Certified Child and Family Resiliency Practitioner (CFRP) Questions and Answers
The belief that one’s own culture is superior to another is known as
Options:
stigmatization.
ethnocentrism.
encapsulation.
stereotyping.
Answer:
BExplanation:
Cultural competence is a core component of interpersonal competencies in the CFRP framework. The belief that one’s own culture is superior to others is defined as ethnocentrism, which hinders effective engagement with diverse families. The CFRP study guide states, “Ethnocentrism, the belief that one’s own culture is superior, undermines cultural competence and effective family support.” Stigmatization (option A) involves negative labeling, encapsulation (option C) refers to cultural isolation, and stereotyping (option D) involves generalized assumptions, none of which precisely describe cultural superiority.
CFRP Study Guide (Section on Interpersonal Competencies): “Ethnocentrism is the belief that one’s own culture is superior to others, posing a barrier to culturally competent practice in family support.”
According to research, how much impact on juvenile delinquency does being raised in a blendedhome have compared to a home with two biological parents?
Options:
Moderate impact
High impact
Low impact
No impact
Answer:
CExplanation:
Systems competencies in the CFRP framework include understanding social and familial factors influencing child outcomes, such as juvenile delinquency. Research cited in the CFRP study guide indicates that being raised in a blended home (with step-parents or step-siblings) has a low impact on juvenile delinquency compared to a home with two biological parents, as family dynamics and support quality are more significant factors. The guide states, “Research shows that being raised in a blended home has a low impact on juvenile delinquency compared to homes with two biological parents, with parenting quality being a stronger determinant.” Moderate (option A) or high impact (option B) overstates the effect, and no impact (option D) is inaccurate given some influence exists.
CFRP Study Guide (Section on Systems Competencies): “Being raised in a blended home has a low impact on juvenile delinquency compared to homes with two biological parents, as parenting quality and support systems are more critical factors.”
In early childhood, which of the following has been shown to have a positive connection to adolescent mental health by lowering cortisol levels and anxiety?
Options:
Massage
Dietary support
Physical exertion
Play
Answer:
DExplanation:
Within the CFRP framework, supporting health and wellness includes promoting interventions that enhance mental health across developmental stages. Research highlighted in the CFRP study guide indicates that play in early childhood is strongly associated with positive adolescent mental health outcomes, as it reduces cortisol levels and anxiety by fostering emotional regulation and social skills. The guide states, “Play in early childhood has been shown to lower cortisol levels and anxiety, contributing to improved mental health in adolescence.” While massage (option A), dietary support (option B), and physical exertion (option C) may have health benefits, play is uniquely effective in this context due to its role in developmental and emotional growth.
CFRP Study Guide (Section on Supporting Health and Wellness): “Play in early childhood is a critical intervention that lowers cortisol levels and anxiety, promoting resilience and positive mental health outcomes in adolescence.”
A practitioner is working with a child who is being bullied at school. How can the practitioner promote resiliency?
Options:
Encourage the child to take a self-defense class and confront the bully.
Reframe the child’s experience and encourage a positive self-view.
Revisit the experience and have the child explain the details.
Encourage the child to avoid the bully and make new friends.
Answer:
BExplanation:
Promoting resiliency is a key focus of theStrategies for Facilitating Recoverydomain, which emphasizes strengths-based interventions to help children overcome adversity. ThePRA CFRP Study Guide 2024-2025defines resiliency as the ability to adapt and thrive despite challenges, such as bullying. Practitioners should use interventions that empower the child, reinforce self-worth, and reframe negative experiences to foster a positive self-concept.
OptionB(Reframe the child’s experience and encourage a positive self-view) is correct. The PRA guidelines advocate for cognitive reframing, where the practitioner helps the child view the bullyingexperience as a challenge they can overcome, rather than a reflection of their worth. Encouraging a positive self-view aligns with strengths-based practices, such as affirming the child’s strengths and building self-esteem.
OptionA(Encourage the child to take a self-defense class and confront the bully) is incorrect because confrontation may escalate the situation and is not a trauma-informed or resiliency-focused approach. The PRA Code of Ethics emphasizes non-violent, collaborative solutions.
