LMFT National Examination Test
UPDATED ACTUAL Exam Questions and
CORRECT Answers
A family comes to therapy because their ten-year-old child is stealing money from them. After
three sessions, the stealing stops and the family decides to terminate therapy.
A Collaborative therapist would: - CORRECT ANSWER - maintain input from all
members of the system, including him/her self and mutually determine if therapy should end
One of the defining characteristics of the therapist's techniques in Narrative Therapy is its
emphasis on: - CORRECT ANSWER - mapping the relative influence of the problem
In a practice that includes over 50 active client families, a licensed marriage & family therapist
bills only one client's insurance company through a billing service. All the rest of his clients are
billed directly or pay at the time of the therapy. Some of the self-pay clients obtain insurance
reimbursement using claim forms and/or billing statements signed by the therapist. In his
disclosure statement at the beginning of treatment, the therapist would be wrong in stating: -
CORRECT ANSWER - I will not be transmitting any of your confidential information
electronically for any reason. Therefore, the HIPAA Privacy Rules will not apply to our
therapeutic relationship
A client was unhappy when he discovered that his therapist had disclosed his town of residence
to a colleague during a peer supervision meeting. The meeting included an administrative
assistant who was not a licensed mental health professional and lived in the same town as the
client. The therapist's response to the client was to engage him in a conversation about his
concerns and then proposed a clinical hypothesis suggesting the client was excessively fearful.
The client did not accept this, and instead insisted that he did not want this kind of information
disclosed to anybody without his written authorization. He claimed the therapist had violated his
confidentiality under the HIPAA policies given to him at the beginning of his treatment.
Referring to the above vignette, in this situation - CORRECT ANSWER - The therapist's
disclosure is allowed if he can demonstrate that it falls under the guidelines of 'Permitted
Disclosures' clause of the Privacy Rule
,Epston and White regard problems as something which influence or operate on people, rather
than as something they're doing. The term for this is: - CORRECT ANSWER -
externalizing
According to Jellinek's theory of Progressive Phases of Alcoholism, the phase associated with
gross drinking behavior, blackouts, gulping and sneaking drinks is: - CORRECT
ANSWER - the Prodromal Phase
The goal of Emotionally Focused Therapy is: - CORRECT ANSWER - All of the above
A couple comes in for therapy. The husband complains his wife is too close to her family and she
has trouble separating from them. In fact, he states that his wife is in constant contact with her
mother and looks to her mother constantly to help her make decisions. Often these decisions are
in opposition to decisions made previously by he and his wife.
An intervention made by a Behavioral therapist would be: - CORRECT ANSWER - ask
the wife to record how many times a day she speaks with her mother
A family presents with a 7-year old child who seems to look for his parent's acceptance and
reassurance while answering every question the family therapist puts to her. When her parents
express disagreement to what she has just expressed, she quickly adapts her position to that of
her parents. This might be best described by of the following models: - CORRECT
ANSWER - Framo's Object Relations Model
In gathering information for an Adlerian Lifestyle Assessment of an adult female client, a
therapist inquires about the client's sibling position and gathers details about the attributes of
each of the client's siblings. The therapist is gathering information to assess the client's: -
CORRECT ANSWER - Family Constellation
Solution Focused therapists hold the following to be a primary therapeutic goal: - CORRECT
ANSWER - a perceptual shift from talking about problems to talking about solutions
During the process of treatment, Mr. Medieros recognized how he was victimized by his parents,
and that past generations were also victimized by their parents. In recognizing this he began to
see his parents less as monsters and more as struggling human beings, themselves acting out
, invisible loyalties. Therefore, he was able to block the transgenerational pattern of destructive
entitlement and allowed the positive transmission of relational resources. The process by which
he earned entitlement by dealing with issues with his own parents is called - CORRECT
ANSWER - exoneration
This approach represents a multidimensional, theoretical model for the understanding of
relationships in which men are violent toward women and argues that abusive relationships
exemplify, in extremes, the stereotypical gender arrangements that structure intimacy between
men and women generally; and proposes that paradoxical gender injunctions create insoluble
relationship dilemmas that can explode in violence. This multifaceted approach to treatment,
which incorporates feminist and systemic ideas and techniques was designed by: - CORRECT
ANSWER - Goldner, Penn, Sheinberg, & Walker
According to Contextual Family Therapists, the four important dimensions of a family are: -
CORRECT ANSWER - facts, individual psychology, family or systemic interactions,
relational ethics
A parent in your Adlerian parenting class reports that her son earned a B in his math class in
which the semester earlier he had a C. Utilizing the Adlerian concept of encouragement,
members of the class brainstorm ways the mother might respond to her son. Which of the
following suggestion do not fall under the concept of encouragement: - CORRECT
ANSWER - The parent telling the child how proud she is of his grade
Olson's Circumplex Model refers to specific levels of flexibility which include all of the
following except: - CORRECT ANSWER - disengaged
Jose and Maria bring their son Joe to counseling because of poor academic performance and
behavior.
A Structural family therapist would: - CORRECT ANSWER - join effectively before
beginning approaches to facilitate restructuring
Greenberg and Johnson strive towards the expression of attachment needs in their therapies.
