APT E-LEARNING CENTER

Play Therapy Continuing Education Test for:

COGNITIVE-BEHAVIORAL PLAY THERAPY

General Information
Citation: Susan M. Knell (2005: Northvale, NJ: Jason Aronson, Inc. Imprint of Rowman & Littlefield
Publishers, Inc.)
Format: Book
# Pages: 288
# Credit Hours: 7
% Pass: 80%
Test Fee: $70.00
Instructions:

1. BEFORE printing, FIRST type your Identification and Test responses in the spaces provided below.
2. Click on only one response for each question. If you click on more than one response or fail to respond to any
question, the question will be scored as incorrect.
3. Finally print and mail this completed test form with processing fee payment for scoring to (or, if you have
questions, contact): Carol Guerrero, E-Learning Center, Association for Play Therapy, 3198 Willow Avenue,
Suite 110, Clovis, CA 93612 USA, (559) 294-2128 ext 1, cguerrero@a4pt.org
Learning Objectives:

Based on the content of the workshop, I am able to:

1. Recite how CBPT can be used with preschool and early school age children.
2. Describe the developmental issues inherent in integrating CBT and play therapy.
3. Discuss how cognitive and behavioral interventions can be integrated into play therapy.
4. List the similarities and differences between CBPT and more traditional play therapies.
5. Explain the importance of generalization, relapse prevention and planned termination in CBPT.

Identification:
Name: Degree: Credential(s):
Email:
Address:
City: State: ZIP: Nation:
Telephone: ( ) Fax: ( )
Fee Payment (USD only): If check, make payable to “APT”.
 If credit card: VISA MasterCard
 Account #: Expiration Dt: Promotion Code:
 Amount: $ AVS Code: Authorization Signature:
 Attestation: I attest that I alone completed this test in accordance with the ethics of my profession.

Signature: ________________________________________________Date:

SCORE______# correct responses (this item is completed only by APT)

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TEST

1. Historically, play was used in therapy by ___________ therapists.

a. Psychoanalytically oriented
b. Non-directive (Rogerian)
c. Group
d. All of the above

2. In play, children:
a. practice new roles
b. express emotions
c. try to make sense of new experiences
d. a and c only
e. all of the above

3. The use of play as an assessment and treatment modality is:

a. very common in therapeutic work with young children
b. only used with non-verbal children
c. used when parents are unable to work with the child
d. none of the above

4. Play was first used directly with a child in therapy:

a. in the 1800s
b. in the 1920s by Hug-Hellmuth
c. by Axline in the
d. in the early part of the 1950s

5. Non-directive play therapy principles do not include:

a. developing a warm, friendly relationship with the child
b. accepting the child as he/she is
c. directing the child
d. recognizing feelings and expressing them back to the child

6. Common behavior problems in preschool age children include all of the following except:
a. pervasive lack of responsiveness to others
b. non-compliance
c. toileting issues
d. fears

7. Preschool age children benefit from a sense of control, and learning to use language rather than aggression
is one way of promoting a sense of mastery and control. This statement is:
a. True
b. False

8. Because of cognitive limitations, CBPT is not appropriate for use with children.
a. True
b. False

9. The roots of CBPT come from:

a. behavior therapy
b. cognitive therapy
c. play therapy
d. all of the above

10. Behavioral treatments, traditionally have involved:

a. an adult using behavioral interventions with a child
b. the child treating him/herself
c. a combination of behavior management and cognitive interventions
d. None of the above

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11. The primary reason why it is complicated to use Cognitive therapy with young children is:
a. preschool age children lack the cognitive sophistication to understand cognitive interventions
b. self monitoring forms are difficult with preschoolers
c. children do not want to talk with a therapist
d. non directive therapy has been proven to be more effective

12. Developing more adaptive strategies and better coping skills can only be implemented by parents working
with their children.
a. True
b. False

13. CBPT is similar to psychoanalytic therapy in it’s emphasis on:

a. play as a main means of communication
b. use of insight and working through
c. implementation of goals and direction
d. message to child that the therapist is the leader or teacher

14. The use of therapy to teach is a common theme throughout various play therapies.
a. True
b. False

15. Systematic Desensitization is a form of behavior therapy that is often used with fearful/phobic children.
a. True
b. False

16. One of the main means of communicating the Cognitive behavioral interventions with children in play therapy
is through:
a. extinction
b. modeling
c. reinforcement
d. none of the above

17. A child in CBPT makes a puppet slap another puppet. The therapist ignores the slapping and when the child
makes the puppet shake another puppet’s hand, the therapist praises the child. This is an example of:
a. Exposure and response prevention
b. Shaping socially appropriate expression of feelings
c. Differential Reinforcement of other (DRO)
d. Changing irrational beliefs

18. Although it is important for children to generalize what they have learned in therapy, it is impossible or the
therapist to communicate the principles of generalization to a child.
a. True
b. False

19. Which of the following is NOT an example of a coping self statement:

a. I can do this
b. I am in control
c. I don’t like you
d. I can stay and do this.

