Day 4: Tf-CBT --

14 Questions | By Ccocis | Last updated: Dec 8, 2014 | Total Attempts: 197

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This test covers Day 1 of TF-CBT Training

Questions and Answers

1.

In TF-CBT it is important to be prepared for child discomfort during direct discussion of traumatic events because:
- A.
  
  If the treatment creates discomfort it should be stopped
- B.
  
  The more discomfort the better
- C.
  
  A therapist may become uncomfortable with it and want to avoid it
- D.
  
  It's good to know
2.

All are reasons to directly discuss traumatic events EXCEPT:
- A.
  
  Work to resolve avoidance symptoms
- B.
  
  Contextualize traumatic experiences into one's life
- C.
  
  The cathartic process diminishes the impact of trauma
- D.
  
  Gain mastery over trauma reminders
3.

Gradual exposure is effective because
- A.
  
  When done correctly it should minimize physical and psychological hyper-arousal
- B.
  
  It helps a child experience no discomfort
- C.
  
  Children can avoid painful memories
- D.
  
  It tricks the child into believing mastery over trauma is possible
4.

One purpose of exposure is to disconnect one's thoughts of the traumatic event of the past from negative emotions in the present
- A.
  
  True
- B.
  
  False
5.

It is important to push the child to start the trauma narrative early in the treatment.
- A.
  
  True
- B.
  
  False
6.

When the child is uncomfortable discussing the trauma, it is important for the child to avoid those feelings and delay the trauma narrative
- A.
  
  True
- B.
  
  False
7.

All are elements of affective processing EXCEPT:
- A.
  
  Process thoughts and feelings so there is no longer discomfort
- B.
  
  Elicit emotional reactions directly related to the trauma
- C.
  
  Normalize trauma-related affect
- D.
  
  Learn to tolerate negative affect associated with the traum
8.

Psychoeducation about the rationale for the trauma narrative is one key component for getting buy-in from the child
- A.
  
  True
- B.
  
  False
9.

When creating the trauma narrative it is best to focus on verbal expression primarily because using other media (drawing, writing, expressive arts techniques) can be too emotionally activating.
- A.
  
  True
- B.
  
  False
10.

Select the most appropriate set elements for creating the trauma narrative
- A.
  
  #1--start with closed ended questions to focus the child on important aspects of the trauma
- B.
  
  #2--use clarifying, reflective statements
- C.
  
  #3--use broad, open-ended questions (what were you thinking? feeling?)
- D.
  
  #4--ask questions such as "do you remember" and "can you tell me"
- E.
  
  #5--use patience, allow silence
- F.
  
  #1, #2, #3
- G.
  
  #2, #3, #5
- H.
  
  #3, #4, #5
11.

Reviewing the narrative and gradual exposure are techniques that go hand-in-hand
- A.
  
  True
- B.
  
  False
12.

It is essential to look for, and challenge cognitive distortions in the first draft of the narrative so as to help the child from getting derailed in the treatment
- A.
  
  True
- B.
  
  False
13.

What are important metrics for evaluating the effectiveness of TF-CBT in the "final chapter" of the treatment?
- A.
  
  Asking "how are you different"
- B.
  
  Identifying what the child learned from beginning to end of the treatment
- C.
  
  What would they tell other kids?
- D.
  
  All of the above
14.

Therapist skill acquisition for creating the trauma narrative and doing gradual exposure requires understanding why exposure is effective, practicing the techniques, reviewing cases with supervisors and colleagues, and learning how to hang in there with children to stay the course despite their discomfort.
- A.
  
  True
- B.
  
  False