NCMHCE NCMHCE 2

Question 1

A client presents with depressed mood, loss of interest, hypersomnia, increased appetite, and leaden paralysis occurring seasonally each winter.
The most appropriate specifier for this presentation is:

Accepted Answer

With seasonal pattern

Answer

With anxious distress

Answer

With atypical features

Answer

With melancholic features

Question 2

During a clinical interview, a client describes hearing the voice of God commanding her to harm others. Under duty-to-warn obligations, the counselor's FIRST priority is to:

Accepted Answer

Assess imminence, specificity of threat, and identifiable victim(s)

Answer

Document the disclosure in session notes

Answer

Immediately notify law enforcement

Answer

Consult with a supervisor before taking any action

Question 3

A counselor using Motivational Interviewing reflects back an exaggerated version of a client's ambivalent statement to evoke the client's own counter-argument. This technique is called:

Accepted Answer

Amplified reflection

Answer

Affirmation

Answer

Double-sided reflection

Answer

Rolling with resistance

Question 4

According to the DSM-5-TR, which criterion differentiates Persistent Depressive Disorder (Dysthymia) from Major Depressive Disorder?

Accepted Answer

Duration of at least two years with no more than two-month symptom-free periods

Answer

Presence of anhedonia

Answer

Psychomotor retardation

Answer

Recurrent suicidal ideation

Question 5

A school counselor learns that a 15-year-old client has been exchanging explicit images online. The counselor's legal obligation is to:

Accepted Answer

Report to child protective services as this constitutes child sexual exploitation

Answer

Maintain confidentiality because the client is a minor who disclosed voluntarily

Answer

Notify the school principal only, as they have supervisory responsibility

Answer

Consult an attorney before taking any action

Question 6

A clinician suspects a client has Borderline Personality Disorder. Which of the following assessment tools is most widely validated for this diagnosis?

Accepted Answer

Structured Clinical Interview for DSM-5 (SCID-5)

Answer

Beck Depression Inventory-II (BDI-II)

Answer

McLean Screening Instrument for BPD (MSI-BPD)

Answer

Minnesota Multiphasic Personality Inventory-2 (MMPI-2)

Question 7

In a clinical simulation, a client with PTSD reports numbing, emotional detachment, and a sense of a foreshortened future. These symptoms cluster under which DSM-5-TR symptom criterion for PTSD?

Accepted Answer

Criterion D: Negative alterations in cognition and mood

Answer

Criterion B: Intrusion symptoms

Answer

Criterion C: Avoidance

Answer

Criterion E: Alterations in arousal and reactivity