AMFTRB Practice Questions Pt 4 Flashcards

1
Q

All of the following are examples of physiologically-based sexual dysfunction except:

A. hypoactive sexual desire.
B. anorgasmia.
C. premature ejaculation.
D. erectile disorder.

A

A. hypoactive sexual desire.

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2
Q

Studies have found that 76% of bulimics were at least much improved using the following approach:

A. Object Relations approach.
B. Structural / Strategic approach.
C. Milan Systemic approach.
D. Solution-Focused approach.

A

B. Structural / Strategic approach.

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3
Q

Which of the following therapists emphasized the importance of transgenerational themes:

a. Satir.
b. Whitaker.
c. Minuchin.
d. Erikson.

A

b. Whitaker.

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4
Q

The Beavers System approach to family assessment includes:

A. interactional competence scales and interactional style scales.
B. defining how the family structure maintains ineffective patterns.
C. tracking interactional patterns that maintain the problem.
D. family reports on cohesion and adaptability.

A

A. interactional competence scales and interactional style scales.

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5
Q

The practice of letter writing to clients and support leagues is a powerful adjunct to a therapy session. This practice was developed by:

A. David Epston
B. Michael White
C. Lynn Hoffman
D. Tom Anderson.

A

A. David Epston

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6
Q

The husband says that he is angry at his wife. The therapist says, “Look at your wife and tell her why you are angry?” What technique would the therapist be using?

a. accommodating.
b. enactment.
c. directing.
d. joining.

A

b. enactment.

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7
Q

In the course of therapy with a single-parent mother (age 54) and her adopted daughter(16) who has a history of bulimia, the therapist reinforces with praise both mother and daughter’s success over the past week at not listening to bulimia. The therapist then asks the daughter to make contact with the person in her life this next week who would be least surprised at her success. This technique is called:

A. historicizing unique outcomes.
B. restorying the subjugated narrative.
C. mapping the relative influence of the problem.
D. collapsing time.

A

A. historicizing unique outcomes.

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8
Q

Watzlawick would describe couples who are free to pursue careers and share childrearing and household chores as having a:

A. symmetrical relationship.
B. healthy relationship.
C. a postmodern relationship.
D. complementary relationship.

A

A. symmetrical relationship.

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9
Q

A study of family therapy, rated outcomes in two different ways. The first way was a self-report in which family members were asked to rate their improvement on a scale of 1 – 5. The second rating was by trained observers watching for changes in specific behaviors on video playback of the families in their sessions. They also rated improvements on a scale of 1 – 5. Which of the following statements is correct?

a. This must be a qualitative study which can give us information about the specific individuals being studied, but cannot generate more general conclusions, which can only come from a quantitative study with robust statistical outcomes.
b. The mean of the findings can be found by adding up all the ratings and dividing by 2.5 (half of 5, which is the highest rating).
c. We can be more confident in the findings to the extent that the self-reports and observer ratings correlate.
d. Trained observers are likely to be more reliable then family members who are expected to offer more subjective judgments.

A

c. We can be more confident in the findings to the extent that the self-reports and observer ratings correlate.

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10
Q

An MFT in a 3-person group practice keeps her client PHI on her office computer. She uses clinical practice management software that keeps most information she needs conveniently organized. In addition to all insurance information, the software does her billing via direct internet connection to a payer clearinghouse, resulting in quick turn-around of payments, and also allows for email communications with the client, keeping the emails organized and associated with the client record. The software also provides a text entry area to record the session information. However, during her original clinical training, she developed the habit of scribbling a few notes on a pad next to her as she conducted her therapy sessions, which she still does. Her computer is password protected, she uses an encryption technology for all client and insurance company electronic/email transactions and her handwritten session notes are kept on paper and filed in a locked cabinet in her office. Two of the clinicians in the practice described above share the same family therapy case. One sees the parents in couples therapy, the other works with their 16 year old daughter individually, also offering occasional family meetings. The daughter often tells her therapist that there is information that she does not want disclosed to her parents.

Which of the following statements is correct?

a. In states where the ‘age of majority’, also called, ‘age of consent’ is 16, HIPAA PHI protection and access guidelines apply to the daughter’s request.
b. The therapists can exchange HIPAA protected PHI without authorization from either parent because they are within the same covered entity.
c. The therapists can exchange psychotherapy notes and other experiences without written authorization because they are in the same covered entity.
d. HIPAA Privacy Rules allow for the exchange of psychotherapy notes and counseling content without authorization, and also even when opposed by the client, for the purposes of normal healthcare operations.

