NCMHCE EVALUATION EXAM 2026 QUESTIONS AND
SOLUTIONS RATED A+
✔✔dialectical behavior therapy
(therapy techniques) - ✔✔cognitive-behavioral intervention aimed at teaching problem-
solving skills, interpersonal skills, and skill at managing negative emotions
✔✔histrionic personality disorder
(Diagnosis) - ✔✔*Cluster B*
> excessive emotionality and preoccupation with being the center of attention; emotional
shallowness; overly dramatic behavior
> Requires *5*:
- annoyance or discomfort when not receiving attention
- inappropriate sexual provocation
- rapidly shifting and shallow emotions
- vague and impressionistic speech
- exaggerated expression of emotion
- easily influenced by others
- believes relationships are more intimate than they actually are
- uses physical appearance to draw attention to self
✔✔narcissistic personality disorder
(Diagnosis) - ✔✔*Cluster B*
> Requires *5*:
- grandiose sense of self-importance
- fantasies of own power and beauty
- belief in personal uniqueness
- need for excessive admiration
- sense of entitlement
- exploitation of others
- lack of empathy
- envious of others or believes others envy them
- arrogant bx
✔✔antisocial personality disorder
(Diagnosis) - ✔✔*Cluster B*
> general lack of concern for the rights and feelings of others
> Requires:
- 18 yrs of age
- history of conduct disorder before age 15
- *3* of the following:
> failure to conform to social laws and norms
> deceitfulness
> Impulsivity
> reckless disregard for safety of self and others
,> consistent irresponsibility
> lack of remorse
> irritability/aggressiveness
> superficial charm or inflated opinion of self
✔✔dependent personality disorder
(Diagnosis) - ✔✔*Cluster C*
> person's pervasive and excessive need to be taken care of, a condition that leads to
submissive and clinging behavior and fears of separation
> Requires *5*:
- difficulty making decisions w/o advice
- need for others to assume responsibility for one's actions
- fear of disagreeing w/ others
- difficulty self-initiating projects
- feelings of helplessness or discomfort when alone
- goes to great lengths to get support from others
- seeks new relationships when an old one ends
- preoccupied w/thought of having to care for self
✔✔obsessive-compulsive personality disorder
(Diagnosis) - ✔✔*Cluster C*
> preoccupation with orderliness, perfectionism, and mental and interpersonal control at
the expense of flexibility, openness, and efficiency.
> Requires *4*:
- preoccupation w/rules and details
- hoards $$ w/o spending
- rigid/stubborn
- perfectionism that interferes w/progress
- excessive devotion to work
- counterproductive rigidity about beliefs and morality
- inability to throw away old objects
- reluctance to delegate authority to others
✔✔avoidant personality disorder
(Diagnosis) - ✔✔*Cluster C*
> pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitive to
negative evaluation
> Requires *4*:
- avoiding activities that involve interpersonal contact
- unwilling to associate w/anyone who may withhold approval
- preoccupation w/concerns about being criticized or rejected
- conception of self as socially inept, inferior, or unappealing to others
- general reluctance to take personal risks
- doesn't reveal self in intimate relationships due to fear of shame
- not able to excel in new situations due to fear of inadequacy
, ✔✔Antipsychotic Medication
(pharmacology) - ✔✔- alleviate positive symptoms of psychosis and can treat major
depressive disorders by blocking DA receptors
> phenothiazine, thioxanthene, butryophenone
- ATYPICAL antipsychotics alleviate positive and negative symptoms by acting on DA,
5-HTP, and glutamate
> dibenzodiazepine (clozapine), benzisoxazole, thienobenzodiazepine,
dibenzothiazepine
> less likely to cause tardive dyskinesia but more likely to cause NMS
- SIDE EFFECTS:
> anticholinergic = dry mouth, teeth rot, blurred vision, urinary retention, constipation,
delayed ejaculation
- usually disappear over a few weeks as person adapts to medication
> antipyramidal = Parkinsonism, akathisia (motor restlessness), acute dystonia (muscle
spasms), tardive dyskinesia
> Neuroleptic Malignant Syndrome = delirium, tremors, fever, rigidity, BP swings, and
encephalopathy
✔✔SSRI's and Antidepressants
(Pharmacology) - ✔✔*SSRIs*
- fluoxetine, fluvoxamine, paroxetine, sertraline
- depression, OCD, bulimia, panic disorder, PTSD
- block uptake of serotonin
- Side Effects:
> gastrointestinal issues
> insomnia
> anxiety
> dizziness
> sexual dysfunction
*Tricyclics*
- amitriptyline, doxepin, imipramine, clomipramine
- takes a little under a month to show results
- depression, OCD, agoraphobia, bulimia, enuresis
- block reuptake of norepinephrine, serotonin, and/or dopamine
- Serotonin-2 antagonist/reuptake inhibitors (SARIs)
- Side Effects:
> cardiovascular problems
> confusion
> drowsiness
> fatigue
*MAOIs*
- isocarboxazid, phenelzine, tranylcypromine
- inhibit enzyme monoamine oxidase which deactivates DA, 5-HTP, and norepinephrine
