問題一覧
1
A 35-year-old woman with a history of childhood trauma comes to therapy reporting flashbacks, nightmares, and difficulty sleeping. The therapist decides to start EMDR therapy. Which phase involves the use of bilateral stimulation to help desensitize the emotional intensity of the traumatic memory?
Phase 4: Desensitization
2
A 28-year-old man with social anxiety disorder is engaging in CBT. His therapist suggests conducting a behavioral experiment to challenge his negative belief that people will always judge him negatively during social interactions. What core principle of CBT is being utilized here?
Exposure Therapy
3
A 40-year-old client with substance use disorder expresses ambivalence about quitting. His therapist focuses on helping him explore the discrepancy between his current behavior and his long-term goals. What stage of Motivational Interviewing is the therapist currently engaging in?
Evoking
4
A patient tells her therapist, “I failed to meet one deadline at work, so I’m definitely going to get fired.” Which cognitive distortion does this represent?
Overgeneralization
5
A patient with panic disorder is asked by her therapist to keep a “thought record” of distressing situations, associated emotions, and automatic thoughts. What CBT strategy is being employed here?
Cognitive Restructuring
6
A 55-year-old man with a history of smoking comes to therapy because his family is concerned about his health. He acknowledges the risks but states, “I’m not ready to quit yet.” What stage of the Transtheoretical Model is he in?
Contemplation
7
During an EMDR session, the therapist asks a patient to focus on their physical sensations related to a traumatic memory while using bilateral stimulation. Which phase is this?
Phase 6: Body Scans
8
A therapist teaches a patient with generalized anxiety disorder to use deep breathing and guided relaxation techniques to manage physiological symptoms. What CBT technique is being used?
Relaxation Techniques
9
A patient with major depressive disorder reports feeling worthless after receiving critical feedback from a supervisor. The therapist encourages the patient to document the situation and challenge the negative automatic thoughts that arise. What is this CBT strategy called?
Thought Records
10
A therapist working with a patient struggling with alcohol dependency adopts a non-judgmental attitude and affirms the patient’s autonomy in making decisions. This approach aligns with which principle of Motivational Interviewing?
Acceptance
11
A patient undergoing EMDR therapy asks about the purpose of bilateral stimulation. The therapist explains that BLS mimics the brain’s natural processing during which sleep phase?
REM Sleep
12
A 45-year-old woman with depression reports feeling unmotivated to do things she once enjoyed. The therapist suggests reintroducing these activities into her daily routine, such as walking her dog. What CBT strategy is being applied?
Behavioral Activation
13
A 60-year-old man is preparing to quit smoking and has created a plan with his therapist that includes setting a quit date and finding support resources. What stage of the Transtheoretical Model does this represent?
Preparation
14
A therapist begins EMDR therapy with a patient by collecting a detailed trauma history and assessing the patient’s readiness for the therapy. What phase of EMDR is this?
Phase 1: History Taking
15
A patient with agoraphobia is afraid of using public transportation. His therapist encourages him to take small steps, such as visiting the bus station without boarding, to reduce his fear. What technique is the therapist using?
Exposure Therapy
16
A therapist uses open-ended questions to help a patient explore why they want to lose weight, focusing on the patient’s personal values and health goals. Which MI principle does this reflect?
Evocation
17
A patient undergoing EMDR therapy asks how it helps with trauma processing. The therapist explains that traumatic memories become stuck in the brain’s neural networks and need to be reprocessed to resolve the distress. What model explains this?
Adaptive Information Processing Model
18
A patient often thinks, “I always fail at everything.” The therapist helps him examine the evidence for this belief and generate more balanced thoughts. What CBT technique is being used?
Cognitive Restructuring
19
In a session, the therapist frequently summarizes the client’s statements and affirms the progress they are making in reducing alcohol consumption. What Motivational Interviewing technique is the therapist using?
Summaries
20
At the end of an EMDR session, the therapist ensures the client has returned to an emotionally stable state using relaxation techniques. Which phase of EMDR does this describe?
Phase 7: Closure
21
A patient frequently thinks, “If I make one mistake, my entire career will be ruined.” What cognitive distortion is this an example of?
