TF-CBT STUDY GUIDE 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔10. Samuel is a 14-year-old boy with a cognitive disability who functions at about the
level of a 5 year old. He was referred to you by a child welfare worker after a report of
physical abuse by his mother. Your trauma assessment found that Samuel had a long
history of signifi. physical abuse by both his parents. Samuel reported that when his
parents beat him, it was his fault bc he did something wrong, & that he usually deserved
the punishment. He often felt guilty about causing his parents to hit him and ashamed of
himself for being bad. A stand. measure of PTSD symptoms completed by his current
caregiver, an aunt, was in the high normal range. Is he a good treatment candidate for
TF-CBT and why? a) No, since he has a cognitive disability, TF-CBT is not a good
treatment for him. b) Yes, his problems with guilt, self-blame, and shame are clinically
significant trauma related problems that can be treated with TF-CBT - ✔✔Correct
answer: b) Yes, Samuel's problems with guilt, self-blame, and shame are clinically
significant trauma related problems that can be treated with TF-CBT.
✔✔11. What are the two components of treatment fidelity? a) Training and Competence
b) Adherence and Competence c) Training and Adherence d) Evidence and
Competence e) Evidence and Training - ✔✔Correct answer: b) Adherence and
Competence
✔✔12. What is the acronym that describes the components of TF-CBT? a) HOPE b)
WISE c) PRACTICE d) COPE e) ACCEPT - ✔✔Correct answer: c) PRACTICE
✔✔13. Which of the following is a main purpose of the psychoeducation module? a)
Helping parents and caregivers understand how trauma affects adjustment b)
Explaining the rationale for the trauma narrative exercise c) Helping children understand
the cultural context of their victimization d) Teaching children and caregivers effective
coping methods - ✔✔Correct answer: a) Helping parents and caregivers understand
how trauma affects adjustment
✔✔14. All of the following are important aspects of the psychoeducation module
EXCEPT: a) Providing caregivers and youth with an overview of the TF-CBT treatment
process b) Giving families access to information about traumatic stress c) Taking a
developmentally sensitive approach to sharing information d) Assessing the child's
trauma symptoms and appropriateness for TF-CBT - ✔✔Correct answer: d) Assessing
the child's trauma symptoms and appropriateness for TF-CBT
✔✔15. Which statement reflects an element of psychoeducation pertaining to physical
abuse? a) Physically abused children are unlikely to be exposed to other types of
trauma b) Physical abuse is the most commonly reported type of child maltreatment in
the US c) Physical abuse and punishment are not the same thing d) Parents who
, physically abuse their children typically have mental disorders - ✔✔Correct answer: c)
Physical abuse and punishment are not the same thing
✔✔16. Which statement below is the most accurate regarding how to choose
therapeutic activities within the Psychoeducation module? a) Psychoeducation must be
delivered by using games and fun activities b) Conjoint activities including both
caregivers and kids are discouraged in this module c) You should avoid play activities
during Psychoeducation so the child does not establish expectation that TF-CBT is "play
time" or fun d) Therapeutic activities will vary across cases, depending in part on the
developmental age of the child - ✔✔Correct answer: d) Therapeutic activities will vary
across cases, depending in part on the developmental age of the child
✔✔17. 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? a) a test of verbal fluency b) gradual
exposure c) more education about the consequences of sexual abuse d) a
baseline/neutral narrative task - ✔✔Correct answer: d) a baseline/neutral narrative task
✔✔18. 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? a) TF-CBT
is flexible enough to be adapted so that Mrs. Sands does not need to participate b)
Providing Tonette with treatment is vitally important to prevent significant symptoms
later in her life c) The TF-CBT treatment model emphasizes the importance of working
as a team with caregivers d) Tonette is at very high risk of future victimization without
appropriate and timely treatment e) Witnessing violence is associated with symptoms -
✔✔Correct answer: c) The TF-CBT treatment model emphasizes the importance of
working as a team with caregivers
✔✔19. Active ignoring is a strategy that is designed to help parents: a) Cool down when
they are feeling stressed or angry b) Avoid responding to their child's unharmful,
inappropriate behavior c) Respond to their child with facial expressions and gestures
only, without yelling or arguing d) Avoid reacting impulsively by giving them some time
to think about how to punish the child's behavior - ✔✔Correct answer: b) Avoid
responding to their child's unharmful, inappropriate behavior
✔✔20. One important aspect of parental praise for a child's behavior is: a) To make
praise very general so it applies to a variety of good behaviors b) To find reasons to
SOLUTIONS RATED A+
✔✔10. Samuel is a 14-year-old boy with a cognitive disability who functions at about the
level of a 5 year old. He was referred to you by a child welfare worker after a report of
physical abuse by his mother. Your trauma assessment found that Samuel had a long
history of signifi. physical abuse by both his parents. Samuel reported that when his
parents beat him, it was his fault bc he did something wrong, & that he usually deserved
the punishment. He often felt guilty about causing his parents to hit him and ashamed of
himself for being bad. A stand. measure of PTSD symptoms completed by his current
caregiver, an aunt, was in the high normal range. Is he a good treatment candidate for
TF-CBT and why? a) No, since he has a cognitive disability, TF-CBT is not a good
treatment for him. b) Yes, his problems with guilt, self-blame, and shame are clinically
significant trauma related problems that can be treated with TF-CBT - ✔✔Correct
answer: b) Yes, Samuel's problems with guilt, self-blame, and shame are clinically
significant trauma related problems that can be treated with TF-CBT.
