NCMHCE - National Clinical Mental Health Counseling Examination Intake, Assessment, and Diagnosis 4

Question 1

A client describes long-standing patterns of grandiosity, a need for admiration, and a lack of empathy that have caused significant occupational problems. The MOST likely diagnosis is:

Accepted Answer

Narcissistic Personality Disorder

Answer

Narcissistic Personality Disorder is characterized by a pervasive pattern of grandiosity, need for admiration, and lack of empathy beginning by early adulthood.

Question 2

Which assessment tool is MOST appropriate for evaluating the severity of alcohol use disorder in a clinical setting?

Accepted Answer

Alcohol Use Disorders Identification Test (AUDIT)

Answer

The AUDIT is a validated 10-item screening tool developed by the WHO specifically to assess alcohol consumption, drinking behaviors, and alcohol-related problems.

Question 3

In the NCMHCE simulation format, after reading a clinical vignette, the counselor selects information-gathering options. Which of the following is considered a CONTRAINDICATED information-gathering choice?

Accepted Answer

Asking the client to prove their symptoms are real

Answer

Asking a client to prove their symptoms are real is therapeutically harmful, damages rapport, and is never an appropriate clinical action.

Question 4

A school counselor notices a 9-year-old student is excessively fearful of separating from parents, refuses to attend school, and reports stomachaches most mornings. The MOST appropriate diagnosis to consider is:

Accepted Answer

Separation Anxiety Disorder

Answer

Separation Anxiety Disorder involves excessive fear or anxiety about separation from attachment figures, often manifesting as school refusal and somatic complaints in children.

Question 5

A counselor is conducting a mental status examination. Which domain is being assessed when the counselor notes that the client's speech is rapid, loud, and difficult to interrupt?

Accepted Answer

Speech

Answer

In the mental status examination, characteristics of speech such as rate, volume, and fluency are documented under the 'speech' domain.

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

NCMHCE - National Clinical Mental Health Counseling Examination Intake, Assessment, and Diagnosis 4