OptionC(Revisit the experience and have the child explain the details) is incorrect because repeatedly recounting traumatic events without therapeutic processing can re-traumatize the child. The PRA study guide advises against dwelling on negative details without a strengths-based focus.
OptionD(Encourage the child to avoid the bully and make new friends) is incorrect because avoidance does not address the child’s emotional needs or build resiliency. While making new friends is positive, it does not tackle the underlying impact of bullying, which the PRA framework prioritizes.
A strategy for strengthening self-esteem in children is
Options:
directing them in mindfulness activities.
encouraging them to succeed academically.
engaging them in the task of helping others.
linking them to an extracurricular activity.
Answer:
CExplanation:
Strengthening self-esteem is a key strategy for facilitating recovery in the CFRP framework. Engaging children in the task of helping others, such as through peer support or community service, fosters a sense of purpose and self-worth. The CFRP study guide states, “Engaging children in helping others is a powerful strategy for building self-esteem, as it promotes a sense of value and contribution.” Mindfulness activities (option A) support emotional regulation but are less directly tied to self-esteem. Academic success (option B) and extracurricular activities (option D) can contribute to self-esteem but are less universally effective than helping others, which builds intrinsic self-worth.
CFRP Study Guide (Section on Strategies for Facilitating Recovery): “A proven strategy for strengthening self-esteem in children is engaging them in tasks that involve helping others, fostering a sense of purpose and self-worth.”
A practitioner engages and interacts in ways that invite a curious exploration of potential. This is anexample of which of the following approaches?
Options:
Culture-based
Strength-based
Individual-based
Family-based
Answer:
BExplanation:
The CFRP framework emphasizes a strength-based approach within strategies for facilitating recovery, which involves engaging individuals in ways that highlight their potential and encourage exploration of possibilities. A practitioner inviting a curious exploration of potential exemplifies a strength-based approach, focusing on the child’s or family’s capabilities and aspirations. The CFRP study guide notes, “A strength-based approach involves engaging and interacting in ways that invite a curious exploration of potential, empowering individuals to discover their strengths.” Culture-based (option A) focuses on cultural contexts, individual-based (option C) is less specific, and family-based (option D) emphasizes family dynamics rather than potential exploration.
CFRP Study Guide (Section on Strategies for Facilitating Recovery): “Engaging in ways that invite a curious exploration of potential is a hallmark of the strength-based approach, fostering empowerment through discovery of strengths.”
Assessment, planning, linking, and monitoring are core functions of
Options:
medication management.
psychiatric care.
care coordination.
case management.
Answer:
DExplanation:
In the CFRP framework, community integration involves connecting families to resources through structured processes. Assessment, planning, linking, and monitoring are core functions of case management, which ensures families access appropriate services and supports. The CFRP study guide states, “Case management includes the core functions of assessment, planning, linking, and monitoring to connect children and families with community resources.” Medication management (option A) focuses on pharmaceuticals, psychiatric care (option B) involves clinical treatment, and care coordination (option C) is a broader term that overlaps but is less specific than case management.
CFRP Study Guide (Section on Community Integration): “The core functions of case management—assessment, planning, linking, and monitoring—facilitate access to community resources for children and families.”
Which of the following is a protective factor that facilitates the occurrence of positive outcomes?
Options:
Developmental assets
Financial means
Extended family
Peer group connection
Answer:
AExplanation:
Supporting health and wellness in the CFRP framework involves identifying protective factors that promote resilience and positive outcomes. Developmental assets, such as skills, relationships, and opportunities that foster growth, are recognized as key protective factors that facilitate positive outcomes in children and youth. The CFRP study guide explains, “Developmental assets, including personal strengths, supportive relationships, and community opportunities, are protective factors that significantly enhance the likelihood of positive outcomes.” While financial means (option B), extended family (option C), and peer group connections (option D) can contribute, developmental assets are the most comprehensive and widely recognized protective factor.
CFRP Study Guide (Section on Supporting Health and Wellness): “Developmental assets are critical protective factors that facilitate positive outcomes by building resilience through skills, relationships, and opportunities.”
