Instructions: Print this exam worksheet. Return to the course page using the link below. Read the course material. Enter your answers on this worksheet. Return to the course page and click the link 'Take Test.' Transfer your answers.
https://www.quantumunitsed.com/go/2014
1. Which of the following is an accurate statement about Multidimensional Family Therapy (MDFT)?
A. MDFT is a family-based inpatient treatment developed for clinically referred adolescents with drug and behavioral problems
B. MDFT is a narrowly focused treatment protocol that has been operational in different treatment applications
C. The intervention methods derive from target population characteristics, and they are guided by research-based knowledge about dysfunctional and normal adolescent and family development
D. All of the above
2. All of the following are dimensions of multidimensional family therapy EXCEPT:
A. Outcome and treatment parameters
B. Interaction and orientation
C. Development and ecology
D. Process and problem behaviors
3. The four modules of MDFT include adolescent, parent, family interaction, and extrafamilial systems.
A. True
B. False
4. Adolescent developmental psychology and psychopathology research has determined that the family is the primary context of healthy identity, and peer influence operates in relation to the family’s buffering effect against the deviant peer subculture.
A. True
B. False
5. MDFT systematically assesses and targets adolescent functioning in six health-related domains: drug use, identity development and autonomy, peers and peer influence, bonding to prosocial institutions, and:
A. Intrapersonal and interpersonal relationships
B. Racial and cultural issues
C. Health and sexuality
D. Both B and C above
6. As part of the MDFT process, motivation to enter treatment or to change must always be present with adolescents and their parents.
A. True
B. False
7. All of the following are true statements about the MDFT therapists’ attitude EXCEPT:
A. Therapists are advocates for adolescents and the parents
B. They must be child savers and “tough love” proponents
C. Therapists are optimistic but not naive or Pollyannaish about change
D. Therapists must know that their personal functioning can facilitate or handicap their work
8. Most therapists using the MDFT approach have at least a master’s-level degree in counseling and an average of six months to one year of experience.
A. True
B. False
9. When working with adolescents, it is important to remember that distress that accompanies a crisis is a therapeutic ally and it is part of the dynamic that will create motivation for change.
A. True
B. False
10. During Stage 2 of the MDFT treatment approach, which of the following should occur:
A. The therapist creates expectations
B. The therapist uses treatment to retrace development
C. The therapist visits the client’s school and neighborhood
D. The therapist uses family enactment as a target of change
11. During MDFT, the therapist’s every action must be guided by time, and therefore stage three interventions should be delivered in:
A. six weeks
B. five weeks
C. four weeks
D. three weeks
12. In establishing a therapeutic alliance with a teenager, the first-stage work is called adolescent engagement interventions (AEIs) and includes all of the following EXCEPT:
A. Reconfiguring the drug-using and deviance-prone lifestyle of the teenager with a replacement lifestyle
B. Presenting therapy as a collaborative process
C. Generating hope by focusing on the adolescent’s internal locus of control and by presenting oneself as an ally
D. Defining therapeutic goals that are meaningful to the adolescent
13. Although work with the adolescent drug abuser and his parents is central to MDFT, the approach recognizes that other family members and friends often play key roles in drug taking and maladaptive patterns of teenagers.
A. True
B. False
14. Meeting with the adolescent’s resources to determine their appropriateness, gathering direct information on their use, and making contacts is an example of which MDFT task?
A. Case management tasks
B. Related therapeutic tasks
C. Outside tasks
D. None of the above
15. Taking clients to 12-Step meetings and facilitating parental access to support groups and/or 12-Step meetings is an important part of pro-social support in MDFT case management.
A. True
B. False
16. During the practice of MDFT, it is important that the therapeutic alliances with adolescents and their parents remain consistent, with similar courses, expectations, and contracts for what therapy can and will be.
A. True
B. False
17. As the MDFT counselor works with a client, it is important that the adolescent be challenged to be a participant in shaping the way his or her parents behave, and that the teenager’s feelings and experiences are validated but his or her methods are not.
A. True
B. False
18. Which of the following is usually the first order of business in working with tired, helpless, angry, and intimidated parents?
A. Challenging parental belief systems
B. Assessing and adjusting the emotional connection of the parents to their teen
C. Promoting the urgent need for parental action
D. None of the above
19. Examples of MDFT themes that constitute the family’s core struggles include:
A. Parental fear of setting expectations
B. Negative parental perceptions
C. Adolescent frustration and helplessness
D. Adolescent frustration and helplessness
20. During therapy, parents typically attribute the teenager’s behavior and actions to psychopathology rather than normal teenage processes.
