TF-CBT ONLINE TRAINING EXAM LATEST 2023-2024
ACTUAL EXAM 150 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A
What is TF-CBT? – ANSWER- Trauma-Focused Cognitive-Behavioral
Therapy (TF-CBT) is an evidence-based, conjoint child and
parent/caregiver psychotherapy model for children and adolescents who
are experiencing clinically significant emotional and behavioral
difficulties related to traumatic life events they have experienced
how many sessions – ANSWER- typically 12-20
What principles does it draw from? – ANSWER- incorporates
interventions and techniques based on cognitive, behavioral, family
therapy, and humanistic principles.
goals of TF-CBT – ANSWER- 1) to learn effective skills to cope with
trauma-related emotional and behavioral problems
2) to face and resolve those problems in a safe and therapeutic way, and
3) to effectively integrate their trauma experiences and help them move
on with their lives in a safe and positive manner.
TF-CBT also improves caregiver… – ANSWER- support of the child,
parenting skills, and parent-child communication.
TF-CBT is designed to reduce symptoms of… – ANSWERPosttraumatic Stress Disorder (PTSD), trauma-related depression,
anxiety, and behavior problems, and common trauma-related cognitive
and emotional problems such as fear, shame, embarrassment, guilt, and
self-blame
Age range of TF-CBT? – ANSWER- 3-18
Demographic Characteristics – ANSWER- Children from any racial,
ethnic, cultural, or country of origin group living in urban, suburban or
rural areas. To date, there is no demographic group of traumatized
children or youth for which TF-CBT has been found to be ineffective.
Does child have to meet PTSD criteria? – ANSWER- no
Co-morbid Diagnoses: – ANSWER- TF-CBT can be used successfully
with traumatized children and youth with co-occurring difficulties such
as ADHD, oppositional defiant disorder, and conduct disorder.
Parent/Caregiver Involvement: – ANSWER- Having a supportive parent
or other caregiver such as a grandparent, other kinship caregiver, or
foster parent involved in treatment is highly desirable. While TF-CBT
can be done with children without a supportive caregiver, substantial
parts of the treatment will be lost. Every effort should be made to locate
and engage a supportive parent or other caregiver in the treatment
process.
Can you move forward in treatment without a caregiver? – ANSWERYes, but some parts of the treatment will be lost
Who is TF-CBT not for? – ANSWER- – no trauma
- no trauma related problems
- Severe cognitive challenges (TF-CBT can be used with children and
youth who have intellectual, cognitive, or other developmental problems
if their level of functioning allows them to engage in and benefit from a
cognitive therapy)
Problems to manage prior to beginning TF-CBT – ANSWER- 1.
Imminent safety. A child or youth is in a seriously dangerous
environment that prevents engagement in trauma treatment.
- Severe disruptive or aggressive behavior problems. A child or youth is
exhibiting a high level of disruptive or aggressive behavior that makes it
very difficult to focus on trauma treatment. - Active suicidal ideation. Suicidal ideation should be managed prior to
beginning trauma treatment. - Active, problematic substance use. Infrequent substance use that is not
interfering with daily functioning would not rule out using TF-CBT.
However, heavy use that clearly is affecting a youth’s functioning should
be addressed prior to beginning TF-CBT.
Guiding Principles of TF-CBT: acronym – ANSWER- CRAFTS
Guiding Principles of TF-CBT: CRAFTS – ANSWER- Components
based
Respectful of cultural values
Adaptable and flexible
Family focused
Therapeutic relationship is central
Self-efficacy is emphasized
Components Based – ANSWER- TF-CBT is comprised of a set of
treatment components, each of which has a specific therapeutic purpose
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TF-CBT EXAM LATEST 2023-2024 ACTUAL EXAM 300
QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS)
|ALREADY GRADED A
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? – ANSWER- a
baseline/neutral narrative task
Rationale; 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? –
ANSWER- The TF-CBT treatment model emphasizes the importance of
working as a team with caregivers.
Rationale; 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: –
ANSWER- Avoid responding to their child’s unharmful, inappropriate
behavior
Rationale; Ignoring deprives the child of attention that might reinforce
the undesirable behavior.
One important aspect of parental praise for a child’s behavior is: –
ANSWER- To praise specific types of desired behavior
Rationale; 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? – ANSWERActive ignoring
Rationale; 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: – ANSWER- Punish the undesirable
behavior by depriving the child of attention
Rationale; 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? – ANSWER- Behavior problems in many cases are the
product of trauma symptoms, not a separate issue
Rationale; 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? – ANSWER- Ignoring some undesired behaviors
and using specific praise for desired behaviors instead
Rationale; 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: –
ANSWER- When they are calm
Rationale; 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.
In controlled breathing children are asked to: – ANSWER- Exhale more
slowly than they inhale
Rationale; Exhalation should be deliberate and slow, which controls the
general pace of breathing.
During Progressive Muscle Relaxation (PMR), children are asked to: –
ANSWER- Tense and relax their muscles
Rationale; The opposing processes of tensing and relaxing are the key
aspects of PMR.
Which of the following statements about alternative relaxation methods
is most accurate: – ANSWER- Mindfulness exercises and everyday
activities like reading can be used as relaxation tools.
Rationale; In addition to controlled breathing an progressive relaxation,
mindfulness excercises and common, everyday activities can be
suggested as helpful ways to reduce arousal.
James is a 14 year old who witnessed his best friend get shot and killed.
He reports a lot of problems sleeping, feels anxious ‘all the time,’ and
can’t concentrate on his schoolwork. Which of the following would be
an appropriate relaxation strategy? – ANSWER- Meditation
Rationale; The other options here may be good coping strategies and
may distract James from his worries and memories, but they are not
likely to decrease his physical arousal, which is the focus of relaxation
activities.
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