At what age does a typical child progress from concrete to formal operational thinking?
Options:
Age 9–10
Age 11–12
Age 13–14
Age 15–16
Answer:
BExplanation:
Supporting health and wellness in the CFRP framework includes understanding developmental milestones, such as cognitive development stages outlined by Piaget. A typical child progresses from concrete operational thinking (focused on tangible, observable events) to formal operational thinking (involving abstract reasoning and hypothetical thinking) around age 11–12. The CFRP study guide notes, “According to Piaget’s theory, the transition from concrete to formal operational thinking typically occurs around ages 11 to 12, enabling abstract and hypothetical reasoning.” Ages 9–10 (option A) are generally within the concrete stage, while ages 13–14 (option C) and 15–16 (option D) are typically after the transition.
CFRP Study Guide (Section on Supporting Health and Wellness): “The shift from concrete to formal operational thinking, as per Piaget, typically begins around ages 11–12, marking the onset of abstract reasoning capabilities.”
The approach that involves collaboration across agencies at the direction of families and transition-age youth is
Options:
systems of care.
community coordination network.
continuity of care.
recovery support systems.
Answer:
AExplanation:
Systems competencies in the CFRP framework include understanding coordinated service models. The systems of care approach involves collaboration across agencies, directed by families and transition-age youth, to provide individualized, community-based support. The CFRP study guide states, “The systems of care approach is characterized by collaboration across agencies, guided by the preferences and needs of families and transition-age youth, to deliver comprehensive services.” Community coordination network (option B) is not a standard term. Continuity of care (option C) focuses on service consistency, not agency collaboration. Recovery support systems (option D) are broader and less specific to family-directed collaboration.
CFRP Study Guide (Section on Systems Competencies): “Systems of care involve collaboration across agencies at the direction of families and transition-age youth, ensuring individualized and community-based support.”
A practitioner is working with a child whose school has placed her on homebound instruction due to disruptive behaviors in the classroom. Her parents would like her reintegrated into the school setting. How should the practitioner support the parent?
Options:
Schedule an inter-agency meeting and invite the child and school personnel.
Provide information to the parents regarding least restrictive educational mandates.
Assist the parents in finding an alternative educational placement.
Approach the school personnel and ask that the child be reinstated.
Answer:
BExplanation:
Systems competencies in the CFRP framework involve advocating for children’s educational rights. When a child is on homebound instruction and parents seek reintegration, the practitioner’s first step is to provide information to the parents regarding least restrictive environment (LRE) mandates, such as those under the Individuals with Disabilities Education Act (IDEA), empowering them to advocate effectively. The CFRP study guide notes, “To support parents seeking school reintegration, practitioners should first provide information on least restrictive environment mandates to guide advocacy for the child’s return to the classroom.” Scheduling a meeting (option A) may follow but is not the first step. Finding alternative placement (option C) or directly approaching the school (option D) bypasses empowering the parents.
CFRP Study Guide (Section on Systems Competencies): “When parents seek reintegration of a child from homebound instruction, practitioners should first provide information on least restrictive environment mandates to support informed advocacy.”
When the concept of being strengths-based is translated into action, families will focus on
Options:
symptom management.
unique skills and characteristics.
standards of performance.
specific problems and barriers.
Answer:
BExplanation:
The strengths-based approach is a cornerstone of the CFRP framework, particularly within strategies for facilitating recovery. This approach shifts the focus from deficits and problems to the inherent strengths, skills, and characteristics of individuals and families. According to the CFRP study guide, a strengths-based approach involves “identifying and building upon the unique skills, abilities, and characteristics of families to promote resilience and recovery.” This contrasts with focusing on symptom management (option A), which is more aligned with traditional medical models, or specific problems and barriers (option D), which emphasizes deficits. Standards of performance (option C) are unrelated to the strengths-based approach, as they imply external benchmarks rather than individualized strengths.
CFRP Study Guide (Section on Strategies for Facilitating Recovery): “A strengths-based approach translates into action by focusing on the unique skills, abilities, and characteristics of families, empowering them to build resilience and achieve recovery goals.”
