ANSWERS (VERIFIED ANSWERS); A GRADE
A 13 - year - old client discloses that they keep a razor
blade hidden in their floorboards for the purpose of self -
harming After the therapist responds with concern , the
client reminds the therapist that they cannot tell their
parents due to confidentiality , and wish to keep the razor
blade nearby in the case she decides to take her own life
In the meantime , the client has contracted for safety in
between sessions .
The therapist would BEST respond to this situation by . -
correct answer- Referring to their jurisdiction's
laws on children's rights to privacy in therapy Yes , see
rationale for A and B
A client experiences a manic episode. After working with a
client diagnosed with a major depressive disorder for the
past 12 weeks , he has a manic episode and requires an
inpatient hospitalization . After the client has been
stabilized , care has been coordinated competence to
manage aftercare is affirmed , the with hospital staff , and
,therapist therapist's BEST next step would be to : -
correct answer- Change treatment goals to
reflect a psychoeducational approach YES ! This one is
tricky , as disorder ( which the client now meets C may be
appealing as it accounts for the new diagnosis of bipolar
given the history of depression and documented manic
episode . HOWEVER , this answer is MORE correct as it
specifies that the treatment plan will be changed entirely
in its shift toward psychoeducation , which is the
recommended intervention for MFTS working with bipolar
disorder .
A client is referred for PRIOR to initiating therapy , a
therapist SHOULD FIRST : mandatory therapy following
juvenile anti - social behavior . - correct answer-
Clarify all reporting Yes . When working clear of what your
responsibilities report writing This will structure the with
court - mandated clients , before beginning therapy you
should be to the referring party are in regard to
communication informed consent process for the client at
the onset and
A client was referred for a general assessment of mental
health by a judge overseeing a custody dispute . As part of
,the informed consent , the therapist clarifies that the
results of the assessment will be shared with the courts
overseeing the custody case . The client declines to
personally authorize the release of any information
gathered in the assessment . A therapist would BEST
handle this situation by : - correct answer-
Deferring the client's dispute of the court Yes ! Know your
role , and know the role of collateral mandate to their
attorney providers in the case . This would be a dispute
best handled by those directly involved on the legal end .
Stay out of it !
A couple attends an intake for therapy due to escalations
in their disagreement and intense interactions . When
asked to describe their interactions , the couple reported
the following Carla : He's so controlling over everything I
do . He's always checking my phone and accusing me of
cheating , but that's old news . Most recently , he's
starting to tell me what I can and can't wear to work each
day , and just last week , showed up at a restaurant where
I told him I was meeting friends for dinner - correct
answer- Potential sexual abuse of Jennifer and Carl
, A couple reports that they are struggling to disagreements
, such as what to watch on the communicate the other is
nearly always talking in anger and lives in television each
evening . Each reactivity . about even the most mundane
partner claims that A helpful intervention for this couple
WOULD BE : - correct answer- Mindfulness
Mindfulness training is an evidence - based intervention
and skill for reducing reactivity in couple systems .
A divorce therapist is working with a woman around
complicated proceedings . A few weeks into treatment ,
the therapist 17 . ongoing of the client's ex - spouse to
release all treatment adjustment to a recent separation
and receives a subpoena possibility and records . forbid
the Earlier in treatment information . treatment , the from
the attorney client had warned the therapist of this
release of any The next BEST STEP for the therapist would
be to : - correct answer- Obtain legal advice
reflective of the therapist's particular jurisdiction
Obligations to break client confidentiality varies across
jurisdictions . Because this is the NATIONAL EXAM and not
a local state licensing exam , you will need to know what
laws are federal and which vary by state - exceptions to
confidentiality being one that varies . In this case , you'd