Copy of Mock Exam 1

You have conducted a battery of psychometric assessments on a motor vehicle accident victim who sustained significant head injuries. You have been requested to write a report that will be used in court proceedings to determine any compensation payable.

Which of the following should not be included in the report?

You receive a referral from a Youth Detention Centre (YDC) for a 16y 10m old boy. The referral states that the YDC received the boy without any background information other than basic demographics and offences committed. The referral states that the boy appears to be having difficulty understanding basic instructions. The referral is asking for any possible diagnoses.
After completing a clinical interview with the boy what would you first psychometric assessment be?

A non-verbal psychometric assessment that can be used in educational, employment or clinical settings for the assessment of cognitive function and is what?

You are referred a 7-year-old girl who has been struggling academically at school. You administer a WISC and whilst the overall FSIQ is average there is a significant discrepancy between the GAI and CPI and a very low VCI.
What is your next step?

You have been referred a client specifically for an assessment of suspected Intellectual Developmental Disorder. You administer a WISC and the FSIQ is 56.
From the below options what assessment would you use to meet Criteria B of the DSM-5-TR for a possible diagnosis of Intellecvtual Developmental Disorder?

A client is referred to you because they are having difficulties following a motor vehicle accident. You have administered the Mini Mental Status exam, and the client was unable to recall three words after a 10-minute interval, could not count backwards by 7 from 100 and could not spell the word World backwards but could spell it forward. You then administered the WAIS IV, and the client scored 62 for the WMI. What would be the most appropriate assessment to conduct next

What assessment is the WRAML?

If you do a self-directed search with your client during a session, what would you do with the results?

Your 17-year-old client is in her final year of secondary school and is trying to decide on a career. Her grades have consistently placed her at the top of her year level. Her parents want her to study medicine, however she reports having no interest in this. She reports that both her parents are Medical Specialists. She reports that despite her being first generation Australian born her parents are not very strict with their Indian Culture nor expect her to follow in their footsteps.
She reports feeling confused about her future and afraid of letting down her family. What would be the most appropriate assessment to conduct next?

Each of the scoring scales on the 16PF are what?

The NEO range of assessments were designed based on which theory below?

You have recently completed treating a client for depression. You administer the BDI as a pre- and post-measure of change. The scores from the pre- to post-treatment have significantly decreased. The difference in scores is clinically significant. Which is the most accurate representation of the change in scores?

You receive a referral for a 6-year-old girl who has recently started school. The referral states that the girl does not appear to be grasping the basic concepts in the classroom. You administer and score a WISC. The FSIQ is 62.
What, if anything can you conclude from this?

The GAF was previously a part of a multiaxial diagnostic system used in DSM 4. Axis I was Mental Health and Substance Use Disorders, AXIS II was Personality Disorders and Intellectual Developmental Disorder, Axis III was General Medical Conditions, Axis IV was Psychosocial and Environmental Problems and Axis V was GAF.
What is the purpose of the GAF?

During your first session with a new client, the client reports that they are currently struggling with university exams due to anxiety. The client reports that they also experienced anxiety at school, when they first started a part-time job, when doing anything new, when there are thunderstorms and in fact can not remember a time in her life when she has not had some level of anxiety.
What would be the most appropriate assessment to gain knowledge of both the current level of anxiety as well as the underlying personality characteristics of anxiety?

The WHO-DAS is a generic assessment instrument of health and disability. The WHO-DAS is applicable across cultures and populations.
What organisation is responsible for creating the WHO-DAS?

The WHO-QOL is a self-report measure leading to scores in four separate domains.
What is the WHO-QOL designed to measure?

The ORS is a simple, four-item session-by-session measure designed to assess areas of life functioning known to change as a result of what?

The development of emotional or behavioural symptoms in response to an identifiable stressor(s), occurring within 3 months of the onset of the stressor(s).
The above is Criteria A of which diagnosis?

You receive a referral to conduct an assessment for diagnostic purposes on a 19-year-old male. The referral states that the client was recently charged with several offences including Armed Robbery. At the time of being arrested the client was assessed as being irritable and aggressive according to the referral. The client history attached to the referral indicates a diagnosis of Conduct Disorder in his youth, incarceration in a Youth Detention Centre and an inability to maintain employment.
What is the likely diagnosis?