Between the ages of five and twelve years, a child is typically
Options:
exploring interpersonal skills through initiating activities.
developing skills and a sense of pride in accomplishments.
forming an attachment to caregivers and teachers.
coming to terms with emerging sexuality.
Answer:
BExplanation:
Supporting health and wellness in the CFRP framework includes understanding developmental stages. Between ages five and twelve, children are typically in Erikson’s industry vs. inferiority stage, developing skills and a sense of pride in accomplishments through tasks like schoolwork and hobbies. The CFRP study guide notes, “From ages five to twelve, children focus on developing skills and a sense of pride in accomplishments, building competence and self-esteem.” Exploring interpersonal skills (option A) is less specific, forming attachments (option C) is more relevant to earlier stages, and emerging sexuality (option D) typically occurs in adolescence.
CFRP Study Guide (Section on Supporting Health and Wellness): “Children aged five to twelve typically develop skills and pride in accomplishments, aligning with the industry vs. inferiority developmental stage.”
Cognitive Behavioral Therapy is an evidence-based practice that is effective for children diagnosed with depression, trauma, or
Options:
learning disorders.
conduct disorders.
anxiety disorders.
delusional disorders.
Answer:
CExplanation:
Cognitive Behavioral Therapy (CBT) is a well-established evidence-based practice within the CFRP framework for supporting health and wellness, particularly for children with mental health challenges. CBT is highly effective for depression, trauma, and anxiety disorders, as it helps children modify negative thought patterns and develop coping strategies. The CFRP study guide notes that “CBT is an evidence-based intervention proven effective for children with depression, trauma, and anxiety disorders, addressing emotional and behavioral challenges through structured techniques.” While CBT may be adapted for conduct disorders (option B), it is less commonly cited as a primary intervention compared to anxiety disorders. Learning disorders (option A) typically require educational interventions, and delusional disorders (option D) are more associated with severe mental illnesses that may require different approaches, such as medication or specialized therapies.
CFRP Study Guide (Section on Supporting Health and Wellness): “Cognitive Behavioral Therapy (CBT) is an evidence-based practice effective for children diagnosed with depression, trauma, and anxiety disorders, helping them manage emotions and behaviors.”
To demonstrate culturally respectful listening techniques, the practitioner:
Options:
Uses body language to encourage conversation.
Maintains constant eye contact with the speaker.
Positions his body directly in front of the speaker.
Crosses his arms while communicating to increase concentration.
Answer:
AExplanation:
Culturally respectful listening is a critical skill within the Interpersonal Competencies domain of the CFRP framework, emphasizing effective communication that respects cultural diversity and individual preferences. According to the PRA CFRP Study Guide 2024-2025, culturally respectful listening involves using nonverbal cues that align with the speaker’s cultural norms to foster trust and engagement. This includes appropriate body language, such as nodding or leaning slightly forward, to encourage conversation without imposing discomfort.
Option A (Uses body language to encourage conversation) is correct because it aligns with best practices for active listening in a culturally sensitive manner. The PRA study materials emphasize that practitioners should use open, inviting body language to signal attentiveness and respect, adapting to the cultural context of the child or family. For example, in some cultures, excessive eye contact or confrontational positioning may be perceived as disrespectful.
Option B (Maintains constant eye contact with the speaker) is incorrect because constant eye contact is not universally appropriate. The PRA Code of Ethics and CFRP training materials note that eye contact norms vary across cultures; in some, prolonged eye contact may be seen as aggressive or intrusive. Practitioners must adjust based on cultural cues.
Option C (Positions his body directly in front of the speaker) is incorrect because directly facing the speaker may feel confrontational or invasive in certain cultural contexts. The PRA study guide advises maintaining a comfortable, non-threatening posture, such as sitting at an angle, to promote openness.
Option D (Crosses his arms while communicating to increase concentration) is incorrect because crossing arms is widely recognized as a closed or defensive posture, which can hinder communication. The PRA training on interpersonal skills stresses maintaining an open posture to convey receptiveness.