Catastrophizing
22
A therapist uses Motivational Interviewing to collaborate with a client, emphasizing that they are working together to explore solutions. What principle of MI is being applied?
Partnership
23
During an EMDR session, the therapist focuses on helping the client reinforce the positive belief, “I am in control,” after processing a traumatic memory. Which phase is this?
Phase 5: Installation
24
A patient says, “I missed one deadline at work, so I’m a failure at my job.” Which cognitive distortion is this?
Overgeneralization
25
A client responds defensively when a therapist suggests exploring his alcohol use. Instead of pushing further, the therapist uses reflective listening to reduce defensiveness and refocus the conversation. What technique from MI is being employed?
Reflective Listening
26
At the beginning of a follow-up session, the therapist checks in with the patient to assess whether the targeted memories from the previous session remain resolved. What phase of EMDR is this?
Phase 8: Re-evaluation
27
A therapist encourages a patient to write down distressing situations, their automatic thoughts, and the emotional responses to challenge these thoughts. What CBT tool is being used?
Thought Records
28
A client expresses that although quitting smoking is hard, they are thinking about how their health could improve if they stopped. What type of talk is this in MI?
Change Talk
29
A patient undergoing EMDR is asked to recall a traumatic memory while engaging in eye movements. This technique is known as what?
Bilateral Stimulation
30
A therapist asks a client with social anxiety, “What evidence do you have that everyone at the party will judge you?” What CBT technique is being used?
Socratic Dialogue
31
A therapist working with a patient on reducing alcohol use asks, “What makes you think now is a good time to start cutting back?” What MI technique is this?
Open-ended Questions
32
A therapist and a patient are about to start EMDR. The therapist asks the patient to identify an image and a negative belief associated with a specific traumatic memory. What phase of EMDR is this?
Phase 3: Assessment
33
A patient with panic disorder learns breathing techniques to manage physical symptoms of anxiety during stressful situations. What type of CBT intervention is this?
Skills Training
34
A therapist working with a patient on weight loss focuses on understanding the patient’s emotional struggles without judgment, ensuring the patient feels supported. Which MI principle is being applied?
Compassion
35
At the end of an EMDR session, the therapist notices that the memory has not been fully processed, but the client needs to stop. What should the therapist do in this situation?
Use relaxation techniques and plan to continue next time
36
A patient believes that because they made a mistake in a presentation, everyone will think they are incompetent. This is an example of what cognitive distortion?
Overgeneralization
37
After listening to a patient talk about their ambivalence toward reducing sugar intake, the therapist says, “So it sounds like you’re worried about how giving up sweets will impact your social life, but you’re also concerned about your health.” What MI technique is being used?
Summaries
38
A therapist explains to a patient that the bilateral stimulation (BLS) used in EMDR may mimic which natural brain process during sleep?
REM Sleep
39
A patient with generalized anxiety disorder writes down their anxious thoughts and identifies evidence for and against these thoughts. What CBT tool is being utilized?
Thought Records
40
During a Motivational Interviewing session, the therapist asks, “What would it take for you to feel ready to cut down on smoking?” This is an example of what MI strategy?
Evocation
41
After processing a traumatic memory in EMDR, the therapist asks the patient to scan their body for any residual tension. What phase of EMDR is this?
Phase 6: Body Scans
42
A patient with obsessive-compulsive disorder believes that because they forgot to check their door lock once, their house will definitely be broken into. What cognitive distortion is this?
Catastrophizing
43
A patient pushes back when the therapist suggests reducing alcohol use, saying, “I don’t think cutting back will help.” Instead of arguing, the therapist responds with reflective listening, saying, “It sounds like you’re unsure about how cutting back could make a difference.” What strategy is the therapist using?
Reflective Listening
44
At the end of an EMDR session, the therapist notices that the patient is still feeling emotionally unsettled. The therapist uses relaxation techniques to help the patient regain equilibrium. What phase of EMDR is this?
Phase 7: Closure
45
A patient with social anxiety is asked by their therapist to attend a social gathering and observe whether people truly criticize them, as they fear. What CBT technique is being applied?
