Tf-CBT: Day 2 Parts 1 And 2

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Tf-CBT: Day 2 Parts 1 And 2 - Quiz

Stress Management/ Affect Regulation


Questions and Answers
  • 1. 

    The mnemonic "PRACTICE" is to help remember the key principles for TF-CBT. Which answer is NOT correct

    • A.

      In vivo desensitization

    • B.

      Trauma narrative

    • C.

      Cognitive correction

    • D.

      Psychoeducation and Parenting Skills

    Correct Answer
    C. Cognitive correction
    Explanation
    The mnemonic "PRACTICE" is used to remember the key principles for TF-CBT (Trauma-Focused Cognitive Behavioral Therapy). In TF-CBT, cognitive correction is an important component where the therapist helps the individual identify and challenge negative or distorted thoughts related to the trauma. This helps in replacing them with more accurate and adaptive thoughts. Therefore, the answer "Cognitive correction" is incorrect as it is a correct principle in TF-CBT.

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  • 2. 

    Controlled breathing is designed to teach children how to manage their physical symptoms when they have distressing thoughts and feel anxious in their body.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Controlled breathing is a technique that helps individuals regulate their breathing patterns, which in turn can help manage physical symptoms of anxiety and distressing thoughts. By focusing on their breath and controlling its pace, children can calm their bodies and reduce feelings of anxiety. This technique teaches children a valuable skill in managing their emotions and physical responses to stress, making the statement "Controlled breathing is designed to teach children how to manage their physical symptoms when they have distressing thoughts and feel anxious in their body" true.

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  • 3. 

    Controlled breathing and relaxation techniques can actually make children more anxious at times when they are learning the skill. If they get too anxious initially they may be reluctant to learn the skill.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Controlled breathing and relaxation techniques can sometimes make children more anxious when learning a skill because if they become too anxious initially, they may be resistant to learning the skill. This suggests that these techniques may not always be effective in reducing anxiety in children and could potentially have the opposite effect.

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  • 4. 

    The most effective way to teach controlled breathing and relaxation to children is:

    • A.

      Start with making them anxious and then show them that controlled breathing will be helpful

    • B.

      Have them practice when they are calm and can concentrate on the skill

    • C.

      Encourage them to practice as much as possible, whenever they want

    • D.

      It is best for them to practice only two or three times per week

    Correct Answer
    B. Have them practice when they are calm and can concentrate on the skill
    Explanation
    The most effective way to teach controlled breathing and relaxation to children is to have them practice when they are calm and can concentrate on the skill. This approach allows children to fully focus on the technique without any distractions or anxiety. By practicing in a calm state, children can better understand and internalize the benefits of controlled breathing and relaxation. It also helps them develop a habit of using these techniques whenever they need to calm themselves down or manage stress. Encouraging regular practice in a calm state ensures that children can effectively utilize these skills whenever they need them.

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  • 5. 

    A child will understand relaxation intuitively and therefore will not need to practice.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    This statement is false because understanding relaxation intuitively does not mean that a child will not need to practice it. Even if a child understands the concept of relaxation, they still need to practice relaxation techniques in order to effectively implement them and experience the benefits. Practice helps in developing the skills and habits necessary for relaxation, regardless of intuitive understanding.

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  • 6. 

    The goals of controlled breathing include all the of the following except:

    • A.

      Reduce tension in the body

    • B.

      Children learn that they can control some of their body's automatic functions

    • C.

      By concentrating on breathing patterns they can distract themselves from unpleasant thoughts and images

    • D.

      Eliminate tension and anxiety so it does not return

    Correct Answer
    D. Eliminate tension and anxiety so it does not return
    Explanation
    Controlled breathing can help reduce tension in the body, enable children to learn that they can control some of their body's automatic functions, and distract individuals from unpleasant thoughts and images. However, eliminating tension and anxiety so it does not return is not a realistic goal. Tension and anxiety are natural responses to certain situations and can reoccur throughout life. The aim of controlled breathing is to manage and cope with these feelings, rather than completely eliminating them.

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  • 7. 

    All are true about controlled breathing except: 

    • A.

      It is best to learn and practice when a child is calm

    • B.

      Lying down or sitting back in a chair may make them feel vulnerable and anxious because it reminds them of an abuse situation

    • C.

      Children cannot learn controlled breathing effectively unless they are anxious when learning the skill

    • D.

