Practice Test Geeks(TCC) Texas Counselor Certification Practice Test
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Texas Counselor Evaluation & Diagnosis Flashcards

7 cards from real TCC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Texas Counselor Evaluation & Diagnosis flashcards as text

  1. A school counselor in Texas evaluates a 10-year-old who has shown inattention and hyperactivity across home and school for 8 months. Per DSM-5, which duration criterion must be met for an ADHD diagnosis?

    Answer: 6 months

    DSM-5 requires that ADHD symptoms persist for at least 6 months across multiple settings.

  2. Which standardized instrument is most appropriate for assessing trauma-related symptoms in adults consistent with PTSD criteria?

    Answer: PCL-5

    The PTSD Checklist for DSM-5 (PCL-5) is specifically designed to assess the severity of PTSD symptoms aligned with DSM-5 criteria.

  3. During a clinical interview, a counselor discovers a client's grandiosity, decreased need for sleep, and reckless spending have persisted for 5 days. This symptom cluster best supports a diagnosis of:

    Answer: Manic Episode

    A Manic Episode requires elevated or expansive mood with associated symptoms lasting at least 7 days, but hospitalization or marked impairment can qualify at any duration; 5 days with severity suggests mania rather than hypomania.

  4. A Texas counselor uses the Columbia Suicide Severity Rating Scale (C-SSRS). What does this tool primarily assess?

    Answer: The nature and intensity of suicidal ideation and behavior

    The C-SSRS is a validated scale that assesses the intensity of suicidal ideation and documents suicide-related behaviors.

  5. A client reports hearing voices that comment on her actions and believes her thoughts are being broadcast on television. In the mental status exam, these are recorded respectively as:

    Answer: Auditory hallucination and delusion of reference

    Commenting voices are auditory hallucinations, and the belief that one's thoughts are broadcast is a delusion of reference.

  6. Which reliability concept is most relevant when two Texas counselors independently evaluate the same client and must agree on a diagnosis?

    Answer: Inter-rater reliability

    Inter-rater reliability measures agreement between two or more independent raters assessing the same subject.

  7. A client is evaluated and scores a GAD-7 of 15. Which interpretation is correct?

    Answer: Severe anxiety

    GAD-7 scores of 15–21 indicate severe anxiety, warranting clinical attention and possible referral.