NCMHCE Questions and Answers 3

Question 1

A counselor working in a rural community discovers that their new client is also their mail carrier. According to ethical guidelines, what is the MOST appropriate course of action?

Accepted Answer

Accept the client, document the dual relationship, and monitor for potential harm

Answer

Refuse to treat the client to avoid any dual relationship

Answer

Accept the client only if no other counselor is available within 50 miles

Answer

Accept the client but switch to a different mail route

Question 2

Which neurotransmitter is MOST directly implicated in the reward pathways involved in substance use disorders?

Accepted Answer

Dopamine

Answer

Serotonin

Answer

GABA

Answer

Norepinephrine

Question 3

A counselor is conducting a family therapy session using structural family therapy. The counselor asks the mother and daughter to discuss a conflict directly rather than through the father. This technique is BEST described as which structural intervention?

Accepted Answer

Boundary making

Answer

Reframing

Answer

Enactment

Answer

Unbalancing

Question 4

When interpreting a client's score on a standardized assessment instrument, which psychometric property indicates whether the test measures what it claims to measure?

Accepted Answer

Validity

Answer

Reliability

Answer

Norming

Answer

Sensitivity

Question 5

A counselor using solution-focused brief therapy asks a client: 'If a miracle happened tonight and the problem was solved, how would tomorrow be different?' This technique is known as which SFBT intervention?

Accepted Answer

Miracle question

Answer

Exception question

Answer

Scaling question

Answer

Coping question

Question 6

A counselor notices that their client's affect during sessions is consistently incongruent with the content being discussed, smiling while describing traumatic experiences. This observation is MOST important for which clinical purpose?

Accepted Answer

Informing differential diagnosis and case conceptualization

Answer

Determining the client's level of intelligence

Answer

Deciding whether the client is being truthful

Answer

Establishing rapport with the client