A. True
B. False
21. Multidimensionality is a key concept of MDFT and includes all of the following EXCEPT:
A. Multidimensionality is way of thinking about human problems and their resolution to discourage narrow thinking about clinical problems or solutions
B. Multidimensionality refers to case conceptualization, notions about causality, and ideas about how lives can change for the better
C. The therapist’s assessment, conceptualization, therapeutic strategies, and intended outcomes should be multidimensional
D. Multidimensional thinking reminds a therapist to try to stick to one technique to facilitate change and to promote consistency in therapy
22. Sealing is the process of molding and shaping changes across functional domains in different developmental environments (school, family, self) over time.
A. True
B. False
23. In MDFT, “working all four corners” refers the assessment and facilitation of change in four areas which include the adolescent, the parents, the family transactional environment, and the youth and family vis--vis community and extrafamilial sources of influence.
A. True
B. False
24. Therapeutic goals and content themes in treatment are the by-products of an interaction between generic factors and:
A. Extrafamilial factors
B. Protective factors
C. Idiosyncratic factors
D. Developmental factors
25. Process research indicates that when successful, the therapist-adolescent alliance proceeds through stages including therapy socialization, expression of concerns, agenda setting and:
A. Development of life skills
B. Beginning problem solving
C. Initiation of change
D. None of the above
26. Whereas traditional drug abuse treatments sometimes focus exclusively and directly on substance use and abuse, many contemporary treatments emerging from the psychotherapy field have developed strategies that focus on changing substance use indirectly.
A. True
B. False
27. Because active participation by a teenager in the therapeutic process increases his or her chances for success, it is vital for the therapist to help the adolescent formulate a personal therapeutic agenda.
A. True
B. False
28. Engagement and alliance-building strategies between the therapist and the adolescent are continued throughout therapy and include all of the following EXCEPT:
A. Developing a collaborative mindset
B. Forming goals
C. Generating hope
D. Attending to interpersonal conflicts
29. Many substance-abusing adolescents feel they have total control of their emotions, thoughts, behaviors, and daily life and they have an unmistakable sense that everything in their lives is perfectly fine, which often makes treatment difficult.
A. True
B. False
30. “Child-saving” is an especially important MDFT intervention because drug-using teenagers have been found to experience a lack of personal control over their own lives.
A. Ture
B. False
31. Because the family, school officials, police, and juvenile justice system officials generally see drug addicted adolescents as antisocial, addicted, or disturbed, when a therapist asks for the teenager’s help in the therapeutic process, this can counter the biased conceptions that the adolescent has about adults in authority.
A. True
B. False
32. Conversations about one’s feeling are important in multidimensional work because they serve as a pathway to create individual change and they:
A. Solidify engagement
B. Establish and maintain alliances
C. Help family members establish new and healthy ways of being with each other
D. All of the above
33. All of the following are areas of agreement between MDFT and standard family therapy practice EXCEPT:
A. Dysfunctional children are thought to be “saving” the family by holding the parents together who may otherwise separate or divorce
B. It is important to look at drug use and abuse in the context of other symptoms
C. The therapist should try to link drug use and abuse to family relationships and to individual functioning and contextual circumstances
D. It is important to overtly define use as a form of communication about the adolescent’s circumstances
34. The chemical dependency model of substance abuse treatment assumes that changes in the parents behavior and family environment that are organized by parents can have an influence on the drug use of the teenager.
A. True
B. False
35. Generally, the greater the number of risk factors present, the more directly the therapist focuses on drug taking and drug abuse early in treatment.
A. True
B. Flase
36. Which of the following is an accurate statement regarding drug use in the context of MDFT?
A. A change in parenting or in parent-adolescent interaction in usually sufficient to begin a change in adolescent drug use
B. The circumstances that are maintaining the drug-using behaviors are usually all interpersonal, familial, or related to the past or current quality of parenting
C. MDFT uses individual sessions with the parents in order to frame the therapy, determine what it is about, and show what it might do
D. The parents’ stand against drug use, as well as their clear communication of this stand, is a strongly predictive protective factor
37. In MDFT, the therapist usually reveals to the parents the adolescent’s discussions about drug use in individual sessions, and he or she usually talks with them about what this drug use represents.
