Licensed Marriage Family Therapist
Exam (╯°□°）╯︵ ┻━┻
During a family therapy session, the therapist notices that both the 6-year-old and the 4-year-old
children have bandages on their hands. The mother discloses tearfully that she can't trust her
15-year-old stepson to stay alone with her young children because he super-glued their hands
to his door. The husband shakes his head and says, "We already dealt with this. It won't happen
again." What should the therapist do NEXT:
A. Find out how they dealt with it.
B. Document the incident in your notes.
C. Inform the family that you must file a child abuse report.
D. Ask if other incidents like this have happened before. - ANS-C. Inform the family that you
must file a child abuse report.
A new client is referred by her minister. The 49 year-old woman shares that she is overwhelmed
taking care of her 72 year old mother who is often belligerent due to her dementia. The woman
tearfully admits to giving her mother extra medication so that she will sleep longer. She asks for
a referral to a support group for caregivers. What should the therapist do initially in this case?
A. Provide a referral to a caregiver support group.
B. Further assess for Elder Abuse.
C. Assist her in developing alternative coping mechanisms.
D. File a report with Adult Protective Services and process it with client. - ANS-D. File a report
with Adult Protective Services and process it with client.
A married couple in their 30's seeks therapy to improve their communication. The husband
reports that he wants to have children but complains that his wife "wants to wait." The wife tears
up when she shares that her mother recently died and that her husband expects her to "get over
it already." During the initial assessment, they report that their arguments frequently get physical
because the wife makes the husband so mad. How should the therapist proceed in this case:
A. Discuss the ways in which the wife makes the husband mad.
B. Explore the couple's motivation to stay together and their expectations of therapy.
C. Require the couple to sign a no violence contract to ensure they won't get violent in the
session.
D. Refer each of them to individual therapy. - ANS-D. Refer each of them to individual therapy.
A 45-year old male client who has been unemployed for six months is referred by his wife for
therapy. In the initial session, he reports that he wants to sleep all day and he doesn't see his
situation getting any better. He says that he can't stand having his wife and children see him like
this. As part of a complete assessment, the therapist should FIRST:
A. Determine if the client is currently using substances.
B. Refer the client to a medical doctor for issues of hypersomnia.
C. Ask if the client has thoughts of suicide.
, D. Explore the client's social supports and coping strategies. - ANS-C. Ask if the client has
thoughts of suicide.
During a group therapy session, one of the group members reports that her sister-in-law has
been butting into her life and if she keeps it up the client is "going to make sure she never butts
in again." A few of the group members laugh uncomfortably. How should the therapist proceed:
A. Validate the client's anger.
B. Explore what the client means by "going to make sure she never butts in again."
C. Encourage group members to share their reactions.
D. Identify healthy ways for client to express her frustration. - ANS-B. Explore what the client
means by "going to make sure she never butts in again."
A 28-year-old woman seeks therapy for depression. She reports that she recently moved to the
city and has had a difficult time making friends. She works as a waitress and a graphic designer.
She shares that she was in therapy a few years ago but reports that the other therapist "wasn't
very good" so she stopped going to therapy. In addition to a risk assessment, what else should
the therapist explore in the initial assessment?
A. Client's thoughts of suicide or self harm.
B. Client's expectations of therapy and experience with other therapist.
C. Client's motivation for treatment.
D. Client's current and past substance use. - ANS-B. Client's expectations of therapy and
experience with other therapist.
A new client starts off the first session sharing how she feels overwhelmed with her life. She
shares that she doesn't like her new job but is uncertain of what career she wants to pursue.
She reports feeling like her relationship with her boyfriend is unhealthy and wants to get along
better with him. Then she adds that she's been having a lot of conflict with her new roommate
and can't decide whether she should move out. When formulating the initial treatment plan, the
therapist should:
A. Assist the client to prioritize her treatment goals.
B. Determine the most important issue to focus on.
C. Assess the client's level of coping.
D. Identify her social supports. - ANS-A. Assist the client to prioritize her treatment goals.
During the walk between the waiting room and the office, a new client declares a strong affinity
for the therapist and a hopeful attitude toward therapy, saying she knows this will be different
from previous treatment experiences. After acknowledging the client's positive reactions the
therapist should NEXT:
A. Ask what interfered with previous treatment.
B. Explore expectations regarding this helping relationship.
C. Determine the basis for attraction to the therapist.
D. Assess client's reasons for seeking therapy. - ANS-B. Explore expectations regarding this
helping relationship.
