LMFT TDC Mock Exam 2 | Questions &
Answers Verified 100%Correct
A couple reports increased marital conflicts. The husband notes that his wife has
become irritable, isolative, and lethargic since she was laid off from her job three
months ago. She worked as an air traffic controller for 26 years and, due to recent
budget cuts, the company had to let her go. The wife states she is tired of her
husband's constant nagging for her to be more helpful around the house. Both report a
lack of physical intimacy and a sense of emotional disconnect from one another, but
express a desire to resolve their problems. Which of the following areas should the
therapist assess first to identify the degree to which current stressors are impacting the
relationship?
A. The wife's work history and her prognosis for re-employment.
B. The couple's styles of coping and their degree of effectiveness.
C. The effect of socio-economic factors on the couple's problems.
D. The effect of dysfunctional patterns i - ANSWER C. The effect of socio-
economic factors on the couple's problems.
A 22-year-old Asian-American woman seeks therapy at the insistence of her father who
read a journal entry that the girl wrote stating she wanted to die. The client shares that
her parents are divorced and that she lives with her mother and her older sister. The client
reports that she doesn't have many friends, but feels more comfortable alone.
,She admits to having thoughts of not wanting to be alive but no plans to hurt
herself. What diagnoses should the therapist consider?
Choose one
A. Social anxiety disorder; Major Depressive Disorder; Schizotypal Personality Disorder
B. Unspecified Depressive Disorder; Major Depressive Disorder; Schizoid
Personality Disorder
C. Social anxiety disorder; Major Depressive Disorder; Avoidant Personality Disorder
D. Unspecified Depressive Disorder; Major Depressive Disorder; Avoidant
Personality Disorder - ANSWER B. Unspecified Depressive Disorder; Major
Depressive Disorder; Schizoid Personality Disorder
Which of the following elements should be included in a bio-psychosocial assessment
of a new client?
A. Baseline functioning; social support systems; information from adjunctive resources.
B. Baseline functioning; social support systems; assessment of risk.
C. Client history; mental status examination; information from adjunctive resources.
D. Client history; mental status examination; assessment of risk. - ANSWER D. Client
history; mental status examination; assessment of risk.
A 42-year-old transgender woman has been in therapy for two years for depression.
When she originally came in she set out to improve her body image together with her
self-esteem. She also wanted to develop alternative coping mechanisms, since she
found herself heavily relying on overeating to help her dull emotional pain associated
with the transition. After 2 years of treatment, she is now able to begin every morning
with a gratitude practice listing all the things she likes about her new body. She no
longer feels a sense of heavy self-hatred and is able to treat herself in a loving manner.
She is working the steps in Overeaters Anonymous and is journaling and meditating
whenever emotional pain arises. She requests ongoing therapy because she does not
want her life to go back to the way it was. What course of treatment is most indicated
at this point?
,A. Discuss termination issues; maintain regularly scheduled sess - ANSWER B. Normalize
her fears; discuss termination issues; gradually decrease the frequency of contact.
A 24-year-old woman seeks therapy after an unexpected break-up with her boyfriend of
two years. She shares that they had met in college and had plans to move in with each
other and get engaged by the end of the year. A month ago the boyfriend quit his job
and said he was moving to South Africa to explore the world and that he wanted to do it
alone. She hasn't had contact with him since. The client reports that her heart is broken
and she can't imagine life without him. What intervention would a Gestalt therapist
utilize in the initial session with this client?
A. Collect more information about the nature of their relationship to better
understand the break up.
B. Ask the client to describe the sensations she experiences when she talks about
her broken heart.
C. Explore the client's premorbid coping and identify strengths.
D. Request the client stay in the "here and now" when describing her feelings about
her relatio - ANSWER B. Ask the client to describe the sensations she experiences when
she talks about her broken heart.