✔✔11. What are the two components of treatment fidelity? a) Training and Competence
b) Adherence and Competence c) Training and Adherence d) Evidence and
Competence e) Evidence and Training - ✔✔Correct answer: b) Adherence and
Competence
✔✔12. What is the acronym that describes the components of TF-CBT? a) HOPE b)
WISE c) PRACTICE d) COPE e) ACCEPT - ✔✔Correct answer: c) PRACTICE
✔✔13. Which of the following is a main purpose of the psychoeducation module? a)
Helping parents and caregivers understand how trauma affects adjustment b)
Explaining the rationale for the trauma narrative exercise c) Helping children understand
the cultural context of their victimization d) Teaching children and caregivers effective
coping methods - ✔✔Correct answer: a) Helping parents and caregivers understand
how trauma affects adjustment
✔✔14. All of the following are important aspects of the psychoeducation module
EXCEPT: a) Providing caregivers and youth with an overview of the TF-CBT treatment
process b) Giving families access to information about traumatic stress c) Taking a
developmentally sensitive approach to sharing information d) Assessing the child's
trauma symptoms and appropriateness for TF-CBT - ✔✔Correct answer: d) Assessing
the child's trauma symptoms and appropriateness for TF-CBT
✔✔15. Which statement reflects an element of psychoeducation pertaining to physical
abuse? a) Physically abused children are unlikely to be exposed to other types of
trauma b) Physical abuse is the most commonly reported type of child maltreatment in
the US c) Physical abuse and punishment are not the same thing d) Parents who
, physically abuse their children typically have mental disorders - ✔✔Correct answer: c)
Physical abuse and punishment are not the same thing
✔✔16. Which statement below is the most accurate regarding how to choose
therapeutic activities within the Psychoeducation module? a) Psychoeducation must be
delivered by using games and fun activities b) Conjoint activities including both
caregivers and kids are discouraged in this module c) You should avoid play activities
during Psychoeducation so the child does not establish expectation that TF-CBT is "play
time" or fun d) Therapeutic activities will vary across cases, depending in part on the
developmental age of the child - ✔✔Correct answer: d) Therapeutic activities will vary
across cases, depending in part on the developmental age of the child
✔✔17. 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? a) a test of verbal fluency b) gradual
exposure c) more education about the consequences of sexual abuse d) a
baseline/neutral narrative task - ✔✔Correct answer: d) a baseline/neutral narrative task
✔✔18. 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? a) TF-CBT
is flexible enough to be adapted so that Mrs. Sands does not need to participate b)
Providing Tonette with treatment is vitally important to prevent significant symptoms
later in her life c) The TF-CBT treatment model emphasizes the importance of working
as a team with caregivers d) Tonette is at very high risk of future victimization without
appropriate and timely treatment e) Witnessing violence is associated with symptoms -
✔✔Correct answer: c) The TF-CBT treatment model emphasizes the importance of
working as a team with caregivers
✔✔19. Active ignoring is a strategy that is designed to help parents: a) Cool down when
they are feeling stressed or angry b) Avoid responding to their child's unharmful,
inappropriate behavior c) Respond to their child with facial expressions and gestures
only, without yelling or arguing d) Avoid reacting impulsively by giving them some time
to think about how to punish the child's behavior - ✔✔Correct answer: b) Avoid
responding to their child's unharmful, inappropriate behavior
✔✔20. One important aspect of parental praise for a child's behavior is: a) To make
praise very general so it applies to a variety of good behaviors b) To find reasons to
