TF-CBT CERT EXAM (updated 2026) Questions & Answers |
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Alexa is an 8-year-old girl who disclosed sexual abuse 1. Alexa's statements are examples of:
by her two older adolescent stepbrothers. While a) Healthy or functional thoughts.
developing the first part of her trauma narrative, she b) Cognitive distortions.
wrote "I am a bad girl. I think they messed up my body. c) Cognitive realities.
I was really dumb because I never told anyone." d) Accurate but unhelpful thoughts.
2. How should the therapist proceed? (Alexa case) a) Tell Alexa that it is not her fault and immediately begin to process her
statements.
b) Allow Alexa to complete her trauma narrative and then begin cognitive
processing of the trauma narrative, including her statements.
c) Repeat the earlier components, beginning with Psychoeducation as this is a
clear example of the therapy not "sinking in."
d) Ask Alexa to start the trauma narrative again but this time tell her to only
include details about the sexual abuse, not any statements about herself or any
thoughts.
Justin is an 11-year-old boy who witnessed his father 3. How should the therapist proceed?
brutally attack his mother with a baseball bat. During a) Due to the problems associated with "false memories," confront Justin about
the middle of writing his trauma narrative, he wrote that the inaccuracy immediately.
he intervened and attempted to defend his mother by b) Talk to Justin about the difference between the "truth" and a "lie."
fighting his father. However, during individual sessions c) Recognize that it is not unusual for children to make fantasy or rescue
with his mother, it became apparent that Justin had statements; allow Justin to complete his trauma narrative and gently challenge
hidden behind the sofa and cried during the attack. his statements.
d) Talk with Justin's father to determine whether Justin or his mother is telling the
truth; then share this information with Justin.
, In the example above, there is a concern that the father 4. How should the therapist proceed?
may have access to the home and the therapist is a) Meet with the child's father and discuss the safety concerns.
worried about Justin's safety. The therapist is concerned b) Do not discuss safety because Justin and his mother would then blame
about following the TF-CBT model with fidelity and is themselves for the domestic violence.
not sure whether it is okay to implement "Enhancing c) Engage in short-term safety planning with Justin and his mother.
Safety and Future Development" without completing d) Engage Justin in In Vivo Desensitization as his concern about safety is a
the earlier components. cognitive distortion.
Monty is a 7-year-old boy who was a victim of sexual 5. What should the therapist have done instead?
abuse for two years by his adoptive parents. As part of a) Listened to Monty for a few minutes and redirected him; initiated
the assessment, he completed the UCLA PTSD Psychoeducation and subsequent skills-based components before moving to
Reaction Index and his total score was in the severe the trauma narrative.
range, including very serious re-experiencing b) Briefly reviewed the initial four TF-CBT components and started the trauma
symptoms. When the therapist discussed the TF-CBT narrative the next week.
treatment approach with him, including that he would c) Nothing. It is imperative to follow a child's cues and wishes rather than a
be writing his story about the sexual abuse, Monty more directive approach.
became excited and began to discuss the trauma in d) Skipped the trauma narrative entirely because it is important to do just the
great detail. So, the therapist, encouraged by Monty's opposite of what a child believes he/she needs.
willingness to talk, complied with his wishes and
allowed him to create his trauma narrative over the first
three treatment sessions. During and after the
completion of the trauma narrative, Monty's behavior
began to deteriorate, including acting-out sexually,
soiling himself, refusing to sleep in his own room, and
engaging in other dangerous behaviors that warranted
a short-term hospitalization.
6. Which component of TF-CBT sometimes needs to be a) Trauma Narrative, particularly if a child is extremely anxious.
implemented out of order, usually toward the beginning b) Conjoint sessions to share the narrative, especially for older teens or foster
of treatment? children who resist having their foster parents involved in treatment.
c) Cognitive Coping, especially if a child has distortions about the abuse.
d) Psychoeducation; sometimes this component can be left for later in
treatment or skipped altogether.
e) In Vivo Mastery, such as in cases of school avoidance or other highly
problematic avoidant behaviors
Jody is a 6 year-old girl who was attacked by a dog and . In the first TF-CBT session, the therapist would typically:
left with severe scars all over her legs. Since the dog a) Give Jody the freedom to talk about anything she likes throughout the
attack, Jody has experienced severe PTSD symptoms session.
and significant oppositional behavior problems. Her b) Provide psychoeducation and express optimism about her ability to help
mother has felt intense guilt as Jody almost died from mother and child in 12 to 16 sessions.
the attack. She now cannot say no to anything her c) Explain to mother that Jody has serious PTSD symptoms and that treatment
daughter wants. The mother also reported that Jody's will likely continue for 1-2 years.
behavior is extremely difficult to manage and the d) Strongly encourage Jody to talk about the details of the dog attack, no
mother just cannot take her anywhere. Jody has matter how much anxiety this strategy would cause.
tantrums at the drop of a pin and becomes fearful when
there is any mention of a dog.
