TOP 50 PRE-TEST Flashcards

1
Q

During a family therapy session, the therapist notices that both the 6-year-old and the 4-year-old children have bandages on their hands. The mother discloses tearfully that she can’t trust her 15-year-old stepson to stay alone with her young children because he super-glued their hands to his door. The husband shakes his head and says, “We already dealt with this. It won’t happen again.” What should the therapist do NEXT:

Choose one

A. Find out how they dealt with it.

B. Document the incident in your notes.

C. Inform the family that you must file a child abuse report.

D. Ask if other incidents like this have happened before.

A

C. Inform the family that you must file a child abuse report.

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2
Q

A new client is referred by her minister. The 49 year-old woman shares that she is overwhelmed taking care of her 72 year old mother who is often belligerent due to her dementia. The woman tearfully admits to giving her mother extra medication so that she will sleep longer. She asks for a referral to a support group for caregivers. What should the therapist do initially in this case?

Choose one

A. Provide a referral to a caregiver support group.

B. Further assess for Elder Abuse.

C. Assist her in developing alternative coping mechanisms.

D. File a report with Adult Protective Services and process it with client.

A

D. File a report with Adult Protective Services and process it with client.

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3
Q

A married couple in their 30’s seeks therapy to improve their communication. The husband reports that he wants to have children but complains that his wife “wants to wait.” The wife tears up when she shares that her mother recently died and that her husband expects her to “get over it already.” During the initial assessment, they report that their arguments frequently get physical because the wife makes the husband so mad. How should the therapist proceed in this case:

Choose one

A. Discuss the ways in which the wife makes the husband mad.

B. Explore the couple’s motivation to stay together and their expectations of therapy.

C. Require the couple to sign a no violence contract to ensure they won’t get violent in the session.

D. Refer each of them to individual therapy.

A

D. Refer each of them to individual therapy.

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4
Q

A 45-year old male client who has been unemployed for six months is referred by his wife for therapy. In the initial session, he reports that he wants to sleep all day and he doesn’t see his situation getting any better. He says that he can’t stand having his wife and children see him like this. As part of a complete assessment, the therapist should FIRST:

Choose one

A. Determine if the client is currently using substances.

B. Refer the client to a medical doctor for issues of hypersomnia.

C. Ask if the client has thoughts of suicide.

D. Explore the client’s social supports and coping strategies.

A

C. Ask if the client has thoughts of suicide.

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5
Q

During a group therapy session, one of the group members reports that her sister-in-law has been butting into her life and if she keeps it up the client is “going to make sure she never butts in again.” A few of the group members laugh uncomfortably. How should the therapist proceed:

Choose one

A. Validate the client’s anger.

B. Explore what the client means by “going to make sure she never butts in again.”

C. Encourage group members to share their reactions.

D. Identify healthy ways for client to express her frustration.

A

B. Explore what the client means by “going to make sure she never butts in again.”

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6
Q

A 28-year-old woman seeks therapy for depression. She reports that she recently moved to the city and has had a difficult time making friends. She works as a waitress and a graphic designer. She shares that she was in therapy a few years ago but reports that the other therapist “wasn’t very good” so she stopped going to therapy. In addition to a risk assessment, what else should the therapist explore in the initial assessment?

Choose one

A. Client’s thoughts of suicide or self harm.

B. Client’s expectations of therapy and experience with other therapist.

C. Client’s motivation for treatment.

D. Client’s current and past substance use.

A

B. Client’s expectations of therapy and experience with other therapist.

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7
Q

A new client starts off the first session sharing how she feels overwhelmed with her life. She shares that she doesn’t like her new job but is uncertain of what career she wants to pursue. She reports feeling like her relationship with her boyfriend is unhealthy and wants to get along better with him. Then she adds that she’s been having a lot of conflict with her new roommate and can’t decide whether she should move out. When formulating the initial treatment plan, the therapist should:

Choose one

A. Assist the client to prioritize her treatment goals.

B. Determine the most important issue to focus on.

C. Assess the client’s level of coping.

D. Identify her social supports.

A

A. Assist the client to prioritize her treatment goals.

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8
Q

During the walk between the waiting room and the office, a new client declares a strong affinity for the therapist and a hopeful attitude toward therapy, saying she knows this will be different from previous treatment experiences. After acknowledging the client’s positive reactions the therapist should NEXT:

Choose one

A. Ask what interfered with previous treatment.

B. Explore expectations regarding this helping relationship.

C. Determine the basis for attraction to the therapist.

D. Assess client’s reasons for seeking therapy.

A

B. Explore expectations regarding this helping relationship.

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9
Q

A therapist has been working with a 6-year-old boy for one month. The child was brought in by his mother after witnessing his father get hit by a car. The mother reports that the child has been less anxious since starting therapy but continues to have nightmares and doesn’t want to go to bed. What intervention should the therapist employ in the middle phase of therapy?