Behavioral Experiments
46
A therapist working with a client who is ambivalent about making lifestyle changes affirms the client’s autonomy, allowing them to decide whether to take steps toward healthier behaviors. What MI principle is being followed?
Acceptance
47
During an EMDR session, the therapist helps the patient reinforce the positive belief, “I am in control,” after processing a traumatic memory. Which phase of EMDR is this?
Phase 5: Installation
48
A therapist working with a patient with specific phobia encourages them to gradually confront the object of their fear (dogs) in controlled, step-by-step exercises. What CBT technique is this?
Exposure Therapy
49
A therapist working with a client on reducing alcohol consumption collaborates with the client to set goals that feel achievable to them, avoiding a directive approach. Which MI principle is being applied?
Partnership
50
In a follow-up session, the therapist checks in with the patient to see whether the previously processed memory is still resolved. What phase of EMDR is this?
Phase 8: Re-evaluation
51
A patient with social anxiety disorder is asked to write down distressing situations, their automatic thoughts, and the emotions that arise from these thoughts. What CBT tool is being used?
Thought Records
52
A therapist helps a patient with smoking cessation explore the reasons they might want to quit, asking, “What do you think would be the biggest benefit for you if you stopped smoking?” What MI principle is being used here?
Evocation
53
A therapist is using bilateral stimulation (BLS) during an EMDR session with a patient who has experienced trauma. The therapist asks the patient to track a moving object with their eyes while recalling a traumatic event. What is the primary purpose of BLS in EMDR?
To mimic the brain’s natural processes during REM sleep
54
A patient with depression reports feeling lethargic and unmotivated to engage in activities they once enjoyed. The therapist encourages them to gradually reintroduce activities like walking and journaling into their daily routine. Which CBT technique is being used?
Behavioral Activation
55
A therapist encourages a client to explore their desire to reduce their alcohol consumption, asking, “How do you think cutting back could improve your life?” The client responds, “I’d feel healthier and have more energy.” What kind of talk is this in MI?
Change Talk
56
A therapist working with a trauma survivor begins an EMDR session by asking the patient to describe the image, emotion, and physical sensation associated with their trauma. What phase of EMDR is this?
Phase 3: Assessment
57
A therapist helps a patient challenge their belief that “I’m a complete failure” by asking them to identify specific situations where they succeeded. What CBT technique is being applied?
Cognitive Restructuring
58
A therapist working with a client who is struggling with weight management focuses on understanding the client’s emotional struggles and frustrations without judgment, showing empathy. What MI principle is being applied?
Compassion
59
During an EMDR session, the therapist uses bilateral stimulation to help the patient focus on a traumatic memory, gradually reducing the emotional intensity associated with it. What phase of EMDR is this?
Phase 4: Desensitization
60
A patient with perfectionism tells their therapist, “If I don’t get an A on this exam, I’ve completely failed.” What cognitive distortion is this?
All-or-Nothing Thinking
61
In a session, the therapist frequently uses reflective listening and open-ended questions to help a patient with substance use disorder explore their reasons for quitting. These strategies are part of which MI technique?
OARS
62
A patient returns for a follow-up EMDR session, and the therapist checks whether the traumatic memory processed in the previous session remains resolved. What phase of EMDR is this?
Phase 8: Re-evaluation
63
A patient with a fear of flying is gradually exposed to increasingly anxiety-provoking situations related to flying, starting with watching planes take off and progressing to short flights. What CBT technique is this?
Exposure Therapy
64
A therapist working with a client on managing stress frequently acknowledges the client’s efforts and strengths, saying, “You’ve really been making progress, and it’s clear you’re committed to improving.” What MI technique is being used here?
Affirmations
65
After a patient processes a traumatic memory in EMDR, the therapist asks them to focus on their body and notice any remaining physical tension. What phase of EMDR is this?
Phase 6: Body Scans
66
A patient tells their therapist, “I failed once at work, so I’m bound to fail at everything.” What cognitive distortion is this?
Overgeneralization
67
A patient tells their therapist, “I don’t think giving up alcohol will make that much of a difference in my life.” What type of talk is this in MI?
