Free Tx State Board of Examiners of Marriage and Family Therapists Jurisprudence Exam Practice Questions

Sample Practice Questions

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1. 1A Texas counseling professional holds a psychology license but has no Chapter 502 marriage and family therapy license. When may the professional advertise as a licensed marriage and family therapist?

   1. A. After completing the clinical hours required of an MFT applicant.
   2. B. After submitting an MFT license application to the Council.
   3. C. Only after receiving a marriage and family therapy license under Chapter 502.
   4. D. After receiving permission from a supervisor who holds an MFT license.

   Answer: C

   Explanation: "A person may not use the title "licensed marriage and family therapist" or "licensed marriage and family therapist associate," as appropriate, unless the person is licensed under this chapter." The protected title requires the Chapter 502 license itself. Another professional license, application, completed hours, or supervisory permission does not satisfy this title requirement.

   Source: Texas OC.502 official statute — Tex. Occ. Code §502.251(b)

2. 2During a Council investigation, an LMFT sends abusive messages to agency staff about the investigation. How may the Council treat that conduct under §881.13(c)?

   1. A. As a licensing-file error that only requires a corrected address.
   2. B. As unprofessional conduct that may prompt a complaint and discipline.
   3. C. As a meeting disruption for which only removal from a meeting is allowed.
   4. D. As a late-response issue resolved solely through a filing extension.

   Answer: B

   Explanation: "Conduct or language directed at agency officials or staff by applicants or licensees that a reasonable person would find abusive or threatening is considered unprofessional conduct and may serve as grounds for a Council-initiated complaint and disciplinary action." The rule treats abusive or threatening conduct toward agency staff as unprofessional conduct and permits a Council-initiated complaint and discipline; it is not limited to meeting-removal or filing remedies.

   Source: Texas Behavioral Health Executive Council and MFT Board Rules and Statutes — 22 TAC §881.13(c)

3. 3A complaint does not involve sexual misconduct. It is filed less than five years after professional services ended. Which timeliness rule in 22 TAC §884.1 applies?

   1. A. The complaint is timely because it was brought within five years after termination of professional services.
   2. B. A complaint may be resolved by a warning letter.
   3. C. Sexual-misconduct or imminent-physical-harm complaints receive high priority.
   4. D. Licensees must cooperate with and respond to Council investigations.

   Answer: A

   Explanation: 22 TAC §884.1(a) provides: “A complaint not involving sexual misconduct will be considered timely if brought within five years of the date of the termination of professional services.” Because the stem expressly excludes sexual misconduct and falls within that period, the keyed option is correct.

   Source: MFT Rulebook 2026 March — 22 TAC §884.1

4. 4A Texas minor asks whether the minor can consent to counseling for a specific concern under Family Code §32.004(a). Which concern falls within the statute's self-consent provision?

   1. A. Counseling for persistent academic performance anxiety.
   2. B. Counseling for conflict about a parent's household rules.
   3. C. Counseling for grief after the death of a family member.
   4. D. Counseling for prevention of a suicide attempt.

   Answer: D

   Explanation: "A child may consent to counseling for: (1) suicide prevention; (2) chemical addiction or dependency; or (3) sexual, physical, or emotional abuse." Suicide prevention is one of the statute's stated purposes for child self-consent. The other subjects do not fall within this provision's closed list; that does not mean counseling for them is generally forbidden.

   Source: Texas FA.32 official statute — Tex. Fam. Code §32.004(a)

5. 5A Texas LMFT who works directly with children has reasonable cause to believe a child may be abused. The LMFT proposes asking a supervisor to file the report. What does §261.101(b) require?

   1. A. The LMFT must report personally by the 24th hour after reasonable cause arose.
   2. B. The supervisor may report by the 24th hour after the LMFT gives notice.
   3. C. The LMFT may report personally by the 48th hour after the next session.
   4. D. The supervisor may report after confirming abuse through an investigation.

   Answer: A

   Explanation: "the professional shall make a report not later than the 24th hour after the hour the professional first has reasonable cause to believe that the child has been or may be abused or neglected or is a victim of an offense under Section 21.11, Penal Code. A professional may not delegate to or rely on another person to make the report." The professional's reporting deadline is the 24th hour after first having reasonable cause, and the duty cannot be delegated or satisfied by relying on the supervisor.

   Source: Texas FA.261 official statute — Tex. Fam. Code §261.101(b)

6. 6A patient tells an LMFT that another mental-health provider sexually exploited the patient during treatment. The LMFT has not independently corroborated the allegation. What does §81.006(a) require?

   1. A. Wait for a licensing-board finding before making a report.
   2. B. Report the allegation to the county prosecuting attorney and responsible licensing board within 30 days.
   3. C. Send the allegation only to the employer and await its investigation.
   4. D. Make a report only if a second clinician independently suspects exploitation.

