Questions and Answers Flashcards
6 cards from real NCMHCE practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Questions and Answers flashcards as text
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?
Answer: Accept the client, document the dual relationship, and monitor for potential harm
In rural settings, some dual relationships are unavoidable. The ethical approach is to accept with transparency, documentation, and ongoing monitoring.
Which neurotransmitter is MOST directly implicated in the reward pathways involved in substance use disorders?
Answer: Dopamine
Dopamine is the primary neurotransmitter in the mesolimbic reward pathway, which is hijacked by addictive substances.
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?
Answer: Boundary making
Boundary making establishes appropriate interpersonal boundaries by directing family members to interact directly rather than through intermediaries.
When interpreting a client's score on a standardized assessment instrument, which psychometric property indicates whether the test measures what it claims to measure?
Answer: Validity
Validity indicates whether a test actually measures the construct it purports to measure.
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?
Answer: Miracle question
The miracle question is a signature SFBT technique that helps clients envision their preferred future and identify small, achievable changes.
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?
Answer: Informing differential diagnosis and case conceptualization
Incongruent affect is clinically significant for differential diagnosis, as it may indicate dissociation, schizophrenia, cultural differences, or defense mechanisms.