1. The goal of ___________________ is to acquire a comprehensive picture of the child’s internal and external world.AssessmentObservingInterviewingDiagnosing2. Research on Body/Brain based interventions like yoga and neurofeedback finds:Significant decreases in anxiety, depression, anger, reactivitySignificant repair to the child’s limbic systemThat these interventions have little to no effect on AD problemsImproved academic performance3. Which intervention model uses a flexible, 3 components and 10 building blocks framework that fosters resiliency in children and is designed to translate across service systems?TheraplayDyadic Developmental Psychotherapy (DDP)Attachment, Self-Regulation, Competency (ARC)Cognitive-Behavioral Therapy (CBT)4. A teenage mother and her toddler have been referred to you by the department of social services. They want to know whether this mother is capable of attachment behaviors, and whether this child is attached to his mother. Can you do a formal assessment, and if so, what standardized tool might you use as part of your assessment?No, the child is too young to do a standardized assessmentNo, the mother is too young to do a formal assessmentYes. Preschool and Early Childhood Functional Assessment Scale (PRECFAS)Yes. Child and Adolescent Functional Assessment Scale (CAFAS) for the mother5. No matter what treatment model you use, all of the following practices should be utilized EXCEPT:Providing an environment that preserves the child’s external and internal safetyFraming interventions within the context of the child’s relationships with attachment figure and/or caregiverAsking the child a lot of questions as to how they feel and why they are doing what they doMaximizing concrete activities that provide reparative experiences6. When children lack attachment behaviors and emotions, parents and caregivers often feel dissatisfied as well. Which of these statements do you think is most realistic?It’s logical that parents of children with attachment disorders would feel dissatisfied. It’s hard to live long-term with a child who doesn’t show affection and who defies you at every turn.Parents need more up-front training so they will be better prepared for what it is like to live with a child with AD.Dissatisfied parents of children with AD are being selfish and needy, and probably need therapy to deal with their expectations.Parents who adopt children usually have attachment problems themselves.7. When observing the parent/caregiver and child’s interactions you are primarily looking for all of these EXCEPT:How the child seeks and uses supportHow well the child speaksLevel of cooperationLevel of sharing of affection8. Which of the following statements is most true regarding ethical guidelines in treating attachment disorders?It’s okay to use alternative treatments if you think they will work better than evidence-based treatments.Alternative treatments should be used only if evidence-based options have been exhausted.Sound theoretical foundations and broad clinical acceptance are not necessary requirements for alternative treatment options.Physical coercion and psychologically or physically enforced holding are sometimes a necessary part of therapy.9. Roger is 12 years old and has been diagnosed with attachment disorder by another therapist who referred him to you for treatment. In addition to this diagnosis, what other information would you like to have before starting therapy with Roger and why?The quantity, frequency, persistence, and severity of Roger’s symptoms and how much they are interfering in his life because this will help determine the intensity of his treatment planWhether Roger also has PTSD because you can only treat one condition at a timeWhether Roger’s brain can be altered through therapeutic interventions, so you know if treatment is indicatedWhether Roger wants to be in therapy because he has to want to get better if treatment is going to work10. What is the most important support you can give a parent of a child with an attachment disorder?AdviceValidationInformationTherapy11. The most effective attachment disorder and PTSD treatments is which of the following?Repair the child’s limbic system, increase prefrontal cortex activity, and increase parent satisfactionDecrease child’s symptoms, increase the child’s peer group, increase the child’s academic performanceRemediate brain impairments and physiological responses, increase the child’s relationship capacity, and increase caregiver’s skillsEnsure that the child will never need therapy for attachment problems again12. You are completing an assessment of Beatrice, who is 8 years old. You have read through her social service case files, interviewed her adoptive parents several times, and observed her in your office and at school. She’s had a physical by her pediatrician, and there were no medical concerns. What is the next element of your assessment process?Interview the adoptive parents again without the child presentEvaluation using validated, standardized assessment toolsStart child