Symptoms that include often failing to give close attention to details, having difficulty sustaining attention, often fidgets, talks excessively and often interrupts are indicative of a diagnosis of what?

A diagnosis of autism spectrum disorder includes what symptoms?

The difference between a manic and hypomanic episode is what?

You are conducting a comprehensive psychometric assessment battery on a 54-year-old male. The 54-year-old was involved in a workplace accident where he sustained significant physical injuries leaving him with some mild permanent impairments. The purpose of your assessment is to provide the courts with a report outlining any psychosocial injury and long-term psychological effects of the mild impairment. One of the assessments you administer is the PAI. There are mild elevations on the NIM, ICN and INF scales. What, if anything can you infer from these elevations?

Which disorder has an essential feature of ‘A pervasive pattern of instability and of interpersonal relationships, self-image, and affects, and marked impulsivity that begins by early adulthood and is present in a variety of contexts?

To make a diagnosis of Conduct disorder at least 3 of 15 symptoms grouped into categories must be me in the previous 12 months and at least one of the 3 present in the past 6 months.
What are the symptom categories?

You currently work in a secure crisis support unit internal to a prison. Inmates that are referred to the secure crisis support unit are housed in individual padded cells with 24/7 CCTV because they have been displaying symptoms associated with psychosis.
What would be an appropriate assessment to conduct daily?

Generalised Anxiety Disorder does not include which of the following criteria?

Your client reports being referred to a psychologist by the G.P because they cannot find any general medical condition to explain the presenting symptoms. The client reports feeling constantly tired and having, insomnia, psychomotor agitation, diminished ability to think or concentrate, recurrent thoughts of death, and significant weight loss over the past month.
What is the likely diagnosis?

You have been working with a client for 4 sessions for generalised anxiety using CBT. Each session the client reports that they can not remember the automatic thoughts that immediately precede the symptoms of anxiety by the time they come to the session.
What could be the initial option to address this?

What is the difference between an obsession and a compulsion?

The criteria that symptoms must have been exhibited to an individual that is not a sibling belongs to which diagnosis?

You see a client for the first time. They report being ‘on edge’ and ‘waiting for it to happen’. The client reports that they become fearful for no reason and begin to sweat, shake, breathe fast and can feel their heart pounding. They report that it appears to build to a peak and then dissipate. The client reports that they do not want to go out in case ‘it’ happens.
What is the likely diagnosis?

You receive a referral from the Department of Veteran Affairs. The client reports that they do not know why they were referred. The client reports that they think they were referred simply because they have deployed to Afghanistan on three separate occasions. The client reports that they do not believe that they have any psychological issues. The client reports that they believe that some of their colleagues need to see a psychologist because they are ‘useless idiots that ate going to get themselves and others killed’. The client reports that unless he does everything himself, he cannot trust that it has been done correctly. You observe the client to be constantly shaking his leg, sweating, speaking rapidly and aggressively and scanning his surroundings such as looking under your desk.
What is the most likely diagnosis if any?

You have seen your client on 8 different occasions. During the first session you administered a DASS to your client and they scored D=21, A=6 and S=4. You administer another DASS during the 4th session and your client scores D=16, A 6 and S=4. During the most recent session you again administer a DASS and the client scores D=9, A 4 and S=2.
What can you conclude from this?

A disorder that involves a range of cognitive, behavioural and emotional dysfunctions, but no single symptom is pathognomonic of the disorder and the diagnosis encompasses the recognition of a constellation of signs and symptoms associated with impaired occupational or social functioning, is what?

You conduct an initial session with a parent only, who’s 5-year-old child has been referred to you. The Mother reports that her child is ‘out of control’. The parent reports that the school is threatening to expel her child if a behaviour management plan is not put in place. The parent reported that her child recently started school, and it is her only child.
What is the most appropriate next step?

Persistent and excessive worry about losing major attachment figures or about possible harm to them, such as illness, injury, disease or death.
The above is a criteria of what diagnosis?

You have been seeing your client for several sessions and treating them for depression. The client arrives at the current session and reports that ‘nothing is changing, everything is still the same’. The client reports that they have nothing to look forward to, they do not feel as though they have any purpose in the world and that nothing can help them.
What is your next step?

The SCID is a what?

ICD stands for what?

You receive a referral from one of your local G. P’s. Attached to the referral is a Mental Health Treatment Plan and a K10.
What is the K10 a measure of?