A

c. The therapists can exchange psychotherapy notes and other experiences without written authorization because they are in the same covered entity.

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11
Q

When working with couples, Satir was not interested in:

A. a change in his/her perception of him/herself and of others, which has both cognitive and affective parts.
B. a change in his/her way of manifesting thoughts and feelings.
C. a change in his/her way of reacting to the stimulus and feedback of others.
D. a change in or removal of the presenting problem.

A

D. a change in or removal of the presenting problem.

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12
Q

The Structural School of family therapy utilizes a model of “normal family functioning” based upon:

A. how well this family functions compared to norms.
B. clarity of boundaries between generations.
C. presence or absence of symptoms.
D. family organization.

A

D. family organization.

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13
Q

In a therapy session a husband implies that his wife appears to get her own way most of the time. The therapist then suggests that the husband say ‘no’ to the wife once during the following week. In initially assessing this client, a Strategic therapist would do all of the following except:

A. develop a plan for the problem.
B. take a family history.
C. define the problem.
D. think of the problem that simultaneously offers a solution to the problem and is a problem itself.

A

B. take a family history.

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14
Q

Which of following statements are true of Emotionally Focused Therapy?

a. all of the possible choices.
b. Emotionally Focused Therapy is generally contraindicated for Bulimic symptoms, including the frequency and severity of purging or vomiting.
c. Emotionally Focused Therapy adds to cognitive therapy a focus on the constructive aspects of specific emotions.
d. Emotionally Focused Therapy is generally contraindicated in the short term for those conditions in which there is an under-control of emotion, e.g., panic disorder and impulse disorders.

A

d. Emotionally Focused Therapy is generally contraindicated in the short term for those conditions in which there is an under-control of emotion, e.g., panic disorder and impulse disorders.

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15
Q

Susan, a 31 yr. old, African-American woman has begun therapy for the first time. Her therapist has explained to her how how important it is for her to come on a weekly basis, that this sort of continuity and regular meeting times is important to her feeling comfortable in therapy, allowing her to develop a sense of trust and safety so that she can express her most private thoughts without fear of consequence. This is an example of the therapist:

a. HIPAA Privacy Rule
b. Battle for Structure
c. Joining
d. Setting the Frame

A

d. Setting the Frame

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16
Q

Common techniques used in Structural Therapy include:

a. positively connoting dysfunctional interactions in session.
b. asking circular and reflexive question prior to an enactment.
c. teaching families how to tell their own Structural narratives.
d. unbalancing the family equilibrium and re-aligning boundaries.

A

d. unbalancing the family equilibrium and re-aligning boundaries.

17
Q

A twelve-year-old boy was brought to therapy because he wet the bed almost every night. The mother had been hospitalized at one time for depression. The father worked long hours, and the mother complained about his lack of interest in her and his attraction to other women. The therapist hypothesized that the bed-wetting was both a metaphorical expression of the father’s improper behavior and an attempt to help the parents by eliciting their concern and distracting them from their other problems. This assessment of the problem is associated with:

A. Strategic.
B. Solution-focused.
C. Structural.
D. Object-relations.

A

A. Strategic.

18
Q

Structural and MRI Strategic differ in their orientation to all of the following EXCEPT:

A. emphasis on process over content.
B. the punctuation of sequences.
C. therapist use of confrontation.
D. negative- and positive- feedback view of symptom dysfunction.

A

A. emphasis on process over content.

19
Q

This therapy works to frame change in ways that reduce resistance, decrease dependence on therapy and bypass the need for insight while removing the presenting problem and allowing families to take full credit for changes achieved in therapy. This approach was devised by:

A. Peggy Papp.
B. Virginia Satir.
C. Carlos Sluzki.
D. Milton Erickson.

A

D. Milton Erickson.

20
Q

A family comes to therapy presenting with what they state is a problem with their middle daughter. After speaking with the parents in the first session, the therapist assesses that this is actually a marital problem. The theorist least likely to focus on the marital problem early on in therapy is:

a. DeShazer.
b. Insoo Kim Berg.
c. Haley.
d. Bowen.

A

c. Haley.

