NCMHCE Skills and Interventions 4

Question 1

A counselor is using behavioral activation with a depressed client. The primary goal of this intervention is to:

Accepted Answer

Increase engagement in rewarding activities to improve mood

Answer

Challenge negative automatic thoughts

Answer

Explore childhood experiences contributing to depression

Answer

Develop insight into interpersonal patterns

Question 2

A client discloses suicidal ideation with a vague plan but no intent. The counselor's priority is to:

Accepted Answer

Conduct a thorough suicide risk assessment

Answer

End the session and call 911 immediately

Answer

Reassure the client that everything will be fine

Answer

Refer to another counselor immediately

Question 3

Which skill involves the counselor communicating that the client's feelings are understandable given their circumstances?

Accepted Answer

Validation

Answer

Confrontation

Answer

Interpretation

Answer

Reframing

Question 4

A counselor uses the miracle question with a client who feels hopeless. This technique helps the client to:

Accepted Answer

Envision a future without the problem to clarify goals

Answer

Identify irrational beliefs

Answer

Process grief about what cannot change

Answer

Establish a safety contract

Question 5

A client with social anxiety avoids all social situations. A graduated exposure hierarchy would begin with:

Accepted Answer

A mildly anxiety-provoking social situation

Answer

The most feared situation immediately

Answer

Full immersion in a crowded public space

Answer

Imaginal exposure to the worst-case scenario

Question 6

A counselor practices active listening by maintaining appropriate eye contact and using minimal encouragers. These are examples of:

Accepted Answer

Attending behaviors

Answer

Interpretation skills

Answer

Confrontation techniques

Answer

Advanced empathy

Question 7

In EMDR therapy, bilateral stimulation is used during which phase?

Accepted Answer

Desensitization

Answer

History-taking and treatment planning

Answer

Assessment of targets only

Answer

Closure