NCMHCE - National Clinical Mental Health Counseling Examination Professional Practice and Ethics 3

Question 1

A counselor inherits a caseload from a colleague who left the agency unexpectedly.
Several clients have incomplete or poorly maintained clinical records.
What is the new counselor's FIRST ethical priority?

Accepted Answer

Conduct thorough assessments with each client to establish current baselines

Answer

Report the former counselor to the licensing board for inadequate documentation

Answer

Reconstruct the records based on what clients report

Answer

Continue treatment using the existing documentation

Question 2

A counselor provides telehealth services to a client who has relocated to a different state. Which ethical and legal concern is MOST critical to address?

Accepted Answer

Whether the counselor is licensed in the client's new state

Answer

Technology security and encryption standards

Answer

Time zone differences affecting scheduling

Answer

Whether the client's insurance covers telehealth

Question 3

A counselor realizes mid-session that they have a dual relationship with a new client, as the client is also their child's teacher. What is the MOST appropriate immediate action?

Accepted Answer

Disclose the dual relationship and discuss it with the client to determine if they can proceed

Answer

Continue the session and refer the client afterward

Answer

Stop the session immediately and explain the dual relationship

Answer

Ignore it since the roles are unrelated

Question 4

A supervisee discloses during clinical supervision that they are sexually attracted to a client. What is the supervisor's MOST appropriate response?

Accepted Answer

Normalize the experience and explore it within supervision

Answer

Immediately require the supervisee to transfer the client

Answer

Report the supervisee to the ethics board for potential violation

Answer

Advise the supervisee to avoid discussing attraction with anyone

Question 5

When obtaining informed consent for group therapy, which element is UNIQUE to group therapy that does not apply to individual therapy consent?

Accepted Answer

The counselor's inability to guarantee confidentiality among group members

Answer

Fees and payment expectations

Answer

Limits of confidentiality

Answer

Risks and benefits of treatment

Question 6

A counselor is considering using a new evidence-based treatment approach that they have read about but have not received formal training in. According to ethical practice standards, what should the counselor do?

Accepted Answer

Obtain appropriate training and supervision before implementing the approach

Answer

Use the approach since it is evidence-based

Answer

Use a modified version based on their reading

Answer

Refer all clients who might benefit from this approach