Choose one

A. Provide psyhoedcuation to mother about trauma in children.

B. Engage in art therapy with the child encouraging him to draw his dreams.

C. Create a bed in the office and instruct the child to practice lying down.

D. Teach the child self-soothing techniques to use when he wakes up from a nightmare.

A

B. Engage in art therapy with the child encouraging him to draw his dreams.

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10
Q

A client who has been in therapy for two years for depression has been symptom free for four months. During the final scheduled session, she begins crying and states that she is afraid her depression will come back without therapy. How should the therapist address her concern:

Choose one

A. Schedule another session in a week.

B. Discuss extending treatment until client is more stable.

C. Normalize her feelings and make a plan if symptoms return.

D. Provide client with referral to support group for depression.

A

C. Normalize her feelings and make a plan if symptoms return.

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11
Q

A therapist is working with a family with three children, ages, 7, 9 and 15. The parents are concerned that the 15-year-old daughter does not want to participate in family activities and wants to spend time in her room or with her friends. They share that they are concerned she is depressed and are worried she may disengage from school. What should the therapist do FIRST?

Choose one

A. Obtain a release to speak to the school.

B. Refer the 15-year-old for a medication evaluation.

C. Provide psychoeducation about normal adolescent development.

D. Encourage parents to share their concerns directly with their daughter.

A

C. Provide psychoeducation about normal adolescent development.

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12
Q

An older couple comes to therapy. The husband reports that since he retired one year ago, he spends much of his time completing his wife’s daily chores. He does not understand why she is so upset all the time. “I feel so useless,” she says. What intervention would address their dilemma?

Choose one

A. Help them set more adaptive boundaries so they can shape new roles for themselves.

B. Reframe her uselessness as an attempt to distract her husband from his feelings of loss.

C. Encourage the wife to involve herself in volunteer activities so she will feel more useful.

D. Encourage the husband to obtain part-time employment to divert his attention from his wife.

A

A. Help them set more adaptive boundaries so they can shape new roles for themselves.

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13
Q

After the fourth session of couple’s therapy, a woman calls the therapist after finding sexually explicit reading material, which her boyfriend left out in their bedroom. The therapist’s best response is to:

Choose one

A. Ask the woman if she would like an individual appointment to discuss this.

B. Suggest that the woman get her boyfriend to call the therapist for an individual appointment.

C. Suggest that the woman present her concern at their next appointment.

D. Ask the woman how this made her feel.

A

C. Suggest that the woman present her concern at their next appointment.

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14
Q

A therapist is working with a family with three children, the youngest of whom, age 12, is in a wheelchair because of cerebral palsy. The parents describe the child’s withdrawal from outside activities and believe that he is depressed. The child remarks that his mother hovers over him, and that his siblings dislike him because he has no chores at home. He expresses an interest in staying with a cousin over Christmas break and says he wants more responsibility at home. What should the therapist do FIRST?

Choose one

A. Support the mother’s understandable need to be protective.

B. Focus on the 12-year-old’s need for greater self-esteem.

C. Help the family address the 12-year-old’s expressed needs.

D. Suggest the family explore outside activities for the 12-year-old.

A

C. Help the family address the 12-year-old’s expressed needs.

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15
Q

A therapist is running a therapy group for people going through divorce. The therapist suspects that one member of the group is abusing drugs and determines that his erratic participation is detrimental to the group process. The therapist should FIRST:

Choose one

A. Confront the client in the group.

B. Schedule an individual session with the client.

C. Provide the client with a referral for substance abuse treatment.

D. Process the group members’ feelings about the client’s departure.

A

B. Schedule an individual session with the client.

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16
Q

A 40 year-old accountant is referred by his Employee Assistance Program. He reports irritability, moodiness, and extreme fatigue. He shares that it is affecting his work performance and his relationships with his family. He adds, “I’m tired of not feeling like myself. I want to get better.” The therapist should FIRST:

Choose one

A. Refer him to couples therapy.

B. Assess for suicidal ideation.

C. Rule out substance use issues.

D. Ask when he had his last full physical.

A

B. Assess for suicidal ideation.

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17
Q

A family is referred by their minister for family therapy due to conflict between the parents regarding how to discipline their 5 and 7 year-old boys. During the initial assessment the therapist learns that the mother drinks alcohol daily. There is no indication of domestic violence or child abuse. Which of the following interventions should the therapist take FIRST?