A. True
B. False
38. When using urinalysis in MDFT, which of the following is an important consideration?
A. The results of drug screens should be reported routinely to juvenile justice officials
B. When a urinalysis shows drugs are present, the therapist should immediately end the session so that the adolescent knows that drug use is unacceptable
C. MDFT therapists should offer teens the opportunity to tell their parents their UA results themselves as it is very important that there are no secrets
D. None of the above
39. A UA showing no drugs present can be particularly important to parents because it allows them to discover hope that may have been lost, and assuages some of the intense fear and terror that they experienced when their adolescent’s drug use spiraled.
A. True
B. False
40. Many adolescents report a dislike of 12-Step programs, probably because developmentally teens often have difficulty linking the common theme of addiction in the life stories of the adults with their own life stories.
A. True
B. False
41. MDFT therapists have found that attending 12-Step meetings have had the following effects on teenagers in recovery:
A. Adolescents are able to process their shared experiences in the program as well as shared life experiences
B. Older adolescents began to mentor the younger adolescents and, in some cases, they had become social supports for one another
C. Both A and B above
D. None of the above
42. In the case study that highlights the therapy session with Emilio, his father, and the therapist, the use of a drug screen is very effective because it enables Emilio to immediately admit to his relapse so that important solutions can be addressed.
A. True
B. False
43. Female adolescent drug use has increased dramatically over the past 30 years and the consensus is emerging that the syndrome of female adolescent substance abuse is becoming very similar to the well-recognized male pattern.
A. True
B. False
44. Which of the following is an accurate statement about adolescent girls and substance abuse treatment?
A. Drug-using girls referred for treatment do not usually use drugs or engage in externalizing behaviors as extensively as their male counterparts
B. Families of substance-abusing girls show less conflict and more cohesion than families of substance-abusing boys
C. When working with girls, it is important to strike a balance between individual work on the adolescent’s internalized symptoms and family work to address conflicts
D. None of the above
45. MDFT therapy is a means to help adolescents prepare for the next phase of life, so the therapist should begin this process by assessing the day-to-day details of the adolescents’ street lives.
A. True
B. False
46. Early sexual activity and risky sexual behavior, pregnancy,and sexual acting out are common among adolescents with behavioral problems, and adolescent drug abusers appear to be particularly at risk.
A. True
B. False
47. Spirituality may be an important part of MDFT and therapists should consider all of the following EXCEPT:
A. Spirituality is a topic broached only after an established relationship exists between the adolescent and therapist
B. The MDFT therapist proceeds carefully in this area, not selling church, not selling a “preachy religiosity” but inquiring into the world view of the teen
C. Many teen boys in treatment have been involved with and attended a church in the past, whereas for most teen girls it is their families who have been involved with a church
D. Spirituality can be a link for the adolescent to feeling good about himself or herself rather than feeling good primarily through material possessions
48. Many adolescent drug abusers exhibit comorbid symptoms that require psychiatric intervention, including the use of psychotropic medications. The most common reasons for medication in this population are depression, anxiety, attention deficit/hyperactivity disorder (ADHD) and:
A. Bipolar disorder
B. Panic disorder
C. Obsessive-compulsive disorder
D. None of the above
49. The Parents and Other Family Members Subsystem Module describes goals for increasing knowledge about and effectiveness of parenting practices. These include monitoring, appropriate autonomy granting, and:
A. Creating competency
B. Increasing emotional availability
C. Relationship development
D. Limit setting
50. Given the degree of disengagement and lack of cohesion in the families of adolescent drug users, it is important to recommend interventions that rely primarily on parental hierarchy and power to enable reconnection with the estranged teenager.
A. True
B. False
51. All of the following are accurate statements about the use of parenting relationship interventions (PRIs) to support parental and adolescent reconnection EXCEPT:
A. At the heart of these interventions are the renegotiation and recalibration of the parent-adolescent relationship
B. It enables the adolescent to experience decreased autonomy within a context of unaltered connectedness
C. These processes are designed to decrease the emotional distance between parents and adolescents
D. None of the above
52. The process where parents appear to have given up or, in some cases, actively abdicated their parental responsibility for day-to-day influence attempts is known as:
A. “History of 1,000 defeats”
B. “History of 4,000 defeats”
C. “History of 8,000 defeats”
D. “History of 10,000 defeats”
53. There are certain content themes that are frequently stressed in subsystem work with parents. Which of the following is NOT one of three broad categories that these fall into:
A. Parenting skills
B. Methods and content of communication with adolescents
C. Parental monitoring and limit setting
D. None of the above
54. Therapists can use several methods in helping parents better respond to their teenager after being hurt and angered by the adolescent’s behavior. Reformulating cognitive attributions and rehearsing behaviors are examples of these techniques.
