NCMHCE Skills and Interventions 2

Question 1

A client with PTSD reports hypervigilance and difficulty sleeping. Which intervention is most evidence-based for this presentation?

Accepted Answer

Prolonged Exposure (PE) therapy

Answer

Supportive counseling only

Answer

Psychoeducation about sleep hygiene only

Answer

Hypnotherapy

Question 2

During a session, a client becomes dissociative. The most appropriate immediate counselor response is to:

Accepted Answer

Use grounding techniques to reorient the client

Answer

Continue the session as planned

Answer

Terminate the session immediately

Answer

Increase emotional intensity to break through

Question 3

A counselor uses the Socratic questioning technique. This is most associated with which therapeutic approach?

Accepted Answer

Cognitive-Behavioral Therapy

Answer

Person-Centered Therapy

Answer

Psychoanalysis

Answer

Gestalt Therapy

Question 4

A client describes feeling 'numb' and disconnected from emotions after a traumatic event. The counselor should prioritize:

Accepted Answer

Psychoeducation about emotional numbing as a trauma response

Answer

Pushing the client to express emotions immediately

Answer

Referring to psychiatry without further assessment

Answer

Interpreting unconscious resistance

Question 5

Which motivational interviewing skill involves the counselor summarizing the client's ambivalence and change talk to reinforce motivation?

Accepted Answer

Summaries

Answer

Open-ended questioning

Answer

Affirmations

Answer

Reflective listening

Question 6

A client with depression engages in 'all-or-nothing thinking.' The most appropriate CBT intervention is:

Accepted Answer

Cognitive restructuring

Answer

Free association

Answer

Behavioral activation

Answer

Flooding

Question 7

When working with a client using a strengths-based approach, the counselor's primary focus is on:

Accepted Answer

Identifying and amplifying the client's existing resources and competencies

Answer

Diagnosing pathology accurately

Answer

Challenging maladaptive defense mechanisms

Answer

Providing direct advice for problem-solving