in a third person or thing to stabilize the original dyad. Which of the following terms does NOT fit this description?

A : Subsystem B : Triangle C : Covert coalition D : Cross-generational coalition Correct Answer : A 15 : When assessing the parental hierarchy in parent and child relationships, what is the healthy or appropriate hierarchical structure?

A : Excessive B : Insufficient C : Permissive D : Effective Correct Answer : D 16 : One of the hallmarks of family therapy is the ability to assess the familys related to the presenting problem.

A : structural patterns B : behavior modification C : interaction patterns D : interpersonal relationships Correct Answer : C 17 : A therapist says, A childs symptom of school failure forces the couple, the childs parents, to work together and distracts the couple from their distressful marital relationship. The therapist has developed what about this family?

A : A systemic hypothesis B : An interaction pattern C : An intergenerational map D : A communication configuration Correct Answer : A 3/5

18 : Assessing for intergenerational patterns is easiest when a therapist uses: A : a guide.

B : a model.

C : a survey.

D : a genogram.

Correct Answer : D 19 : Monica is a family therapist completing an assessment with a family. She says to the family, What have you done on your own to try and solve this problem of Jesses school failure? What have you tried that was not as successful as you had hoped? What is Monica looking for?

A : Solutions that did work B : Solutions that did not work C : Solutions that she can try in therapy D : Unique outcomes Correct Answer : B 20 : Which of the following would be considered common dominant discourses that inform a clients life?

A : Culture, race, ethnicity, and immigration B : Gender, sexual orientation, and sexual preferences C : Stories of divorce, death, and loss of significant relationships D : All of these are correct Correct Answer : D 21 : When a case conceptualization is complete, it is appropriate and helpful for the therapist to: A : hand the entire case conceptualization over to the client(s).

B : discuss key findings with the client(s).

C : shield the client(s) from the content of the case conceptualization.

D : discount the clients/clients perspective(s) when conceptualizing treatment.

Correct Answer : B 22 : Therapists CANNOT rely simply on descriptions of behavior in assessment.

They must consider the broader culture norms, which may include more than one set of ethnic norms as well as local neighborhood cultures, school contexts, sexual orientation subcultures, religious communities, and so forth.

A : objective B : absolute C : pre-defined D : all of these are correct Correct Answer : A 23 : In case conceptualization, therapists must consider broader cultural norms, including: A : school contexts.

B : sexual orientation subcultures.

C : religious communities.

D : all of these are correct.

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Correct Answer : D 24 : When a therapist asks the question, How has the problem shaped each significant persons identity? they are creating a(n) for each individual involved.

A : identity narrative B : gender discourse C : client perspective D : attachment behavior profile Correct Answer : A 25 : Which of the following does NOT represent a common complementary pattern in a relationship?

A : Overfunctioner/underfunctioner B : Pursuer/distancer C : Friendly parent/ permissive parent D : Emotional/logical Correct Answer : C 26 : Common resources due to diversity include: A : lack of purpose and direction.

B : beliefs that provide comfort.

C : difficulty finding opportunities.

D : isolation and difficulty meeting others.

Correct Answer : B

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MULTIPLE CHOICE 1 : A clinical assessment focuses more on the and health dynamics of clients, allowing the therapist to have a better sense of how to more effectively partner with clients in therapy.

A : physical B : emotional C : psychological D : external Correct Answer : C 2: and diagnosis help therapists identify potential courses of treatment; decide how best to keep clients and the public safe; and determine the need for referrals and additional services.

A : Case conceptualizations B : Case reporting C : Therapeutic analysis D : Clinical assessments Correct Answer : D 3 : Like most things in life, a clinical assessment has some potential dangers and pitfalls. Which of the following can make clinical assessment possibly dangerous?

A : The therapist B : Neutrality C : Objectivity D : Subjectivity Correct Answer : A 4 : A systemic perspective of diagnosis describes: A : a persons medical history.

B : a persons cognitions in a particular relationship.

C : a persons somatic complaints.

D : a persons behavior in a particular context.

Correct Answer : D 5 : In a general family therapy approach to diagnosis, each description of the problem is considered one of many possible that depend on webs of relationships and social discourse; it does not stand on its own.

A : facts B : truths C : diagnoses D : meanings Correct Answer : B 6 : Postmodern therapists are skeptical of diagnoses because these become that clients use to inform their identityoften silencing their strengths, resiliencies, and capabilities.