Sustain Talk
68
A patient undergoing EMDR focuses on a distressing memory while following the therapist’s finger movements. Over time, the emotional intensity associated with the memory begins to decrease. What phase of EMDR is this?
Phase 4: Desensitization
69
A therapist helps a patient challenge their belief, “If I don’t succeed at everything, I’m a failure,” by asking them to find evidence for and against this belief. What CBT technique is being applied?
Cognitive Restructuring
70
After an EMDR session, the therapist uses relaxation techniques to ensure the patient is emotionally stable before leaving the session. What phase of EMDR is this?
Phase 7: Closure
71
A therapist working with a patient on smoking cessation listens to the patient express frustration and responds, “It sounds like you’re feeling overwhelmed by the idea of quitting.” What Motivational Interviewing (MI) technique is being used?
Reflective Listening
72
A patient with social anxiety believes that if they speak in public, they will be judged harshly. The therapist suggests they try speaking in a small group and observe how people respond. What CBT technique is this?
Behavioral Experiments
73
A therapist and client work together to develop a plan for the client to reduce their smoking, making sure the client feels in control of the process. What MI principle is being demonstrated?
Partnership
74
A therapist helps a patient undergoing EMDR reinforce the positive belief “I am safe now” after processing a traumatic memory. What phase of EMDR is this?
Phase 5: Installation
75
A patient says, “I made one mistake at work, so I’m clearly not cut out for this job.” What cognitive distortion is this?
Overgeneralization
76
A therapist working with a patient on reducing their alcohol use asks, “What are some of the reasons you’ve considered cutting back?” What MI technique is this?
Open-ended Questions
77
During a follow-up session, a therapist asks the patient how they feel about the traumatic memory that was processed during the last EMDR session to ensure it has been resolved. What phase of EMDR is this?
Phase 8: Re-evaluation
78
A patient with depression is asked to write down specific situations that trigger negative emotions, along with the automatic thoughts and feelings that arise. What CBT tool is being used?
Thought Records
79
A therapist encourages a patient to explore their own motivations for reducing alcohol use by asking, “What do you think would change for the better if you cut back?” What MI principle is being used?
Evocation
80
During an EMDR session, the therapist uses bilateral stimulation while the patient focuses on a distressing memory. The intensity of the memory decreases as the session progresses. What phase of EMDR is this?
Phase 4: Desensitization
81
A patient with social anxiety disorder believes that people are constantly judging them in social situations. The therapist helps them challenge this belief by asking, “What evidence do you have that people are judging you?” What CBT technique is being used?
Cognitive Restructuring
82
At the end of a session, the therapist summarizes the patient’s reasons for wanting to reduce smoking, highlighting the key points they’ve discussed. What MI technique is being used?
Summaries
83
After processing a traumatic memory in EMDR, the therapist asks the patient to notice any physical sensations in their body, particularly tension. What phase of EMDR is this?
Phase 6: Body Scans
84
In a follow-up session, the therapist checks in to assess whether the previously processed traumatic memory has remained resolved or if there is still distress present. Which phase of EMDR is this?
Phase 8: Re-evaluation
85
A patient says, “I made one mistake in the meeting, and now everyone thinks I’m incompetent.” What cognitive distortion is this an example of?
Overgeneralization
86
A patient says, “I know I should cut down on drinking, but it’s hard when all my friends drink.” The therapist responds, “It sounds like you’re torn between wanting to make a change and feeling pressure from your social circle.” What MI technique is being used?
Reflective Listening
87
After processing a traumatic memory in EMDR, the therapist asks the patient to focus on any physical sensations, particularly residual tension. What phase of EMDR is this?
Phase 6: Body Scans
88
A therapist helps a patient with generalized anxiety disorder challenge their belief, “If I don’t succeed in this project, my whole career will be ruined,” by asking them to consider evidence for and against this thought. What CBT technique is being used?
Cognitive Restructuring
89
A therapist working with a client on smoking cessation asks, “What do you think would be the hardest part about cutting back on cigarettes?” What MI technique is being used?
Open-ended Questions
90
A therapist helps a patient undergoing EMDR to install the positive belief, “I am safe now,” after processing a traumatic memory. Which phase of EMDR is this?