A multicultural family of four comes in for family counseling. The mother, Graciela, age
37, immigrated from Spain 17 years ago. She has been having persistent episodes when
she is crying all day, feeling down, and not interested in doing anything with her family
or friends. Her husband Nathan, age 38, was born and raised in Scotland. He met his
wife while studying in the US during his semester abroad. The stresses of immigration
and having a family to support has led him to frequent the bar a few times a week. "It is
a way for me to unwind with my mates before coming home to screaming children and
a sad wife," he declares. They both tell the therapist that the kids, 2 and 4 years old,
are "out of control". The therapist should consider referrals to:
A. A child protective agency; Alcoholic Anonymous; Psychiatric Emergency Team.
, B. Parenting classes; Treatment center for substance use assessment; A psychiatrist.
C. P - ANSWER B. Parenting classes; Treatment center for substance use assessment;
A psychiatrist.
A young man enters an outpatient clinic complaining of noises in his head. Which of
the following treatment plans should be implemented to provide safe and effective
care at the least restrictive level?
A. Outpatient treatment with medication evaluation.
B. Brief inpatient treatment with medication evaluation.
C. Board and care placement without medication evaluation.
D. Intensive outpatient treatment without medication evaluation. - ANSWER A.
Outpatient treatment with medication evaluation.
A client with a Borderline Personality Disorder diagnosis is transferred to you from a
colleague who moved out of town. The client is compliant with treatment and medication.
The client struggles with ongoing family conflict ever since she moved back in with her
parents to save money. In this case, is a family therapy referral appropriate?
A. No, because Borderline Personality Disorder clients cannot handle more than
one type of therapy at a time.
B. Yes, because family therapy can assist the client and his/her family members in
practicing important communication and conflict management skills, thus allowing
the client more potential for symptom management.
C. Yes, because Borderline Personality Disorder clients need to be told by their
family members how their challenging behavior affects the household.
D. No, because Borderline Personality Disorder clients might feel ganged up on and
unloved by the family if they - ANSWER B. Yes, because family therapy can assist the
client and his/her family members in practicing important communication and conflict
management skills, thus allowing the client more potential for symptom management.
Answers Verified 100%Correct
A couple reports increased marital conflicts. The husband notes that his wife has
become irritable, isolative, and lethargic since she was laid off from her job three
months ago. She worked as an air traffic controller for 26 years and, due to recent
budget cuts, the company had to let her go. The wife states she is tired of her
husband's constant nagging for her to be more helpful around the house. Both report a
lack of physical intimacy and a sense of emotional disconnect from one another, but
express a desire to resolve their problems. Which of the following areas should the
therapist assess first to identify the degree to which current stressors are impacting the
relationship?
A. The wife's work history and her prognosis for re-employment.
B. The couple's styles of coping and their degree of effectiveness.
C. The effect of socio-economic factors on the couple's problems.
D. The effect of dysfunctional patterns i - ANSWER C. The effect of socio-
economic factors on the couple's problems.
A 22-year-old Asian-American woman seeks therapy at the insistence of her father who
read a journal entry that the girl wrote stating she wanted to die. The client shares that
her parents are divorced and that she lives with her mother and her older sister. The client
reports that she doesn't have many friends, but feels more comfortable alone.
,She admits to having thoughts of not wanting to be alive but no plans to hurt
herself. What diagnoses should the therapist consider?
Choose one
A. Social anxiety disorder; Major Depressive Disorder; Schizotypal Personality Disorder
B. Unspecified Depressive Disorder; Major Depressive Disorder; Schizoid
Personality Disorder
C. Social anxiety disorder; Major Depressive Disorder; Avoidant Personality Disorder
D. Unspecified Depressive Disorder; Major Depressive Disorder; Avoidant
Personality Disorder - ANSWER B. Unspecified Depressive Disorder; Major
Depressive Disorder; Schizoid Personality Disorder
Which of the following elements should be included in a bio-psychosocial assessment
of a new client?
