NCMHCE Practice Test Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Differential Diagnoses for ASD - CORRECT ANSWER Intellectual disability, ADHD, and
schizophrenia.
Children with ASD will often have difficulty with - CORRECT ANSWER Imaginative play
Helpful therapeutic modalities for behavioral problems related to ASD - CORRECT ANSWER
CBT, behavior therapy, applied behavior analysis
Areas to assess when someone may have panic disorder - CORRECT ANSWER Generalized
anxiety, cognitive processes that occur when experiencing a panic attack, and whether the panic
attacks are expected, unexpected, or both
All of the following are short term goals for the first month of therapy EXCEPT: - CORRECT
ANSWER Reducing frequency and intensity of panic attacks, because as it is a triggered
fight/flight response, it takes time to reduce.
Negative Attending Behaviors - CORRECT ANSWER • (+) behave are annoying when
overused:
Over mirroring!
o Head nods
o Saying 'uh huh'
o Eye contact (too much)
o Repeating client's last word
o Mirroring
• Other (-) attending behavs:
o Infreq eye contact
o Turning away more than 45o
o Leaning back from the waist up
, o Folding arms across chest
You had an argument with your spouse prior to the session and are distracted. Which of the following
would be the most appropriate decision with regard to your clients well-being, as it is impacted by
your distraction? - CORRECT ANSWER Be aware of how your personal life is impacting the
session and refocus as needed. Maintain awareness of how your personal life is affecting the
counseling session because you want to support the client and prevent as much personal impact as
possible. Rescheduling may be appropriate if the impact of your personal life is unavoidable.
All of the following are primary focuses of the termination session except: - CORRECT ANSWER
Evaluating the effectiveness of therapy because evaluating the effectiveness of therapy
should've occurred throughout the entirety of the counseling services. Therefore it is not a primary
focus of termination..
The client asks if she could return to work with you after the termination session if panic symptoms
were to worsen or return. Which of the following is the most ethical response? - CORRECT
ANSWER Encourage her to continue to use coping skills learned in sessions, and assure her
that she would be able to work with her. Should she have the clinical need for therapy.
You are supervising counseling resident, and their established client has canceled several sessions in a
row. Which of the following would you encourage the Counselor to do? - CORRECT ANSWER
Follow up with a client to ascertain the reason for the cancellations. Determining the reason for
the cancellations is most important because this can open up a dialogue for getting back on track in
the counseling relationship.
All of the following are criteria for borderline personality disorder, except - CORRECT ANSWER
Recurrent depressive episodes. Depressive episodes are not a symptom of borderline
personality disorder. There's a long list of diagnostic criteria for borderline personality disorder five of
which must be pregnant for diagnosis. One category of criteria for borderline personality disorder
according to the DSM five is impulsive behavior, which includes binge eating in addition to excessive
spending in appropriate sexual relations, substance abuse, and dangerous, driving, intense, eager, and
suicidal ideation or additional elements in the list of diagnostic criteria for borderline personality
disorder.
Which of the following is considered a different differential diagnosis for borderline personality
disorder? - CORRECT ANSWER Alcohol use disorder and other substances disorders are
important to consider for these clients with suspected borderline personality disorder. Although the
symptoms that these individuals experience may be due to the substance use that is common in
individuals with borderline personality disorder alcohol use disorder, must first be ruled out as the
primary cause of the individuals symptoms.
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Differential Diagnoses for ASD - CORRECT ANSWER Intellectual disability, ADHD, and
schizophrenia.
Children with ASD will often have difficulty with - CORRECT ANSWER Imaginative play
Helpful therapeutic modalities for behavioral problems related to ASD - CORRECT ANSWER
CBT, behavior therapy, applied behavior analysis
Areas to assess when someone may have panic disorder - CORRECT ANSWER Generalized
anxiety, cognitive processes that occur when experiencing a panic attack, and whether the panic
attacks are expected, unexpected, or both
All of the following are short term goals for the first month of therapy EXCEPT: - CORRECT
ANSWER Reducing frequency and intensity of panic attacks, because as it is a triggered
fight/flight response, it takes time to reduce.
Negative Attending Behaviors - CORRECT ANSWER • (+) behave are annoying when
overused:
Over mirroring!
o Head nods
o Saying 'uh huh'
o Eye contact (too much)
o Repeating client's last word
o Mirroring
• Other (-) attending behavs:
o Infreq eye contact
o Turning away more than 45o
o Leaning back from the waist up
, o Folding arms across chest
You had an argument with your spouse prior to the session and are distracted. Which of the following
would be the most appropriate decision with regard to your clients well-being, as it is impacted by
your distraction? - CORRECT ANSWER Be aware of how your personal life is impacting the
session and refocus as needed. Maintain awareness of how your personal life is affecting the
counseling session because you want to support the client and prevent as much personal impact as
possible. Rescheduling may be appropriate if the impact of your personal life is unavoidable.
All of the following are primary focuses of the termination session except: - CORRECT ANSWER
Evaluating the effectiveness of therapy because evaluating the effectiveness of therapy
should've occurred throughout the entirety of the counseling services. Therefore it is not a primary
focus of termination..
The client asks if she could return to work with you after the termination session if panic symptoms
were to worsen or return. Which of the following is the most ethical response? - CORRECT
ANSWER Encourage her to continue to use coping skills learned in sessions, and assure her
that she would be able to work with her. Should she have the clinical need for therapy.
You are supervising counseling resident, and their established client has canceled several sessions in a
row. Which of the following would you encourage the Counselor to do? - CORRECT ANSWER
Follow up with a client to ascertain the reason for the cancellations. Determining the reason for
the cancellations is most important because this can open up a dialogue for getting back on track in
the counseling relationship.
All of the following are criteria for borderline personality disorder, except - CORRECT ANSWER
Recurrent depressive episodes. Depressive episodes are not a symptom of borderline
personality disorder. There's a long list of diagnostic criteria for borderline personality disorder five of
which must be pregnant for diagnosis. One category of criteria for borderline personality disorder
according to the DSM five is impulsive behavior, which includes binge eating in addition to excessive
spending in appropriate sexual relations, substance abuse, and dangerous, driving, intense, eager, and
suicidal ideation or additional elements in the list of diagnostic criteria for borderline personality
disorder.
Which of the following is considered a different differential diagnosis for borderline personality
disorder? - CORRECT ANSWER Alcohol use disorder and other substances disorders are
important to consider for these clients with suspected borderline personality disorder. Although the
symptoms that these individuals experience may be due to the substance use that is common in
individuals with borderline personality disorder alcohol use disorder, must first be ruled out as the
primary cause of the individuals symptoms.
