NCMHCE EXAM UPDATED ACTUAL QUESTIONS AND
CORRECT ANSWERS
Question:
1. When would a client diagnosed with ADHD be considered "in partial remission"?
Answer:
Full criteria for the disorder has not been met for 6 months but functional impairment still exists.
Question:
2. An assessment that provides an evaluation of a client's distress as it explores symptoms of depression,
anxiety, & several other mental health domains. It also determines the severity of those symptoms. It is a
self- or informant-rated measure. It is intended to help clinicians identify additional areas of question
which may significantly impact the individual's treatment and prognosis. Ages: ALL
Answer:
The DSM-5-TR Level 1 Cross-Cutting Symptom Measure
Question:
3. Rational recovery (RR)
Answer:
-RR is an abstinence-based addiction recovery program, developed as an alternative to the spiritually
centered 12-step model.
-Whereas AA is free, dependent on members, group centric, and offers spiritual help, RR is an individual
effort based on CBT and has no religious or spiritual component.
Question:
4. What are the feature characteristics of Oppositional Defiant Disorder? (3)
Answer:
Negative affect, argumentative, and defiant behavior
Question:
5. Object Relations Theory
Answer:
A branch of psychodynamic thought that focuses on relationships being more crucial to personality
development than individual drives/abilities.
Question:
6. The 4 developmental domains of Multicultural Counseling and Social Justice Competencies (MSJCC)
Answer:
(1) counselor self-awareness (2) client worldview (3) counseling relationship (4) counseling and advocacy
interventions.
Question:
7. Piaget's Cognitive Development Theory 4 stages:
,Answer:
Sensorimotor stage (0-2 years old) Preoperational stage (2-7 years old) Concrete operational stage (7-11
years old) Formal operational stage (11 years old through adulthood)
Question:
8. Schein's models of consultation are:
Answer:
1. Purchase of expertise: purchase of a consultant's service by a manager/group who has defined a need
and needs external help to fulfill that need
2. Doctor/patient: consultant is brought into an organization to diagnose and identify a treatment for the
problem
3. Process: consultant actions/activities that help client understand the process that occurs in the
environment and improve the situation
Question:
9. What type of therapy involves the term parataxic distortion (the inclincation to skew perceptions of
others based on fantasy)?
Answer:
Interpersonal therapy
Question:
10. Symbolic experiential family therapy (Carl Whitaker)
Answer:
A directive family therapy approach routed in the idea that interpersonal problems stem from the lack of
emotional closeness and sharing among family members.
Question:
11. A mental disorder characterized by neurologic symptoms that is incompatible with any known
neurologic disease. Common symptoms include weakness and/or paralysis, non-epileptic seizures,
movement disorders, speech or visual impairment, swallowing difficulty, sensory disturbances, or
cognitive symptoms.
DSM-5: _______ _______ DSM-5-TR: F_______ N______ ________ ______
Answer:
Conversion Disorder (DSM-5) now referred to as Functional Neurological Symptom Disorder
(DSM-5-TR)
Question:
12. During the group DBT sessions, the focus is on developing skills in 4 areas:
Answer:
› Mindfulness › Distress tolerance › Emotional regulation › Interpersonal effectiveness.
Question:
13. Internal dialogue exercises belong to what therapy?
Answer:
Gestalt
,Question:
14. Cognitive Processing Therapy (CPT)
Answer:
-A specific type of CBT that has been effective in reducing symptoms of PTSD.
-It helps clients learn how to challenge/modify unhelpful thoughts related to the trauma so that the client
can create a new understanding of the traumatic event and reduces the traumatic event's negative effects on
life.
Question:
15. Panic control therapy
Answer:
-A therapeutic approach geared towards addressing client's inaccurate beliefs regarding the physical
aspects of a panic attack.
-It involves psychoeducation, relaxation skills, cognitive restructuring, and interoceptive exposure.
Question:
16. Interoceptive exposure
Answer:
A technique, often used in panic control therapy, in which patients intentionally elicit the sensations
associated with panic so that they can habituate to those sensations and not respond with fear.
Question:
17. Transactional Analysis
Answer:
-This type of therapy asserts that each person possesses 3 ego states (parent, adult, child).
-The goal of the therapy is to strengthen the client's adult ego state.
-Therapists help the client understand which ego state they operate in during their interactions with others.