Phase 5: Installation
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54問 • 2年前問題一覧
1
A 35-year-old woman with a history of childhood trauma comes to therapy reporting flashbacks, nightmares, and difficulty sleeping. The therapist decides to start EMDR therapy. Which phase involves the use of bilateral stimulation to help desensitize the emotional intensity of the traumatic memory?
Phase 4: Desensitization
2
A 28-year-old man with social anxiety disorder is engaging in CBT. His therapist suggests conducting a behavioral experiment to challenge his negative belief that people will always judge him negatively during social interactions. What core principle of CBT is being utilized here?
Exposure Therapy
3
A 40-year-old client with substance use disorder expresses ambivalence about quitting. His therapist focuses on helping him explore the discrepancy between his current behavior and his long-term goals. What stage of Motivational Interviewing is the therapist currently engaging in?
Evoking
4
A patient tells her therapist, “I failed to meet one deadline at work, so I’m definitely going to get fired.” Which cognitive distortion does this represent?
Overgeneralization
5
A patient with panic disorder is asked by her therapist to keep a “thought record” of distressing situations, associated emotions, and automatic thoughts. What CBT strategy is being employed here?
Cognitive Restructuring
6
A 55-year-old man with a history of smoking comes to therapy because his family is concerned about his health. He acknowledges the risks but states, “I’m not ready to quit yet.” What stage of the Transtheoretical Model is he in?
Contemplation
7
During an EMDR session, the therapist asks a patient to focus on their physical sensations related to a traumatic memory while using bilateral stimulation. Which phase is this?
Phase 6: Body Scans
8
A therapist teaches a patient with generalized anxiety disorder to use deep breathing and guided relaxation techniques to manage physiological symptoms. What CBT technique is being used?
Relaxation Techniques
9
A patient with major depressive disorder reports feeling worthless after receiving critical feedback from a supervisor. The therapist encourages the patient to document the situation and challenge the negative automatic thoughts that arise. What is this CBT strategy called?
Thought Records
10
A therapist working with a patient struggling with alcohol dependency adopts a non-judgmental attitude and affirms the patient’s autonomy in making decisions. This approach aligns with which principle of Motivational Interviewing?
Acceptance
11
A patient undergoing EMDR therapy asks about the purpose of bilateral stimulation. The therapist explains that BLS mimics the brain’s natural processing during which sleep phase?
REM Sleep
12
A 45-year-old woman with depression reports feeling unmotivated to do things she once enjoyed. The therapist suggests reintroducing these activities into her daily routine, such as walking her dog. What CBT strategy is being applied?
Behavioral Activation
13
A 60-year-old man is preparing to quit smoking and has created a plan with his therapist that includes setting a quit date and finding support resources. What stage of the Transtheoretical Model does this represent?
Preparation
14
A therapist begins EMDR therapy with a patient by collecting a detailed trauma history and assessing the patient’s readiness for the therapy. What phase of EMDR is this?
Phase 1: History Taking
15
A patient with agoraphobia is afraid of using public transportation. His therapist encourages him to take small steps, such as visiting the bus station without boarding, to reduce his fear. What technique is the therapist using?
Exposure Therapy
16
A therapist uses open-ended questions to help a patient explore why they want to lose weight, focusing on the patient’s personal values and health goals. Which MI principle does this reflect?
Evocation
17
A patient undergoing EMDR therapy asks how it helps with trauma processing. The therapist explains that traumatic memories become stuck in the brain’s neural networks and need to be reprocessed to resolve the distress. What model explains this?
Adaptive Information Processing Model
18
A patient often thinks, “I always fail at everything.” The therapist helps him examine the evidence for this belief and generate more balanced thoughts. What CBT technique is being used?
Cognitive Restructuring
19
In a session, the therapist frequently summarizes the client’s statements and affirms the progress they are making in reducing alcohol consumption. What Motivational Interviewing technique is the therapist using?
Summaries
20
At the end of an EMDR session, the therapist ensures the client has returned to an emotionally stable state using relaxation techniques. Which phase of EMDR does this describe?
Phase 7: Closure
21
A patient frequently thinks, “If I make one mistake, my entire career will be ruined.” What cognitive distortion is this an example of?
