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

Safety and risk assessment is always the first priority in crisis and trauma work, before any diagnosis or treatment intervention can begin.

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

The equilibrium model specifically focuses on restoring the client's homeostatic balance and pre-crisis level of functioning as quickly as possible.

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

Providing psychoeducation about warning signs and resources is the recommended postvention response that supports the community while preventing contagion.

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 4 (Desensitization) is when the therapist guides bilateral stimulation while the client focuses on the traumatic memory and associated disturbance.

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

The Tarasoff ruling established the duty to protect identifiable potential victims, which may include warning the intended victim directly.

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

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