      Practicing controlled breathing may increase anxiety

    Correct Answer
    C. Children cannot learn controlled breathing effectively unless they are anxious when learning the skill
    Explanation
    The correct answer is "Children cannot learn controlled breathing effectively unless they are anxious when learning the skill." This statement is false because controlled breathing can be learned and practiced by children even when they are calm. It is not necessary for them to be anxious in order to effectively learn this skill.

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  • 8. 

    What is an effective method to involve a parent in a child mastering the skill of controlled breathing?

    • A.

      Prompt the parent to teach controlled breathing to their child

    • B.

      A child should be invited to teach the skill of controlled breathing to the parent

    • C.

      It is best to teach controlled breathing to parent and child separately

    • D.

      The child should have full control of practicing and monitoring progress with controlled breathing

    Correct Answer
    B. A child should be invited to teach the skill of controlled breathing to the parent
    Explanation
    Involving a child in teaching controlled breathing to their parent can be an effective method for the child to master the skill. By teaching someone else, the child will have a deeper understanding of the technique and will be able to practice and monitor their progress more effectively. Additionally, teaching the parent can help strengthen the parent-child bond and create a sense of empowerment for the child.

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  • 9. 

    When teaching relaxation: 

    • A.

      It is important focus only on tensing and relaxing one muscle group at a time

    • B.

      Children can do PMR method of tensing and relaxing one muscle group at a time, or they can tense and relax their entire body at once, whichever they prefer.

    • C.

      It is advised that children are anxious and upset to maximize impact

    • D.

      Children must always be lying down

    Correct Answer
    B. Children can do PMR method of tensing and relaxing one muscle group at a time, or they can tense and relax their entire body at once, whichever they prefer.
    Explanation
    The given answer states that children can choose to do the PMR method of tensing and relaxing one muscle group at a time or they can choose to tense and relax their entire body at once, based on their preference. This means that there is flexibility in the approach and children can choose the method that works best for them.

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  • 10. 

    Thought stopping is used to completely eliminate disturbing or intrusive thoughts

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Thought stopping is not used to completely eliminate disturbing or intrusive thoughts. Instead, it is a technique used to interrupt or disrupt these thoughts temporarily. By using techniques such as saying "stop" or visualizing a stop sign, individuals can momentarily halt the flow of negative thoughts. However, thought stopping does not permanently eliminate these thoughts but rather serves as a tool to interrupt their immediate impact.

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  • 11. 

    Thought stopping is a skill designed to do all of the following except: 

    • A.

      Make unwanted thoughts go away and so they don't come back

    • B.

      Provides child with sense of control over thoughts

    • C.

      Is a skill whereby a child can replace an unpleasant thought with a positive thought

    • D.

      Help child see their patterns of negative thinking

    Correct Answer
    A. Make unwanted thoughts go away and so they don't come back
    Explanation
    Thought stopping is a skill that helps a child replace an unpleasant thought with a positive thought, provides them with a sense of control over their thoughts, and helps them see their patterns of negative thinking. However, it does not guarantee that unwanted thoughts will go away permanently and never come back.

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  • 12. 

    Thought stopping is a distraction technique that helps a child manage intrusive thoughts rather than eliminate them entirely.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Thought stopping is a distraction technique that helps a child manage intrusive thoughts by interrupting the thought process and redirecting the child's attention to something else. It does not aim to completely eliminate the thoughts, but rather to reduce their impact and help the child regain control over their thinking. Therefore, the statement that thought stopping helps a child manage intrusive thoughts rather than eliminate them entirely is true.

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  • 13. 

    Teaching the skill of "feelings identification" should:

    • A.

      Be taught after child and therapist develop a good rapport

    • B.

      Occur in the first few sessions as part of process to establish positive therapeutic alliance

    • C.

      Not be done if the child becomes uncomfortable talking about feelings

    • D.

      Be directed by therapist specifically to the feelings related to the traumatic event (as opposed to talking about everyday situations)

    Correct Answer
    B. Occur in the first few sessions as part of process to establish positive therapeutic alliance
    Explanation
    Teaching the skill of "feelings identification" should occur in the first few sessions as part of the process to establish a positive therapeutic alliance. This means that it is important to introduce and work on feelings identification early on in therapy to build a strong and trusting relationship between the child and therapist. By addressing this skill early on, it allows the therapist to better understand the child's emotions and experiences, and helps the child feel more comfortable expressing and discussing their feelings throughout the therapeutic process.

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  • 14. 

    When teaching the SUDS skill (Subjective Units of Distress) it is important to:

    • A.

      Direct the child to focus on the presence or absence of a feeling

    • B.

      Help the child learn how to rate the intensity of an emotion on a relative scale specific to their own experience

    • C.