Choose one

A. Involve the family in creating a family map of their problem.

B. Obtain a release to speak with their minister.

C. Work with the mother regarding her need for an alcohol use assessment.

D. Conduct a comprehensive assessment of the family members.

A

C. Work with the mother regarding her need for an alcohol use assessment.

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18
Q

Parents of a 6-year old are referred to the therapist by the teacher who reports that the child is struggling to complete the coursework and frequently acts out in class. The parents are confused and report that the child is healthy and well behaved at home. The therapist obtains an authorization from the parents to speak to the teacher and the teacher confirms the parents’ description. How should the therapist proceed with the parents:

Choose one

A. Provide psychoeducation about ADHD.

B. Refer the child to a psychiatrist for medication evaluation.

C. Encourage the parents to get psychological testing.

D. Recommend that the parents switch teachers.

A

C. Encourage the parents to get psychological testing.

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19
Q

A client is referred to the therapist after being discharged from the psychiatric hospital. The records indicate that he has been hearing voices for the past four months and he believes he is being followed. According to the DSM 5 criteria, the most likely diagnosis for the client is:

Choose one

A. Brief Psychotic Disorder

B. Schizophrenia

C. Schizoaffective

D. Schizophreniform

A

D. Schizophreniform

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20
Q

For the past year, a 21-year-old male college student reports feeling irritable, arguing with his roommates and girlfriend, and having difficulty sleeping and studying. The client reports occasionally drinking a few beers but has not done so in the past month. The client is MOST likely exhibiting:

Choose one

A. Substance Induced Mood Disorder

B. Adjustment Disorder with Depressed Mood

C. Major Depressive Disorder

D. Persistent Depressive Disorder

A

C. Major Depressive Disorder

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21
Q

A client seeks therapy for feelings of anxiety and panic that she’s had since losing her job three months ago. She reports that she has a second interview at a good company at the end of the week, but she is having a hard time concentrating and is doubting her abilities. She adds that she hasn’t been getting along with her boyfriend and wants to lose weight because she can’t fit into old work clothes. The immediate focus of treatment with this client should be:

Choose one

A. Teaching her communications skills to better connect with boyfriend.

B. Discuss strategies for her to prepare for her interview.

C. Explore her eating habits and exercise routine.

D. Refer her to a psychiatrist for a medication evaluation.

A

B. Discuss strategies for her to prepare for her interview.

22
Q

A 55-year-old woman presents for treatment three months after the death of her husband. Prior to his death she worked full time and enjoyed many hobbies. Since then, she has started missing work and isolating herself, stating that she doesn’t enjoy anything, feels guilty about being a “bad wife” and cannot sleep. She reports that she started drinking whiskey every night to help with the pain. What initial diagnoses should the therapist consider?

Choose one

A. Adjustment Disorder, Alcohol Use Disorder, Major Depressive Disorder

B. Bereavement, Substance Induced Depressive Disorder, Major Depressive Disorder

C. Adjustment Disorder, Major Depressive Disorder, Substance Induced Depressive Disorder

D. Bereavement, Adjustment Disorder, Substance Use Disorder

A

B. Bereavement, Substance Induced Depressive Disorder, Major Depressive Disorder

23
Q

A 23-year-old woman seeks therapy for relationship issues. When she arrives at the first session she is visibly underweight with pale skin and thin hair. During the intake it is clear that the client suffers from Anorexia Nervosa.

What resources should be included when formulating the treatment plan?

A. Medical stabilization; Pharmacotherapy; Peer support

B. Pharmacotherapy; Nutritional rehabilitation; Cognitive Behavioral Therapy

C. Medical stabilization; Nutritional rehabilitation; Cognitive Behavioral Therapy

D. Nutritional rehabilitation; Peer support; Psychodynamic psychotherapy

A

C. Medical stabilization; Nutritional rehabilitation; Cognitive Behavioral Therapy

24
Q

A therapist is working with a male client who reports occasional impotence and anxiety when having sex with his new girlfriend. The client shares that he has had issues like this in the past but did not have an issue with his previous girlfriend. The therapist has training and experience working with sexual disorders.

