NCMHCE Skills and Interventions 5

Question 1

A counselor uses 'immediacy' in a session. This skill involves:

Accepted Answer

Discussing the here-and-now dynamics of the therapeutic relationship

Answer

Immediacy involves the counselor openly discussing what is happening in the client-counselor relationship in the present moment.

Question 2

A client with generalized anxiety reports chronic worry and muscle tension. In addition to CBT, which skill specifically targets physiological arousal?

Accepted Answer

Progressive Muscle Relaxation (PMR)

Answer

PMR systematically tenses and releases muscle groups, directly reducing the physiological component of anxiety.

Question 3

When working with a client from a collectivist cultural background, the counselor should:

Accepted Answer

Adapt interventions to incorporate family and community values

Answer

Culturally competent counseling adapts goals and interventions to honor the client's collectivist values and relational context.

Question 4

A client's resistance increases after the counselor offers advice. According to motivational interviewing, the counselor should:

Accepted Answer

Roll with the resistance by reflecting and exploring the client's perspective

Answer

MI instructs counselors to 'roll with resistance' by using reflection rather than arguing, preserving the collaborative relationship.

Question 5

A counselor uses externalizing questions with a child who feels controlled by anxiety. This is most consistent with:

Accepted Answer

Narrative therapy

Answer

Narrative therapy uses externalizing language to help clients see the problem as separate from their identity, reducing shame.

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

NCMHCE Skills and Interventions 5