NCMHCE Test 4

Question 1

A counselor using a cognitive-behavioral framework would MOST likely address a client's depression by targeting which of the following?

Accepted Answer

Automatic negative thoughts and maladaptive cognitive distortions

Answer

CBT focuses on identifying and restructuring automatic negative thoughts and cognitive distortions that maintain depressive symptoms.

Question 2

An NCMHCE simulation presents a client with a history of alcohol dependence who is now seeking counseling. The client says, 'I'm not sure I really have a problem.' This statement reflects which stage of Prochaska's Transtheoretical Model?

Accepted Answer

Precontemplation

Answer

Precontemplation is characterized by lack of awareness or acknowledgment of a problem and absence of intention to change.

Question 3

A counselor receives a subpoena for a client's therapy records. What is the MOST appropriate initial step?

Accepted Answer

Consult with an attorney and notify the client before releasing records

Answer

Consulting legal counsel and notifying the client allows the counselor to protect client privilege while complying with legal obligations appropriately.

Question 4

During the NCMHCE, a simulation presents a 16-year-old seeking counseling for anxiety without parental knowledge. Legally, the counselor's FIRST consideration should be:

Accepted Answer

Check state law regarding minor consent for mental health services

Answer

State laws vary regarding minors' ability to consent to mental health treatment, and the counselor must know applicable state statutes before proceeding.

Question 5

A client with Borderline Personality Disorder frequently calls the counselor outside of session hours in crisis. The BEST approach to manage this is:

Accepted Answer

Establish clear between-session contact protocols collaboratively with the client

Answer

Collaboratively establishing clear and consistent contact protocols is consistent with DBT and boundary-setting best practices for clients with BPD.

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

NCMHCE - National Clinical Mental Health Counseling Examination Practice Test

NCMHCE Test 4