What therapy intervention should the therapist consider?

A. Desensitization

B. Sensate Focus

C. Exposure Therapy

D. Dialectic Behavioral Therapy

A

B. Sensate Focus

25
Q

A 31-year old woman seeks therapy for relationship issues after losing her job as a bank teller. The client reports a history of suicidal gestures. She shares how much she likes the therapist compared to the horrible therapists she’s had in the past.

When working with this client the therapist should pay close attention to:

A. Countertransference issues that may arise.

B. Maintaining clear boundaries for the therapeutic relationship.

C. Limiting self-disclosure.

D. Addressing the transference issues that may arise.

A

B. Maintaining clear boundaries for the therapeutic relationship.

26
Q

A 42-year old woman is in treatment for depression and anxiety that resulted from a severe abuse history she experienced as a child. During the sixth session the client experiences a flashback of a particularly violent exchange with her father when he choked her until she went unconscious. During the session she appears to have difficulty breathing then begins to hyperventilate and appears very scared. How should the therapist proceed with the client?

A. Ground the client by focusing on what is happening in the here and now.

B. Offer education about the experience of triggers and flashbacks.

C. Normalize her reaction as a common traumatic stress reaction.

D. Remain silent until the client calms down.

A

A. Ground the client by focusing on what is happening in the here and now.

27
Q

A therapist is utilizing a brief, six-week crisis intervention model with client who is referred by his Employee Assistance Provider following a break in at his company. The client reports that his girlfriend of seven months recently broke up with him and he was forced to move out of their shared apartment. What treatment goal is most appropriate in this case?

A. Improve the client’s coping skills.

B. Develop insight into how the client’s past is impacting the current situation.

C. Restore the client to his previous level of functioning.

D. Increase the client’s social support system.

A

C. Restore the client to his previous level of functioning.

28
Q

A 28-year-old Asian American graduate student seeks treatment for anxiety and depression. She reports that for the past three months she has been unable to concentrate, is unable to sleep and cannot complete her coursework on time. She is worried she will be kicked out of the university and everyone will see she’s a failure. What interventions would a Cognitive Behavioral Therapist utilize during the initial session of treatment?

A. Explain how therapy works; Explore client’s relationship with parents; Assess for suicide.

B. Teach client how thoughts influence behaviors; Assign thought-stopping homework; Assess for suicide.

C. Explain how therapy works; Teach client how thoughts influence behaviors; Assess for suicide.

D. Explain how therapy works; Teach client how thoughts influence behaviors; Provide client with a journal to track negative thoughts.

A

C. Explain how therapy works; Teach client how thoughts influence behaviors; Assess for suicide.

29
Q

A 55-year-old spa manager is referred to treatment by her colleague. She reports having one failed relationship after another and her most recent break up left her utterly devastated. For the past several months she finds herself with a huge bowl of popcorn every night and feeling disgusted in the morning because she ate too much yet again. During the fourth session the client shares a detailed story of how she was bullied during middle school and her mother refused to believe her. She begins to sob then grows quiet. What would a Gestalt therapist be likely to say to the client at this moment?

A. “What are you experiencing as you tell me this story?”

B. “Was you mother there for you in other ways?”

C. “Do you think your overeating is a way you bully yourself?”

D. “How did you cope?”

A

A. “What are you experiencing as you tell me this story?”

30
Q

A 42-year-old African American dentist is referred for therapy by his minister for anger issues. He has been married for 8 years and his wife and him have 2 little kids. He reports that he “blows his top” when his 4-year-old and 6 year-old talk back to him. He cannot stand it when they give him attitude or do not immediately do what he asks of them. He shares that his father was a violent drunk who used to slap the client across his face any time he would misbehave. The client states that he has never physically hurt his kids, but he has thoughts that scare him when he gets really angry. How would a Solution Focused Therapist develop an initial treatment plan?

A. Incorporate cultural issues into focus of treatment; ask when the anger problem began.

B. Assist the client in articulating the problem he wants to address; inquire about the client’s early recollections of his father’s anger.

C. Ask the client to describe a recent situation where he got angry in order to understand the problem; ask the client what would be different in his life if he woke up tomorrow and the anger issue has been solved.