The SDQ is a popular tool used in Clinical Practice.
What is the youngest age group the SDQ designed for?

The WPPSI is a psychometric assessment.
What does WPPSI stand for?

How many subtests are there in the WASI?

A psychometric assessment that consists of three independent and co-normed batteries, which may be used separately or in any combination, emphasising the identification of individual strengths and weaknesses by providing comparisons both within each battery and across batteries, is called what?

When working with clients that have cognitive impairments and guardians it is important to ensure what?

You regularly provide telehealth services across a secure platform. You conduct an initial session with a new client from a small rural town. During the initial session the video link freezes on several occasions. On one occasion the link drops out and you are required to re-establish the connection with the client. The client requests that you send a copy of your notes after each session via email.
Regarding communication with the client, what are the primary concerns?

The APS Code of Ethics requires Psychologists to safeguard the confidentiality and retain client information.
Which of the following statements is correct?

You have been working with a client over a period of 3 months for adjustment issues regarding the breakdown of his 30-year marriage when you receive a subpoena. The subpoena is regarding a workplace bullying claim through Workcover which your client was the victim of. You have been seeing the client under a Mental Health Care Plan and have not had any involvement with Workcover.
What course of action do you take?

You have recently started a new job in a remote community as the only Psychologist. The previous psychologist left at short notice and therefore you are taking on clients, with their permission, that are part way through a therapy process. When reviewing client files, you notice that there is a significant amount of difference between session notes for the same client. Some are detailed and others only have a date.
In this situation what is the most important reason for maintaining adequate session notes according to the guidelines for record keeping?

You have been providing intervention to a client that presented with a Phobia of needles. You have been using exposure therapy to assist the client to overcome the fear of needles.
Which of the following is not required when keeping client notes?

There are multiple requirements for what case/session notes must contain such as date, time, how the session is conducted (face to face, telehealth) and much more.
Which of the below is a requirement for a case/session note according to the Ethical Guidelines for Record Keeping?

Psychologists write reports under various referral pathways for a range of differing purposes. It is important that Psychologists write reports to maximise clarity and readability with the reader in mind.
Which of the below is an import component to include in a report to assist with clarity and readability with the reader in mind?

You have been seeing a six-year-old, who has been diagnosed with ADHD for approximately 12m. During this time, you have been working with the child, parents, teacher and Occupational Therapist on education, behavioural interventions, sensory regulation and practical strategies.
Despite this the child is still struggling to achieve academically and the school has recommended repeating the current grade.
What is your next step?

You have been seeing a client under a Mental Health Treatment Plan from their G.P. The client was initially referred for anxiety in relation to family stress due to their partner’s health and inability to work and help around the house and with the children. The client initially made good improvements. The client reports during the fifth session that their partner was recently told that they would not be able to return to work for another 6 months however their Workcover payments would continue. The client reports that they feel as though their anxiety is worse than when they first came to see you. The client reports being worried about being able to continue to see you after the next session as the G.P initially referred them for 6 sessions.
What is your next step?

Your client fails to turn up for their scheduled appointment. The client resides in Specialist Disability Accommodation under NDIS. You call the house and are told that no one is available to transport your client to the scheduled appointment due to a staff member calling in sick. The following week the same occurs however you receive an email from the Team Leader of the house complaining about your client’s behaviour.
What is your next step?

You receive a referral from the local Migrant Resource Centre for a refugee who is being resettled in your town. The referral is for adjustment issues.

What are the most important considerations before accepting the referral?

During your initial session with an adult client they disclose to you that they are certain that they are transgender. The client reports that they filled out of the initial paperwork at the reception according to their birth gender and birth certificate, which is male as they have never told anyone that they want to transition to female.
What would be important to initially establish?

When working in multidisciplinary teams a single client will be engaged with several clinicians from various disciplines.

When this is the case, it is important to do what?

The Code of Ethics has three general principles.
These are?

You have been implementing a CBT based treatment plan for anxiety with a client for five sessions. The client reports that they are having difficulty reducing their heart rate and slowing their breathing. You decide to use biofeedback to assist the client. Before engaging the client in biofeedback what must you do first?

The Ethical Guidelines for psychological practice with clients with an intellectual disability asserts what?

When providing psychological services in response to disasters, it is not always possible in an emergency situation to gain the client’s informed consent.

