TDC mock exam 1 Questions & Answers
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A client with diabetes seeks treatment for depression. In the initial session he reports
mood swings and difficulties sleeping. When the therapist requests a release to contact his
doctor, the client reports that he is between doctors at this time. What should the
therapist assess next? - ANSWER The client's compliance with medical treatment
A 34-year-old woman seeks therapy eight months after the death of her husband. She
reports that for the first few months she was "numb and going through the motions of
life". However lately she has been filled with rage and doesn't understand why she is
having these outbursts. What intervention would a psychodynamic therapist use during
the initial stage of treatment? - ANSWER Provide psychoeducation on the cycle of grief
What is one of the most frequently used treatment methods for Compulsive
Sexual Behavior? - ANSWER 12-step program
During an initial session with a court-mandated client, the client expresses anger and
resentment about having to come to therapy. He also shares that he believes therapy
is a waste of time and only makes things worse. How should the therapist proceed
initially? - ANSWER Explore the client's beliefs about therapy
A family seeks therapy after the 15-year-old daughter is released from a psychiatric
hospital for a suicide attempt. The mother tearfully reports that they don't know how to
help her. The father sits quietly and looks off into space. The 15-year-old daughter
stares at the floor and the 13-year-old brother plays with his phone. How would a
systems therapist approach this case? - ANSWER Explore how each member views the
problem
A couple is referred for therapy by the wife's individual therapist. In the initial session
the husband states that he doesn't want to be there and is only attending because his
,wife gave him an ultimatum. How should the therapist proceed? - ANSWER
Discuss what they hope to achieve in couples therapy
Over the course of treatment a client becomes aware of the abuse she experienced as
a young girl. The client becomes enraged with the therapist for bringing these issues to
light. How should the therapist proceed? - ANSWER Accept the client's anger and help
her make sense of it
An Asian father seeks treatment for his 8-year-old son two months after the death of
his mother. The father reports that his son is very clingy and cries at random times. He
asks the therapist how therapy is going to fix this problem. How should the therapist
respond? - ANSWER Tell him how therapy works and what he can expect
A therapist has been treating a client for six months. During a session the client
reports feeling sexually attracted to the therapist. The therapist also finds the client
attractive. How should the therapist proceed? - ANSWER Explore what is was like for
the client to disclose that to the therapist
A therapist is treating a 38-year-old-male client who has been convicted of sexually
molesting his stepdaughter over a two-year period. Records indicate the victim's mother
knew of the abuse but did not report it. After two years of abuse, the stepdaughter
informed a teacher, who reported it to the local authorities. The therapist's INITIAL focus
with the client should be the: - ANSWER full disclosure of the abuse
A therapist finds herself overwhelmed by disturbing images of her sister's death
each time a particular client begins to describe her own bereavement. How should
the therapist manage the situation? - ANSWER By seeking professional help to
address unresolved issues
A couple in their 50's comes to therapy. The husband reports that since their last
child went to college four months ago his wife has been acting strange. He does not
understand why she is so upset all the time. "I feel so useless," she says. What
, intervention would address their dilemma? - ANSWER Acknowledge the life stage
transition and explore their expectations of new roles.
A client is in therapy because of problems at work and an inability to concentrate.
During the fourth session, she begins to cry uncontrollably. She reveals that her
husband has been physically abusive towards her for several years. Which of the
following steps should the therapist take to assist the client? - ANSWER Assess current
safety issues and provide referral for DV shelter
A 36-year-old woman who was involved in an auto accident 5 months ago is referred by
her physician. She is unable to sleep, has headaches and nightmares and has lost her
appetite. What diagnosis characterizes the symptoms? - ANSWER Post traumatic stress
disorder
A couple presents with a history of conflict. They accuse each other of behaving like
their respective parents. Which of the following interventions could the therapist use
to help the couple understand the impact of their parents on their present situation? -
ANSWER Construct a genogram of at least two of their generations
After treating a client for three months the therapist learns that they are both
members of the same health club. The client asks when the therapist works out and
suggests that they should meet up sometime. The therapist should: - ANSWER
Acknowledge the invitation but let him know why they shouldn't meet.
