NCMHCE Questions and Answers 2

Question 1

A counselor is developing a case conceptualization for a client presenting with panic disorder and agoraphobia.
Which theoretical framework would MOST emphasize the role of catastrophic misinterpretation of bodily sensations?

Accepted Answer

Cognitive model of panic

Answer

Psychodynamic theory

Answer

Behavioral conditioning theory

Answer

Humanistic-existential approach

Question 2

According to the ACA Code of Ethics, when a counselor determines they cannot be of professional assistance to a client, which action is REQUIRED?

Accepted Answer

Terminate the relationship and provide appropriate referrals

Answer

Continue treatment while consulting with a supervisor

Answer

Transfer the case to a colleague within the same agency

Answer

Document the limitation and continue with modified goals

Question 3

Which research design is MOST appropriate for determining whether a specific counseling intervention causes improvement in client outcomes?

Accepted Answer

Randomized controlled trial

Answer

Correlational study

Answer

Case study

Answer

Qualitative phenomenological study

Question 4

A client who is a military veteran presents with emotional numbness, difficulty trusting others, and avoidance of crowds. Before diagnosing PTSD, what additional assessment information is MOST important to obtain?

Accepted Answer

Combat exposure history and specific traumatic events

Answer

Length of military service and rank

Answer

Family history of mental illness

Answer

Current medication list

Question 5

When calculating statistical significance in counseling research, a p-value of 0.03 indicates which of the following?

Accepted Answer

There is a 3% probability that the observed results occurred by chance

Answer

There is a 3% probability that the treatment is effective

Answer

The treatment effect size is 3%

Answer

97% of participants improved with treatment

Question 6

A counselor is working with a client who has been diagnosed with Dissociative Identity Disorder (DID). Which therapeutic approach is considered MOST appropriate?

Accepted Answer

Phase-oriented treatment focusing on safety, stabilization, and gradual processing

Answer

Rapid integration of all alter identities

Answer

Hypnotic regression to uncover the original trauma

Answer

Confrontational approaches to challenge the validity of alter identities