A. True
B. False
55. Change in the parent-adolescent relationship may be brought about by the classic family therapy technique of enactment, which attempts to be a stress-free situation where family members can share their thoughts and feelings.
A. True
B. False
56. In family therapy, the focus should be to work on and frame change for family members as a series of small steps because focusing only on the big picture can lead to unrealistic expectations and frustration.
A. True
B. False
57. Individual sessions with the parents and adolescents are important opportunities and arenas of work in and of themselves, and they also serve linking functions relative to whole-family sessions.
A. True
B. False
58. The Family Interaction Module focuses are interactions, facilitated and shaped by the therapist, in which members of a family begin to hear and experience each other in new ways This is known as a:
A. Healing sequence
B. Familial reconnection
C. New conversation
D. Rebuilding interaction
59. The Extrafamilial Module believes that adolescents and families exist in multiple ecologies, and interactions with people and social institutions outside the family can be either helpful or unhelpful to development and problem solving. The goals of this module include all of the following EXCEPT:
A. To create a developmentally facilitative family environment
B. To create openings for new kinds of skillful transactions with relevant extrafamilial persons and institutions
C. To coordinate social systems with an influence on the adolescent’s circumstances
D. To eliminate barriers to treatment
60. Unlike classic family therapy, the family-based intervention assumes that changing family interaction patterns alone is sufficient to influence the symptoms of problem behavior of youth.
A. True
B. False
61. An Ecomap is a visual representation of a social world and its influences, and its objective is to identify various systems and to maintain respect for the roles and functions of each of these systems with regard to the teen.
A. True
B. False
62. Which of the following is a true statement about interventions to improve school behavior and academic and vocational functioning in MDFT?
A. Teens receiving treatment for drug abuse and associated behavioral problems frequently have few academic successes and tend to have low commitment to school
B. A parent’s endorsement of the importance of academic success is a strong predictor of positive outcome in MDFT
C. Work in this realm is one of the most direct ways to bolster protective factors for teens
D. All of the above
63. For substance abusing teens, school achievement and job competence are examples of outcomes that protect against relapse and
A. Reconnection with the juvenile justice system
B. Affiliation with antisocial and deviant peers
C. Negative interactions with the family and community
D. All of the above
64. When a clinician is working with school officials to help a troubled adolescent, the elements to be emphasized should include all of the following EXCEPT:
A. Reasonable and possible practical outcomes for the teen
B. The support for the influential nature of the school context in achieving prosocial outcomes with each teen
C. Changes in school policies relative to all problem students
D. The notion that the therapist takes the teen’s school performance seriously and intends to actively promote outcomes for the teen in school
65. Therapists should actively encourage and coach parents on how to connect or reconnect with schools since for some parents, this contact is the first time they have interacted with school authorities.
A. True
B. False
66. While therapists often intentionally mediate and position themselves between the juvenile justice system and the youth and his or her family, they may have to adopt a different stance between the adolescent and the school system as not to alienate the school officials.
A. True
B. False
67. Positive change in school behavior or academic involvement is extremely important in the therapeutic process because this may be the beginning of possibility and hope for a new, prosocial, non-drug-using future that is brought to the teen and family.
A. True
B. False
68. Hesitation from a teen and family to participate in treatment is normal and it is the therapist’s job to facilitate the growth of motivation in treatment.
A. True
B. False
69. In working with probation officers, it is important that therapists:
A. Work to build and maintain a working intervention-oriented relationship with the probation officer
B. Introduce the subject of collaboration early
C. Explain the philosophy and parameters of the treatment program using clinical and elaborate language
D. Both A and B above
70. Two of the most frequent causes of disruptions to cases on probation are violation of probation and continued conflict in the home.
