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NCMHCE VIP Clinical Simulation Practice Exam II
NCMHCE — The NCMHCE (National Clinical Mental Health Counseling Examination) is administered by the National Board for Certified Counselors (NBCC) and consists of 10 clinical simulation case studies with branching decision points, completed in 3 hours and 45 minutes; it is used as a licensure requirement across most U.S. states for credentials such as LPC, LMHC, and LCMHC.
28
Questions
225m
Time Limit
75.00%
To Pass
Question 1 of 28👑 VIP
A 34-year-old male veteran presents to your outpatient clinic after being referred by his primary care physician. He reports recurrent nightmares about combat, hypervigilance in public spaces, and an inability to enter crowded stores. He drinks 6–8 beers nightly, stating it is the 'only way to sleep.' He denies current suicidal ideation but acknowledges passive thoughts of 'not wanting to be here' approximately three months ago. On mental status exam he is alert, oriented, and cooperative but appears tense. Which of the following is the MOST clinically appropriate first priority in treatment planning? A. Begin cognitive processing therapy (CPT) for PTSD immediately, as it is the first-line evidence-based treatment B. Refer to a psychiatrist for evaluation of pharmacotherapy before initiating any psychotherapy C. Assess and address the alcohol use disorder concurrently with trauma stabilization before initiating trauma-focused therapy D. Prioritize psychoeducation about sleep hygiene and defer PTSD treatment until sleep normalizes
Questions 2–28 and full explanations are VIP-exclusive.