Question:
18. Phylogenic endowment (Freud)
Answer:
Inherited experiences that lie beyond an individual's personal experience
Question:
19. In diagnosing a client with Gender Dysphoria in Children, how long must the symptoms be present,
and how many symptoms must be exhibited?
Answer:
At least six months manifested in at least six symptoms
Question:
20. Corey Group therapy 4 Stages
Answer:
1. Initial Stage: Orientation & Exploration
2. Transition Stage: Dealing with Resistance
3. Working Stage: Cohesion and Productivity
4. Final Stage: Consolidation and Termination
, Question:
21. Mindfulness-Based Stress Reduction (MBSR)
Answer:
-MBSR is a flexible and customizable approach to treating stress, anxiety, depression, and pain.
-It's composed of mindfulness meditation, body awareness, and yoga.
Question:
22. Exposure and Response Prevention (ERP)
Answer:
-A method of treating obsessive-compulsive behavior that involves prolonged exposure to
anxiety-arousing events while not engaging in the compulsive behavior pattern that reduces the anxiety.
Question:
23. ___________ is an effective Rational Emotive Behavior Therapy (REBT) technique that involves
challenging and replacing unhelpful, self-defeating beliefs with healthier, more rational ones.
Answer:
Disputing irrational beliefs
Question:
24. Coordinations of reactions (Piaget)
Answer:
-4th stage of sensorimotor phase
-child exhibits intentional actions and begins to imitate observed behavior of those around them
Question:
25. Interpersonal, intragroup, and intergroup conflicts can be divided into 3 additional types:
Answer:
-Task: conflict over what needs to be done.
-Process: conflict over how something should be done.
-Relational: conflict over values and interpersonal styles.
Question:
26. Approaches to conflict fit into four conflict styles:
Hint: ___/_____-_____/_______ _______/_______ ______ ______/_______
Answer:
-Integrating, problem-solving, or collaborating: high concern for self, high concern for others
-Accommodating or obliging: low concern for self, high concern for others
-Avoiding: low concern for self, low concern for others
-Dominating or competing: high concern for self, low concern for others
Question:
27. Paradoxical injunction belongs to which therapeutic approach?
Answer:
Milan systemic family therapy
CORRECT ANSWERS
Question:
1. When would a client diagnosed with ADHD be considered "in partial remission"?
Answer:
Full criteria for the disorder has not been met for 6 months but functional impairment still exists.
Question:
2. An assessment that provides an evaluation of a client's distress as it explores symptoms of depression,
anxiety, & several other mental health domains. It also determines the severity of those symptoms. It is a
self- or informant-rated measure. It is intended to help clinicians identify additional areas of question
which may significantly impact the individual's treatment and prognosis. Ages: ALL
Answer:
The DSM-5-TR Level 1 Cross-Cutting Symptom Measure
Question:
3. Rational recovery (RR)
Answer:
-RR is an abstinence-based addiction recovery program, developed as an alternative to the spiritually
centered 12-step model.
-Whereas AA is free, dependent on members, group centric, and offers spiritual help, RR is an individual
effort based on CBT and has no religious or spiritual component.
Question:
4. What are the feature characteristics of Oppositional Defiant Disorder? (3)
Answer:
Negative affect, argumentative, and defiant behavior
Question:
5. Object Relations Theory
Answer:
A branch of psychodynamic thought that focuses on relationships being more crucial to personality
development than individual drives/abilities.
Question:
6. The 4 developmental domains of Multicultural Counseling and Social Justice Competencies (MSJCC)
Answer:
(1) counselor self-awareness (2) client worldview (3) counseling relationship (4) counseling and advocacy
interventions.
Question:
7. Piaget's Cognitive Development Theory 4 stages:
,Answer:
Sensorimotor stage (0-2 years old) Preoperational stage (2-7 years old) Concrete operational stage (7-11
years old) Formal operational stage (11 years old through adulthood)
Question:
8. Schein's models of consultation are:
Answer:
1. Purchase of expertise: purchase of a consultant's service by a manager/group who has defined a need
and needs external help to fulfill that need
2. Doctor/patient: consultant is brought into an organization to diagnose and identify a treatment for the
problem
3. Process: consultant actions/activities that help client understand the process that occurs in the
environment and improve the situation
Question:
9. What type of therapy involves the term parataxic distortion (the inclincation to skew perceptions of
others based on fantasy)?