In such situations psychologists must what?

A client self-refers to see you. The client reports having a dilemma that they need urgent assistance with. The client reports that they have been offered a job with a new company in an overseas position with a nine-figure salary. The client reported that when they resigned from their current position their employer made a similar counteroffer. You work through a brief solution focused intervention with the client over three sessions and the client reports being happy with the outcome. The client then reports that they wish to continue to have regular appointments with you however does not appear to have a presenting issue other then they like talking with you. What if any code of ethics or guideline would this breach if you were to proceed?

You are referred a 46-year-old male client who has recently been released from incarceration and is on a community corrections order under the responsibility of the local probation and parole office. The referral states that the client was convicted of attempting to procure underage children for sexual exploits using social media. The client is being referred to address his anxiety that has developed since being convicted.

In this situation the Ethical Guidelines state what?

Sex and or gender diverse clients may receive psychological services in conjunction with speech therapy, medical services, gender reassignment surgery. Psychological services can include psychotherapy (treatment) or assessment and evaluation reports. Psychologists need to be sensitive to the ethical issues and challenges inherent in providing services within a multidisciplinary team. Therefore, psychologists need to be what?

Hypnosis is a state of consciousness involving focused attention and reduced awareness and may involve an enhanced capacity for response to suggestion. It can be used as a therapeutic technique where practitioners can provide suggestions to individuals who have undergone a procedure designed to relax them and focus their minds, with those suggestions aiming to complement the therapy being undertaken by the psychologist.

Before using hypnosis, psychologists need to what?

As the use of internet and telecommunications enable psychologists to provide psychological services outside their local area to reach international clients, psychologists need to be aware of what?

Social acceptance of and laws pertaining to gay, lesbian and bisexual peoples have not been around long enough to encompass all living generations. The current older generations would not have experienced social acceptance and the benefits of laws pertaining to their sexuality during the formative years of their lives. Psychologists working with older generation gay, lesbian or bisexual clients need to consider what?

Over the past two decades reality TV has gained popularity and diversity. There are now many reality TV shows running concurrently and have a wide range of purposes. Many of these reality TV shows have psychologists in on-camera roles.
These psychologists need to establish what?

The general principle Respect for the dignity and rights of people and peoples includes what?

The research into men’s and boy’s gender role conflict emerged around the 1980’s following the heightened awareness of restrictive gender roles. Hence an Ethical Guideline for working with Men and Boy’s. These guidelines state what?

Psychologists are required to identify all clients and parties associated with the delivery of the psychological service. The definition of the client from the Code of Ethics states that “clients may be individuals, couples, dyads, families, groups of people, organisations, communities, facilitators, sponsors, or those commissioning or paying for the professional activity”
Given this, psychologists must what?

When working with older adults, psychologist must ensure what?

Examples of pro bono psychological services include the provision of voluntary professional support for asylum seekers and their families, and crisis phone counselling services. Psychologists who undertake pro bono psychological services understand that such work is provided in accordance with the APS Code of Ethics and accompanying Ethical Guidelines.
Psychologists recognise that people or organisations receiving pro bono psychological services are what?

You are on holiday in Hawaii at a beautiful beach resort. On the second day of your 10 days stay you run into a previous client at a night club. When you run into the client you have already had a few drinks. You stay at the night club and continue to drink with the client. The client reports that life has been going well for them and they feel that they have a new perspective. Over the following days you spend a lot of time with your ex-client and start to develop feelings which appear to be reciprocated. What do you need to consider before going any further with the client?

Psychologists are aware that effective record keeping is a core competency for providers of psychological services, and is essential for a range of organisational, financial, professional, legal and governance purposes.
Psychologists understand that competence in record keeping also assists what?

Psychologists undertake psychological assessment for varying purposes including diagnosis; treatment; planning and intervention; monitoring effectiveness of interventions; vocational suitability; organisational functioning; and forensic and legal purposes.
Psychologists must ensure what before using any psychometric assessment?

The practice of psychology in rural and remote settings differs from urban/ metropolitan areas in several ways.
Common ethical issues identified as having relevance to the provision of psychological services in rural and remote settings are what?

The Ethical Guidelines for working with clients where there is a serious risk of harm to others, highlights the relevant ethical issues psychologists may face when working with these clients.
Under these Guidelines serious harm can be what?

