TF-CBT FINAL EXAM 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔Nine-year-old Jessica has learned the names and facial expressions associated with
several different emotions, but she continues to have difficulty managing intense
feelings of anger. Which of the following interventions to help Jessica manage her anger
is most appropriate within a TF-CBT framework? - ✔✔Encourage the parent to discuss
their feelings with you and try to address them in parent sessions
Caregiver emotion can be an important factor to consider and should be addressed
directly with parents outside the child's presence.
✔✔Which of the following is Affective Identification and Expression NOT designed to
teach children? - ✔✔How to emotionally process the traumatic event
Emotional processing of the traumatic event happens later in TF-CBT when the Trauma
Narrative is created and discussed.
✔✔When children find it hard to discuss their own feelings, it is often helpful to: -
✔✔Discuss the feelings of other children or imaginary characters from books
Children are often able to discuss others' feelings more easily than their own, so talking
about how others feel may help some kids gain insight into their own emotions.
✔✔Nine-year-old Jessica has learned the names and facial expressions associated with
several different emotions, but she continues to have difficulty managing intense
feelings of anger. Which of the following interventions to help Jessica manage her anger
is most appropriate within a TF-CBT framework? - ✔✔Help Jessica develop a handful of
strategies for self-soothing that are situationally appropriate
There is no "one-size-fits-all" strategy for managing emotions in every situation.
Different contexts will require different coping strategies.
✔✔What are the three legs of the TF-CBT Cognitive Triangle? - ✔✔Thoughts, feelings
and behaviors
The purpose of the "cognitive triangle" is to teach about the connections between
thoughts/cognitions, feelings, and behavior.
✔✔Felix is a 15-year-old, Spanish-English bilingual young man. He learned English
when he was 11 years old. He is receiving TF-CBT for physical abuse that happened
when he was 4 and living in El Salvador. Which statement is most accurate about how
to work with Felix in the Affective Identification and Regulation module? - ✔✔The
therapist should ask Felix to list trauma-related emotion words in both English and
Spanish.
Because Felix "remembered" his trauma before he learned English, he may have more
words for what happened to him in his native Spanish. Asking him Spanish emotion
names, that he can they try to translate for you, may help you gain a greater
understanding of his emotional experience.
, ✔✔Cognitive coping techniques do NOT involve direct discussion of: - ✔✔Emotional
reactions to the abuse
Although emotions are discussed as part of the "cognitive triangle," cognitive coping
techniques are aimed at countering inaccurate, unrealistic, and unhelpful thoughts.
✔✔When teaching cognitive coping to a school-aged child, it is best to use examples
taken from - ✔✔The child's life experiences
Using real-life examples is best for a child who is school-age or older; younger children
might need examples taken from other media.
✔✔The cognitive triangle is designed to teach children that: - ✔✔Behavior, feelings, and
cognitions are related to one another
The point of the triangle is to demonstrate the interconnectedness of thoughts, feelings,
and behavior.
✔✔Cognitive coping tries to decrease problem thoughts by: - ✔✔Identifying,
challenging, and replacing them
Cognitive coping is intended to help children recognize unhelpful/inaccurate thoughts
and challenge them with more accurate or helpful ones.
✔✔Samantha is a 15-year-old girl who was physically abused by her mother for several
years. She continues to blame herself for what happened and believes that if her
mother really cared about her, she would never have done this. As a result, she does
not believe anyone will ever love her. Which of the following statements should guide
the therapist's actions? - ✔✔These thoughts may be accurate but they are unhelpful
and should be addressed directly.
Samantha's thoughts are likely to be accurate, but they make her feel worse. In the
Cognitive Coping module, alternative and accurate thoughts that do not produce
negative emotions should be identified and discussed.
✔✔Which of the following describes the suggested order for effectively obtaining
information from a child when developing a trauma narrative? - ✔✔Ask, Listen, Repeat,
Write Down
The therapist should Ask an open-ended question, Listen to the child's response;
Repeat the response back to the child, and then Write Down the answer in the narrative
✔✔When creating the trauma narrative with the child, the clinician should: - ✔✔Be
listening for examples of distorted, unhelpful thoughts in the child's account of what
happened
One of the main goals of eliciting thoughts and feelings when creating the narrative is to
identify unhelpful and inaccurate thoughts that produce symptoms of PTSD and/or
depression.
