NCMHCE - National Clinical Mental Health Counseling Examination Treatment Planning Process 3

Question 1

A client has met all treatment plan goals but expresses anxiety about termination. How should the counselor address this in the treatment plan?

Accepted Answer

Develop a termination plan that includes relapse prevention and gradual session reduction

Answer

Add new goals to extend treatment

Answer

Immediately terminate since goals are met

Answer

Extend treatment until the client feels ready

Question 2

A client's treatment plan includes the goal of 'improving self-esteem.' What is the PRIMARY problem with this goal as written?

Accepted Answer

The goal is not measurable or behaviorally defined

Answer

Self-esteem is not a valid treatment target

Answer

Self-esteem goals are not reimbursable by insurance

Answer

The goal should be written in the counselor's perspective, not the client's

Question 3

Which treatment planning model MOST emphasizes building on the client's existing resources and past successes rather than focusing on deficits?

Accepted Answer

Strengths-based treatment planning

Answer

Medical model treatment planning

Answer

Problem-focused treatment planning

Answer

Symptom-reduction treatment planning

Question 4

A client's insurance authorizes 12 sessions, but the counselor estimates that 20 sessions are needed for adequate treatment. What is the MOST appropriate treatment planning approach?

Accepted Answer

Develop a 12-session plan with the most critical priorities, while appealing for additional sessions and documenting medical necessity

Answer

Limit the treatment plan to what can be accomplished in 12 sessions

Answer

Ignore the authorization and plan for 20 sessions

Answer

Refer the client to a provider who accepts the client's insurance for longer treatment

Question 5

When incorporating cultural considerations into treatment planning, which practice is MOST important?

Accepted Answer

Asking the client about their cultural identity and how it influences their view of the problem and treatment

Answer

Using only culturally specific treatment modalities

Answer

Matching the client with a counselor of the same cultural background

Answer

Applying standardized treatment protocols regardless of culture to ensure equity

Question 6

A treatment plan objective states: 'Counselor will provide cognitive-behavioral therapy twice weekly.' What is the PRIMARY error in this objective?

Accepted Answer

Objectives should describe client behavior, not counselor behavior

Answer

CBT should not be provided twice weekly

Answer

The objective does not specify the type of CBT technique

Answer

The objective needs an end date