At risk populations can be hard to identify and any client in distress could be thinking about suicide, which means that psychologists in all work settings must what?

The general principle of propriety incorporates the principles of what?

You have just gained your first job as a provisional psychologist. You have contacted a potential supervisor and meet with them for the first time. Your meeting goes well, and you feel that you are a good fit as does the supervisor. You both agree that you would like to begin a supervisory relationship. You ask the supervisor if they have a specific contract already written up or if you need to provide one. The supervisor responds and states that a contract will not be necessary and that whatever they agree or change as time goes on can be noted in the supervision records. What if anything is wrong with this?

Psychologists are aware that the recall of memories of traumatic experiences has at times evoked public controversy, therapeutic uncertainty, scientific debate and litigation. They understand that most of the concern has been related to physical and sexual abuse.
When psychologists encounter a client that discloses the recall of a traumatic memory, they must what?

Psychologists do not perpetuate the sexualisation of girls in their what?

During an initial session with a 16-year-old male he reports that he applied to Medicare for his own card without his parents’ knowledge. He reported that he then went to a bulk billing G.P and asked for a referral to see a bulk billing psychologist also without his parents’ knowledge. The client states that he does not want his parents to know he is seeing a psychologist. He reports that he believes he is transgender and would like to explore this.
What is your next step?

You have had a very busy morning at work. You have not seen any of you colleagues all morning except for the receptionist due to an at-risk walk-in client putting you behind. There are approximately 5 minutes left in your lunch hour, so you go to the break room and sit down on the lounge. As soon as you sit on the lounge, your colleague who is also seated on the lounge immediately gets up and leaves. You believe this is because there was a strong smell of alcohol present on your colleague. You notice that your colleague left their phone on the lounge, so you take it to their office on your way back to your own. You again smell the alcohol on your colleague and notice that they are unsteady on their feet and slurring their words.
What is your next step?

The National Law regulates the use of certain titles (protected titles). Misuse of a protected title is an offence under the National Law. Advertisers should be aware of the protected titles for the profession that they are advertising. Penalties can apply for a breach of National Law title protection provisions. In the case of an individual, there may be a financial penalty, imprisonment or both.
Which of the following is not a protected title?

Your professional registration as a psychologist is due for renewal. You fill out the form and tick all the boxes stating that you are compliant with all the requirements. You then check your records of CPD. You note that you have evidence of completing 43 hours of Conferences and seminars. You are pleased that you have exceeded the minimum 30 hours.
What if anything is wrong with this?

You begin your first job as a newly registered provisional psychologist. You complete an induction period of one week then two weeks of conducting intakes. It is during your fouth week that you begin seeing clients. You are allocated a client and read through the intake prior to seeing the client. You observe that the intake reports that the client was recently sexually assaulted, has a diagnosed intellectual disorder and PTSD from a previous traumatic event. You feel overwhelmed.

What is your next step?

When you practise as a psychologist or provisional psychologist in Australia, you must be covered by your own or third-party Professional Indemnity Insurance (PII) arrangements that meet this registration standard:

You receive a referral for a 6-year-old girl for assessment of ADHD. The mother reluctantly attends the initial session and states that the private school she is sending her daughter to has insisted upon an assessment of her child. The mother reports she is happy to proceed ‘to keep the school happy’. Over the next few sessions, you conduct all the required assessments, observations and data gathering needed to form a clinical picture of any diagnosis the client may or may not have. You conclude that the child does in fact meet the DSM 5 criteria for ADHD. You inform the mother of this, and she asks for a second opinion.
What do you do next.

The general principle Integrity reflects the need for psychologists to have what?

You work in a multidisciplinary practice. The new and first dietitian to join the practice tells you that she looked at the paperwork that new clients fill out. She states that she read a document given to clients that talks about the services to be provided, rights and responsibilities of both parties. She tells you she does not know what this document is called.
What is the document?

Working in Australia requires psychologists to be across both State and Commonwealth laws. The Commonwealth passed an Act in 2006 called The Family Law Amendment – Shared Responsibility. This aimed to change the culture in management of marital separation where children are involved and introduced a new assumption.
The new assumption is what?

What is the best interest principle?

You receive a subpoena to hand up your file and appear in court for a past client. The client was referred to you from Workcover for a secondary psychological injury to the primary physical injury. You treated the client across 23 sessions for symptoms of depression.
How will the court refer to your testimony?