      Compare the child's emotional experience to other people

    • D.

      Reassure the child that other people experience these feelings at the same intensity levels

    Correct Answer
    B. Help the child learn how to rate the intensity of an emotion on a relative scale specific to their own experience
    Explanation
    When teaching the SUDS skill, it is important to help the child learn how to rate the intensity of an emotion on a relative scale specific to their own experience. This is because subjective units of distress are unique to each individual, and what may be distressing for one person may not be for another. By teaching the child to rate the intensity of their own emotions, they can develop a better understanding of their own feelings and how they vary in intensity. This empowers them to effectively manage their distress levels and develop coping strategies tailored to their own experiences.

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  • 15. 

    All are true when teaching skills for affective modulation except:

    • A.

      It is important to help children learn the difference between thoughts and feelings

    • B.

      Children (and adults) have a tendency to view thoughts as feelings

    • C.

      This is of minor importance in the larger scheme of TF-CBT

    • D.

      Learning how to distinguish thoughts and feelings is also a foundation for later in the treatment when cognitive coping skills are taught

    Correct Answer
    C. This is of minor importance in the larger scheme of TF-CBT
    Explanation
    Teaching children the difference between thoughts and feelings is important in the context of affective modulation skills. It helps them develop emotional awareness and regulation. This understanding is not of minor importance but rather a foundational aspect of TF-CBT (Trauma-Focused Cognitive Behavioral Therapy). By distinguishing thoughts and feelings, children can later learn cognitive coping skills to manage their emotions effectively.

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  • 16. 

    Practice and repetition are key essential for mastering the skills to identify emotions and SUDS

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Practice and repetition are essential for mastering any skill, including the ability to identify emotions and SUDS (Subjective Units of Distress Scale). By regularly practicing and repeating the process of identifying emotions and using the SUDS scale, individuals can become more proficient in accurately recognizing and understanding their own emotions and the emotions of others. This practice helps in developing emotional intelligence and can be beneficial in various personal and professional contexts. Therefore, the statement is true.

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  • 17. 

    All support the rationale for using imaginary characters from books as a technique to discuss feelings except:

    • A.

      It can create a safe starting point for children that can facilitate discussion of their own feelings

    • B.

      Children may view it as silly and therefore imaginary characters should not be used

    • C.

      It may make things fun for them and takes the edge off

    • D.

      The therapist can direct the child away from painful emotions that create a barrier for discussing feelings

    Correct Answer
    B. Children may view it as silly and therefore imaginary characters should not be used
    Explanation
    Using imaginary characters from books as a technique to discuss feelings can be beneficial for children in various ways. It can create a safe starting point for children, allowing them to feel more comfortable in expressing their own feelings. Additionally, it may make the discussion fun for them, which can help to alleviate any anxiety or tension they may have. Moreover, the therapist can use these characters to redirect the child's focus away from painful emotions, making it easier for them to engage in open discussions about their feelings. Therefore, the statement that children may view it as silly and therefore imaginary characters should not be used is not supported by the rationale.

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  • 18. 

    Affective expression and modulation are designed for processing traumatic events

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Affective expression and modulation are not specifically designed for processing traumatic events. While they can be helpful in managing and coping with trauma, they are not exclusively designed for that purpose. Affective expression and modulation refer to the ability to express and regulate emotions, which is important for overall emotional well-being and can be applied to various situations, not just traumatic events.

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  • 19. 

    During the early stage of TF-CBT, all are effective ways to help children identify their feelings except:

    • A.

      Have child write down as many feelings as possible, or use worksheets with pictures of different facial emotions

    • B.

      Play a game by writing emotions on pieces of paper, pick out of box and have child and therapist act out the emotion and the other person guesses the emotion

    • C.

      Talk about the traumatic event in as much detail as possible and all the feelings associated with it

    • D.

      The therapist is actively participates in the discussion of feelings so child can see therapist being comfortable when talking about a range of feelings

    Correct Answer
    C. Talk about the traumatic event in as much detail as possible and all the feelings associated with it
  • 20. 

    It is not important for a child to understand the benefits of being able to accurately identify emotions, only that they learn the skills to identify and manage their emotions

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    The statement is false because it is important for a child to understand the benefits of being able to accurately identify emotions. By understanding the benefits, children can develop emotional intelligence, which includes being able to recognize and manage their own emotions as well as understand and empathize with others. This skill is crucial for healthy social and emotional development, forming positive relationships, and effectively navigating various situations and challenges in life.

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Quiz Review Timeline +

Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 21, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 15, 2014
    Quiz Created by
    Ccocis
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