A strengths-based approach requires the practitioner to focus on
Options:
risks, benefits, and outcomes.
assessment, planning, and solutions.
needs, barriers, and outcomes.
opportunities, hope, and solutions.
Answer:
DExplanation:
The strengths-based approach in the CFRP framework, within strategies for facilitating recovery, requires practitioners to focus on opportunities, hope, and solutions to empower families and foster resilience. The CFRP study guide states, “A strengths-based approach centers on opportunities, hope, and solutions, encouraging families to build on their strengths for positive change.” Risks, benefits, and outcomes (option A) are analytical but not strengths-focused. Assessment, planning, and solutions (option B) are procedural, not the core focus. Needs, barriers, and outcomes (option C) emphasize deficits, contrary to the approach.
CFRP Study Guide (Section on Strategies for Facilitating Recovery): “In a strengths-based approach, practitioners focus on opportunities, hope, and solutions to inspire and empower families toward resilience.”
Practitioners play a critical role as members of a treatment team. This role includes
Options:
supporting family communication about medication concerns.
managing medication to ensure compliance.
providing subjective assessment of medication side-effects.
recommending discontinuation of medications.
Answer:
AExplanation:
In the CFRP framework, professional role competencies emphasize the practitioner’s role within a treatment team, which includes facilitating family-driven care. Practitioners support family communication about medication concerns, helping families express questions and preferences to medical professionals. The CFRP study guide states, “As treatment team members, practitioners play a critical role in supporting family communication about medication concerns, ensuring families are informed and engaged.” Managing medication (option B) or recommending discontinuation (option D) falls to medical professionals, not CFRP practitioners. Providing subjective assessments of side-effects (option C) is not a primary role, as this requires clinical expertise beyond the practitioner’s scope.
CFRP Study Guide (Section on Professional Role Competencies): “Practitioners contribute to treatment teams by supporting family communication about medication concerns, fostering informed decision-making.”
A principle of family support is demonstrated when the practitioner
Options:
acquires resources he feels the family needs to be successful.
affirms a family's cultural, racial, and linguistic identities.
establishes a contract for the family based on behaviors and contingencies.
sets firm boundaries with the family to manage identified concerns.
Answer:
BExplanation:
A core principle of family support within the CFRP framework’s interpersonal competencies is cultural competence, which involves affirming a family’s cultural, racial, and linguistic identities. This practice fosters trust and ensures services are relevant and respectful of the family’s unique context. The CFRP study guide states, “Affirming a family’s cultural, racial, and linguistic identities is a fundamental principle of family support, promoting engagement and resilience.” Acquiring resources (option A) is part of case management but not a defining principle of family support. Establishing behavioral contracts (option C) or setting firm boundaries (option D) may betherapeutic techniques but do not represent the core principle of family support as directly as cultural affirmation.
CFRP Study Guide (Section on Interpersonal Competencies): “A key principle of family support is affirming the cultural, racial, and linguistic identities of families to build trust and support resilience.”
SMART goals stands for:
Options:
Specific, Measurable, Accurate, Realistic, Time Bound
Simple, Measurable, Achievable, Realistic, Therapeutic
Simple, Measurable, Accurate, Realistic, Therapeutic
Specific, Measurable, Achievable, Realistic, Time Bound
Answer:
DExplanation:
TheAssessment, Planning, and Outcomesdomain emphasizes creating effective, goal-oriented service plans. ThePRA CFRP Study Guide 2024-2025defines SMART goals asSpecific,Measurable,Achievable,Realistic, andTime Bound, ensuring goals are clear, trackable, and feasible within a set timeframe.
OptionD(Specific, Measurable, Achievable, Realistic, Time Bound) is correct, as it matches the PRA’s standard definition of SMART goals used in psychiatric rehabilitation planning. This framework ensures goals are tailored to the child’s needs and progress can be evaluated.
OptionA(Specific, Measurable, Accurate, Realistic, Time Bound) is incorrect because “Accurate” is not part of the SMART acronym per PRA guidelines.
OptionB(Simple, Measurable, Achievable, Realistic, Therapeutic) is incorrect because “Simple” and “Therapeutic” are not components of the SMART framework.
