NCMHCE NCMHCE 5

Question 1

A counselor in private practice is subpoenaed to release a client's records in a civil lawsuit. The ethically correct first step is:

Accepted Answer

Notify the client and seek their written authorization or legal counsel before releasing records

Answer

A subpoena alone does not legally compel disclosure of psychotherapy records without client authorization or a court order; the client must be notified and legal guidance sought.

Question 2

Which of the following best characterizes Dialectical Behavior Therapy's (DBT) biosocial theory of Borderline Personality Disorder?

Accepted Answer

BPD develops from the transaction between biological emotional sensitivity and an invalidating environment

Answer

DBT's biosocial theory posits that BPD emerges from a transaction between innate emotional sensitivity and chronic invalidation by the environment.

Question 3

A client discloses active suicidal ideation with a plan but no means access and states willingness to engage in a safety plan. The most appropriate level of care is:

Accepted Answer

Outpatient counseling with a collaboratively developed safety plan and increased session frequency

Answer

When a client has a plan but no means access, is willing to engage, and can contract for safety, stepped-up outpatient care with a safety plan is the least restrictive appropriate option.

Question 4

In the context of clinical supervision, parallel process occurs when:

Accepted Answer

Dynamics from the supervisee-client relationship unconsciously replicate themselves in the supervisee-supervisor relationship

Answer

Parallel process describes how relational patterns between a counselor and client unconsciously emerge and mirror themselves in the supervisory relationship.

Question 5

A client reports episodes of sudden intense fear peaking within minutes, accompanied by heart pounding, shortness of breath, derealization, and fear of dying, with no apparent trigger. Between episodes they worry about having another attack. The diagnosis is:

Accepted Answer

Panic Disorder

Answer

Unexpected panic attacks plus persistent anticipatory anxiety about future attacks meets the DSM-5-TR criteria for Panic Disorder.

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

NCMHCE NCMHCE 5