D. Clarify with the client what he hopes to achieve in therapy; acknowledge the client’s desire to be a better dad.

A

D. Clarify with the client what he hopes to achieve in therapy; acknowledge the client’s desire to be a better dad.

31
Q

A 36-year-old client seeks therapy after a recent divorce from his wife of four years. He explains that the main disagreement that pulled him and his wife apart was about having kids. His ex-wife wanted children but he did not. He works in a legal department of a large corporation, but finds his work to be unfulfilling and draining. He noted that it deadens him on the inside. He shares that he doesn’t have much of a social life, rarely goes out, and frequently drinks himself to sleep. After establishing a therapeutic alliance with the client, how would an Adlerian therapist proceed?

A. Assess for suicidal ideation; Explore client’s expectation of therapy; Identify positive relationships client currently has.

B. Explore client’s expectation of therapy; Refer client to Alcoholics Anonymous; Encourage client to use alternative coping strategies.

C. Assess for suicidal ideation; Explore family dynamics of early childhood; Inquire about client’s early memories.

D. Explore client’s expectation of therapy; Explore family dynamics of early childhood; Inquire about client’s early memories.

A

C. Assess for suicidal ideation; Explore family dynamics of early childhood; Inquire about client’s early memories.

32
Q

A 38-year-old husband and 36-year-old wife seek marital counseling after the birth of their first baby. The wife left her job as a lawyer to stay home with the baby. She shares that she “gets no help from her parents” because her father is deceased and she’s been estranged from her mother since her parents got divorced. She adds that her husband’s parents are overbearing and always in their business. The husband states that all his wife cares about now is the baby and she never pays attention to him. What interventions would a Bowenian therapist use in the beginning phase of treatment?

A. Facilitate enactments of the common arguments; Interpret the mother’s engagement with the baby as avoidance to marital problems.

B. Create a multigenerational family map of relationships; Interrupt arguments.

C. Teach “I” statements; Encourage reunification of wife with her mother.

D. Create a multigenerational family map of relationships; Encourage reunification of wife with her mother.

A

B. Create a multigenerational family map of relationships; Interrupt arguments.

33
Q

A therapist is working at a community center that treats the homeless population. A client and her three-year-old daughter are assigned to the therapist for clinical case management services. The mom reports she has been feeling depressed since she lost her job and was evicted from her apartment. She starts crying when she says that she is not getting along with her family. She asks for help getting childcare. What task should the therapist focus on initially?

A. Finding stable housing.

B. Exploring her relationship with her family.

C. Developing a comprehensive care plan.

D. Validating the client’s feelings of depression.

A

C. Developing a comprehensive care plan.

34
Q

A therapist is planning to expand his practice by offering therapy over the phone and internet to clients residing in rural areas with limited mental health providers. When initiating therapy with a new client, what is the most important issue the therapist should address?

A. How fees will be managed.

B. Client’s location and emergency contacts.

C. Limits of confidentiality.

D. Managing dual relationships.

A

B. Client’s location and emergency contacts.

35
Q

A Korean family is referred by their 12-year-old daughter’s teacher. The daughter is complaining of stomach aches, is withdrawn in class and frequently tears up. The family doctor has ruled out a medical issue. The father, mother, and 10-year-old sister attend the first session. The father shares that the daughter started acting like this after her older brother died in a car accident four months ago. The father asks the therapist to explain how she can help the daughter. How should the therapist proceed in this case?

A. Respond directly to the father, explain what they can expect from therapy, provide information about the therapist’s background and training.

B. Respond directly to the daughter, explain what they can expect from therapy, provide information about the therapist’s background and training.

C. Ask each member of the family what they expect from therapy.

D. Provide the parents with psychoeducation about the grief process and discuss treatment alternatives.

A

A. Respond directly to the father, explain what they can expect from therapy, provide information about the therapist’s background and training.

36
Q

A mother brings her 11-year-old daughter for therapy following a contentious divorce. The mother explains that she is worried about her daughter because she has been isolating herself and crying a lot. The mother states that the father does not believe in therapy. How should the therapist legally proceed in this case?

