NCBTMB Communication and Documentation 5

Question 1

A client mentions they were recently diagnosed with cancer but asks you not to tell anyone. Which action is MOST appropriate?

Accepted Answer

Honor the confidentiality and document the disclosure in the client's record only

Answer

Confidential disclosures must be documented in the client's record, and treatment decisions (including potential referral) should be made collaboratively with the client.

Question 2

Nonverbal communication cues a therapist should monitor during a session include:

Accepted Answer

Client facial expressions, muscle guarding, and breath-holding

Answer

Monitoring nonverbal cues like guarding and breath-holding helps the therapist adjust pressure or technique in real time.

Question 3

Which behavior BEST demonstrates professional boundaries in a therapeutic relationship?

Accepted Answer

Maintaining consistent policies for all clients without personal exceptions

Answer

Consistent, equitable policies for all clients maintain professional objectivity and prevent boundary erosion.

Question 4

The Plan section of a SOAP note should document:

Accepted Answer

Recommendations for future sessions, home care, and referrals

Answer

The Plan section outlines next steps including frequency, home care recommendations, and any referrals made.

Question 5

During intake, a client asks whether massage will cure their chronic back pain. The therapist's BEST response is:

Accepted Answer

'Massage cannot cure conditions; I can explain how it may help manage your symptoms.'

Answer

Therapists must not make curative claims; accurately framing massage as supportive care upholds scope of practice and ethical communication.

NCBTMB Exam Practice Test

NCBTMB Exam Practice Test

NCBTMB Communication and Documentation 5