A : diagnoses 1/5

B : truths C : labels D : diagnoses and truths Correct Answer : C 7 : A parity diagnosis differs from a non-parity diagnosis in which way?

A : It is not reimbursed by insurance.

B : It is reimbursed at the same rate as a medical disorder.

C : It is a parody of an existing diagnosis.

D : It does not include severe disorders.

Correct Answer : B 8 : Which of the following is about helping clients lead rich, meaningful lives rather than simply reducing symptoms related to a mental health diagnosis?

A : Discovery model B : Recovery model C : Systemic model D : Humanistic model Correct Answer : B 9 : The recovery model uses a social model of disability rather than a medical model; thus, it deemphasizes diagnostic labeling and emphasizes , the hallmark of family therapy approaches.

A : psychotic functioning B : psychosocial functioning C : family functioning D : physical functioning Correct Answer : B 10 : A systemic approach to assessing a clients mental status and making a diagnosis is approached using a combination of which two systemic techniques?

A : Problem assessment and linear questions B : Problem assessment and multi-modal questions C : Problem assessment and circular questions D : None of these is correct Correct Answer : C 11 : A mental status exam from a postmodern perspective involves honoring a clients and of the problem?

A : narrative; intensity B : feelings; frequency C : cognitions; severity D : description; perception Correct Answer : D 12 : Formal written assessments have been standardized to help therapists obtain a more assessment of client functioning.

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A : subjective B : objective C : inclusive D : exclusive Correct Answer : B 13 : Before making a clinical diagnosis, family therapists should consider which of the following factors that include age, ethnicity, and family dynamics?

A : Global B : Divisive C : Contextual D : Mental Correct Answer : C 14 : When family therapists are completing a clinical assessment, they should consider risks.

Which of the following are important risk management indicators?

A : Suicidality B : Homicidality C : Substance abuse D : All of these are correct Correct Answer : D 15 : When assessing certain risk factors, therapists should be aware of the types of child abuse considered reportable according to most state authorities. They include all of the following EXCEPT: A : sexual abuse.

B : physical abuse.

C : emotional abuse.

D : neglect.

Correct Answer : C 16 : Family therapists should be aware of other risk factors when assessing clients. These risk factors include: A : eating disorders.

B : cutting or self-harm.

C : criminal or legal history.

D : all of these are correct.

Correct Answer : D 17 : Whenever a potential risk is identified during an assessment or in the course of therapysuch as passive suicidal ideation, history of cutting, and history of abusewhich of the following should be established?

A : A full report B : A safety plan C : A family contract D : A weekly log Correct Answer : B 3/5

18 : Having a specific plan about who to call and what to do if a crisis begins to arise, as well as identifying tasks to calm oneself such as journaling and exercising, are considered to be components of: A : identity plan.

B : assessment plan.

C : safety plan.

D : treatment plan.

Correct Answer : C 19 : Which of the following is NOT considered a common case management activity?

A : Contacting and coordinating care with clients social workers B : Referring client for a medical assessment to rule out medical causes and/or exacerbating conditions C : Referring client for social services such as job training, welfare, housing, victim services, and legal assistance D : Planning for termination of therapy Correct Answer : D 20 : Perhaps one of family therapys more unique and important contributions to the field of mental health is the concept of , meaning delivering messages in a way the intended audience can receive it.

A : learning to speak in medical language B : learning to speak the clients language C : learning to speak the formal DSM language D : all of these are correct Correct Answer : D 21 : A description of interpersonal issues might include which of the following mental status terms?

A : Hypersomnia and disrupted sleep B : Constricted affect C : Anxiety and irritability D : Conflict and enmeshment Correct Answer : D 22 : Elder adult abuse includes all of the categories for child abuse as well as: A : isolation.

B : financial abuse.

C : emotional abuse.

D : inattention.

Correct Answer : B 23 : Areas of impairment that may result from a clinical condition include: A : social relationships.

B : family activities.

C : emotional status.

D : all of these are correct.

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Correct Answer : A 24 : The DSM-5 includes that can be used to determine whether symptoms are mild, moderate, or severe when making a diagnosis.

A : a diagnostic symptom analysis test B : a symptom assessment chart C : symptom severity scales D : a Michigan Symptom Screening Test Correct Answer : C

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MULTIPLE CHOICE 1 : The type of treatment planning the vast majority of MFTs must complete in order to receive third-party payment and, arguably, to maintain standard practice of care in the 21st century is derived from: A : the treatment model.

