2024 Edition

MFT Practice Test

Take this free MFT Practice Exam to see the types of questions and sections that appear on the actual Marital and Family Therapy National Exam. The MFT National Exam tests a candidate’s understanding of specialized counseling concepts in the areas Systemic Therapy, Assessing and Diagnosing, Designing Treatment Plans, Evaluating Ongoing Processes, Crisis Situations and Ethical and Legal Practice. To prepare for your Marriage and Family Therapy test, use our 500 question MFT Practice Exams Plus that includes online flash cards and an exam review.

The Practice of Systemic Therapy

1. Using Cognitive Behavioral Systems Therapy, the MFT secures a strong therapeutic relationship by:
2. Cheryl is a twenty-one-year-old who does not identify as a specific gender and considers herself nonbinary. Cheryl's parents bring Cheryl to family counseling and during the session, they are constantly arguing, criticizing Cheryl's choices, and disagreeing with each other. During their conflict, Cheryl remains calm and is able to talk eloquently about family dynamics and Cheryl's choices. Cheryl's reaction is best characterized as an example of:
3. The Hernandez family presents for counseling. The therapist spends the first few sessions trying to understand their concerns, and family dynamics, and carefully reflecting on what each family member hopes they will get out of the counseling experience. From a systemic therapy perspective, what is the therapist practicing?
4. The Hassan family comes to family counseling due to the wife's history of prolonged drinking and suspected alcoholism. The MFT asks the following question during a session: "Who is most impacted by Mrs. Hassan's drinking issues?" This best represents what type of questioning from a structural family therapy paradigm?
5. In the practice of MFT, the following elements are important to be aware of in developing a comprehensive assessment of the client and client family and how they relate to the client and family system:

Assessing, Hypothesizing, and Diagnosing

6. The Bruno family brings in their eight-year-old son Michael for counseling and parental enrichment assistance. They indicate that both at home and at school, Michael easily loses his temper, annoys his peers and teachers intentionally, and has been known to frequently argue with his parents, teachers, and other figures of authority. The diagnosis that most adequately fits these behaviors would be:
7. When assessing a family, the MFT should analyze which of the following factors?
8. The O'Brien family comes to counseling due to behavioral issues with their oldest daughter Samantha. It is indicated that Mr. O'Brien had an extramarital affair that the spouses are still addressing as well. The MFT thinks that perhaps Samantha's behavior is, at least in part, to distract from the conflict that her parents are having about Mr. O'Brien's infidelity. The MFT's thoughts would best be described as which of the following?
9. A newly licensed marriage and family therapist wants to administer a psychological test to a client. Which of the following statements is true?
10. A therapist is seeing a couple for counseling to address martial problems. After a few weeks, when the couple comes in for their session, the therapist notices that the wife has a bruise on her neck. When the therapist asks about the bruise, the wife looks nervously at her husband. After some inquiry, the husband admits to choking his wife during a recent argument. Which of the following responses would be clinically appropriate?

Designing and Conducting Treatment

11. During the course of therapy, Janet, a 48-year-old client states to her MFT, "You are just like my father: overly critical and judgmental of everything I do. I have had enough!" This is an example of which of the following?
12. In the initial sessions of therapy for a new client family, the MFT begins to chart and develop a map of the client's family tree, boundaries, and relationship history between members of the nuclear and extended family. In designing the treatment modality, the MFT is primarily utilizing which of the following?
13. Joseph comes to counseling with the MFT believing that everything that goes wrong with his marriage and family is due to something he has done wrong. The MFT asks him, "How does your generalizing that you are the cause of all the issues for your family help you to attain your goals of supporting your family and marriage?" Which theory is the MFT using in constructing this question and therapeutic modality?
14. When trying to prioritize therapeutic goals in treatment planning with a client and client family, the decisions should be developed by:

Evaluating Ongoing Process and Terminating Treatment

15. Which of the following is not a stage of family therapy?
16. The Sandberg family has been in counseling for several sessions due to marital issues. Mr. Sandberg indicates that he does not know why they continue to go to counseling as he thinks everything has been "great just the way it is." This type of statement would be considered an example of which of the following?
17. The Smiths are a very challenging family for their MFT to work with because they are loud, overly needy, and have not paid for their counseling sessions promptly. The MFT decides to terminate the therapy. This is most likely an example of:
18. When an MFT is considering the termination of a client family, the following are all important steps to take except:
19. From a systems perspective, if a family comes to counseling because their 15-year-old son is being oppositional and defiant, the systems therapist should work towards a treatment outcome that recognizes the following:
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20. Clinical, ethical and legal considerations are part of the termination of the therapeutic relationship. A therapist should terminate the client/therapist relationship in all of the following circumstances, except:

Managing Crisis Situations

21. During your counseling session with the Levinsky family, Mr. Levinsky indicates that his wife was unfaithful to him. As the MFT gets close to ending the session, Mr. Levinsky reports that he is going to go home and punch Mrs. Levinsky in the face for cheating on him. In light of this information, the MFT must do the following:
22. While working with six-year-old Lucas in family therapy, Lucas reports that his father hits him with a belt when he does not listen. In the past, during other sessions with Lucas, he has told stories, and sometimes outright lies to the MFT. The MFT should do which of the following?
23. During the course of a therapy session, Monica indicates that she is very depressed and does not know what she may do next. The MFT is concerned that perhaps she may be experiencing suicidal ideation. Which of the following assessments is best for the MFT to consider for assessment?
24. Michael is an MFT working with Lucas, who has a history of self-injurious behaviors. Recently Lucas's self-injurious behaviors have escalated and Michael is uncertain if these behaviors are indicative of actions that could be intentionally or unintentionally suicidal. Which of the following should Michael do next?
25. A disadvantage of teletherapy versus conventional therapy for crisis clients includes which of the following?

Maintaining Ethical, Legal and Professional Standards

26. During which part of the counseling process does the MFT discuss the parameters of confidentiality?
27. Before the process of counseling begins, which of these must be done first?
28. Jacob can no longer afford his counseling services as he has lost his health insurance. He and his MFT decide that Jacob can "work off" his sessions by doing odd jobs around the MFT's home. This would best be considered an example of which ethical violation?
29. For how long does an MFT have to typically keep client records?
30. To get a license to practice as a marriage and family therapist, which of the following is required?

Quality starts with who wrote the material.
Our practice exam writer
Dr. Christine Duquette, LMFT
 is a licensed marriage and family therapist and an adjunct professor of counseling at Yorkville University. Beal University and Golden Gate University in California.

Dr. Brett Novick, LMFT
 is a licensed marriage and family therapist and an adjunct professor for the post-graduate counseling department at Rutgers University in New Jersey.


The MFT Exam contains 185 multiple-choice questions and four hours is given to take the exam. Test questions come from a pool of questions that have been extensively reviewed and researched for content accuracy and clarity.

Below are the six sections tested by the AMFTRB on the MFT Exam:
• Systemic Therapy
• Assessment and Diagnosis
• Designing and Conducting Treatment
•  Evaluating Ongoing Processes
• Managing Crisis Situations
• Ethical and Professional Practice