21
Q

Jacobson’s Pretreatment Assessment for Marital Therapy includes all of the following EXCEPT:

a. cohesion.
b. individual functioning of each spouse.
c. presenting problems.
d. strengths and skills of the relationship.

A

a. cohesion.

22
Q

You tell a pushy, domineering father to continue making all the family decisions. You are clearly influenced by:

A. Penn.
B. Whitaker.
C. Ackerman.
D. Haley.

A

D. Haley.

23
Q

An assessment tool used by Structural therapists is:

A. a genogram.
B. a family map.
C. FACES III.
D. MBTI.

A

B. a family map.

24
Q

Xi and her husband has been in the US now for three years, immigrating from Guangzhou, China. They are the first in their extended family to come to the US. Xi has been taking ESL classes within NYC’s adult education program. Xi is 29 and has 3 children under the age of 9. She reports feeling her children are becoming disrespectful to her and her husband, often not listening to their parents. In working with Xi and her family, a therapist would be correct in assuming that:

a. The stress of immigrating is taking a toll on this family and a support group for new immigrants would help to normalize the stressors.
b. While families with younger children often are strengthened by having each other to depend upon, the reversal of hierarchies can often occur.
c. Given their recent immigration, the family is feeling a great deal of stress which is being expressed by the children.
d. Chinese parents can be very demanding and the goal of therapy might simply be to educate the parents on how their children’s behavior is typical of latency age children.

A

b. While families with younger children often are strengthened by having each other to depend upon, the reversal of hierarchies can often occur.

25
Q

According to the HIPAA Privacy and Security Rules, when treating families, it is important to keep in mind:

a. Every individual in therapy must be given full disclosure of how you handle PHI and must sign a notice stating they received this information.
b. It is the therapist’s responsibility to explain her/his PHI policies and ensure they are understood by all family members.
c. The therapist must allow all family members access to their medical records.
d. None of the above.

A

d. None of the above.

26
Q

A family therapist is working from Haley’s perspective. How would the therapist work with a family?

a. No one would decide; it will take it’s course in the session.
b. The therapist decides who would speak.
c. The therapist using circular questions, would help the family to decide who would speak.
d. The therapist would generate a sparkling moment to begin the session.

A

b. The therapist decides who would speak.

27
Q

Questions that provide information about how a problem has managed to disrupt a family versus how much they have been able to control it are referred to as:

a. Scaling Questions.
b. the First Formular Task questions.
c. Mapping the System questions.
d. Relative Influence questions.

A

d. Relative Influence questions.

28
Q

Wynne labeled the strangely unreal qualities of both positive and negative emotions of disturbed families pseudomutuality and pseudohostility, and the nature of the boundaries around them as:

a. allignments and splits.
b. chaotic.
c. conflicting loyalties.
d. rubber fences.

A

d. rubber fences.

29
Q

A relationship in which one person is assertive and the other submissive, with each mutually reinforcing and sustaining each other’s position is known as:

A. a symmetrical relationship.
B. a closed relationship.
C. a complementary relationship.
D. an open relationship.

A

C. a complementary relationship.

30
Q

In a practice that includes over 50 active client families, a licensed marriage & family therapist bills only one client’s insurance company through a billing service. All the rest of his clients are billed directly or pay at the time of the therapy. Some of the self-pay clients obtain insurance reimbursement using claim forms and/or billing statements signed by the therapist. In his disclosure statement at the beginning of treatment, the therapist would be wrong in stating:

a. The ethical and legal guidelines for my practice come from my state’s confidentiality and ethics laws and the federal HIPAA Privacy Rule.
b. There are exceptions to confidentiality that permit me to disclose your PHI under certain circumstances.
c. I will not be transmitting any of your confidential information electronically for any reason. Therefore, the HIPAA Privacy Rules will not apply to our therapeutic relationship.
d. If a therapist is not a ‘covered entity’ under the HIPAA rules, then only the state ethics and confidentiality laws, together with our standards of practice, govern my use of confidential information.

A

c. I will not be transmitting any of your confidential information electronically for any reason. Therefore, the HIPAA Privacy Rules will not apply to our therapeutic relationship.

31
Q

A technique developed by the Milan Model that utilizes a third person’s perspective on a subsystem or other dyads within the system is known as:

a. externalizing.
b. circular questioning.
c. highlighting.
d. joining.

A

b. circular questioning.