Exam Questions and Correct Answers with
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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? ---------
CORRECT ANSWER-----------------a baseline/neutral narrative task
Using the baseline/neutral narrative task early in treatment provides an
excellent insight into the child's natural narrative abilities and provides a
comparison to how easily s/he talks about the trauma.
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? ---------CORRECT ANSWER-----------------The TF-CBT treatment
model emphasizes the importance of working as a team with caregivers.
A key element of psychoeducation is communicating clearly what the treatment
model is, and what the expectations are for children and caregivers.
,Active ignoring is a strategy that is designed to help parents: ---------CORRECT
ANSWER-----------------Avoid responding to their child's unharmful, inappropriate
behavior
Ignoring deprives the child of attention that might reinforce the undesirable
behavior.
One important aspect of parental praise for a child's behavior is: ---------CORRECT
ANSWER-----------------To praise specific types of desired behavior
When it comes to praise, the more behaviorally specific it is, the more impact it
has.
Which of the following strategies is a recommended first-step strategy for
responding to a young child when the child disrespectfully makes angry or defiant
verbalizations directed at the parent? ---------CORRECT ANSWER-----------------
Active ignoring
Ignoring involves the lowest level of parental effort and is a good first step
method for shaping young kids' behavior, especially when it is followed by
praise or positive attention to good behavior.
The primary goal of time out is to: ---------CORRECT ANSWER-----------------Punish
the undesirable behavior by depriving the child of attention
Time out places a child in an aversive (though not painful) setting that is
designed to reduce the behavior that preceded it; that's how punishment
works.
, Mr. Gaboury is bringing his 12-year-old grandson in for TF-CBT following a
physical assault at school. Mr. Gaboury is very focused on the behavior problems
his grandson is experiencing. During an early parent session, he says that his
grandson "has become a budding juvenile delinquent! I know that he has some
nightmares and things, but until he stops being so aggressive I don't think any
kind of therapy will be helpful." What important parenting message should the
therapist convey to Mr. Gaboury? ---------CORRECT ANSWER-----------------Behavior
problems in many cases are the product of trauma symptoms, not a separate
issue
Helping caregivers understand the potential connections between trauma
exposure and behavior problems is a critical focus of parenting skills training,
especially early in treatment.
Which of the following is a good example of using "differential attention" in
parenting? ---------CORRECT ANSWER-----------------Ignoring some undesired
behaviors and using specific praise for desired behaviors instead
Differential attention is based on the idea that children will engage in behaviors
that are rewarded (with praise) more than behaviors that are ignored.
The best time to begin practicing controlled breathing with children is: ---------
CORRECT ANSWER-----------------When they are calm
Much like learning any new skill, it's easier to develop relaxation mastery in
situations that are not stressful and build up to using them when needed.