MFT Child and Adolescent Therapy 5

Question 1

A 9-year-old presents with intrusive thoughts, compulsive hand-washing, and significant distress. The most indicated evidence-based treatment is:

Accepted Answer

Exposure and Response Prevention (ERP) as part of CBT for OCD

Answer

ERP, the gold-standard component of CBT for OCD, is the most evidence-based treatment for pediatric obsessive-compulsive disorder.

Question 2

When using Multisystemic Therapy (MST) for an adolescent with serious conduct problems, the therapist primarily works:

Accepted Answer

Across multiple systems including family, peers, school, and community

Answer

MST is an intensive home- and community-based model that intervenes simultaneously across the adolescent's multiple social systems.

Question 3

An MFT is working with a 5-year-old child using Child-Parent Psychotherapy (CPP). The primary therapeutic target in CPP is:

Accepted Answer

The quality of the relationship between the child and the caregiver

Answer

CPP, developed by Alicia Lieberman, uses the child-caregiver relationship as the primary vehicle for healing, targeting relationship disturbances in young traumatized children.

Question 4

Which of the following best describes 'parentification' as it relates to family therapy with children?

Accepted Answer

A child taking on emotional or instrumental caretaking responsibilities that belong to adults

Answer

Parentification occurs when children assume adult roles—either emotional (supporting parents) or instrumental (managing household)—reversing appropriate generational hierarchy.

Question 5

During a family session, an 8-year-old becomes the scapegoat for all family tension. Using Bowen's family systems theory, this pattern reflects:

Accepted Answer

Triangulation and the projection of family anxiety onto the child

Answer

Bowen's family projection process describes how undifferentiated parental anxiety is triangulated onto a child, making them the identified patient.

MFT Exam Practice Test

MFT Exam Practice Test

MFT Child and Adolescent Therapy 5