Catastrophizing
22
A therapist uses Motivational Interviewing to collaborate with a client, emphasizing that they are working together to explore solutions. What principle of MI is being applied?
Partnership
23
During an EMDR session, the therapist focuses on helping the client reinforce the positive belief, “I am in control,” after processing a traumatic memory. Which phase is this?
Phase 5: Installation
24
A patient says, “I missed one deadline at work, so I’m a failure at my job.” Which cognitive distortion is this?
Overgeneralization
25
A client responds defensively when a therapist suggests exploring his alcohol use. Instead of pushing further, the therapist uses reflective listening to reduce defensiveness and refocus the conversation. What technique from MI is being employed?
Reflective Listening
26
At the beginning of a follow-up session, the therapist checks in with the patient to assess whether the targeted memories from the previous session remain resolved. What phase of EMDR is this?
Phase 8: Re-evaluation
27
A therapist encourages a patient to write down distressing situations, their automatic thoughts, and the emotional responses to challenge these thoughts. What CBT tool is being used?
Thought Records
28
A client expresses that although quitting smoking is hard, they are thinking about how their health could improve if they stopped. What type of talk is this in MI?
Change Talk
29
A patient undergoing EMDR is asked to recall a traumatic memory while engaging in eye movements. This technique is known as what?
Bilateral Stimulation
30
A therapist asks a client with social anxiety, “What evidence do you have that everyone at the party will judge you?” What CBT technique is being used?
Socratic Dialogue
31
A therapist working with a patient on reducing alcohol use asks, “What makes you think now is a good time to start cutting back?” What MI technique is this?
Open-ended Questions
32
A therapist and a patient are about to start EMDR. The therapist asks the patient to identify an image and a negative belief associated with a specific traumatic memory. What phase of EMDR is this?
Phase 3: Assessment
33
A patient with panic disorder learns breathing techniques to manage physical symptoms of anxiety during stressful situations. What type of CBT intervention is this?
Skills Training
34
A therapist working with a patient on weight loss focuses on understanding the patient’s emotional struggles without judgment, ensuring the patient feels supported. Which MI principle is being applied?
Compassion
35
At the end of an EMDR session, the therapist notices that the memory has not been fully processed, but the client needs to stop. What should the therapist do in this situation?
Use relaxation techniques and plan to continue next time
36
A patient believes that because they made a mistake in a presentation, everyone will think they are incompetent. This is an example of what cognitive distortion?
Overgeneralization
37
After listening to a patient talk about their ambivalence toward reducing sugar intake, the therapist says, “So it sounds like you’re worried about how giving up sweets will impact your social life, but you’re also concerned about your health.” What MI technique is being used?
Summaries
38
A therapist explains to a patient that the bilateral stimulation (BLS) used in EMDR may mimic which natural brain process during sleep?
REM Sleep
39
A patient with generalized anxiety disorder writes down their anxious thoughts and identifies evidence for and against these thoughts. What CBT tool is being utilized?
Thought Records
40
During a Motivational Interviewing session, the therapist asks, “What would it take for you to feel ready to cut down on smoking?” This is an example of what MI strategy?
Evocation
41
After processing a traumatic memory in EMDR, the therapist asks the patient to scan their body for any residual tension. What phase of EMDR is this?
Phase 6: Body Scans
42
A patient with obsessive-compulsive disorder believes that because they forgot to check their door lock once, their house will definitely be broken into. What cognitive distortion is this?
Catastrophizing
43
A patient pushes back when the therapist suggests reducing alcohol use, saying, “I don’t think cutting back will help.” Instead of arguing, the therapist responds with reflective listening, saying, “It sounds like you’re unsure about how cutting back could make a difference.” What strategy is the therapist using?
Reflective Listening
44
At the end of an EMDR session, the therapist notices that the patient is still feeling emotionally unsettled. The therapist uses relaxation techniques to help the patient regain equilibrium. What phase of EMDR is this?
Phase 7: Closure
45
A patient with social anxiety is asked by their therapist to attend a social gathering and observe whether people truly criticize them, as they fear. What CBT technique is being applied?