B : the theory model.

C : the factious model.

D : the medical model.

Correct Answer : D 2 : Which of the following treatment plan focuses solely on clients medical symptoms?

A : Diagnosis-based treatment plans B : Symptom-based treatment plans C : Theory-based treatment plans D : Outcome-based treatment plans Correct Answer : B 3 : Clinical treatment plans provide a straightforward, comprehensive overview of treatment.

Which of the following is NOT a part of clinical treatment plans?

A : Therapeutic tasks B : Client goals C : Interventions D : Therapist perspective Correct Answer : D 4 : According to the author, therapeutic tasks serve what primary purpose in a treatment plan?

A : To inform the client of what they need to do for therapy to be successful B : To satisfy third party payers C : To help the therapist fully conceptualize their tasks D : To guide people unfamiliar with therapy along Correct Answer : C 5 : Which of the following would be considered an initial phase therapeutic task?

A : Monitoring the working alliance B : Establishing a therapeutic relationship C : Developing aftercare plans D : Completing treatment goals Correct Answer : B 6 : For each treatment task, you should also note how you will address diversity issues such as culture, race, sexual orientation, and gender orientation. Which of the following examples might be a way to address diversity in treatment tasks?

A : Use of humor with teens B : Use of personalismo with Hispanic/Latino clients C : Inclusion of spirituality and religious resources D : All of these are correct 1/3

Correct Answer : D 7 : Increasing the frequency of social interaction and reengagement in music, sports, and hobbies to reduce the severity of a depressed mood is an example of: A : a therapeutic task.

B : joining.

C : a goal.

D : an assessment.

Correct Answer : C 8 : If any crisis issues were identified during the clinical assessment, how should the therapist use the information when formulating goals?

A : The therapist should report them to the insurance agency B : The therapist should discontinue therapy immediately C : The therapist should address the crisis issues in the initial client goals D : The therapist should keep the crisis issues to the side of the clients presenting problem Correct Answer : C 9 : When creating useful therapeutic goals, it is helpful to: A : stick to the formula to make sure your new goal is not less effective than a theoretical or clinical goal.

B : describe what symptoms will be addressed by changing the personal/relational dynamic.

C : consult with the insurance company first so no time is wasted on goals that will not be covered.

D : make sure the goal is formulaic.

Correct Answer : B 10 : The anatomy of a client goal includes using action verbs such as: A : increasing effectiveness of parental hierarchy between adult female (AF) and child female (CF) to reduce frequency of CFs tantrums per week.

B : reducing and interrupting pursuerdistancer pattern between adult female (AF) and adult male (AM) to reduce AFs sense of hopelessness and AMs irritability.

C : increasing frequency of social interaction and reengagement in music and sports hobbies to increase periods of positive mood.

D : all of these are correct.

Correct Answer : D 11 : During the initial phase of therapy, client goals generally involve or focus on all of the following EXCEPT: A : stabilizing family relationships.

B : stopping self-harm behaviors.

C : managing abuse issues.

D : addressing substance abuse issues.

Correct Answer : A 12 : When working with clients in therapy, once treatment has been conceptualized and therapeutic tasks and client goals have been identified, it is necessary for the therapist to 2/3

identify: A : interventions.

B : future plans.

C : collateral contacts.

D : therapy games.

Correct Answer : A 13 : Considering the likely to be effective.

A : therapists ideas B : therapists fee for treatment C : clients perspective D : clients insight

is/are crucial to designing a treatment plan that is

Correct Answer : C 14 : Treatment plans give therapists a that makes it easier to respond quickly and skillfully to new and unplanned issues clients may present.

A : sense of mobility and identity B : sense of confidence and clarity of thought C : sense of ideology and responsibility D : sense of increased theoretical awareness and safety Correct Answer : B 15 : Which of the following is a change to treatment that should be considered to account for a diversity of age ranges?

A : Using a more formal relational style with immigrants B : Adjusting interventions based on geographic region C : Accounting for womens source of identity D : Use of humor with teens Correct Answer : D

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MULTIPLE CHOICE 1 : Therapists have two general options for measuring progress. What are they?

A : General and experimental measures B : Linear and analytical measures C : Nonstandardized and standardized measures D : Formal and informal measures Correct Answer : C 2 : Many insurance companies have shifted toward having clients complete which of the following to assess if therapy is warranted and effective?

