NCMHCE - National Clinical Mental Health Counseling Examination Intake, Assessment, and Diagnosis 2

Question 1

During an intake assessment, a client reports hearing voices that comment on their behavior. Which additional assessment question is MOST critical to ask next?

Accepted Answer

Do the voices ever tell you to harm yourself or others?

Answer

How long have you been hearing voices?

Answer

What medications are you currently taking?

Answer

Do you have a family history of mental illness?

Question 2

A client presents with depressed mood, weight gain, excessive sleeping, and leaden paralysis. These symptoms are MOST consistent with which DSM-5 specifier?

Accepted Answer

Major depressive disorder with atypical features

Answer

Major depressive disorder with melancholic features

Answer

Major depressive disorder with anxious distress

Answer

Major depressive disorder with peripartum onset

Question 3

Which assessment tool is MOST appropriate for measuring the severity of a client's alcohol use disorder?

Accepted Answer

AUDIT (Alcohol Use Disorders Identification Test)

Answer

CAGE questionnaire

Answer

MAST (Michigan Alcohol Screening Test)

Answer

SASSI (Substance Abuse Subtle Screening Inventory)

Question 4

A 7-year-old child is referred for assessment after being expelled from school for repeated aggressive outbursts. Which diagnostic consideration should the counselor evaluate FIRST?

Accepted Answer

Trauma history and adverse childhood experiences

Answer

Conduct Disorder

Answer

Oppositional Defiant Disorder

Answer

Attention-Deficit/Hyperactivity Disorder

Question 5

During a diagnostic interview, a client describes periods of elevated mood lasting 3-4 days with decreased need for sleep, rapid speech, and increased goal-directed activity that do not cause significant functional impairment. This presentation MOST closely aligns with which diagnosis?

Accepted Answer

Bipolar II Disorder, current episode hypomanic

Answer

Bipolar I Disorder, current episode manic

Answer

Cyclothymic Disorder

Answer

Unspecified Bipolar and Related Disorder

Question 6

Which cultural consideration is MOST important when conducting a diagnostic assessment with a client from a collectivist cultural background?

Accepted Answer

Understanding that family involvement in treatment decisions may be normative

Answer

Using culturally validated assessment instruments only

Answer

Adjusting diagnostic thresholds for cultural norms

Answer

Conducting the assessment in the client's native language exclusively