TF-CBT EXAM LATEST 2023-2024 ACTUAL EXAM 300 QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES (VERIFIED ANSWERS) |ALREADY GRADED A

TF-CBT EXAM LATEST 2023-2024 ACTUAL EXAM 300

QUESTIONS AND CORRECT DETAILED ANSWERS

WITH RATIONALES (VERIFIED ANSWERS)

|ALREADY GRADED A

Dr. Johnson is seeing Alaina, a 9 year-old child sexual abuse victim, for

TF-CBT. They are in the process of creating Alaina's trauma narrative,

and she is providing very little information about what happened to her

during and after the trauma. Dr. Johnson is not sure whether Alaina's

difficulties represent trauma-related avoidance or simply a deficit in the

ability to tell a story with a high level of detail. Which technique could

Dr. Johnson have used during the Psychoeducation phase of treatment to

give her a clearer understanding of Alaina's abilities? - ANSWER- a

baseline/neutral narrative task

Rationale; Using the baseline/neutral narrative task early in treatment

provides an excellent insight into the child's natural narrative abilities

and provides a comparison to how easily s/he talks about the trauma.

Mrs. Sands is bringing her daughter Tonette in for TF-CBT treatment of

symptoms related to witnessing community violence. Mrs. Sands was

expecting to drop Tonette off for her session each week, run errands, and

then come back to the office to pick her up. Mrs. Sands is a little bit

surprised to find out that the therapist expects to meet with her for part

of the session each week. Which of the following messages should the

therapist be sure to communicate to Mrs. Sands about TF-CBT? -

ANSWER- The TF-CBT treatment model emphasizes the importance of

working as a team with caregivers.


Rationale; A key element of psychoeducation is communicating clearly

what the treatment model is, and what the expectations are for children

and caregivers.

Active ignoring is a strategy that is designed to help parents: -

ANSWER- Avoid responding to their child's unharmful, inappropriate

behavior

Rationale; Ignoring deprives the child of attention that might reinforce

the undesirable behavior.

One important aspect of parental praise for a child's behavior is: -

ANSWER- To praise specific types of desired behavior

Rationale; When it comes to praise, the more behaviorally specific it is,

the more impact it has.

Which of the following strategies is a recommended first-step strategy

for responding to a young child when the child disrespectfully makes

angry or defiant verbalizations directed at the parent? - ANSWERActive ignoring

Rationale; Ignoring involves the lowest level of parental effort and is a

good first step method for shaping young kids' behavior, especially

when it is followed by praise or positive attention to good behavior.

The primary goal of time out is to: - ANSWER- Punish the undesirable

behavior by depriving the child of attention


Rationale; Time out places a child in an aversive (though not painful)

setting that is designed to reduce the behavior that preceded it; that's

how punishment works.

Mr. Gaboury is bringing his 12-year-old grandson in for TF-CBT

following a physical assault at school. Mr. Gaboury is very focused on

the behavior problems his grandson is experiencing. During an early

parent session, he says that his grandson "has become a budding juvenile

delinquent! I know that he has some nightmares and things, but until he

stops being so aggressive I don't think any kind of therapy will be

helpful." What important parenting message should the therapist convey

to Mr. Gaboury? - ANSWER- Behavior problems in many cases are the

product of trauma symptoms, not a separate issue

Rationale; Helping caregivers understand the potential connections

between trauma exposure and behavior problems is a critical focus of

parenting skills training, especially early in treatment.

Which of the following is a good example of using "differential

attention" in parenting? - ANSWER- Ignoring some undesired behaviors

and using specific praise for desired behaviors instead

Rationale; Differential attention is based on the idea that children will

engage in behaviors that are rewarded (with praise) more than behaviors

that are ignored.

The best time to begin practicing controlled breathing with children is: -

ANSWER- When they are calm

Rationale; Much like learning any new skill, it's easier to develop

relaxation mastery in situations that are not stressful and build up to

using them when needed.


In controlled breathing children are asked to: - ANSWER- Exhale more

slowly than they inhale

Rationale; Exhalation should be deliberate and slow, which controls the

general pace of breathing.

During Progressive Muscle Relaxation (PMR), children are asked to: -

ANSWER- Tense and relax their muscles

Rationale; The opposing processes of tensing and relaxing are the key

aspects of PMR.

Which of the following statements about alternative relaxation methods

is most accurate: - ANSWER- Mindfulness exercises and everyday

activities like reading can be used as relaxation tools.

Rationale; In addition to controlled breathing an progressive relaxation,

mindfulness excercises and common, everyday activities can be

suggested as helpful ways to reduce arousal.

James is a 14 year old who witnessed his best friend get shot and killed.

He reports a lot of problems sleeping, feels anxious 'all the time,' and

can't concentrate on his schoolwork. Which of the following would be

an appropriate relaxation strategy? - ANSWER- Meditation

Rationale; The other options here may be good coping strategies and

may distract James from his worries and memories, but they are not

likely to decrease his physical arousal, which is the focus of relaxation

activities


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