Such emotional expression might be termed: - CORRECT ANSWER - Primary Emotions
UPDATED ACTUAL Exam Questions and
CORRECT Answers
A family comes to therapy because their ten-year-old child is stealing money from them. After
three sessions, the stealing stops and the family decides to terminate therapy.
A Collaborative therapist would: - CORRECT ANSWER - maintain input from all
members of the system, including him/her self and mutually determine if therapy should end
One of the defining characteristics of the therapist's techniques in Narrative Therapy is its
emphasis on: - CORRECT ANSWER - mapping the relative influence of the problem
In a practice that includes over 50 active client families, a licensed marriage & family therapist
bills only one client's insurance company through a billing service. All the rest of his clients are
billed directly or pay at the time of the therapy. Some of the self-pay clients obtain insurance
reimbursement using claim forms and/or billing statements signed by the therapist. In his
disclosure statement at the beginning of treatment, the therapist would be wrong in stating: -
CORRECT ANSWER - I will not be transmitting any of your confidential information
electronically for any reason. Therefore, the HIPAA Privacy Rules will not apply to our
therapeutic relationship
A client was unhappy when he discovered that his therapist had disclosed his town of residence
to a colleague during a peer supervision meeting. The meeting included an administrative
assistant who was not a licensed mental health professional and lived in the same town as the
client. The therapist's response to the client was to engage him in a conversation about his
concerns and then proposed a clinical hypothesis suggesting the client was excessively fearful.
The client did not accept this, and instead insisted that he did not want this kind of information
disclosed to anybody without his written authorization. He claimed the therapist had violated his
confidentiality under the HIPAA policies given to him at the beginning of his treatment.
Referring to the above vignette, in this situation - CORRECT ANSWER - The therapist's
disclosure is allowed if he can demonstrate that it falls under the guidelines of 'Permitted
Disclosures' clause of the Privacy Rule
,Epston and White regard problems as something which influence or operate on people, rather
than as something they're doing. The term for this is: - CORRECT ANSWER -
externalizing
According to Jellinek's theory of Progressive Phases of Alcoholism, the phase associated with
gross drinking behavior, blackouts, gulping and sneaking drinks is: - CORRECT
ANSWER - the Prodromal Phase
The goal of Emotionally Focused Therapy is: - CORRECT ANSWER - All of the above
A couple comes in for therapy. The husband complains his wife is too close to her family and she
has trouble separating from them. In fact, he states that his wife is in constant contact with her
mother and looks to her mother constantly to help her make decisions. Often these decisions are
in opposition to decisions made previously by he and his wife.
An intervention made by a Behavioral therapist would be: - CORRECT ANSWER - ask
the wife to record how many times a day she speaks with her mother
A family presents with a 7-year old child who seems to look for his parent's acceptance and
reassurance while answering every question the family therapist puts to her. When her parents
express disagreement to what she has just expressed, she quickly adapts her position to that of
her parents. This might be best described by of the following models: - CORRECT
ANSWER - Framo's Object Relations Model
In gathering information for an Adlerian Lifestyle Assessment of an adult female client, a
therapist inquires about the client's sibling position and gathers details about the attributes of
each of the client's siblings. The therapist is gathering information to assess the client's: -
CORRECT ANSWER - Family Constellation
Solution Focused therapists hold the following to be a primary therapeutic goal: - CORRECT
ANSWER - a perceptual shift from talking about problems to talking about solutions
During the process of treatment, Mr. Medieros recognized how he was victimized by his parents,
and that past generations were also victimized by their parents. In recognizing this he began to
see his parents less as monsters and more as struggling human beings, themselves acting out
, invisible loyalties. Therefore, he was able to block the transgenerational pattern of destructive
entitlement and allowed the positive transmission of relational resources. The process by which
he earned entitlement by dealing with issues with his own parents is called - CORRECT
ANSWER - exoneration
This approach represents a multidimensional, theoretical model for the understanding of
relationships in which men are violent toward women and argues that abusive relationships
exemplify, in extremes, the stereotypical gender arrangements that structure intimacy between
men and women generally; and proposes that paradoxical gender injunctions create insoluble
relationship dilemmas that can explode in violence. This multifaceted approach to treatment,
which incorporates feminist and systemic ideas and techniques was designed by: - CORRECT
ANSWER - Goldner, Penn, Sheinberg, & Walker
According to Contextual Family Therapists, the four important dimensions of a family are: -
CORRECT ANSWER - facts, individual psychology, family or systemic interactions,
relational ethics
A parent in your Adlerian parenting class reports that her son earned a B in his math class in
which the semester earlier he had a C. Utilizing the Adlerian concept of encouragement,
members of the class brainstorm ways the mother might respond to her son. Which of the
following suggestion do not fall under the concept of encouragement: - CORRECT
ANSWER - The parent telling the child how proud she is of his grade
Olson's Circumplex Model refers to specific levels of flexibility which include all of the
following except: - CORRECT ANSWER - disengaged
Jose and Maria bring their son Joe to counseling because of poor academic performance and
behavior.
A Structural family therapist would: - CORRECT ANSWER - join effectively before
beginning approaches to facilitate restructuring
Greenberg and Johnson strive towards the expression of attachment needs in their therapies.
Such emotional expression might be termed: - CORRECT ANSWER - Primary Emotions