20. Having a child rate feelings by marking a paper with pictures of various smiling vs. frowning faces would be
an example of:
a. self monitoring
b. modeling
c. systematic desensitization
d. shaping

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21. The best description of bibliotherapy with young children is that it:
a. tells a story with a specific message
b. eaches concepts
c. always has pictures
d. must be read to one child at a time

22. Assessment would include:

a. an understanding of normal child development
b. information from multiple sources, including parents
c. both a and b
d. neither a nor b

23. The following is an example of modeling shaping closer approximations to appropriate toileting with an
encopretic child:
a. the puppet gradually approaches the toilet, sits on the toilet and then makes a bowel movement.
b. the puppet talks about why he doesn’t want to use the toilet
c. the puppet sits on the toilet and refused to use it.
d. the puppet pretends to get flushed down the toilet

24. When a therapist pretends to have a puppet say, “I won’t fall in and get flushed down the toilet” in a therapy
session, the puppet is modeling:
a. exposure and response prevention
b. systematic desensitization
c. shaping socially appropriate expression of feelings.
d. changing an irrational or maladaptive belief

25. An example of shaping socially appropriate expression of feelings with an elective (now called selective) mute
child might include:
a. receiving praise and stickers for talking
b. saying to the child, “You would be happy if you talked”
c. pointing to feeling faces, expressing feelings nonverbally and labeling feelings with words
d. having the child repeat feeling words one by one after the therapist

26. In the example of treating Mutism with CBPT, Knell suggests which of the following as important:
a. creating a positive therapeutic environment
b. encouraging mastery and accomplishment
c. talking is not the major focus of treatment
d. all of the above

27. When treating a child from a divorce situation, it is important to:

a. only talk with one of the parents
b. make sure that the child knows that you will tell both parents what he says about them
c. help the child gain a realistic view of the situation, while dealing with thoughts and feelings about the
divorce
d. none of the above

28. Treatment of a fearful or phobic child should:

a. Always use the parent to implement treatment
b. Always teach muscle relaxation in order for treatment to work
c. Always utilize videotapes of a same aged child getting over a similar fear
d. Desensitize the child to the feared stimulus

29. Although all of these interventions can be used, the most frequent intervention in treating fearful children is:
a. guided imagery
b. positive reinforcement
c. changing irrational beliefs
d. systematic desensitization

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30. Traditional play therapy of children who have been sexually abused has focused primarily on:
a. the relationship between the child and the therapist
b. the child’s relationship with the perpetrator of the abuse
c. helping the child return to the place the abuse occurred
d. preparing the child for future contact with the abuser

31. The advantages of using CBPT with a child who has been sexually abused is/are:
a. the treatment is directive
b. the child’s need to be in control can be addressed
c. the child can learn how to express her/his feelings
d. all of the above
e. none of the above

32. Clinical assessment of a child who has been sexually abused should include:
a. understanding of the child’s functioning prior to the abuse
b. current level of functioning and presenting symptoms
c. the parent’s response to the abuse
d. all of the above
e. none of the above

33. Gaining information about the beliefs, thoughts and feelings of the preschool age child who has been sexually
abused can be difficult. Which of the following is one of the best ways to gather this information?
a. through observation of the child’s play
b. through self report measures
c. through an interview with the child
d. through police reports or legal documents

34. Some of the arguments used to support the notion that preschoolers are too young for CBT are:
a. the cognitive limitations of children at this age
b. the abstract nature of CBT
c. the need for more sophisticated language to understand CBT
d. all of the above

35. A principle of CBT that does not apply to young children is:
a. Homework is a central feature of therapy
b. Therapy is brief and time limited
c. Therapy is based on an educational model
d. Therapy is problem oriented.

36. Generalization across settings can be incorporated into CBPT by:

a. modeling situations that match the child’s real life as much as possible
b. making sure that all efforts at generalization are stopped before the child acquires the skills in question
c. having significant others involved in treatment, and teaching them to be a source of reinforcement for
the child’s adaptive behavior
d. a and c
e. b and c

37. Preparing the child for termination:

a. isn’t important because the children are too young to care
b. isn’t importance because most children are ready for termination
c. can help the child focus on only exhibiting good behaviors
d. is important and can be scheduled over a period of time, with particular events (e.g., start of school) in
mind.

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 APT E-LEARNING CENTER
Home Study Evaluation Form for:

Book Title: COGNITIVE BEHAVIORAL PLAY THERAPY

Instructions:
1. Please indicate your rating of the following statements by circling the appropriate number for each statement.
2. Return completed form to APT 559-294-2129(fax), or 3198 Willow Avenue, Suite 110, Clovis, CA 93612.

Strongly Neutral Strongly

Learning Objectives: Agree Disagree

Based on the content of the workshop, I am able to:

1. Recite how CBPT can be used with preschool and early
school age children. 5 4 3 2 1
2. Describe the developmental issues inherent in integrating
CBT and play therapy. 5 4 3 2 1
3. Discuss how cognitive and behavioral interventions can be
integrated into play therapy. 5 4 3 2 1
4. List the similarities and differences between CBPT and more
traditional play therapies. 5 4 3 2 1
5. Explain the importance of generalization, relapse prevention
and planned termination in CBPT. 5 4 3 2 1

Content / Relevancy:
1. The information presented will enhance my practice. 5 4 3 2 1
2. The content of this session was relevant to my practice 5 4 3 2 1
and/or professional expertise.
3. The teaching learning strategies used during this session were
effective for content presented. 5 4 3 2 1
4. This program is appropriate to my education, experience,
and skills level. 5 4 3 2 1
5. Cultural, racial, ethnic, socioeconomic, and gender
differences were considered. 5 4 3 2 1
6. I would recommend this program to others. 5 4 3 2 1
7. This activity was free of commercial bias. 5 4 3 2 1
8. How much did you learn as a result of this CE program? a great deal some very little
9. Overall Rating: This session met or exceed my expectations 5 4 3 2 1

Participant Information:
Please circle your designation: Psychologist / Counselor / MFT / Social Work / Other_____________
Optional:
Name:
Address: City: , State: ,Zip Code: Country:

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