NCMHCE Crisis and Trauma Interventions 3

Question 1

Eye Movement Desensitization and Reprocessing (EMDR) therapy targets traumatic memories through which core mechanism?

Accepted Answer

Bilateral stimulation while the client holds a traumatic memory in mind to facilitate adaptive processing

Answer

EMDR uses bilateral stimulation (eye movements, taps, or tones) while the client focuses on a traumatic memory to facilitate adaptive information processing.

Question 2

A client meets criteria for Complex PTSD (C-PTSD) after years of childhood neglect. Which additional symptom cluster distinguishes C-PTSD from standard PTSD?

Accepted Answer

Disturbances in self-organization including affect dysregulation, negative self-concept, and relational difficulties

Answer

C-PTSD includes the core PTSD clusters plus disturbances in self-organization (DSO), which encompass affect dysregulation, negative self-concept, and impaired relationships.

Question 3

During a phone crisis intervention, a caller states 'I have pills in my hand right now.' The FIRST action the counselor should take is:

Accepted Answer

Keep the caller engaged while dispatching emergency services to their location

Answer

When means are immediately present and imminent danger is clear, dispatching emergency services while maintaining engagement is the priority to preserve life.

Question 4

The Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) model is organized around which acronym describing its components?

Accepted Answer

PRACTICE — Psychoeducation, Relaxation, Affective modulation, Cognitive coping, Trauma narrative, In vivo mastery, Conjoint sessions, Enhancing safety

Answer

TF-CBT uses the PRACTICE acronym to organize its evidence-based components for children, adolescents, and their caregivers.

Question 5

A veteran with PTSD reports recurrent nightmares and is resistant to trauma-focused therapy. Which evidence-based treatment specifically targets trauma-related nightmares?

Accepted Answer

Image Rehearsal Therapy (IRT)

Answer

Image Rehearsal Therapy (IRT) is an evidence-based cognitive-behavioral treatment that rescripts and mentally rehearses nightmares to reduce their frequency and distress.

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

NCMHCE Crisis and Trauma Interventions 3