A new client comes to session and shares that ten months ago her hours at work were
cut by half. She reports that for the past three months she has been feeling really
worried about her financial situation and her future. She says that she feels tense all
the time and has problems falling and staying asleep. What diagnosis should the
therapist consider in this case? - ANSWER Unspecified Anxiety Disorder
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A client with diabetes seeks treatment for depression. In the initial session he reports
mood swings and difficulties sleeping. When the therapist requests a release to contact his
doctor, the client reports that he is between doctors at this time. What should the
therapist assess next? - ANSWER The client's compliance with medical treatment
A 34-year-old woman seeks therapy eight months after the death of her husband. She
reports that for the first few months she was "numb and going through the motions of
life". However lately she has been filled with rage and doesn't understand why she is
having these outbursts. What intervention would a psychodynamic therapist use during
the initial stage of treatment? - ANSWER Provide psychoeducation on the cycle of grief
What is one of the most frequently used treatment methods for Compulsive
Sexual Behavior? - ANSWER 12-step program
During an initial session with a court-mandated client, the client expresses anger and
resentment about having to come to therapy. He also shares that he believes therapy
is a waste of time and only makes things worse. How should the therapist proceed
initially? - ANSWER Explore the client's beliefs about therapy
A family seeks therapy after the 15-year-old daughter is released from a psychiatric
hospital for a suicide attempt. The mother tearfully reports that they don't know how to
help her. The father sits quietly and looks off into space. The 15-year-old daughter
stares at the floor and the 13-year-old brother plays with his phone. How would a
systems therapist approach this case? - ANSWER Explore how each member views the
problem
A couple is referred for therapy by the wife's individual therapist. In the initial session
the husband states that he doesn't want to be there and is only attending because his
,wife gave him an ultimatum. How should the therapist proceed? - ANSWER
Discuss what they hope to achieve in couples therapy
Over the course of treatment a client becomes aware of the abuse she experienced as
a young girl. The client becomes enraged with the therapist for bringing these issues to
light. How should the therapist proceed? - ANSWER Accept the client's anger and help
her make sense of it
An Asian father seeks treatment for his 8-year-old son two months after the death of
his mother. The father reports that his son is very clingy and cries at random times. He
asks the therapist how therapy is going to fix this problem. How should the therapist
respond? - ANSWER Tell him how therapy works and what he can expect
A therapist has been treating a client for six months. During a session the client
reports feeling sexually attracted to the therapist. The therapist also finds the client
attractive. How should the therapist proceed? - ANSWER Explore what is was like for
the client to disclose that to the therapist
A therapist is treating a 38-year-old-male client who has been convicted of sexually
molesting his stepdaughter over a two-year period. Records indicate the victim's mother
knew of the abuse but did not report it. After two years of abuse, the stepdaughter
informed a teacher, who reported it to the local authorities. The therapist's INITIAL focus
with the client should be the: - ANSWER full disclosure of the abuse
A therapist finds herself overwhelmed by disturbing images of her sister's death
each time a particular client begins to describe her own bereavement. How should
the therapist manage the situation? - ANSWER By seeking professional help to
address unresolved issues
A couple in their 50's comes to therapy. The husband reports that since their last
child went to college four months ago his wife has been acting strange. He does not
understand why she is so upset all the time. "I feel so useless," she says. What
, intervention would address their dilemma? - ANSWER Acknowledge the life stage
transition and explore their expectations of new roles.
A client is in therapy because of problems at work and an inability to concentrate.
During the fourth session, she begins to cry uncontrollably. She reveals that her
husband has been physically abusive towards her for several years. Which of the
following steps should the therapist take to assist the client? - ANSWER Assess current
safety issues and provide referral for DV shelter
A 36-year-old woman who was involved in an auto accident 5 months ago is referred by
her physician. She is unable to sleep, has headaches and nightmares and has lost her
appetite. What diagnosis characterizes the symptoms? - ANSWER Post traumatic stress
disorder
A couple presents with a history of conflict. They accuse each other of behaving like
their respective parents. Which of the following interventions could the therapist use
to help the couple understand the impact of their parents on their present situation? -
ANSWER Construct a genogram of at least two of their generations
After treating a client for three months the therapist learns that they are both
members of the same health club. The client asks when the therapist works out and
suggests that they should meet up sometime. The therapist should: - ANSWER
Acknowledge the invitation but let him know why they shouldn't meet.
A new client comes to session and shares that ten months ago her hours at work were
cut by half. She reports that for the past three months she has been feeling really
worried about her financial situation and her future. She says that she feels tense all
the time and has problems falling and staying asleep. What diagnosis should the
therapist consider in this case? - ANSWER Unspecified Anxiety Disorder
