NCMHCE - National Clinical Mental Health Counseling Examination Crisis and Trauma Interventions 2

Question 1

A client who recently survived a mass casualty event presents with emotional numbing, hypervigilance, and intrusive memories three weeks after the event.
Which is the MOST appropriate immediate clinical action?

Accepted Answer

Conduct a thorough safety and risk assessment

Answer

Begin trauma-focused CBT

Answer

Diagnose PTSD and begin treatment planning

Answer

Refer for psychiatric medication evaluation

Question 2

Which crisis intervention model emphasizes restoring the client to their pre-crisis level of functioning within a brief timeframe?

Accepted Answer

Equilibrium model of crisis intervention

Answer

Roberts' Seven-Stage Crisis Intervention Model

Answer

Psychological First Aid

Answer

Critical Incident Stress Debriefing

Question 3

A school counselor must respond after a student's suicide. Which action should be prioritized for the broader school community?

Accepted Answer

Providing psychoeducation about warning signs and available resources

Answer

Holding a school-wide memorial assembly

Answer

Implementing mandatory grief counseling for all students

Answer

Sharing details of the death to combat rumors

Question 4

When using EMDR with a trauma survivor, during which phase does the actual bilateral stimulation and processing occur?

Accepted Answer

Phase 4: Desensitization

Answer

Phase 3: Assessment

Answer

Phase 5: Installation

Answer

Phase 6: Body Scan

Question 5

A client presents in acute crisis stating they have a plan to harm their spouse. According to the Tarasoff duty, what is the counselor's PRIMARY legal obligation?

Accepted Answer

Break confidentiality and warn the identified potential victim

Answer

Maintain confidentiality and work therapeutically with the anger

Answer

Hospitalize the client involuntarily

Answer

Contact law enforcement only

Question 6

Which trauma-informed approach is MOST appropriate for a client who experienced childhood sexual abuse and currently dissociates during sessions?

Accepted Answer

Phase-based treatment starting with stabilization

Answer

Immediate trauma narrative processing

Answer

Flooding exposure to trauma memories

Answer

Hypnotherapy for memory recovery