A : Progress checklists B : Treatment plans C : Assessments D : Outcome measures Correct Answer : A 3 : There are many advantages of nonstandardized evaluations. The advantages include: A : they are as reliable or valid as standardized measures.

B : they are easily adapted for diverse clients.

C : they are not difficult to use with persons with severe pathology.

D : they are not difficult to use with children if parents are not there.

Correct Answer : B 4 : Gayle, a family therapist working with a couple in therapy, asks the couple at the beginning of each session, This week, on a scale of 0 to 10, (0 meaning no improvement and 10 meaning we did not argue once) how have things been for each of you? What is Gayle attempting to do here?

A : Assess her clients problems B : Help her clients assess their own progress C : Standardize therapy D : None of these is correct Correct Answer : B 5 : Which of the following is usually true of standardized evaluations?

A : They are considered to be less reliable and valid B : They are less able to make cross-client comparisons C : It is difficult to use them to make comparisons across time D : They may require more therapist time and/or equipment and resources Correct Answer : D 6 : When scoring standardized evaluations with diverse clients, which of the following statements is true?

A : Generally, the less diverse the clientele, the more difficult it is to accurately interpret scores.

B : Generally, the more diverse the clientele, the more difficult it is to accurately interpret scores.

C : Standardized evaluations cannot be used with diverse populations.

D : Standardized evaluations are developed initially for use with diverse populations.

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Correct Answer : B 7 : As with nonstandardized evaluations, standardized measures have both advantages and disadvantages. Which of the following is NOT an advantage of standardized evaluations?

A : They are considered more reliable and valid B : The therapist is better able to make cross-client comparisons C : The therapist is better able to make comparisons across time D : They are easily adapted for diverse clients Correct Answer : D 8 : Ultra brief instruments are those that require which of the following amounts of time?

A : As little as 1 minute B : As few a 5 minutes C : As few as 8 minutes D : A little as 10 minutes Correct Answer : A 9 : Which of the following is not a guideline for using standardized measures in everyday practice?

A : Use instruments that take 5 minutes or less to complete B : Use instruments at regular intervals, weekly or monthly C : Use measures at the beginning and end of every session D : Use measures clients will complete at the beginning of sessions Correct Answer : C 10 : The Outcome Rating Scale measures which areas of functioning?

A : Individual B : Interpersonal C : Social D : All of these are correct Correct Answer : D 11 : Which of the following measures the client-therapist relationship?

A : General Rating Scale B : Ultra Brief Rating Scale C : Outcome Rating Scale D : Session Rating Scale Correct Answer : D 12 : Brief measures refer to assessment instruments that require less than 10 minutes to complete. Which of the following is considered to be a brief measure?

A : Session Rating Scale (SRS) B : Outcome Questionnaire C : Extensive Client Questionnaire D : None of these is correct Correct Answer : B 2/3

13 : Beth is a first-year family therapist who has just started working with clients. One of her clients is in therapy to work through his depression. The client is a 19-year-old male who has just recently moved to the United States from Puerto Rico. The client states that he still has a hard time with the English language, though he understands enough to carry on a conversation.

Beth wants to get an accurate assessment of the client and his problem, but is unsure which type of assessment would be best in this case. What type of measurement should Beth use?

A : Standardized: The client does not fit the cultural norm, so he must be given a paper and pencil test B : Standardized: Culture has no effect on the validity of standardized instruments C : Non-standardized: It will give a more detailed and objective assessment based on the clients cultural norms D : Non-standardized: A detailed self-report is most likely to capture the clients perspective Correct Answer : D 14 : What is one of the most critical aspects of success related to the outcome of using an assessment instrument?

A : The clients willingness to participate in therapy B : The insurance companys demand for them C : The therapists attitude about assessment D : None of these is correct Correct Answer : C 15 : The Dyadic Adjustment Scale is often used to measure progress with: A : teens.

B : intergenerational family units.

C : couples.

D : individuals.

Correct Answer : C 16 : The authors of the Family Adaptability and Cohesion Evaluation Scale propose that the balance of and are the two primary factors for conceptualizing relational functioning.

A : disengagement; conflict B : cohesion; flexibility C : adaptability; balance D : balance; rigidity Correct Answer : B

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MULTIPLE CHOICE 1 : These make up the official medical file, the formal medical record shared with other medical professionals, clients (upon written request), and/or in response to subpoenas. Third-party payers generally have detailed requirements for the content of these. What are they?