Answer:
Interpersonal therapy
Question:
10. Symbolic experiential family therapy (Carl Whitaker)
Answer:
A directive family therapy approach routed in the idea that interpersonal problems stem from the lack of
emotional closeness and sharing among family members.
Question:
11. A mental disorder characterized by neurologic symptoms that is incompatible with any known
neurologic disease. Common symptoms include weakness and/or paralysis, non-epileptic seizures,
movement disorders, speech or visual impairment, swallowing difficulty, sensory disturbances, or
cognitive symptoms.
DSM-5: _______ _______ DSM-5-TR: F_______ N______ ________ ______
Answer:
Conversion Disorder (DSM-5) now referred to as Functional Neurological Symptom Disorder
(DSM-5-TR)
Question:
12. During the group DBT sessions, the focus is on developing skills in 4 areas:
Answer:
› Mindfulness › Distress tolerance › Emotional regulation › Interpersonal effectiveness.
Question:
13. Internal dialogue exercises belong to what therapy?
Answer:
Gestalt
,Question:
14. Cognitive Processing Therapy (CPT)
Answer:
-A specific type of CBT that has been effective in reducing symptoms of PTSD.
-It helps clients learn how to challenge/modify unhelpful thoughts related to the trauma so that the client
can create a new understanding of the traumatic event and reduces the traumatic event's negative effects on
life.
Question:
15. Panic control therapy
Answer:
-A therapeutic approach geared towards addressing client's inaccurate beliefs regarding the physical
aspects of a panic attack.
-It involves psychoeducation, relaxation skills, cognitive restructuring, and interoceptive exposure.
Question:
16. Interoceptive exposure
Answer:
A technique, often used in panic control therapy, in which patients intentionally elicit the sensations
associated with panic so that they can habituate to those sensations and not respond with fear.
Question:
17. Transactional Analysis
Answer:
-This type of therapy asserts that each person possesses 3 ego states (parent, adult, child).
-The goal of the therapy is to strengthen the client's adult ego state.
-Therapists help the client understand which ego state they operate in during their interactions with others.
Question:
18. Phylogenic endowment (Freud)
Answer:
Inherited experiences that lie beyond an individual's personal experience
Question:
19. In diagnosing a client with Gender Dysphoria in Children, how long must the symptoms be present,
and how many symptoms must be exhibited?
Answer:
At least six months manifested in at least six symptoms
Question:
20. Corey Group therapy 4 Stages
Answer:
1. Initial Stage: Orientation & Exploration
2. Transition Stage: Dealing with Resistance
3. Working Stage: Cohesion and Productivity
4. Final Stage: Consolidation and Termination
, Question:
21. Mindfulness-Based Stress Reduction (MBSR)
Answer:
-MBSR is a flexible and customizable approach to treating stress, anxiety, depression, and pain.
-It's composed of mindfulness meditation, body awareness, and yoga.
Question:
22. Exposure and Response Prevention (ERP)
Answer:
-A method of treating obsessive-compulsive behavior that involves prolonged exposure to
anxiety-arousing events while not engaging in the compulsive behavior pattern that reduces the anxiety.
Question:
23. ___________ is an effective Rational Emotive Behavior Therapy (REBT) technique that involves
challenging and replacing unhelpful, self-defeating beliefs with healthier, more rational ones.
Answer:
Disputing irrational beliefs
Question:
24. Coordinations of reactions (Piaget)
Answer:
-4th stage of sensorimotor phase
-child exhibits intentional actions and begins to imitate observed behavior of those around them
Question:
25. Interpersonal, intragroup, and intergroup conflicts can be divided into 3 additional types:
Answer:
-Task: conflict over what needs to be done.
-Process: conflict over how something should be done.
-Relational: conflict over values and interpersonal styles.
Question:
26. Approaches to conflict fit into four conflict styles:
Hint: ___/_____-_____/_______ _______/_______ ______ ______/_______
Answer:
-Integrating, problem-solving, or collaborating: high concern for self, high concern for others
-Accommodating or obliging: low concern for self, high concern for others
-Avoiding: low concern for self, low concern for others
-Dominating or competing: high concern for self, low concern for others
Question:
27. Paradoxical injunction belongs to which therapeutic approach?
Answer:
Milan systemic family therapy