Transference and countertransference can both occur in the therapy setting. It is the responsibility of the psychologist to address either should it arise.
What is countertransference?

It is important for psychologists to engage in continuous improvement of their work. This can be done in several ways.
Which of the following is one of those?

The purpose of the Ethical Guidelines for reporting abuse, neglect and criminal activity is what?

You are working with an elderly First Nations person. The client reports that he has ‘had a hard life’. He reports that he watched his ‘sisters children get ripped away from her for no reason and put with white fella’s’. He reported that his sister’s children returned to the community as adults ‘but it is not the same’.

What is this an example of?

The Ethical Guidelines define Therapeutic Adverse Procedures as?

You have just begun your first job as a provisional psychologist in a small rural town in outback Queensland. You are settling into the community and your new role. After approximately six weeks you make an appointment for yourself to see the only local G.P. Toward the end of the appointment with the G.P you see a picture of the G.P and his children on his desk. You notice that one of his children is your 17-year-old client through the local high school self-referral program.

What should you do in this situation?

You receive a referral from a local G.P. The referral states that the client previously saw another psychologist however was not happy. During your initial intake with the client you ask about what did not go well with the previous psychologist so that you can ensure you do not follow the same pathway. The client reports that she completed some psychometric assessments with the previous psychologist and before she was given the result from the psychologist she was informed by her employer that her IQ was low.

What should you do in this situation?

Which of the following is not a cognitive change strategy?

You are conducting an initial session with a client. The client is very emotive and upset. The client is attempting to articulate an occurrence with their partner that caused them to seek an appointment with a psychologist. The client reports that they feel they are not making sense and therefore not understood.

The process of ending a therapeutic relationship with a client is an important phase in therapy. It can also be difficult for some clients however when done appropriately can be healthy, valuable and successful for the client.
Which of the below would be the most appropriate strategies to use for a successful ending of a therapeutic relationship?

Family systems therapy is based on what premise?

You are working in a regional centre providing outreach to remote communities in Northern Queensland. All your clients identify as First Nations People. You receive a referral for an 18-year-old who has just returned from completing boarding school in Brisbane. The client reports that whilst away at Boarding school his mother passed away. He reported that he has never known his father. The client reports that he does not know where he belongs or fits in the world as he has had two very distinct experiences growing up in his remote community until the age of 12 and then boarding school in Brisbane from 12 to 18 years.

What would be the most appropriate therapeutic approach?

You client presents to their initial session stating that they feel frustrated as they have seen two psychologists already and still have no idea what is going on. The client reports that they have been experiencing ‘random periods of a rapid heart rate, shaking, sweating, headaches and nausea’ and does not know why. The client reports that these periods last for various amounts of time and anything up to 4 hours.

What would be the most appropriate first step?

You conduct an initial session with an adolescent. The adolescent reports that they have begun smoking and drinking and their parents found out and sent them to see you. The adolescent reports that they are happy to see you ‘to keep my parents happy’. The adolescent reports that he knows that smoking and drinking is bad for you however he enjoys it and is not sure if he wants to stop.

What would be the most appropriate approach to use initially?

You receive a referral from a local psychiatrist for an adolescent that he has diagnosed with Trichotillomania. The psychiatrist reports that he intends to start the client on medication however would like a functional analysis of the behaviour from yourself first.
What does a functional analysis of behaviour involve?

You receive a referral for a new client. The referral states that the client has recently moved to Sydney to look for work after finishing school. The referral states that the client grew up on a cattle station and completed all her schooling online. The referral states that the client is experiencing anxiety whenever she must go out and interact with people such as Centrelink.
What would be the most appropriate first step?

You develop a CBT treatment plan for you client that you have diagnosed with depression. The client has been diligently attending to the homework set by keeping thought diaries and challenging and restructuring negative thoughts. The client reports that this has ‘somewhat been helpful’. The client reports he goes to work does his job, engages with people however gets home and lays on the lounge and stays there until he must go back to work.
What would be appropriate to add to the treatment plan to assist the client?

You have completed a 10-session therapy plan with your client. At the beginning of therapy, the client scored 31 on the K10 and on the 9th session the client scored 16 on the K10.
What from the below is the most important thing to include in the final session?

