Day 4: Tf-CBT --

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Day 4: Tf-CBT -- - Quiz

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

    Correct Answer
    C. A therapist may become uncomfortable with it and want to avoid it
    Explanation
    In TF-CBT (Trauma-Focused Cognitive Behavioral Therapy), it is important to be prepared for child discomfort during direct discussion of traumatic events because a therapist may become uncomfortable with it and want to avoid it. This understanding is crucial because therapists need to be aware of their own discomfort and potential biases that may hinder the therapeutic process. By acknowledging and addressing their own discomfort, therapists can ensure that they provide a safe and supportive environment for the child, allowing them to effectively work through their trauma.

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  • 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

    Correct Answer
    C. The cathartic process diminishes the impact of trauma
    Explanation
    The cathartic process diminishes the impact of trauma is not a reason to directly discuss traumatic events. The cathartic process refers to the emotional release and relief that occurs when one expresses their emotions related to a traumatic event. While it can be helpful in processing trauma, it does not necessarily diminish the impact of trauma on its own. The other options mentioned, such as working to resolve avoidance symptoms, contextualizing traumatic experiences, and gaining mastery over trauma reminders, are all valid reasons to directly discuss traumatic events as they contribute to the healing and recovery process.

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  • 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

    Correct Answer
    A. When done correctly it should minimize physical and psychological hyper-arousal
    Explanation
    Gradual exposure is effective because when done correctly, it should minimize physical and psychological hyper-arousal. This means that by gradually exposing a child to their fears or traumatic experiences in a controlled and safe manner, it helps them to gradually build tolerance and reduce their anxiety or arousal levels. This approach allows the child to confront their fears in a manageable way, without overwhelming them, and helps them to learn that they can cope with the distressing memories or situations. Ultimately, it helps the child to regain a sense of control and mastery over their trauma.

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  • 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

    Correct Answer
    A. True
    Explanation
    Exposure therapy is a widely used treatment for trauma-related disorders, such as post-traumatic stress disorder (PTSD). The purpose of exposure therapy is to help individuals confront and process their traumatic memories in a safe and controlled environment. By repeatedly exposing themselves to the memories or reminders of the traumatic event, individuals can gradually learn to disconnect the negative emotions associated with the event from their present experiences. This process allows them to regain control over their thoughts and emotions and ultimately reduces the distress caused by the traumatic event. Therefore, the statement that exposure helps disconnect thoughts of the traumatic event from negative emotions in the present is true.

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  • 5. 

    It is important to push the child to start the trauma narrative early in the treatment.

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    It is not important to push the child to start the trauma narrative early in the treatment. Each child is unique and may require different approaches to trauma therapy. Some children may not be ready to share their traumatic experiences early on and may need more time to build trust with their therapist. It is essential to respect the child's pace and readiness in order to create a safe and supportive environment for them to heal.

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  • 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

    Correct Answer
    B. False
    Explanation
    It is not important for a child to avoid discussing their trauma or delaying the trauma narrative when they are uncomfortable. On the contrary, it is crucial for a child to have a safe and supportive environment where they can openly talk about their experiences. Discussing the trauma can help the child process their emotions, gain a sense of control, and receive appropriate support and guidance from adults. Avoiding or delaying the trauma narrative can hinder the child's healing process and may lead to long-term negative effects.

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  • 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

    Correct Answer
    A. Process thoughts and feelings so there is no longer discomfort
    Explanation
    The given answer, "process thoughts and feelings so there is no longer discomfort," is incorrect because it suggests that the goal of affective processing is to eliminate discomfort entirely. However, in affective processing, the focus is on acknowledging and understanding thoughts and feelings related to trauma, rather than eliminating discomfort. The other options, elicit emotional reactions directly related to the trauma, normalize trauma-related affect, and learn to tolerate negative affect associated with the trauma, are all elements of affective processing as they involve recognizing and working through emotions related to the trauma.

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  • 8. 

    Psychoeducation about the rationale for the trauma narrative is one key component for getting buy-in from the child

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Psychoeducation refers to providing information and education about a specific topic, in this case, the rationale for the trauma narrative. By explaining to the child why it is important to share their traumatic experiences, it helps them understand the purpose and benefits of engaging in the trauma narrative process. This understanding can increase their willingness and cooperation, leading to better engagement and outcomes in therapy. Therefore, it can be concluded that psychoeducation about the rationale for the trauma narrative is indeed a key component for getting buy-in from the child.

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  • 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

    Correct Answer
    B. False
    Explanation
    The statement suggests that when creating a trauma narrative, it is best to primarily focus on verbal expression because using other media such as drawing, writing, or expressive arts techniques can be too emotionally activating. However, the correct answer is false. The use of other media can actually be beneficial in trauma therapy as it allows individuals to express their emotions and experiences in a non-verbal way, which can be helpful for those who struggle with verbal expression or find it too overwhelming.

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  • 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

    Correct Answer
    G. #2, #3, #5
    Explanation
    The most appropriate set of elements for creating a trauma narrative would be to use clarifying, reflective statements (#2) to encourage the child to explore their thoughts and feelings. Using broad, open-ended questions (#3) allows the child to express themselves more freely and provide a deeper understanding of their experience. Additionally, using patience and allowing silence (#5) creates a safe and supportive environment for the child to share their trauma at their own pace.

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  • 11. 

    Reviewing the narrative and gradual exposure are techniques that go hand-in-hand

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Reviewing the narrative and gradual exposure are techniques that go hand-in-hand. This means that when reviewing a narrative, it is important to gradually expose oneself to the content. By reviewing the narrative, one can gain a better understanding of the material, and by gradually exposing oneself to it, they can become more comfortable with the content over time. These techniques work together to enhance the learning and comprehension process.

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  • 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

    Correct Answer
    B. False
    Explanation
    Looking for and challenging cognitive distortions in the first draft of the narrative is not essential to help the child from getting derailed in the treatment. While it may be helpful to address cognitive distortions during treatment, it is not necessary to do so in the first draft of the narrative. The first draft is typically a starting point for the child to express their thoughts and feelings, and it can be revised and refined later to address any distortions that may be present.

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  • 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

    Correct Answer
    D. All of the above
    Explanation
    The question is asking about the important metrics for evaluating the effectiveness of TF-CBT in the final chapter of the treatment. The options provided include asking "how are you different," identifying what the child learned from beginning to end of the treatment, and what would they tell other kids. The correct answer is "all of the above" because all of these metrics are important for evaluating the effectiveness of TF-CBT. Asking how the child is different can provide insight into their progress and growth. Identifying what the child learned shows the effectiveness of the treatment in achieving its goals. And knowing what the child would tell other kids can indicate their overall experience and satisfaction with the treatment.

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  • 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

    Correct Answer
    A. True
    Explanation
    The explanation for the given correct answer is that in order for therapists to effectively create a trauma narrative and use gradual exposure techniques, they need to understand why exposure is effective, practice the techniques, seek guidance from supervisors and colleagues, and have the ability to support and stay committed to children despite their discomfort. This indicates that the statement is true.

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  • Current Version
  • Mar 19, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Nov 05, 2014
    Quiz Created by
    Ccocis
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