©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
LMFT Mock Exam Questions And Answers
A 22-year-old woman seeks therapy for feelings of emptiness and frustration. She shares that
her parents got divorced a few years ago and she doesn't have any contact with her father since
he remarried and moved away. During the eighth session, she reveals that she occasionally
engages in non-suicidal self-cutting, the therapist should FIRST:
A. Assess for suicide and insist that the client sign a no-harm contract.
B. Determine last incident and refer her for a medication evaluation.
C. Express concern about dangers of cutting and assess for suicide.
1|Page
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
D. Explore the role of the cutting and ask about triggers for cutting. - Answers✔D. Explore the
role of the cutting and ask about triggers for cutting.
A 21-year-old woman seeks treatment for anxiety at a community agency. She brings her 18-
month-old daughter with her to the session. The woman becomes angry with her daughter
when she pulls things off the desk and shelf. The woman becomes frustrated and says "she
never listens, she's such a bad girl." What should the therapist do NEXT?
A. Acknowledge the client's frustration with her daughter.
B. Request client find childcare for next session so they can focus on her anxiety.
C. Normalize the child's age appropriate behavior.
D. Explore client's early childhood history. - Answers✔A. Acknowledge the client's frustration
with her daughter.
2|Page
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
A. Explore their patterns of interaction when they are dealing with stressful issues and assist
the family in identifying supports outside of the immediate family. - Answers✔Brian, age 38,
and his wife Melody, age 35, come in with their two children, Mark, age 9, and Sara, age 6.
Their insurance panel referred them after Melody's doctor encouraged them to get therapy.
Melody was diagnosed with cancer three years ago and recently found out that it has come
back in several areas in her body. Brian, an Army officer, says, "We'll fight it like we did last
time. We're fine." Melody cries and says, "I am worried about my kids. Brian is deployed a lot
and I worry about who will take care of them if something happens to me. He doesn't want to
deal with reality." Sara looks at her mom with concern, starts crying, and says, "I'll take care of
you mommy." Mark stares at the floor, motionless. Brian asks about fees because of all the
medical expenses. How would a Systems therapist treat this family in the middle stage of
therapy?
A. Explore their patterns of interaction when they are dealing with stressful issues and assist
the family in identifying supports outside of the immediate family.
B. Rearrange the family members in the room to encourage expression of feelings and explore
how their families of origin coped with illness and loss.
3|Page
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
C. Maintain healthy boundaries regarding the discussion of grief and model effective
communication and utilize role playing in session.
D. Facilitate a discussion with all family members about plans in the event of Melody's death
and explore how their families of origin coped with illness and loss.
A. Explore their patterns of interaction when they are dealing with stressful issues and assist
the family in identifying supports outside of the immediate family. - Answers✔Brian, age 38,
and his wife Melody, age 35, come in with their two children, Mark, age 9, and Sara, age 6.
Their insurance panel referred them after Melody's doctor encouraged them to get therapy.
Melody was diagnosed with cancer three years ago and recently found out that it has come
back in several areas in her body. Brian, an Army officer, says, "We'll fight it like we did last
time. We're fine." Melody cries and says, "I am worried about my kids. Brian is deployed a lot
and I worry about who will take care of them if something happens to me. He doesn't want to
deal with reality." Sara looks at her mom with concern, starts crying, and says, "I'll take care of
you mommy." Mark stares at the floor, motionless. Brian asks about fees because of all the
medical expenses. How would a Systems therapist treat this family in the middle stage of
therapy?
4|Page
ALL RIGHTS RESERVED.
LMFT Mock Exam Questions And Answers
A 22-year-old woman seeks therapy for feelings of emptiness and frustration. She shares that
her parents got divorced a few years ago and she doesn't have any contact with her father since
he remarried and moved away. During the eighth session, she reveals that she occasionally
engages in non-suicidal self-cutting, the therapist should FIRST:
A. Assess for suicide and insist that the client sign a no-harm contract.
B. Determine last incident and refer her for a medication evaluation.
C. Express concern about dangers of cutting and assess for suicide.
1|Page
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
D. Explore the role of the cutting and ask about triggers for cutting. - Answers✔D. Explore the
role of the cutting and ask about triggers for cutting.
A 21-year-old woman seeks treatment for anxiety at a community agency. She brings her 18-
month-old daughter with her to the session. The woman becomes angry with her daughter
when she pulls things off the desk and shelf. The woman becomes frustrated and says "she
never listens, she's such a bad girl." What should the therapist do NEXT?
A. Acknowledge the client's frustration with her daughter.
B. Request client find childcare for next session so they can focus on her anxiety.
C. Normalize the child's age appropriate behavior.
D. Explore client's early childhood history. - Answers✔A. Acknowledge the client's frustration
with her daughter.
2|Page
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
A. Explore their patterns of interaction when they are dealing with stressful issues and assist
the family in identifying supports outside of the immediate family. - Answers✔Brian, age 38,
and his wife Melody, age 35, come in with their two children, Mark, age 9, and Sara, age 6.
Their insurance panel referred them after Melody's doctor encouraged them to get therapy.
Melody was diagnosed with cancer three years ago and recently found out that it has come
back in several areas in her body. Brian, an Army officer, says, "We'll fight it like we did last
time. We're fine." Melody cries and says, "I am worried about my kids. Brian is deployed a lot
and I worry about who will take care of them if something happens to me. He doesn't want to
deal with reality." Sara looks at her mom with concern, starts crying, and says, "I'll take care of
you mommy." Mark stares at the floor, motionless. Brian asks about fees because of all the
medical expenses. How would a Systems therapist treat this family in the middle stage of
therapy?
A. Explore their patterns of interaction when they are dealing with stressful issues and assist
the family in identifying supports outside of the immediate family.
B. Rearrange the family members in the room to encourage expression of feelings and explore
how their families of origin coped with illness and loss.
3|Page
, ©SIRJOEL EXAM SOLUTIONS 2024/2025
ALL RIGHTS RESERVED.
C. Maintain healthy boundaries regarding the discussion of grief and model effective
communication and utilize role playing in session.
D. Facilitate a discussion with all family members about plans in the event of Melody's death
and explore how their families of origin coped with illness and loss.
A. Explore their patterns of interaction when they are dealing with stressful issues and assist
the family in identifying supports outside of the immediate family. - Answers✔Brian, age 38,
and his wife Melody, age 35, come in with their two children, Mark, age 9, and Sara, age 6.
Their insurance panel referred them after Melody's doctor encouraged them to get therapy.
Melody was diagnosed with cancer three years ago and recently found out that it has come
back in several areas in her body. Brian, an Army officer, says, "We'll fight it like we did last
time. We're fine." Melody cries and says, "I am worried about my kids. Brian is deployed a lot
and I worry about who will take care of them if something happens to me. He doesn't want to
deal with reality." Sara looks at her mom with concern, starts crying, and says, "I'll take care of
you mommy." Mark stares at the floor, motionless. Brian asks about fees because of all the
medical expenses. How would a Systems therapist treat this family in the middle stage of
therapy?
4|Page