A. Obtain signed informed consent to treat from mother.

B. Explain that the father must agree to treatment.

C. Offer to speak to the father.

D. Request a copy of the custody agreement.

A

Correct

D. Request a copy of the custody agreement.

37
Q

A therapist meets with a client diagnosed with Bipolar I who is brought in for the first session by her father. The father informs the therapist he was recently appointed conservator by the court. The father would like to attend therapy sessions with the client to ensure she is providing the therapist with accurate information and benefiting from treatment. He explains that the client has a history of lying to her therapists. The therapist should:

A. Invite the father to attend the sessions.

B. Explore pros and cons of including father and set appropriate boundaries.

C. Deny the request and refuse to include the father in treatment.

D. Review conservatee’s rights to confidentiality with father.

A

Correct

B. Explore pros and cons of including father and set appropriate boundaries.

38
Q

A 22-year-old client struggling with depression is driven to her third therapy session by her mother. The client reports that her parents are really worried about her and want her to move home. The therapist and the client weigh the pros and cons of moving back in with her parents and the client decides she wants to try living on her own a little longer. At the end of the session, the client’s mother enters the office and asks to see the therapist’s notes on the session. How should the therapist respond?

A. Schedule a joint meeting with the client to discuss the records.

B. Ask the mother to write a request for disclosure of the records.

C. Inform the mother of the requirements for disclosure.

D. Explain that the records are the property of the client.

A

Correct

C. Inform the mother of the requirements for disclosure.

39
Q

During the middle phase of therapy with an adult male client, a therapist finds herself having sexual fantasies about the client. The therapist is married and is disturbed by these fantasies. As a result, the therapist becomes aware of heightened anxiety before seeing the client. How should the therapist ethically manage this situation?

A. Refer the client to another therapist.

B. Discuss the situation with the client.

C. Seek consultation immediately.

D. Begin personal psychotherapy.

A

Correct

C. Seek consultation immediately.

40
Q

A 43-year-old woman seeks therapy for anxiety and depression following the death of her sister. Over the course of therapy the client discloses that her husband is emotionally abusive and she is sure he is having an affair. After working with a client for three months, the therapist realizes that the client’s husband works at the same company as the therapist’s husband. How should the therapist proceed in this case?

A. Review the importance of boundaries with the client.

B. Share the information with the client and discuss the impact.

C. Seek consultation for countertransference related to information.

D. Refer the client to another therapist due to the boundary issue.

A

Correct

B. Share the information with the client and discuss the impact.

41
Q

During a session with a 15-year-old client, she reports that she and her boyfriend have been having sex and she wants to go on birth control. The therapist reminds the client that she is a mandated reporter and will have to file a report if she learns that the boyfriend is what age?

A. 18 or older

B. 14 or under

C. 21 or older

D. 24 or older

A

Correct

C. 21 or older

42
Q

A long-term client with depression and a history of trauma has recently become unemployed and cannot afford to pay the full fee. The therapist believes that the client is in need of further therapy, especially under the current circumstances. What should the therapist do FIRST?

A. Continue to provide services without fees until the client is able to pay.

B. Discuss how the client can budget in order to pay fee.

C. Arrange for a reduced fee for the client based on income.

D. Provide a referral to a low-fee agency.

A

Correct

C. Arrange for a reduced fee for the client based on income.

43
Q

A therapist is on a health insurance panel and receives notice that the insurance company is conducting a quality assurance audit on all client files seen in the past six months. They are requesting copies of the records of all clients utilizing their insurance plan. How should the therapist respond to the request?

A. Obtain a release of information from the clients.

B. Assert privilege on behalf of the clients.

C. Notify all the clients of the content of their notes.

D. Comply with the request in a timely manner.

A

Correct

D. Comply with the request in a timely manner.

44
Q

The mother of a 14-year-old client calls the therapist prior to a session and requests a copy of the client’s record. During the session the client starts crying and states that she thought everything she said was confidential and she knows her mom would be really hurt if she knew she talked about her. She adds, “I don’t want to keep coming if they are going to be able to see everything we talk about”. How should the therapist address the parents’ request?

A. Inform the client that her parents have a legal right to see her files.

B. Provide the parents with a copy of the records and process client’s feelings about it.

C. Inform the parents they cannot have access to the records because it would negatively affect the therapeutic relationship.

D. Inform the parents they cannot have access to the records because it would put the client in danger.

A

Correct
C. Inform the parents they cannot have access to the records because it would negatively affect the therapeutic relationship.

45
Q

A therapist in private practice decides to join two insurance panels in order to build his practice. He invests in an on-line record keeping system that includes electronic billing to insurance. He learns that he must become HIPAA compliant, as he will be a covered entity once he starts billing insurance electronically. Which of the following is required under HIPAA Privacy Rules?