Behavioral Experiments
46
A therapist working with a client who is ambivalent about making lifestyle changes affirms the client’s autonomy, allowing them to decide whether to take steps toward healthier behaviors. What MI principle is being followed?
Acceptance
47
During an EMDR session, the therapist helps the patient reinforce the positive belief, “I am in control,” after processing a traumatic memory. Which phase of EMDR is this?
Phase 5: Installation
48
A therapist working with a patient with specific phobia encourages them to gradually confront the object of their fear (dogs) in controlled, step-by-step exercises. What CBT technique is this?
Exposure Therapy
49
A therapist working with a client on reducing alcohol consumption collaborates with the client to set goals that feel achievable to them, avoiding a directive approach. Which MI principle is being applied?
Partnership
50
In a follow-up session, the therapist checks in with the patient to see whether the previously processed memory is still resolved. What phase of EMDR is this?
Phase 8: Re-evaluation
51
A patient with social anxiety disorder is asked to write down distressing situations, their automatic thoughts, and the emotions that arise from these thoughts. What CBT tool is being used?
Thought Records
52
A therapist helps a patient with smoking cessation explore the reasons they might want to quit, asking, “What do you think would be the biggest benefit for you if you stopped smoking?” What MI principle is being used here?
Evocation
53
A therapist is using bilateral stimulation (BLS) during an EMDR session with a patient who has experienced trauma. The therapist asks the patient to track a moving object with their eyes while recalling a traumatic event. What is the primary purpose of BLS in EMDR?
To mimic the brain’s natural processes during REM sleep
54
A patient with depression reports feeling lethargic and unmotivated to engage in activities they once enjoyed. The therapist encourages them to gradually reintroduce activities like walking and journaling into their daily routine. Which CBT technique is being used?
Behavioral Activation
55
A therapist encourages a client to explore their desire to reduce their alcohol consumption, asking, “How do you think cutting back could improve your life?” The client responds, “I’d feel healthier and have more energy.” What kind of talk is this in MI?
Change Talk
56
A therapist working with a trauma survivor begins an EMDR session by asking the patient to describe the image, emotion, and physical sensation associated with their trauma. What phase of EMDR is this?
Phase 3: Assessment
57
A therapist helps a patient challenge their belief that “I’m a complete failure” by asking them to identify specific situations where they succeeded. What CBT technique is being applied?
Cognitive Restructuring
58
A therapist working with a client who is struggling with weight management focuses on understanding the client’s emotional struggles and frustrations without judgment, showing empathy. What MI principle is being applied?
Compassion
59
During an EMDR session, the therapist uses bilateral stimulation to help the patient focus on a traumatic memory, gradually reducing the emotional intensity associated with it. What phase of EMDR is this?
Phase 4: Desensitization
60
A patient with perfectionism tells their therapist, “If I don’t get an A on this exam, I’ve completely failed.” What cognitive distortion is this?
All-or-Nothing Thinking
61
In a session, the therapist frequently uses reflective listening and open-ended questions to help a patient with substance use disorder explore their reasons for quitting. These strategies are part of which MI technique?
OARS
62
A patient returns for a follow-up EMDR session, and the therapist checks whether the traumatic memory processed in the previous session remains resolved. What phase of EMDR is this?
Phase 8: Re-evaluation
63
A patient with a fear of flying is gradually exposed to increasingly anxiety-provoking situations related to flying, starting with watching planes take off and progressing to short flights. What CBT technique is this?
Exposure Therapy
64
A therapist working with a client on managing stress frequently acknowledges the client’s efforts and strengths, saying, “You’ve really been making progress, and it’s clear you’re committed to improving.” What MI technique is being used here?
Affirmations
65
After a patient processes a traumatic memory in EMDR, the therapist asks them to focus on their body and notice any remaining physical tension. What phase of EMDR is this?
Phase 6: Body Scans
66
A patient tells their therapist, “I failed once at work, so I’m bound to fail at everything.” What cognitive distortion is this?
Overgeneralization
67
A patient tells their therapist, “I don’t think giving up alcohol will make that much of a difference in my life.” What type of talk is this in MI?