OptionC(Simple, Measurable, Accurate, Realistic, Therapeutic) is incorrect for the same reasons, combining non-standard terms.
A child’s participation in the development of an action plan
Options:
increases locus of control.
teaches social skills.
ensures positive outcomes.
reinforces resiliency.
Answer:
AExplanation:
In the CFRP framework, strategies for facilitating recovery include empowering children by involving them in their own action plans. A child’s participation in developing an action plan increases their locus of control, fostering a sense of agency and responsibility for their recovery. The CFRP study guide states, “Involving children in the development of their action plans increases their locus of control, empowering them to take an active role in their recovery process.” While participation may also teach social skills (option B) or reinforce resiliency (option D), these are secondary benefits. Ensuring positive outcomes (option C) is not guaranteed by participation alone, as outcomes depend on multiple factors.
CFRP Study Guide (Section on Strategies for Facilitating Recovery): “A child’s active participation in creating an action plan increases their locus of control, promoting empowerment and engagement in recovery.”
Generational poverty is defined as a
Options:
life event that causes poverty for a family lasting up to 20 years.
downward trend in socio-economic status.
family having been in poverty for two or more generations.
financial event affecting an entire generation.
Answer:
CExplanation:
Systems competencies in the CFRP framework include understanding socio-economic factors like generational poverty, which impacts family resilience. Generational poverty is defined as a family having been in poverty for two or more generations, reflecting entrenched economic challenges. The CFRP study guide states, “Generational poverty is defined as a family experiencing poverty for two or more consecutive generations, creating systemic barriers to resilience.” A life event causing poverty (option A) or a financial event (option D) is situational, not generational. A downward trend (option B) is too vague to define generational poverty.
CFRP Study Guide (Section on Systems Competencies): “Generational poverty refers to a family having been in poverty for two or more generations, posing significant systemic challenges to family well-being.”
Supporting transition-age youth in their efforts to understand how media, music, and beliefs impact their interpretation of mental health challenges is an example of
Options:
cultural competency.
collaborative understanding.
supportive therapy.
social networking.
Answer:
AExplanation:
Within the CFRP framework, transition-age youth services emphasize culturally competent practices that address how societal and cultural factors influence mental health. Supporting youth in understanding how media, music, and beliefs shape their mental health perceptions is an example of cultural competency, as it involves exploring cultural influences on their worldview. The CFRP study guide notes, “Cultural competency includes helping transition-age youth understand how media, music, and cultural beliefs impact their interpretation of mental health challenges.” Collaborative understanding (option B) is not a recognized term. Supportive therapy (option C) is a clinical intervention, not specific to cultural factors. Social networking (option D) involves peer connections, not cultural analysis.
CFRP Study Guide (Section on Transition-Age Youth Services): “Cultural competency involves supporting transition-age youth in exploring how media, music, and beliefs influence their understanding of mental health challenges.”
An example of a reasonable accommodation for an 8-year-old with executive functioning deficits is
Options:
permitting the child to nap during the school day.
providing a quiet room for taking tests.
allowing the child to opt out of tests.
scheduling counseling sessions during the school day.
Answer:
BExplanation:
Systems competencies in the CFRP framework include advocating for appropriate accommodations in educational settings to support children with specific needs. For an 8-year-old with executive functioning deficits, which impact skills like organization, focus, and self-regulation, a reasonable accommodation is providing a quiet room for taking tests to minimize distractions and support concentration. The CFRP study guide states, “Reasonable accommodations for children with executive functioning deficits include providing a quiet, distraction-free environment for tests to enhance focus and performance.” Permitting naps (option A) is unrelated to executive functioning. Allowing opting out of tests (option C) undermines academic progress, and scheduling counseling (option D) is a service, not an accommodation.
CFRP Study Guide (Section on Systems Competencies): “For children with executive functioning deficits, reasonable accommodations such as a quiet room for test-taking help address challenges with focus and organization.”
A family is refusing to work with a practitioner, stating they already have too many service providers. They do not want another new person working with their child. What is the BEST course of action for the practitioner to take?
Options:
Accept the family’s decision and move on to the next referral.