SOLUTIONS RATED A+
✔✔Nine-year-old Jessica has learned the names and facial expressions associated with
several different emotions, but she continues to have difficulty managing intense
feelings of anger. Which of the following interventions to help Jessica manage her anger
is most appropriate within a TF-CBT framework? - ✔✔Encourage the parent to discuss
their feelings with you and try to address them in parent sessions
Caregiver emotion can be an important factor to consider and should be addressed
directly with parents outside the child's presence.
✔✔Which of the following is Affective Identification and Expression NOT designed to
teach children? - ✔✔How to emotionally process the traumatic event
Emotional processing of the traumatic event happens later in TF-CBT when the Trauma
Narrative is created and discussed.
✔✔When children find it hard to discuss their own feelings, it is often helpful to: -
✔✔Discuss the feelings of other children or imaginary characters from books
Children are often able to discuss others' feelings more easily than their own, so talking
about how others feel may help some kids gain insight into their own emotions.
✔✔Nine-year-old Jessica has learned the names and facial expressions associated with
several different emotions, but she continues to have difficulty managing intense
feelings of anger. Which of the following interventions to help Jessica manage her anger
is most appropriate within a TF-CBT framework? - ✔✔Help Jessica develop a handful of
strategies for self-soothing that are situationally appropriate
There is no "one-size-fits-all" strategy for managing emotions in every situation.
Different contexts will require different coping strategies.
✔✔What are the three legs of the TF-CBT Cognitive Triangle? - ✔✔Thoughts, feelings
and behaviors
The purpose of the "cognitive triangle" is to teach about the connections between
thoughts/cognitions, feelings, and behavior.
✔✔Felix is a 15-year-old, Spanish-English bilingual young man. He learned English
when he was 11 years old. He is receiving TF-CBT for physical abuse that happened
when he was 4 and living in El Salvador. Which statement is most accurate about how
to work with Felix in the Affective Identification and Regulation module? - ✔✔The
therapist should ask Felix to list trauma-related emotion words in both English and
Spanish.
Because Felix "remembered" his trauma before he learned English, he may have more
words for what happened to him in his native Spanish. Asking him Spanish emotion
names, that he can they try to translate for you, may help you gain a greater
understanding of his emotional experience.
, ✔✔Cognitive coping techniques do NOT involve direct discussion of: - ✔✔Emotional
reactions to the abuse
Although emotions are discussed as part of the "cognitive triangle," cognitive coping
techniques are aimed at countering inaccurate, unrealistic, and unhelpful thoughts.
✔✔When teaching cognitive coping to a school-aged child, it is best to use examples
taken from - ✔✔The child's life experiences
Using real-life examples is best for a child who is school-age or older; younger children
might need examples taken from other media.
✔✔The cognitive triangle is designed to teach children that: - ✔✔Behavior, feelings, and
cognitions are related to one another
The point of the triangle is to demonstrate the interconnectedness of thoughts, feelings,
and behavior.
✔✔Cognitive coping tries to decrease problem thoughts by: - ✔✔Identifying,
challenging, and replacing them
Cognitive coping is intended to help children recognize unhelpful/inaccurate thoughts
and challenge them with more accurate or helpful ones.
✔✔Samantha is a 15-year-old girl who was physically abused by her mother for several
years. She continues to blame herself for what happened and believes that if her
mother really cared about her, she would never have done this. As a result, she does
not believe anyone will ever love her. Which of the following statements should guide
the therapist's actions? - ✔✔These thoughts may be accurate but they are unhelpful
and should be addressed directly.
Samantha's thoughts are likely to be accurate, but they make her feel worse. In the
Cognitive Coping module, alternative and accurate thoughts that do not produce
negative emotions should be identified and discussed.
✔✔Which of the following describes the suggested order for effectively obtaining
information from a child when developing a trauma narrative? - ✔✔Ask, Listen, Repeat,
Write Down
The therapist should Ask an open-ended question, Listen to the child's response;
Repeat the response back to the child, and then Write Down the answer in the narrative
✔✔When creating the trauma narrative with the child, the clinician should: - ✔✔Be
listening for examples of distorted, unhelpful thoughts in the child's account of what
happened
One of the main goals of eliciting thoughts and feelings when creating the narrative is to
identify unhelpful and inaccurate thoughts that produce symptoms of PTSD and/or
depression.