A : Process notes B : Progress notes C : Psychotherapy notes D : Payment notes Correct Answer : B 2 : What detailed information are third-party payers looking for in progress notes?

A : Personal content of a clients life B : Details on the therapeutic conversation C : The frequency and duration of symptoms D : None of these is correct Correct Answer : C 3 : The goal with progress notes is to maximize client privacy while simultaneously: A : acknowledging the clients medical history.

B : documenting competent treatment that conforms to professional standards of care.

C : writing psychotherapy notes.

D : talking to third-party individuals to get a more holistic view of the client.

Correct Answer : B 4 : Which of the following is an exception to the general principle of using minimal client information in progress notes?

A : When interviewing a child B : When stabilizing a crisis situation C : When meeting a family sent by the court D : When a client has an affair Correct Answer : B 5 : Which of the following is NOT one of the common ingredients of progress notes appropriate for meeting HIPAA guidelines and third-party payers?

A : Clients full name B : Date, time, and length of session C : Who attended the session D : Clients progress, including improvement or worsening of symptoms Correct Answer : A 6 : Developed in response to early managed care requirements, DAP notes are one of the more common formats for progress notes. DAP stands for: A : diagnosis, assessment, and plan.

B : diagnosis, action, and progress.

C : data, assessment, and plan.

D : data, action, and progress.

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Correct Answer : C 7 : SOAP notes are a second widespread format for progress notes. What does the S stand for in the acronym?

A : Survey: using surveys to understand the clients presenting problem B : Summary: the therapists summary of the session C : Symptoms: determining what diagnosis the symptoms meet D : Subjective observations: the clients narrative or reported symptoms Correct Answer : D 8 : Progress notes should document the duration, frequency, and severity of symptoms clients report. Which of the following is NOT a good example of this type of documentation?

A : Client reports mild depressed mood most days (or five out of seven days) B : Client reports one panic attack the past week, moderate severity C : Client reports feeling better since starting therapy D : Client reports decreased conflict with parents; two arguments past week Correct Answer : C 9 : Progress notes should clearly identify interventions the therapist used to help the client address the problems identified in the treatment plan. Which of the following is an example of a theory-specific intervention?

A : Identified steps to reduce depression over next week B : Created genogram to increase insight related to family drinking patterns C : Practiced alternatives to conflict D : Talked about fears with client Correct Answer : B 10 : A therapist notes, Client receptive to reframe related to work issues; less receptive to reframe of pattern related to relationship. What is the therapist documenting?

A : Symptoms and progress B : Interventions C : Client response D : Plan Correct Answer : C 11 : Client will bring parents to the next session. This describes: A : client response.

B : plan.

C : crisis issues.

D : consultation.

Correct Answer : B 12 : Jillian reported to her therapist that she had been cutting over the last week to cope with stress related to her abusers release from prison. The therapist does a thorough assessment of the clients safety and creates a safety plan with Jillian for the next week until her next scheduled appointment. How should the therapist document the crisis issues?

A : With as little information as possible to protect Jillians privacy 2/3

B : In writing with clear details about the assessment process and specific actions taken to ensure the safety of Jillian C : The therapist should not document the crisis at all D : None of these is correct Correct Answer : B 13 : How should therapists sign their progress notes?

A : Electronically B : With initials C : By hand and including credentials D : All of these are correct Correct Answer : C 14 : When is the best and most proper time to write progress notes?

A : During the session B : Immediately after the session C : 24 hours after the session D : Right before the same clients next session Correct Answer : B 15 : What must the therapist do with any piece of paper that has identifying client information on it, including phone message pads or calendars?

A : Save them in the client file B : Keep them out of sight C : Keep them in the locked file D : Throw them away Correct Answer : C 16 : Approximately A : 78% B : 57% C : 23% D : 99%

of mental health practitioners now complete their records electronically.

Correct Answer : A 17 : Progress notes should document the specific interventions the therapist used to help the client address the problems identified in the treatment plan. Which of the following is NOT a good example of this type of documentation?

A : Used solution-focused scaling to identify steps to reduce depression over next week B : Created genogram to increase insight related to family drinking patterns C : Discussed work stress D : Used solution-focused scaling to identify steps to reduce depression over next week Correct Answer : C

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