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John, a 32-year-old man, visits a mental health clinic reporting that he “feels empty and
unsure about his purpose in life.” He denies depression but expresses concern about
meaning and direction. Which therapeutic approach would best address his concern?
A. Cognitive Behavioral Therapy
B. Existential Therapy
C. Behavioral Therapy
D. Medication Management
Answer: B. Existential Therapy
Explanation: John’s concern centers on meaning, purpose, and existence, which are
core focuses of existential therapy. This approach helps individuals explore life purpose,
personal responsibility, and values rather than simply targeting symptoms.
Maria, a 28-year-old client, is in therapy and frequently avoids discussing her emotions.
During a session, the therapist asks her to speak to an “empty chair” as if her absent
father were present. What therapeutic technique is being used?
A. Reflection
B. Empty chair
C. Exposure therapy
D. Guided imagery
Answer: B. Empty chair
Explanation: The empty chair technique is a hallmark of gestalt therapy and helps
clients express unresolved feelings and increase present-moment awareness.
, James, a teenager with a history of trauma, attends therapy with his caregiver. The
therapist uses playfulness, curiosity, acceptance, and empathy to build trust. Which
framework is being applied?
A. OARS
B. PACE
C. CBT model
D. Psychoanalysis
Answer: B. PACE
Explanation: PACE (Playfulness, Acceptance, Curiosity, Empathy) is used in dyadic
therapy to strengthen relationships and support children who have experienced trauma.
A nurse is working with a client who wants to quit smoking but says, “I know it’s bad, but
it helps me relax.” What type of statement is this?
A. Change talk
B. Sustain talk
C. Resistance
D. Reflection
Answer: B. Sustain talk
Explanation: Sustain talk reflects reasons to maintain current behavior. The client
acknowledges harm but emphasizes benefits, indicating ambivalence.
During a session, a therapist says, “It sounds like you really want to improve your health
for your family.” Which motivational interviewing technique is being used?
A. Open question
B. Affirmation
C. Reflection
D. Summary
Answer: C. Reflection
Explanation: Reflection involves restating or interpreting what the client says to show
understanding and encourage deeper exploration.