National Clinical Mental Health
Counseling Exam Latest Update
2025/2026 GRADED A+
What is a homogeneous group composed of? - correct answermembers based on
similarities rather than diversity (ie. same gender, presenting problem, race)
To diagnose Adjustment Disorder, the client's symptoms must begin within _______
months of an identifiable stressor. Once the stressor or the consequences of the
stressor are gone, symptoms cannot persist beyond _______ months. - correct
answerthree, six
Solution Focused Brief Therapy - correct answerFocuses on solutions and not
problems. Uses the miracle question, client is responsible for change, scaling,
identifying exceptions, problem free talking, flagging the minefield. Used with other
approaches and use for depression and anxiety, also acute symptoms as an adjustment
disorder.
Examples of SFBT coping questions - correct answerWhat is the least that you would
like to achieve? What would be different in your life when you have reached your goal?
How would that change make a difference for you? How will you know that your goal
has been reached? This question is intended to help clients recognize their own
resiliency and identify some of the ways in which they already cope with their problems
effectively.
The Premack Principle indicates that you can use _______-probability behavior to
reinforce _______-probability behavior. - correct answerhigh, low
Substance abuse is a common comorbidity with what disorder? - correct
answerAdjustment
Stress Inoculation Training involves - correct answerteaching coping skills to manage
stress and anxiety. This may include training in deep muscle relaxation, cognitive
restructuring, breathing exercises, assertiveness skills, thought stopping, role playing,
and guided self-dialogue.
Reaction formation (defense mechanism) - correct answerwhen people express the
opposite of their true feelings, sometimes to an exaggerated extent.
Stonewalling - correct answerwhen someone completely shuts down in a conversation
or is refusing to communicate with another person.
, Regression (defense mechanism) - correct answerA person goes back to an earlier or
less mature state or behavior
Strongest linear correlation occurs when the slope is between - correct answer0.85 and
1
When asked to evaluate a client's level of mental functioning, you are assessing how
the client functions in specific domains. You can use the acronym "ROSE" which stands
for what - correct answerrelational, occupational, social, and educational.
When using motivational interviewing, the therapist determines which stage of change
the client is currently in. What are the 5 stages of change? - correct answerPre-
contemplation: no intention of changing behavior
Contemplation: aware problem exists but no commitment to action
Preparation: intent on taking action to address the problem
Action: active modification of behavior
Maintenance: sustained change
Partial remission for adhd : full criteria for the disorder has not been met for _______
months but functional impairment still exists - correct answersix
What is paresthesia? - correct answerabnormal skin sensation characterized by tingling,
burning, pricking, itching, or numbness.
What is logotherapy? - correct answerIt is a part of existential therapy. Encourages the
client to find meaning in an uncaring and meaningless world. Developed by Viktor
Frankl while in the concentration camps.
What is socratic dialogue? - correct answerA method of assisting clients to determine
how accurate and helpful certain thoughts may be.
What is the sublimation defense mechanism? - correct answerRedirecting negative
impulses into positive behavior. example: someone with anger issues may channel their
aggressive urges into sports
What are the three main types of trauma? - correct answerAcute trauma results from a
single incident.
Chronic trauma is repeated and prolonged such as domestic violence or abuse.
Complex trauma is exposure to varied and multiple traumatic events, often of an
invasive, interpersonal nature.
What is the main idea of ACT (Acceptance & Commitment Therapy) - correct
answerclient learns to accept life's challenges/pain, identify personal values, and
commit to behavior aligned by these values
Counseling Exam Latest Update
2025/2026 GRADED A+
What is a homogeneous group composed of? - correct answermembers based on
similarities rather than diversity (ie. same gender, presenting problem, race)
To diagnose Adjustment Disorder, the client's symptoms must begin within _______
months of an identifiable stressor. Once the stressor or the consequences of the
stressor are gone, symptoms cannot persist beyond _______ months. - correct
answerthree, six
Solution Focused Brief Therapy - correct answerFocuses on solutions and not
problems. Uses the miracle question, client is responsible for change, scaling,
identifying exceptions, problem free talking, flagging the minefield. Used with other
approaches and use for depression and anxiety, also acute symptoms as an adjustment
disorder.
Examples of SFBT coping questions - correct answerWhat is the least that you would
like to achieve? What would be different in your life when you have reached your goal?
How would that change make a difference for you? How will you know that your goal
has been reached? This question is intended to help clients recognize their own
resiliency and identify some of the ways in which they already cope with their problems
effectively.
The Premack Principle indicates that you can use _______-probability behavior to
reinforce _______-probability behavior. - correct answerhigh, low
Substance abuse is a common comorbidity with what disorder? - correct
answerAdjustment
Stress Inoculation Training involves - correct answerteaching coping skills to manage
stress and anxiety. This may include training in deep muscle relaxation, cognitive
restructuring, breathing exercises, assertiveness skills, thought stopping, role playing,
and guided self-dialogue.
Reaction formation (defense mechanism) - correct answerwhen people express the
opposite of their true feelings, sometimes to an exaggerated extent.
Stonewalling - correct answerwhen someone completely shuts down in a conversation
or is refusing to communicate with another person.
, Regression (defense mechanism) - correct answerA person goes back to an earlier or
less mature state or behavior
Strongest linear correlation occurs when the slope is between - correct answer0.85 and
1
When asked to evaluate a client's level of mental functioning, you are assessing how
the client functions in specific domains. You can use the acronym "ROSE" which stands
for what - correct answerrelational, occupational, social, and educational.
When using motivational interviewing, the therapist determines which stage of change
the client is currently in. What are the 5 stages of change? - correct answerPre-
contemplation: no intention of changing behavior
Contemplation: aware problem exists but no commitment to action
Preparation: intent on taking action to address the problem
Action: active modification of behavior
Maintenance: sustained change
Partial remission for adhd : full criteria for the disorder has not been met for _______
months but functional impairment still exists - correct answersix
What is paresthesia? - correct answerabnormal skin sensation characterized by tingling,
burning, pricking, itching, or numbness.
What is logotherapy? - correct answerIt is a part of existential therapy. Encourages the
client to find meaning in an uncaring and meaningless world. Developed by Viktor
Frankl while in the concentration camps.
What is socratic dialogue? - correct answerA method of assisting clients to determine
how accurate and helpful certain thoughts may be.
What is the sublimation defense mechanism? - correct answerRedirecting negative
impulses into positive behavior. example: someone with anger issues may channel their
aggressive urges into sports
What are the three main types of trauma? - correct answerAcute trauma results from a
single incident.
Chronic trauma is repeated and prolonged such as domestic violence or abuse.
Complex trauma is exposure to varied and multiple traumatic events, often of an
invasive, interpersonal nature.
What is the main idea of ACT (Acceptance & Commitment Therapy) - correct
answerclient learns to accept life's challenges/pain, identify personal values, and
commit to behavior aligned by these values