Exam (╯°□°）╯︵ ┻━┻
During a family therapy session, the therapist notices that both the 6-year-old and the 4-year-old
children have bandages on their hands. The mother discloses tearfully that she can't trust her
15-year-old stepson to stay alone with her young children because he super-glued their hands
to his door. The husband shakes his head and says, "We already dealt with this. It won't happen
again." What should the therapist do NEXT:
A. Find out how they dealt with it.
B. Document the incident in your notes.
C. Inform the family that you must file a child abuse report.
D. Ask if other incidents like this have happened before. - ANS-C. Inform the family that you
must file a child abuse report.
A new client is referred by her minister. The 49 year-old woman shares that she is overwhelmed
taking care of her 72 year old mother who is often belligerent due to her dementia. The woman
tearfully admits to giving her mother extra medication so that she will sleep longer. She asks for
a referral to a support group for caregivers. What should the therapist do initially in this case?
A. Provide a referral to a caregiver support group.
B. Further assess for Elder Abuse.
C. Assist her in developing alternative coping mechanisms.
D. File a report with Adult Protective Services and process it with client. - ANS-D. File a report
with Adult Protective Services and process it with client.
A married couple in their 30's seeks therapy to improve their communication. The husband
reports that he wants to have children but complains that his wife "wants to wait." The wife tears
up when she shares that her mother recently died and that her husband expects her to "get over
it already." During the initial assessment, they report that their arguments frequently get physical
because the wife makes the husband so mad. How should the therapist proceed in this case:
A. Discuss the ways in which the wife makes the husband mad.
B. Explore the couple's motivation to stay together and their expectations of therapy.
C. Require the couple to sign a no violence contract to ensure they won't get violent in the
session.
D. Refer each of them to individual therapy. - ANS-D. Refer each of them to individual therapy.
A 45-year old male client who has been unemployed for six months is referred by his wife for
therapy. In the initial session, he reports that he wants to sleep all day and he doesn't see his
situation getting any better. He says that he can't stand having his wife and children see him like
this. As part of a complete assessment, the therapist should FIRST:
A. Determine if the client is currently using substances.
B. Refer the client to a medical doctor for issues of hypersomnia.
C. Ask if the client has thoughts of suicide.
, D. Explore the client's social supports and coping strategies. - ANS-C. Ask if the client has
thoughts of suicide.
During a group therapy session, one of the group members reports that her sister-in-law has
been butting into her life and if she keeps it up the client is "going to make sure she never butts
in again." A few of the group members laugh uncomfortably. How should the therapist proceed:
A. Validate the client's anger.
B. Explore what the client means by "going to make sure she never butts in again."
C. Encourage group members to share their reactions.
D. Identify healthy ways for client to express her frustration. - ANS-B. Explore what the client
means by "going to make sure she never butts in again."
A 28-year-old woman seeks therapy for depression. She reports that she recently moved to the
city and has had a difficult time making friends. She works as a waitress and a graphic designer.
She shares that she was in therapy a few years ago but reports that the other therapist "wasn't
very good" so she stopped going to therapy. In addition to a risk assessment, what else should
the therapist explore in the initial assessment?
A. Client's thoughts of suicide or self harm.
B. Client's expectations of therapy and experience with other therapist.
C. Client's motivation for treatment.
D. Client's current and past substance use. - ANS-B. Client's expectations of therapy and
experience with other therapist.
A new client starts off the first session sharing how she feels overwhelmed with her life. She
shares that she doesn't like her new job but is uncertain of what career she wants to pursue.
She reports feeling like her relationship with her boyfriend is unhealthy and wants to get along
better with him. Then she adds that she's been having a lot of conflict with her new roommate
and can't decide whether she should move out. When formulating the initial treatment plan, the
therapist should:
A. Assist the client to prioritize her treatment goals.
B. Determine the most important issue to focus on.
C. Assess the client's level of coping.
D. Identify her social supports. - ANS-A. Assist the client to prioritize her treatment goals.
During the walk between the waiting room and the office, a new client declares a strong affinity
for the therapist and a hopeful attitude toward therapy, saying she knows this will be different
from previous treatment experiences. After acknowledging the client's positive reactions the
therapist should NEXT:
A. Ask what interfered with previous treatment.
B. Explore expectations regarding this helping relationship.
C. Determine the basis for attraction to the therapist.
D. Assess client's reasons for seeking therapy. - ANS-B. Explore expectations regarding this
helping relationship.
