LMHC Crisis and Trauma Counseling 3

Question 1

The PTSD diagnostic criterion requiring 'alterations in cognition and mood' (Criterion D in DSM-5) includes which of the following symptoms?

Accepted Answer

Persistent negative beliefs about oneself or the world

Answer

Criterion D includes persistent negative beliefs, distorted blame, negative emotional states, diminished interest in activities, and feelings of detachment.

Question 2

In EMDR therapy, bilateral stimulation is used primarily during which phase?

Accepted Answer

Desensitization

Answer

Bilateral stimulation (eye movements, tapping, or sounds) is applied during the desensitization phase while the client focuses on traumatic memories and negative cognitions.

Question 3

A counselor working with a veteran experiencing PTSD notices that the client becomes emotionally dysregulated when discussing combat experiences. The MOST trauma-informed response is to:

Accepted Answer

Slow down, use grounding techniques, and re-establish a sense of safety before continuing

Answer

Trauma-informed practice requires monitoring the client's window of tolerance and using grounding and stabilization when they become dysregulated.

Question 4

Which of the following is NOT a core component of Prolonged Exposure (PE) therapy for PTSD?

Accepted Answer

EMDR bilateral stimulation

Answer

Prolonged Exposure uses in vivo exposure, imaginal exposure, and psychoeducation — but does NOT include EMDR bilateral stimulation, which is a separate treatment.

Question 5

A school counselor discovers a student has been making statements suggesting suicidal ideation. After assessing risk, the counselor determines the student is at moderate risk. What is the MOST appropriate next step?

Accepted Answer

Contact parents/guardians immediately, collaborate on a safety plan, and consider a higher level of care

Answer

Moderate suicide risk requires immediate contact with parents/guardians, collaborative safety planning, and consideration of whether a higher level of care is needed.

(LMHC) Licensed Mental Health Counselor Certification Practice Test

(LMHC) Licensed Mental Health Counselor Certification Practice Test

LMHC Crisis and Trauma Counseling 3