A. Baseline functioning; social support systems; information from adjunctive resources.
B. Baseline functioning; social support systems; assessment of risk.
C. Client history; mental status examination; information from adjunctive resources.
D. Client history; mental status examination; assessment of risk. - ANSWER D. Client
history; mental status examination; assessment of risk.
A 42-year-old transgender woman has been in therapy for two years for depression.
When she originally came in she set out to improve her body image together with her
self-esteem. She also wanted to develop alternative coping mechanisms, since she
found herself heavily relying on overeating to help her dull emotional pain associated
with the transition. After 2 years of treatment, she is now able to begin every morning
with a gratitude practice listing all the things she likes about her new body. She no
longer feels a sense of heavy self-hatred and is able to treat herself in a loving manner.
She is working the steps in Overeaters Anonymous and is journaling and meditating
whenever emotional pain arises. She requests ongoing therapy because she does not
want her life to go back to the way it was. What course of treatment is most indicated
at this point?
,A. Discuss termination issues; maintain regularly scheduled sess - ANSWER B. Normalize
her fears; discuss termination issues; gradually decrease the frequency of contact.
A 24-year-old woman seeks therapy after an unexpected break-up with her boyfriend of
two years. She shares that they had met in college and had plans to move in with each
other and get engaged by the end of the year. A month ago the boyfriend quit his job
and said he was moving to South Africa to explore the world and that he wanted to do it
alone. She hasn't had contact with him since. The client reports that her heart is broken
and she can't imagine life without him. What intervention would a Gestalt therapist
utilize in the initial session with this client?
A. Collect more information about the nature of their relationship to better
understand the break up.
B. Ask the client to describe the sensations she experiences when she talks about
her broken heart.
C. Explore the client's premorbid coping and identify strengths.
D. Request the client stay in the "here and now" when describing her feelings about
her relatio - ANSWER B. Ask the client to describe the sensations she experiences when
she talks about her broken heart.
A multicultural family of four comes in for family counseling. The mother, Graciela, age
37, immigrated from Spain 17 years ago. She has been having persistent episodes when
she is crying all day, feeling down, and not interested in doing anything with her family
or friends. Her husband Nathan, age 38, was born and raised in Scotland. He met his
wife while studying in the US during his semester abroad. The stresses of immigration
and having a family to support has led him to frequent the bar a few times a week. "It is
a way for me to unwind with my mates before coming home to screaming children and
a sad wife," he declares. They both tell the therapist that the kids, 2 and 4 years old,
are "out of control". The therapist should consider referrals to:
A. A child protective agency; Alcoholic Anonymous; Psychiatric Emergency Team.
, B. Parenting classes; Treatment center for substance use assessment; A psychiatrist.
C. P - ANSWER B. Parenting classes; Treatment center for substance use assessment;
A psychiatrist.
A young man enters an outpatient clinic complaining of noises in his head. Which of
the following treatment plans should be implemented to provide safe and effective
care at the least restrictive level?
A. Outpatient treatment with medication evaluation.
B. Brief inpatient treatment with medication evaluation.
C. Board and care placement without medication evaluation.
D. Intensive outpatient treatment without medication evaluation. - ANSWER A.
Outpatient treatment with medication evaluation.
A client with a Borderline Personality Disorder diagnosis is transferred to you from a
colleague who moved out of town. The client is compliant with treatment and medication.
The client struggles with ongoing family conflict ever since she moved back in with her
parents to save money. In this case, is a family therapy referral appropriate?
A. No, because Borderline Personality Disorder clients cannot handle more than
one type of therapy at a time.
B. Yes, because family therapy can assist the client and his/her family members in
practicing important communication and conflict management skills, thus allowing
the client more potential for symptom management.
C. Yes, because Borderline Personality Disorder clients need to be told by their
family members how their challenging behavior affects the household.
D. No, because Borderline Personality Disorder clients might feel ganged up on and
unloved by the family if they - ANSWER B. Yes, because family therapy can assist the
client and his/her family members in practicing important communication and conflict
management skills, thus allowing the client more potential for symptom management.