When working with clients’ psychologists often reflect back to the client what they are saying. Sometimes this can be short and other times it can be lengthier.
When would it be appropriate to give a lengthier reflection back to the client?

Psychodynamic therapy focuses on what?

You receive a referral from a National Employee Assistance Program (EAP). The client is entitled to four sessions with a possible extension of a further two sessions. The client presents stating that they are not enjoying their current role, partially due to coworkers however it is a prerequisite for the role that they do want.
What would be the most appropriate intervention to use with this client?

You have just begun a new position as a psychologist and are working in a remote First Nations Community. Your first client is a 22-year-old male. He reports that he has been ‘wigging out’ and thinks he has been ‘sung’. Upon further exploration the client explains that he has not been sleeping or eating well and feels like he is full of ‘jitter bugs.
What is the most important next step?

You conduct an initial session with a client. The client reports that following a workplace incident they now have a significant fear of using machinery. They report that they work in a factory and have been previously trained on four different machines. The client reports that even standing outside the factory causes anxiety. You assess that the client would benefit from in vivo exposure therapy.
After providing psycho education about exposure therapy to the client what is the next step?

An Employee Assistance Program (EAP) contacted your practice and requested a psychologist attend a local pharmacy to speak with staff that were involved in an armed hold up the previous day.
What would be the main aim of speaking with the staff?

What are the four interpersonal problem areas of IPT?

You have been treating your client for depression for 10 sessions with little improvement. You began your treatment plan using CBT and then added behavioural activation. During the 5th Session you began using IPT as there had been no improvement.
What is your next step?

You had referred your client back to their G.P for the purposes of assessment for suitability for medication for GAD. The client had been having difficulty engaging in treatment due to the intensity of symptoms experienced. The client reports that the G.P prescribed Xanax and that they are concerned about taking it because they ‘have seen stuff on socials about Hollywood Actors overdosing on it’.
How would you respond?

Humanistic therapy, also known as the humanistic approach, is an umbrella term that covers several types of therapy, including what?

You receive a referral from Workcover stating that the client was involved in a workplace incident, two weeks ago, that caused both physical and psychological harm to the client. The client presents to the initial session and states that they are glad the incident occurred because they do not like their job and are happy to have time off. The client reports that they sustained a sprained wrist which is healing well and has no psychological injury. The client reports that they do however wish to talk about their marriage that they believe has ‘been on the rocks for the past few years’.
How do you respond to this?

Case formulation is an important part of the therapy process and is usually completed within the first few sessions. There are various models for case formulation that are all similar. The 5P model refers to what and in what order?

You conduct an initial session with a new client referred from a G.P. The client reports that they have started their first full time job since leaving University. They report that they completed a Law Degree and have a full-time position as a junior law graduate at a leading firm in the city. The client reports that they are eager to do well however is making silly errors, forgetting tasks and feels constantly wound up like a tight rubber band.
What from the below would be most useful for the client initially?

You have a 19-year-old male present for an initial session referred through his Employee Assistance Program (EAP). The client reports that his boss told him he had to ‘come and sort himself out’. The client reported that he told the boss ‘To sort all the other idiots at work and there will be no problems’ The client reports that he does not like any of his work colleagues or bosses and gets into an argument at least once a day and recently got into a physical altercation with a colleague.
What do you think the client could benefit from?

You have been working with a client diagnosed with depression for 6 sessions. The client presents for the 7th session in a euphoric manner. The client is laughing, joking and announces to you ‘I’m cured’. The client is trying to encourage you to ‘go out on the town’ with them.
What is the likely cause of the client’s presentation?

You receive a referral for a 57-year-old female for OCD. You conduct an initial session with the client, and she reports that her obsessions and compulsions are taking over her life. She reported that she has not been sleeping or eating well. You negotiate a treatment plan with the client to directly address the obsessions and compulsions. The client attends for the second session and immediately reports that she no longer agrees with the treatment plan and instead would like to work on her sleep and appetite.

What is the best way to respond to this?

Why is it important to use appropriate micro skills with all clients?

Your client reports that since their last session they can not stop thinking about how stupid they are. The client reports that the day following the previous session it was Friday afternoon, and they were rushing to complete important data entries that would trigger payments over the weekend for contractors. The client reported that he did not notice that he had the wrong month entered for all the entries and hence no payments were made. The client reports that they have continue to make mistakes at work since.
What unhelpful thinking style is the above an example of?