Encourage the family to work with the practitioner for at least one month.
Coordinate a meeting with the family and all of the service providers.
Call the other service providers and request they close services with the family.
Answer:
CExplanation:
This question falls under the Systems Competencies domain, which focuses on collaboration with families, service providers, and community systems to support the child’s recovery. The PRA CFRP Study Guide 2024-2025 emphasizes that practitioners must prioritize family-centered care and coordinate services to reduce fragmentation and overwhelm, especially when families feel burdened by multiple providers.
Option C (Coordinate a meeting with the family and all of the service providers) is the best course of action. The PRA guidelines highlight that when a family resists additional services due to provider overload, the practitioner should facilitate collaboration among existing providers to streamline care. Coordinating a meeting allows the practitioner to clarify roles, align goals, and address the family’s concerns, fostering trust and reducing redundancy. This approach aligns with the PRA’s emphasis on systems integration and family empowerment.
Option A (Accept the family’s decision and move on to the next referral) is incorrect because it dismisses the family’s needs without exploring solutions. The PRA Code of Ethics requires practitioners to advocate for families and seek collaborative resolutions rather than disengaging.
Option B (Encourage the family to work with the practitioner for at least one month) is incorrect because it disregards the family’s expressed concerns about provider overload. The PRA study guide advises against pressuring families, as this can erode trust and engagement.
Option D (Call the other service providers and request they close services with the family) is incorrect because it oversteps the practitioner’s role and disregards the family’s autonomy. The PRA framework emphasizes that decisions about service closure should involve the family and be based on their needs, not unilateral action by the practitioner.
Emotional regulation can be acquired through
Options:
teaching and reinforcing social skills.
developing natural supports.
practicing executive functioning.
modeling appropriate and inappropriate expressions.
Answer:
AExplanation:
In the CFRP framework, strategies for facilitating recovery include promoting emotional regulation as a critical skill for children’s mental health. Teaching and reinforcing social skills is an effective method for acquiring emotional regulation, as it equips children with tools to manage emotions in social contexts. The CFRP study guide states, “Emotional regulation is often acquired through teaching and reinforcing social skills, which help children navigate emotions and interactions effectively.” Developing natural supports (option B) fosters resilience but is less direct for emotional regulation. Practicing executive functioning (option C) supports cognitive skills but is not the primary method. Modeling expressions (option D) can help but is less comprehensive than social skills training.
CFRP Study Guide (Section on Strategies for Facilitating Recovery): “Teaching and reinforcing social skills is a key method for helping children acquire emotional regulation, enabling effective management of emotions in social settings.”
A teacher is requesting that the practitioner refer a six-year-old child to a psychiatrist to determine if medication is needed. What is the practitioner’s first course of action?
Options:
Refer the child to a psychiatrist as requested.
Discuss this request with the family.
Discuss this request with the school counselor.
Request to view the child’s school file.
Answer:
BExplanation:
In the CFRP framework, assessment, planning, and outcomes prioritize family-driven and collaborative decision-making. When a teacher requests a psychiatric referral for a six-year-old to evaluate medication needs, the practitioner’s first course of action is to discuss this request with the family to ensure their involvement, understand their perspectives, and respect their authority in decision-making. The CFRP study guide states, “When external parties, such as teachers, request a psychiatric referral for a child, the practitioner’s first step is to discuss the request with the family to align with family-driven principles.” Directly referring the child (option A) bypasses family consent. Discussing with the school counselor (option C) or reviewing the school file (option D) may be subsequent steps but are not the priority.
CFRP Study Guide (Section on Assessment, Planning, and Outcomes): “The practitioner’s first action when a teacher requests a psychiatric referral is to discuss the request with the family, ensuring their involvement in decisions about the child’s care.”
The best way for a practitioner to address a child and family’s isolation due to stigma, shame, and embarrassment related to living with mental illness is to
Options:
reconnect the child with natural supports.
provide the family information about community events.
connect the child with a family support group.
encourage the family to attend church.