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Leave the first rating
Save
Students also studied
Flashcard sets Study guides
Exam 2 - CPD ASWB Complete Practice Exam Term 4-Test 1-Chapter 6-The Nursin... N5
Teacher 29 terms Teacher 170 terms Teacher 16 terms Te
Tashae_Haskin Preview quizlette70808648 Preview Dr_Eric_karimi2 Preview
Terms in this set (40)
Alexa is an 8-year-old girl who disclosed sexual abuse 1. Alexa's statements are examples of:
by her two older adolescent stepbrothers. While a) Healthy or functional thoughts.
developing the first part of her trauma narrative, she b) Cognitive distortions.
wrote "I am a bad girl. I think they messed up my body. c) Cognitive realities.
I was really dumb because I never told anyone." d) Accurate but unhelpful thoughts.
2. How should the therapist proceed? (Alexa case) a) Tell Alexa that it is not her fault and immediately begin to process her
statements.
b) Allow Alexa to complete her trauma narrative and then begin cognitive
processing of the trauma narrative, including her statements.
c) Repeat the earlier components, beginning with Psychoeducation as this is a
clear example of the therapy not "sinking in."
d) Ask Alexa to start the trauma narrative again but this time tell her to only
include details about the sexual abuse, not any statements about herself or any
thoughts.
Justin is an 11-year-old boy who witnessed his father 3. How should the therapist proceed?
brutally attack his mother with a baseball bat. During a) Due to the problems associated with "false memories," confront Justin about
the middle of writing his trauma narrative, he wrote that the inaccuracy immediately.
he intervened and attempted to defend his mother by b) Talk to Justin about the difference between the "truth" and a "lie."
fighting his father. However, during individual sessions c) Recognize that it is not unusual for children to make fantasy or rescue
with his mother, it became apparent that Justin had statements; allow Justin to complete his trauma narrative and gently challenge
hidden behind the sofa and cried during the attack. his statements.
d) Talk with Justin's father to determine whether Justin or his mother is telling the
truth; then share this information with Justin.
, In the example above, there is a concern that the father 4. How should the therapist proceed?
may have access to the home and the therapist is a) Meet with the child's father and discuss the safety concerns.
worried about Justin's safety. The therapist is concerned b) Do not discuss safety because Justin and his mother would then blame
about following the TF-CBT model with fidelity and is themselves for the domestic violence.
not sure whether it is okay to implement "Enhancing c) Engage in short-term safety planning with Justin and his mother.
Safety and Future Development" without completing d) Engage Justin in In Vivo Desensitization as his concern about safety is a
the earlier components. cognitive distortion.
Monty is a 7-year-old boy who was a victim of sexual 5. What should the therapist have done instead?
abuse for two years by his adoptive parents. As part of a) Listened to Monty for a few minutes and redirected him; initiated
the assessment, he completed the UCLA PTSD Psychoeducation and subsequent skills-based components before moving to
Reaction Index and his total score was in the severe the trauma narrative.
range, including very serious re-experiencing b) Briefly reviewed the initial four TF-CBT components and started the trauma
symptoms. When the therapist discussed the TF-CBT narrative the next week.
treatment approach with him, including that he would c) Nothing. It is imperative to follow a child's cues and wishes rather than a
be writing his story about the sexual abuse, Monty more directive approach.
became excited and began to discuss the trauma in d) Skipped the trauma narrative entirely because it is important to do just the
great detail. So, the therapist, encouraged by Monty's opposite of what a child believes he/she needs.
willingness to talk, complied with his wishes and
allowed him to create his trauma narrative over the first
three treatment sessions. During and after the
completion of the trauma narrative, Monty's behavior
began to deteriorate, including acting-out sexually,
soiling himself, refusing to sleep in his own room, and
engaging in other dangerous behaviors that warranted
a short-term hospitalization.
6. Which component of TF-CBT sometimes needs to be a) Trauma Narrative, particularly if a child is extremely anxious.
implemented out of order, usually toward the beginning b) Conjoint sessions to share the narrative, especially for older teens or foster
of treatment? children who resist having their foster parents involved in treatment.
c) Cognitive Coping, especially if a child has distortions about the abuse.
d) Psychoeducation; sometimes this component can be left for later in
treatment or skipped altogether.
e) In Vivo Mastery, such as in cases of school avoidance or other highly
problematic avoidant behaviors
Jody is a 6 year-old girl who was attacked by a dog and . In the first TF-CBT session, the therapist would typically:
left with severe scars all over her legs. Since the dog a) Give Jody the freedom to talk about anything she likes throughout the
attack, Jody has experienced severe PTSD symptoms session.
and significant oppositional behavior problems. Her b) Provide psychoeducation and express optimism about her ability to help
mother has felt intense guilt as Jody almost died from mother and child in 12 to 16 sessions.
the attack. She now cannot say no to anything her c) Explain to mother that Jody has serious PTSD symptoms and that treatment
daughter wants. The mother also reported that Jody's will likely continue for 1-2 years.
behavior is extremely difficult to manage and the d) Strongly encourage Jody to talk about the details of the dog attack, no
mother just cannot take her anywhere. Jody has matter how much anxiety this strategy would cause.
tantrums at the drop of a pin and becomes fearful when
there is any mention of a dog.
