tf-cbt cert exam COMPREHENSIVE QUESTIONS
WITH MULTIPLE CHOICES |VERIFIED &
REVISED ANSWERS (NEW) 2026
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Terms in this set (40)
Alexa is an 8-year-old girl who 1. Alexa's statements are examples of:
disclosed sexual abuse by her two a) Healthy or functional thoughts.
older adolescent stepbrothers. b) Cognitive distortions.
While developing the first part of c) Cognitive realities.
her trauma narrative, she wrote "I d) Accurate but unhelpful thoughts.
am a bad girl. I think they messed
up my body. I was really dumb
because I never told anyone."
2. How should the therapist a) Tell Alexa that it is not her fault and
proceed? (Alexa case) immediately begin to process her statements.
b) Allow Alexa to complete her trauma narrative
and then begin cognitive processing of the
trauma narrative, including her statements.
c) Repeat the earlier components, beginning with
Psychoeducation as this is a clear example of the
therapy not "sinking in."
d) Ask Alexa to start the trauma narrative again
but this time tell her to only include details about
the sexual abuse, not any statements about
herself or any thoughts.
,Justin is an 11-year-old boy who 3. How should the therapist proceed?
witnessed his father brutally attack a) Due to the problems associated with "false
his mother with a baseball bat. memories," confront Justin about the inaccuracy
During the middle of writing his immediately.
trauma narrative, he wrote that he b) Talk to Justin about the difference between the
intervened and attempted to "truth" and a "lie."
defend his mother by fighting his c) Recognize that it is not unusual for children to
father. However, during individual make fantasy or rescue statements; allow Justin to
sessions with his mother, it became complete his trauma narrative and gently
apparent that Justin had hidden challenge his statements.
behind the sofa and cried during d) Talk with Justin's father to determine whether
the attack. Justin or his mother is telling the truth; then share
this information with Justin.
In the example above, there is a 4. How should the therapist proceed?
concern that the father may have a) Meet with the child's father and discuss the
access to the home and the safety concerns.
therapist is worried about Justin's b) Do not discuss safety because Justin and his
safety. The therapist is concerned mother would then blame themselves for the
about following the TF-CBT model domestic violence.
with fidelity and is not sure whether c) Engage in short-term safety planning with
it is okay to implement "Enhancing Justin and his mother.
Safety and Future Development" d) Engage Justin in In Vivo Desensitization as his
without completing the earlier concern about safety is a cognitive distortion.
components.
, Monty is a 7-year-old boy who was 5. What should the therapist have done instead?
a victim of sexual abuse for two a) Listened to Monty for a few minutes and
years by his adoptive parents. As redirected him; initiated Psychoeducation and
part of the assessment, he subsequent skills-based components before
completed the UCLA PTSD moving to the trauma narrative.
Reaction Index and his total score b) Briefly reviewed the initial four TF-CBT
was in the severe range, including components and started the trauma narrative the
very serious re-experiencing next week.
symptoms. When the therapist c) Nothing. It is imperative to follow a child's cues
discussed the TF-CBT treatment and wishes rather than a more directive
approach with him, including that approach.
he would be writing his story about d) Skipped the trauma narrative entirely because
the sexual abuse, Monty became it is important to do just the opposite of what a
excited and began to discuss the child believes he/she needs.
trauma in great detail. So, the
therapist, encouraged by Monty's
willingness to talk, complied with
his wishes and allowed him to
create his trauma narrative over the
first three treatment sessions.
During and after the completion of
the trauma narrative, Monty's
behavior began to deteriorate,
including acting-out sexually,
soiling himself, refusing to sleep in
his own room, and engaging in
other dangerous behaviors that
warranted a short-term
hospitalization.
WITH MULTIPLE CHOICES |VERIFIED &
REVISED ANSWERS (NEW) 2026
Save
Terms in this set (40)
Alexa is an 8-year-old girl who 1. Alexa's statements are examples of:
disclosed sexual abuse by her two a) Healthy or functional thoughts.
older adolescent stepbrothers. b) Cognitive distortions.
While developing the first part of c) Cognitive realities.
her trauma narrative, she wrote "I d) Accurate but unhelpful thoughts.
am a bad girl. I think they messed
up my body. I was really dumb
because I never told anyone."
2. How should the therapist a) Tell Alexa that it is not her fault and
proceed? (Alexa case) immediately begin to process her statements.
b) Allow Alexa to complete her trauma narrative
and then begin cognitive processing of the
trauma narrative, including her statements.
c) Repeat the earlier components, beginning with
Psychoeducation as this is a clear example of the
therapy not "sinking in."
d) Ask Alexa to start the trauma narrative again
but this time tell her to only include details about
the sexual abuse, not any statements about
herself or any thoughts.
,Justin is an 11-year-old boy who 3. How should the therapist proceed?
witnessed his father brutally attack a) Due to the problems associated with "false
his mother with a baseball bat. memories," confront Justin about the inaccuracy
During the middle of writing his immediately.
trauma narrative, he wrote that he b) Talk to Justin about the difference between the
intervened and attempted to "truth" and a "lie."
defend his mother by fighting his c) Recognize that it is not unusual for children to
father. However, during individual make fantasy or rescue statements; allow Justin to
sessions with his mother, it became complete his trauma narrative and gently
apparent that Justin had hidden challenge his statements.
behind the sofa and cried during d) Talk with Justin's father to determine whether
the attack. Justin or his mother is telling the truth; then share
this information with Justin.
In the example above, there is a 4. How should the therapist proceed?
concern that the father may have a) Meet with the child's father and discuss the
access to the home and the safety concerns.
therapist is worried about Justin's b) Do not discuss safety because Justin and his
safety. The therapist is concerned mother would then blame themselves for the
about following the TF-CBT model domestic violence.
with fidelity and is not sure whether c) Engage in short-term safety planning with
it is okay to implement "Enhancing Justin and his mother.
Safety and Future Development" d) Engage Justin in In Vivo Desensitization as his
without completing the earlier concern about safety is a cognitive distortion.
components.
, Monty is a 7-year-old boy who was 5. What should the therapist have done instead?
a victim of sexual abuse for two a) Listened to Monty for a few minutes and
years by his adoptive parents. As redirected him; initiated Psychoeducation and
part of the assessment, he subsequent skills-based components before
completed the UCLA PTSD moving to the trauma narrative.
Reaction Index and his total score b) Briefly reviewed the initial four TF-CBT
was in the severe range, including components and started the trauma narrative the
very serious re-experiencing next week.
symptoms. When the therapist c) Nothing. It is imperative to follow a child's cues
discussed the TF-CBT treatment and wishes rather than a more directive
approach with him, including that approach.
he would be writing his story about d) Skipped the trauma narrative entirely because
the sexual abuse, Monty became it is important to do just the opposite of what a
excited and began to discuss the child believes he/she needs.
trauma in great detail. So, the
therapist, encouraged by Monty's
willingness to talk, complied with
his wishes and allowed him to
create his trauma narrative over the
first three treatment sessions.
During and after the completion of
the trauma narrative, Monty's
behavior began to deteriorate,
including acting-out sexually,
soiling himself, refusing to sleep in
his own room, and engaging in
other dangerous behaviors that
warranted a short-term
hospitalization.