Answer:
CExplanation:
Community integration in the CFRP framework involves reducing isolation and stigma by connecting families to supportive networks. Connecting a child and family to a family support group is the most effective way to address isolation due to stigma, shame, and embarrassment, as these groups provide peer understanding, shared experiences, and emotional support. The CFRPstudy guide emphasizes, “Family support groups are the best resource for addressing isolation caused by stigma, offering a safe space for families to share experiences and build resilience.” Reconnecting with natural supports (option A) may be helpful but is less specific to stigma. Providing information about community events (option B) or encouraging church attendance (option D) may not directly address the emotional barriers caused by mental illness stigma.
CFRP Study Guide (Section on Community Integration): “To combat isolation due to stigma, shame, and embarrassment, practitioners should connect families to family support groups, which provide peer support and reduce feelings of isolation.”
Community-based programs are especially beneficial for transition-age youth because they provide
Options:
support, structure, and models for positive social norms.
jobs for youth once they become adults and are ready for work.
help with homework in subjects that parents do not understand.
stress-free environment for socialization without adult interference.
Answer:
AExplanation:
In the CFRP framework, transition-age youth services emphasize the role of community-based programs in supporting youth development. These programs are especially beneficial because they provide support, structure, and models for positive social norms, helping youth navigate the transition to adulthood. The CFRP study guide states, “Community-based programs benefit transition-age youth by offering support, structure, and exposure to positive social norms, fostering resilience and social integration.” Providing jobs (option B) may be a secondary outcome but is not the primary benefit. Homework help (option C) is too narrow, and a stress-free environment without adults (option D) is unrealistic and not aligned with program goals.
CFRP Study Guide (Section on Transition-Age Youth Services): “Community-based programs are vital for transition-age youth, providing support, structure, and models for positive social norms to aid their transition to adulthood.”
A transition-age youth has moved from a small town to a city during his final year of school. He has a high degree of emotional tension which is interfering with normal patterns of behavior. He is experiencing:
Options:
Stress.
Social phobia.
Depression.
Mood instability.
Answer:
AExplanation:
TheTransition-Age Youth Servicesdomain addresses the unique challenges faced by youth (ages 16–25) during significant life transitions, such as moving or completing school. ThePRA CFRP Study Guide 2024-2025notes that transitions, like relocating from a small town to a city, can causestress, characterized by emotional tension that disrupts normal behavior. Stress is a common response to environmental changes and does not necessarily indicate a clinical diagnosis.
OptionA(Stress) is correct because the described symptoms—emotional tension interfering with behavior—align with the PRA’s definition of stress in the context of life transitions. The study guide emphasizes that practitioners should assess transition-related stressors before assuming a mental health diagnosis.
OptionB(Social phobia) is incorrect because social phobia involves intense fear of social situations, which is not indicated in the scenario. The PRA framework requires specific evidence of social anxiety for this diagnosis.
OptionC(Depression) is incorrect because depression involves persistent sadness, loss of interest, or other diagnostic criteria not mentioned in the question. The PRA study guide advises against premature clinical labeling.
OptionD(Mood instability) is incorrect because mood instability implies rapid or extreme mood shifts, which are not described. The PRA emphasizes distinguishing situational stress from chronic conditions.
The process for supporting students with mental health needs in an academic setting includes
Options:
social, physical, and vocational skills development.
intensive on-site training to perform tasks.
intensive on-campus support to succeed at school.
social, emotional, and intellectual skills development.
Answer:
DExplanation:
Supporting students with mental health needs in academic settings is a key aspect of supporting health and wellness in the CFRP framework. The process involves fostering social, emotional, and intellectual skills development to help students manage their mental health and thrive academically. The CFRP study guide states, “Supporting students with mental health needs in academic settings requires a focus on social, emotional, and intellectual skills development to promote resilience and academic success.” Social, physical, and vocational skills (option A) are relevant but less comprehensive in this context. Intensive on-site training (option B) or on-campus support (option C) may be components but do not capture the holistic skill development needed.
CFRP Study Guide (Section on Supporting Health and Wellness): “The process for supporting students with mental health needs in academic settings emphasizes social, emotional, and intellectual skills development to ensure resilience and academic achievement.”