SOLUTIONS RATED A+
✔✔dialectical behavior therapy
(therapy techniques) - ✔✔cognitive-behavioral intervention aimed at teaching problem-
solving skills, interpersonal skills, and skill at managing negative emotions
✔✔histrionic personality disorder
(Diagnosis) - ✔✔*Cluster B*
> excessive emotionality and preoccupation with being the center of attention; emotional
shallowness; overly dramatic behavior
> Requires *5*:
- annoyance or discomfort when not receiving attention
- inappropriate sexual provocation
- rapidly shifting and shallow emotions
- vague and impressionistic speech
- exaggerated expression of emotion
- easily influenced by others
- believes relationships are more intimate than they actually are
- uses physical appearance to draw attention to self
✔✔narcissistic personality disorder
(Diagnosis) - ✔✔*Cluster B*
> Requires *5*:
- grandiose sense of self-importance
- fantasies of own power and beauty
- belief in personal uniqueness
- need for excessive admiration
- sense of entitlement
- exploitation of others
- lack of empathy
- envious of others or believes others envy them
- arrogant bx
✔✔antisocial personality disorder
(Diagnosis) - ✔✔*Cluster B*
> general lack of concern for the rights and feelings of others
> Requires:
- 18 yrs of age
- history of conduct disorder before age 15
- *3* of the following:
> failure to conform to social laws and norms
> deceitfulness
> Impulsivity
> reckless disregard for safety of self and others
,> consistent irresponsibility
> lack of remorse
> irritability/aggressiveness
> superficial charm or inflated opinion of self
✔✔dependent personality disorder
(Diagnosis) - ✔✔*Cluster C*
> person's pervasive and excessive need to be taken care of, a condition that leads to
submissive and clinging behavior and fears of separation
> Requires *5*:
- difficulty making decisions w/o advice
- need for others to assume responsibility for one's actions
- fear of disagreeing w/ others
- difficulty self-initiating projects
- feelings of helplessness or discomfort when alone
- goes to great lengths to get support from others
- seeks new relationships when an old one ends
- preoccupied w/thought of having to care for self
✔✔obsessive-compulsive personality disorder
(Diagnosis) - ✔✔*Cluster C*
> preoccupation with orderliness, perfectionism, and mental and interpersonal control at
the expense of flexibility, openness, and efficiency.
> Requires *4*:
- preoccupation w/rules and details
- hoards $$ w/o spending
- rigid/stubborn
- perfectionism that interferes w/progress
- excessive devotion to work
- counterproductive rigidity about beliefs and morality
- inability to throw away old objects
- reluctance to delegate authority to others
✔✔avoidant personality disorder
(Diagnosis) - ✔✔*Cluster C*
> pervasive pattern of social inhibition, feelings of inadequacy, and hypersensitive to
negative evaluation
> Requires *4*:
- avoiding activities that involve interpersonal contact
- unwilling to associate w/anyone who may withhold approval
- preoccupation w/concerns about being criticized or rejected
- conception of self as socially inept, inferior, or unappealing to others
- general reluctance to take personal risks
- doesn't reveal self in intimate relationships due to fear of shame
- not able to excel in new situations due to fear of inadequacy
, ✔✔Antipsychotic Medication
(pharmacology) - ✔✔- alleviate positive symptoms of psychosis and can treat major
depressive disorders by blocking DA receptors
> phenothiazine, thioxanthene, butryophenone
- ATYPICAL antipsychotics alleviate positive and negative symptoms by acting on DA,
5-HTP, and glutamate
> dibenzodiazepine (clozapine), benzisoxazole, thienobenzodiazepine,
dibenzothiazepine
> less likely to cause tardive dyskinesia but more likely to cause NMS
- SIDE EFFECTS:
> anticholinergic = dry mouth, teeth rot, blurred vision, urinary retention, constipation,
delayed ejaculation
- usually disappear over a few weeks as person adapts to medication
> antipyramidal = Parkinsonism, akathisia (motor restlessness), acute dystonia (muscle
spasms), tardive dyskinesia
> Neuroleptic Malignant Syndrome = delirium, tremors, fever, rigidity, BP swings, and
encephalopathy
✔✔SSRI's and Antidepressants
(Pharmacology) - ✔✔*SSRIs*
- fluoxetine, fluvoxamine, paroxetine, sertraline
- depression, OCD, bulimia, panic disorder, PTSD
- block uptake of serotonin
- Side Effects:
> gastrointestinal issues
> insomnia
> anxiety
> dizziness
> sexual dysfunction
*Tricyclics*
- amitriptyline, doxepin, imipramine, clomipramine
- takes a little under a month to show results
- depression, OCD, agoraphobia, bulimia, enuresis
- block reuptake of norepinephrine, serotonin, and/or dopamine
- Serotonin-2 antagonist/reuptake inhibitors (SARIs)
- Side Effects:
> cardiovascular problems
> confusion
> drowsiness
> fatigue
*MAOIs*
- isocarboxazid, phenelzine, tranylcypromine
- inhibit enzyme monoamine oxidase which deactivates DA, 5-HTP, and norepinephrine
