NCMHCE Treatment Planning Process 2

Question 1

A client with major depressive disorder refuses pharmacotherapy but agrees to therapy. When writing the treatment plan, the counselor should:

Accepted Answer

Document the refusal and incorporate the client's preferences into the plan

Answer

Discharge the client for non-compliance

Answer

Refer exclusively to psychiatry

Answer

Delay treatment until the client accepts medication

Question 2

Which element of a SMART goal addresses whether the goal can realistically be achieved given the client's current resources?

Accepted Answer

Attainable

Answer

Specific

Answer

Measurable

Answer

Time-bound

Question 3

During a treatment planning session, a client with PTSD discloses ongoing domestic violence. The counselor's first priority should be:

Accepted Answer

Conduct a safety assessment and revise the plan to address immediate safety

Answer

Continue developing long-term trauma processing goals

Answer

Refer the client to a support group

Answer

Maintain the existing plan and address safety in a future session

Question 4

A counselor is writing objectives for a client's treatment plan. Objectives differ from goals in that objectives are:

Accepted Answer

Specific, measurable steps toward achieving the broader goal

Answer

Broader and more aspirational

Answer

Written by the insurance company

Answer

Identical to clinical interventions

Question 5

A managed care organization requests a treatment plan update after 8 sessions. What information is most critical to include?

Accepted Answer

Client's progress toward measurable objectives and medical necessity justification

Answer

The counselor's theoretical orientation

Answer

A list of all topics discussed in session

Answer

The client's DSM-5 history only

Question 6

Which approach to treatment planning involves collaboratively identifying problems, strengths, and goals with the client actively participating in each step?

Accepted Answer

Collaborative or client-centered planning

Answer

Prescriptive planning

Answer

Clinician-directed planning

Answer

Diagnosis-driven planning

Question 7

A counselor notes that a client's presenting problem has shifted significantly since the initial treatment plan was written. The appropriate action is to:

Accepted Answer

Update the treatment plan to reflect current presenting concerns

Answer

Complete treatment using the original plan only

Answer

Write an entirely new intake assessment

Answer

Refer the client to a new provider