You are referred a client with a terminal illness. The client explains that they are having difficulty accepting that the end of their life is near as ‘it is not who I am’. The client explains that he grew up on a cattle station that has been through numerous droughts and hardships. He reported that he took over the cattle station from his parents and has seen it through hard times. The client reported that he has always been able to overcome what he has faced and that’s what makes him ‘who I am’.
From a narrative perspective what could be helpful for this client?

There are significant differences between various types of therapies in terms of goals, techniques and general approach.
What is the main goal of psychodynamic therapy?

You have been working with a client on a fortnightly basis for approximately 6 months. During sessions you have probed about the client’s childhood and early life experiences. You have also encouraged the client to talk about current thoughts and feelings. You have assisted the client to identify patterns and connect them to the past.
The above is an example of what type of therapy?

You receive a referral from a G.P for a 43-year-old single mother of three who is experiencing discord with her eldest child. During the initial session the client reports that she has three daughters aged 16, 14 and 12. She reported that her mother, 70 years, lives with her and her children. She reported that her mother takes her children to and from school as she works full time. She reported that she has been arguing with her eldest daughter about curfews, money, homework and doing jobs around the house. The client reports that her mother gets involved in the arguments and defends her daughter (mother’s granddaughter) every time.
What would be the most appropriate approach from the below options?

A client presents in the initial session stating that they do not know why they bother trying with anything because they always fail, have never been good at anything, believe that they are destined to be ‘bum’, that they have no skill or use for any employers and that they are a waste of space.
What would be the most appropriate type of therapy to use with this client?

You have been seeing a client who is currently the subject of a workplace investigation into bullying and harassment. Your client who is a Team Leader has been accused of inappropriate behaviour towards one of his team members. Coincidentally that team member had recently made a significant error that constituted a chargeable offence when they made the accusation about your client. Your client feels as though they are being unfairly targeted with vexatious claims. You find yourself feeling sorry for your client, allowing sessions to go overtime and offering to see the client when ever they need and telling them they just need to call.
What is this an example of in therapy?

You receive a referral for a 19-year-old female for the treatment of PTSD. During the initial session the client discloses that she was recently involved in a fatal accident. She reports that she has been charged with Dangerous Driving causing death and for leaving the scene of an accident without rendering assistance. The client reports that the accident occurred on a blind corner near The Grammar School and that she ‘heard a bump’ however thought she had run over a pothole or debris on the road and not a 6-year-old schoolgirl. At this point you realise that the client is referring to the death of your niece.
What is your next step?

You receive a referral from the local Acute Mental Health Unit for a client who is discharging after a 3-month inpatient stay.
What information would be important to receive, prior to accepting the referral, with the client’s consent?

A predisposing factor of your case formulation for one of your clients is a significant history of family mental health issues inclusive of the client’s father being diagnosed with Schizophrenia and mother having completed suicide in front of your client. Both precipitating and perpetuating factors are that your client lives with their father and their father having consistent paranoid ideations. Your client is 10 years old, presents with anxiety and cites their cat as a protective factor.
What would be important to have in place for this client?

You begin seeing a 53-year-old First Nations client. The client presented markedly different from the first session to the next. In both sessions the client has had a paucity of speech due to English being a second language. You decide that you will do a MSE each session to monitor presentation. You notice that the client does not make any eye contact with you and in fact sits side on to you. Do you include this in the MSE?

What does in vivo exposure therapy involve?

Behaviour can be reinforced in several ways depending on several different variables in any given circumstance. Reinforcers can include and be administered in several ways.
Which of the following is not a way of or type of presenting a reinforcer?

Listening is a prerequisite for all helping professions. When a psychologist fails to listen, the client may be discouraged from self-exploring, the wrong issue may be discussed, a strategy may be proposed prematurely, or the client could disengage.
Listening involves three steps which are?

What is the underlying tenant of Cognitive Behaviour Therapy?

You complete an intake session with a new client. The client reports that they previously saw a psychologist and did CBT, but they did not feel as though it was helpful. The client reports that they last saw the previous psychologist 2 weeks ago and had been seeing him for 5 months. The client reported that nothing changed and that they still feel lonely, depressed and not getting along with people in their new workplace where they started approximately 7 months ago.
What would be the most suitable type of intervention to use?

From the below, which is the most important component of therapy?