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

Seasonal pattern specifier applies when there is a regular temporal relationship between mood episodes and a particular time of year.

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

Before any action, the counselor must clinically assess threat imminence, specificity, and whether a third party is identifiable.

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

An amplified reflection overstates the client's position so the client is likely to push back and articulate reasons for change.

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

PDD requires a chronically depressed mood lasting at least two years with no remission longer than two months.

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

Production and distribution of sexually explicit images of minors constitutes child sexual exploitation and is a mandated reporting situation.

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

NCMHCE NCMHCE 2