A. True
B. False
71. It is important that juvenile court judges understand all of the following important aspects of multidimensional family therapy EXCEPT:
A. MDFT is a therapist-driven treatment alternative that works for teenagers
B. MDFT can reduce recidivism by treating the teen and the family
C. MDFT effects the entire ecosystem of a teen, including school and peers
D. MDFT includes wraparound services and contact and crisis intervention are available
72. It is imperative that the MDFT therapist maintain close contact with key members of both the family and the extrafamilial subsystems because:
A. It is unrealistic to expect families to be able to navigate these complex and at times resistant systems on their own
B. Members of external systems can provide valuable information and resources for the therapist
C. An impasse within an external system can undermine work the therapist is trying to accomplish with the family
D. All of the above
73. Experts believe that maintaining a positive affect and a pleasant mood has beneficial effects on family functioning for all of the following reasons EXCEPT:
A. Parents’ emotion regulation in interactions with their children plays a central role in their children’s predominant affective tone
B. Family members who are always in good moods are primed for psychopathology because they don’t have coping skills to deal with crises
C. Positive affect buffers children against some of the effects of negative affect
D. Affective processing ability has been linked to social competence in children and adolescents
74. While earlier eras of family therapy focused on disengaged family systems, today, in a trend that may reflect some societal processes, increased attention is given to overinvolved parent-adolescent relationships.
A. True
B. False
75. In MDFT, the therapist often works to encourage the adolescent to have some responsibility for communicating his or her concerns more effectively and helping to devise a therapy plan.
A. True
B. False
76. MDFT therapists operate under the assumption that factors such as the temperament, cognitive development, and _______________ of adolescents influence their emotional regulation.
A. Perceptions
B. Motivation
C. Attributions
D. Socialization
77. In working with core relationship themes in MDFT interventions, dealing with emotional events is distinguished from controlling one’s emotions, and extreme positions should be avoided.
A. True
B. False
78. Which of the following is an accurate statement about processing negative emotions in MDFT therapy?
A. Sometimes processing negative emotions yields more negative emotions
B. The therapist may ascribe a positive motivation to counter the narrow negative attributions and emotional response
C. Both A and B above
D. None of the above
79. Multidimensional family therapists often use a skill called translating to help parents and adolescents see the other’s perspective, especially in the early stages of therapy when neither has the ability to bring up sensitive topics with great skill.
A. True
B. False
80. Although therapists enter each session with a specific agenda, throughout the session the style, content, and __________of the therapist are adapted to accommodate feedback about family members’ reactions to the session’s events and to the therapist.
A. Attitude
B. Focus
C. Rules
D. None of the above
81. Which of the following is an accurate statement about therapeutic alliances in MDFT?
A. MDFT places primary importance on the therapeutic alliances between therapist and parents and between therapist and teenager
B. The initial engagement of the therapist and adolescent must focus on authority and limit-setting, rather than bonding and cohesion
C. The alliance of the teenager and therapist is not therapeutic in and of itself, so the therapist should be careful not to spend too much time in this area
D. None of the above
82. When modeling for parents, therapists function as temporary members of a teen’s extended family, supplementing the natural functions of the family by providing a rich relational environment with age-appropriate developmental expectations.
A. True
B. False
83. In therapy sessions, the clinician may improvise and shift domains of operation by doing all of the following EXCEPT:
A. Shifting from cognitive to behavioral to affective therapy, or from present to past’ to allow maximum flexibility for in-session work
B. When the therapist assesses that a particular approach is not working, he or she shifts the focus to another dimension, such as from the problem solving to the affective realm
C. The therapist stays focused on one client throughout the session, but may change the focus to the client’s prior negative experiences
D. Both A and B above
84. When parents and adolescents are pitted against each other in extreme opposing stands, it is important that the therapist keep them together in a session until the crisis has been averted and until the parent and teen can communicate effectively.
A. True
B. False
85. Which of the following is an MDFT guideline for seeing parents or adolescents alone?
A. Perform intervention and assessment in the early phase
B. Prepare parents and adolescents for enactment, negotiation, or sharing
C. Understand that experiments with change do not necessarily represent change
D. All of the above
86. In working with parents and adolescents together, it is important to establish and accept a theme early on and to stick to that theme throughout the course of therapy.
A. True
B. False
87. In multidimensional family therapy, the therapist should be careful not to overemphasize in-session events, since even though these events are important, they not sole determinants of change.
A. True
B. False
Copyright © 2024 Quantum Units Education
Visit us at QuantumUnitsEd.com!