and family therapy right awayConsult with your Medical and Psychiatric colleagues13. Which intervention model relies heavily on the parent’s capacity to regulate their own emotions and responses to the child’s difficult behaviors and uses affective-reflective (a-r) dialogue?TheraplayDyadic Developmental Psychotherapy (DDP)Attachment, Self-Regulation, Competency (ARC)Corrective Attachment Therapy (CAT) 14. Which of the following are side effects of atypical antipsychotics?Overproduction of salivaHypertensionWeight lossMetabolic side effects15 What are some of the significant differences between mania and hypomania?Hypomania always presents with depression.Hypomania has longer duration criteria (14 days) because it is less severe than mania.Hypomania is more debilitating than mania and presents with psychosis.Hypomania has shorter duration criteria (4 days) and does not present with psychosis.16.Which term describes when a person with bipolar disorder has experienced four or more mood episodes in 12 months that meet the criteria for a manic, hypomanic, or major depressive episode?Cyclothymic disorderMixed featuresRapid cyclingOther unspecified17.When a person with bipolar disorder has mixed features, what does this involve?Anxiety and posttraumatic reactionsConcurrent symptoms of depression and maniaEuthymic mood and suicidal thinkingPsychosis and depressive symptoms18. True or False: If a person has both depressive episodes and hypomanic episodes and the individual’s mood episodes stem from a substance use disorder, the individual should be diagnosed with bipolar II disorder.TrueFalse19. How does psychoeducation help a person with bipolar disorder reduce the risk of additional mood episodes?By helping them understand when it is safe to stop taking medicationsBy helping them learn to recognize and address early warning signsBy minimizing family involvement in treatmentBy encouraging nutritional supplements instead of medications20. True or False: If the criteria for bipolar I disorder are met and the symptoms are primarily due to a medical illness, the person should be diagnosed with bipolar I disorder.TrueFalse21. Which psychosocial approach used to treat bipolar and related disorders emphasizes the regulation of one’s sleep-wake cycle, energy, alertness, and appetite cycles?Dialectical behavior therapyPsychosocial RehabilitationInterpersonal and Social Rhythm TherapyFamily focused therapy22. For individuals who have co-occurring bipolar disorder and a substance use disorder, which of the following treatments is most effective?Psychiatric treatment without substance use treatmentTreating the bipolar symptoms only after the person is no longer using substancesIntegrated psychiatric and substance use treatmentsTreating the substance use disorder only after the person’s bipolar symptoms are stable23. Which type of therapy used with individuals with bipolar and related disorders blends traditional CBT components with mindfulness?Dialectical behavior therapyRadical behavior therapyFamily-focused therapyPerson-focused therapy24.Which factor did Post et al. (2015) find is associated with an earlier age of onset of bipolar disorder, as well as greater likelihood of co-occurring substance use and rapid cycling?Dropping out of high schoolExperiencing verbal abuse during childhoodMarrying later in lifeBeing raised by a single parent25. Research with the Bipolar Disorder Phenome Database has identified which trait that runs in the families of people with bipolar and related disorders?Co-occurring social anxiety disorderSimilarity in number and frequency of manic episodesHistory of divorce and poverty in the familyAge at first use of substances26. Gordon had a manic episode 2 years ago but has been stable since with no mood symptoms. He takes magnesium supplements daily. He likes to play video games frequently, has an erratic sleep schedule, and has poor hygiene. Which factor described above is the MOST important to address to reduce his risk of additional manic episodes?Taking magnesium supplementsPlaying video gamesErratic sleep schedulePoor hygiene27. According to research by Schaffer and colleagues (2015), when treating an individual with bipolar I disorder, it is critical to remember that a correlate of increased risk of suicide attempt is:Current or recent depressive episodeMost recently in a manic episodeHistory of multiple hypomanic episodesTaking more than one medication28. What is the critical mood feature needed to diagnose bipolar I disorder?At least one manic episodeRepeated periods of hypomanic symptomsAt least one major depressive episodeRecurring depressive episodes29. When working with a client experiencing a manic episode, which approach is the most likely to be effective with supporting medication adherence?Confronting the person in an authoritarian mannerUsing Motivational Interviewing strategiesLetting the client decide when they need medicationsRequiring medication adherence as a condition of ongoing therapy
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