   Answer: B

   Explanation: "If a mental health services provider or the employer of a mental health services provider has reasonable cause to suspect that a patient has been the victim of sexual exploitation by a mental health services provider during the course of treatment, or if a patient alleges sexual exploitation by a mental health services provider during the course of treatment, the mental health services provider or the employer shall report the alleged conduct not later than the 30th day after the date the person became aware of the conduct or the allegations to: (1) the prosecuting attorney in the county in which the alleged sexual exploitation occurred; and (2) any state licensing board that has responsibility for the mental health services provider's licensing." The patient's allegation during treatment independently triggers the report; separate corroboration is not a prerequisite. The statute names both recipients and the 30-day deadline.

   Source: Texas CP.81 official statute — Tex. Civ. Prac. & Rem. Code §81.006(a)

7. 7A covered Texas mental-health practice hires a new employee whose duties involve protected health information. What is the latest statutory deadline for the employee to complete the required privacy-law training?

   1. A. The 30th day after the employee is hired by the covered entity.
   2. B. The 60th day after the employee is hired by the covered entity.
   3. C. The 90th day after the employee is hired by the covered entity.
   4. D. The 180th day after the employee is hired by the covered entity.

   Answer: C

   Explanation: "Each covered entity shall provide training to employees of the covered entity regarding the state and federal law concerning protected health information as necessary and appropriate for the employees to carry out the employees' duties for the covered entity. (b) An employee of a covered entity must complete training described by Subsection (a) not later than the 90th day after the date the employee is hired by the covered entity." The covered entity must provide appropriate training, and the employee must complete it no later than day 90 after hire. The question asks the statutory latest deadline, so an earlier completion is not a second answer.

   Source: Texas HS.181 official statute — Tex. Health & Safety Code §181.101(a)-(b)

8. 8A Texas MFT owner considers several payments. No federal-law permitted arrangement or statutory entity exception applies. Which payment falls within the patient-solicitation prohibition of §102.001(a)?

   1. A. Paying a clinician for treatment sessions the clinician actually provided.
   2. B. Paying a publisher for a truthful advertisement of the practice.
   3. C. Paying a recruiter a commission for each patient secured for the practice.
   4. D. Paying an insurer the practice's ordinary liability-policy premium.

   Answer: C

   Explanation: "A person commits an offense if the person knowingly offers to pay or agrees to accept, directly or indirectly, overtly or covertly any remuneration in cash or in kind or any benefit or commission to or from another for securing or soliciting a patient or patronage for or from a person licensed, certified, or registered by a state health care regulatory agency." The commission is remuneration for securing a patient for a state-regulated provider, the transaction §102.001(a) identifies. The other payments compensate treatment, advertising, or insurance, not securing a specific patient.

   Source: Texas OC.102 official statute — Tex. Occ. Code §102.001(a); §102.003

9. 9In a court-ordered competency assessment, a defendant can repeat the charge but cannot consult with counsel with a reasonable degree of rational understanding. Under Art. 46B.003(a), which conclusion follows?

   1. A. The defendant meets one statutory basis for incompetency to stand trial.
   2. B. The defendant must be competent because the charge can be repeated.
   3. C. The defendant is incompetent only if both statutory abilities are absent.
   4. D. The defendant's competency depends solely on a psychiatric diagnosis.

   Answer: A

   Explanation: "A person is incompetent to stand trial if the person does not have: (1) sufficient present ability to consult with the person's lawyer with a reasonable degree of rational understanding; or (2) a rational as well as factual understanding of the proceedings against the person." The statutory criteria are alternatives joined by 'or.' The inability to consult with counsel with rational understanding independently meets a basis for incompetency, even if the defendant can repeat the charge.

   Source: Texas CR.46B official statute — Tex. Code Crim. Proc. art. 46B.003(a)

10. 10A university has designated an LMFT employee as a confidential contact for students. A student reports a sexual assault to that LMFT. What may the LMFT include in the institution's §51.252 report?

    1. A. The incident type and all known identifiers of the student.
    2. B. Only the incident type, without details that violate the student's privacy expectation.
    3. C. The student identifiers but not the type of incident.
    4. D. The full account unless the student files a written anonymity request.

    Answer: B

    Explanation: "An employee of a postsecondary educational institution designated by the institution as a person with whom students may speak confidentially concerning sexual harassment, sexual assault, dating violence, or stalking or who receives information regarding such an incident under circumstances that render the employee's communications confidential or privileged under other law shall, in making a report under this section, state only the type of incident reported and may not include any information that would violate a student's expectation of privacy." The designated confidential employee still makes the statutory report, but limits it to the incident type and excludes information violating the student's privacy expectation.

    Source: Texas ED.51 official statute — Tex. Educ. Code §51.252(c)