A. The Notice of Privacy Practices must be kept in clients’ files.

B. The Notice of Privacy Practices must be provided to the clients prior to the onset of therapy.

C. The Notice of Privacy Practice must be verbally discussed with the clients prior to the onset of therapy.

D. The Notice of Privacy Practices may be displayed in the therapist’s office.

A

Correct

B. The Notice of Privacy Practices must be provided to the clients prior to the onset of therapy.

46
Q

A therapist has a signed release to speak to a child’s teacher about his behavior at school. During the phone call, the teacher asks questions about the parents’ relationship and whether the therapist thinks that is affecting the child. The therapist should:

A. Explore why teacher thinks this.

B. Provide information about the nature of the parents’ relationship.

C. Encourage teacher to bring up concerns with parents.

D. Remind teacher of the scope of the release of information.

A

Correct

D. Remind teacher of the scope of the release of information.

47
Q

A therapist receives a subpoena from a local law firm regarding a lawsuit in which the therapist’s former client is a defendant. The therapist calls the client but is unable to reach him and leaves a voice message to contact the therapist as soon as possible. At this point, what action should the therapist take?

A. Schedule the deposition.

B. Call the law firm and discuss the case.

C. Assert privilege.

D. Contact the court and request that the subpoena be revoked.

A

Correct

C. Assert privilege.

48
Q

A newly licensed therapist moves next door to a former supervisor. Their supervision relationship terminated four months ago. They have children the same age. The therapist is interested in meeting socially with the former supervisor and her children. How should the former supervisor respond?

A. Discuss the importance of professional boundaries.

B. Explain that it would be unprofessional.

C. Agree to meet if the supervisor is interested.

D. Seek consultation about the issue.

A

Correct

C. Agree to meet if the supervisor is interested.

49
Q

A recently licensed therapist calls a colleague for marketing advice. The therapist wants to know if it is permissible to write the term “psychotherapist” or “psychotherapy” on his business card. How should the colleague respond?

A. It is not legally permissible to write “psychotherapist” or “psychotherapy.”

B. Yes, if full name, abbreviated license title and license number is included.

C. Yes, if full name and complete title and license number is included.

D. Both B and C are permissible.

A

Correct
D. Both B and C are permissible.

B. Yes, if full name, abbreviated license title and license number is included.

C. Yes, if full name and complete title and license number is included.

50
Q

A therapist, who also works as a real estate agent is working with a couple with relationship issues. The couple is planning to sell their house and the therapist has been giving them advice about various strategies to increase the value of their home and has offered to list the house. The therapist’s behavior is:

A. Acceptable because he has the training.

B. Acceptable if the therapist terminates current therapeutic relationship.

C. Illegal and unethical.

D. Illegal.

A

Correct

C. Illegal and unethical.

51
Q

A therapist meets with a 16-year-old girl who expresses feelings of loneliness and despair. The girl explains that she had a close group of friends, but in recent months they have been excluding her and she feels all alone. She spends most of her free time looking at their social media pages. Most recently, the friends had a party she was not invited to and posted a number of pictures on their accounts. Which of the following should the therapist assess to develop a treatment plan?

A. Frequency and duration of time spent on social media
Non-technology related interests the client enjoys technology
Relationship between client and her parents

B. Frequency and duration of time spent on social media
Explore risk of self-harm
Relationship between client and her parents

C. Level of participation in extracurricular activities and social engagement
Parents level of oversight regarding client’s use of technology
Explore risk of self-harm

D. Level of participation in extracurricular activities and social engagement
Parents level of oversight regarding client’s use of technology
Client’s coping skills

A

B. Frequency and duration of time spent on social media
Explore risk of self-harm
Relationship between client and her parents

52
Q

A therapist meets with a new client who was referred to therapy by her parole officer. The woman shares that she has a 5-year-old son who lives with her mother and she is estranged from the child’s father. She is living in a homeless shelter while working toward reunification with her son. The therapist should initially assess which of the following?

A. The role of legal system in client’s treatment
History of substance use
Reason client was incarcerated

B. The role of the legal system in client’s treatment
Psychosocial history
Current community support available to client

C. History of substance use
Reason client was incarcerated
Current community support available to client

D. The role of the legal system in client’s treatment
Trauma history
Current coping mechanisms

A

Correct
B. The role of the legal system in client’s treatment
Psychosocial history
Current community support available to client