Sustain Talk
68
A patient undergoing EMDR focuses on a distressing memory while following the therapist’s finger movements. Over time, the emotional intensity associated with the memory begins to decrease. What phase of EMDR is this?
Phase 4: Desensitization
69
A therapist helps a patient challenge their belief, “If I don’t succeed at everything, I’m a failure,” by asking them to find evidence for and against this belief. What CBT technique is being applied?
Cognitive Restructuring
70
After an EMDR session, the therapist uses relaxation techniques to ensure the patient is emotionally stable before leaving the session. What phase of EMDR is this?
Phase 7: Closure
71
A therapist working with a patient on smoking cessation listens to the patient express frustration and responds, “It sounds like you’re feeling overwhelmed by the idea of quitting.” What Motivational Interviewing (MI) technique is being used?
Reflective Listening
72
A patient with social anxiety believes that if they speak in public, they will be judged harshly. The therapist suggests they try speaking in a small group and observe how people respond. What CBT technique is this?
Behavioral Experiments
73
A therapist and client work together to develop a plan for the client to reduce their smoking, making sure the client feels in control of the process. What MI principle is being demonstrated?
Partnership
74
A therapist helps a patient undergoing EMDR reinforce the positive belief “I am safe now” after processing a traumatic memory. What phase of EMDR is this?
Phase 5: Installation
75
A patient says, “I made one mistake at work, so I’m clearly not cut out for this job.” What cognitive distortion is this?
Overgeneralization
76
A therapist working with a patient on reducing their alcohol use asks, “What are some of the reasons you’ve considered cutting back?” What MI technique is this?
Open-ended Questions
77
During a follow-up session, a therapist asks the patient how they feel about the traumatic memory that was processed during the last EMDR session to ensure it has been resolved. What phase of EMDR is this?
Phase 8: Re-evaluation
78
A patient with depression is asked to write down specific situations that trigger negative emotions, along with the automatic thoughts and feelings that arise. What CBT tool is being used?
Thought Records
79
A therapist encourages a patient to explore their own motivations for reducing alcohol use by asking, “What do you think would change for the better if you cut back?” What MI principle is being used?
Evocation
80
During an EMDR session, the therapist uses bilateral stimulation while the patient focuses on a distressing memory. The intensity of the memory decreases as the session progresses. What phase of EMDR is this?
Phase 4: Desensitization
81
A patient with social anxiety disorder believes that people are constantly judging them in social situations. The therapist helps them challenge this belief by asking, “What evidence do you have that people are judging you?” What CBT technique is being used?
Cognitive Restructuring
82
At the end of a session, the therapist summarizes the patient’s reasons for wanting to reduce smoking, highlighting the key points they’ve discussed. What MI technique is being used?
Summaries
83
After processing a traumatic memory in EMDR, the therapist asks the patient to notice any physical sensations in their body, particularly tension. What phase of EMDR is this?
Phase 6: Body Scans
84
In a follow-up session, the therapist checks in to assess whether the previously processed traumatic memory has remained resolved or if there is still distress present. Which phase of EMDR is this?
Phase 8: Re-evaluation
85
A patient says, “I made one mistake in the meeting, and now everyone thinks I’m incompetent.” What cognitive distortion is this an example of?
Overgeneralization
86
A patient says, “I know I should cut down on drinking, but it’s hard when all my friends drink.” The therapist responds, “It sounds like you’re torn between wanting to make a change and feeling pressure from your social circle.” What MI technique is being used?
Reflective Listening
87
After processing a traumatic memory in EMDR, the therapist asks the patient to focus on any physical sensations, particularly residual tension. What phase of EMDR is this?
Phase 6: Body Scans
88
A therapist helps a patient with generalized anxiety disorder challenge their belief, “If I don’t succeed in this project, my whole career will be ruined,” by asking them to consider evidence for and against this thought. What CBT technique is being used?
Cognitive Restructuring
89
A therapist working with a client on smoking cessation asks, “What do you think would be the hardest part about cutting back on cigarettes?” What MI technique is being used?
Open-ended Questions
90
A therapist helps a patient undergoing EMDR to install the positive belief, “I am safe now,” after processing a traumatic memory. Which phase of EMDR is this?
Phase 5: Installation