NCMHCE COUNSELING CONCEPTS EXAM 2025 WITH
ACCURATE SOLUTIONS
1. Which of the following is a true statement about the substance-induced
disorders?
by definition, they develop after the person is no longer
experiencing intoxication or withdrawal
some persist long after the substance has been eliminated from
the body
they develop only during the course of intoxication
they can only develop during the course of intoxication or
withdrawal
2. PHQ-9 Score of 10-14 indicates what?
moderately severe depression
moderate depression
mild depression
severe depression
3. If a client begins discussing another client's personal issues during a
session, how should you approach the situation to maintain ethical
standards?
Redirect the conversation back to the client's own experiences
and feelings.
Encourage the client to elaborate on the other client's issues.
Report the conversation to the authorities immediately.
Ignore the comment and continue with the session.
,4. How do ethical codes guide counselors in their use of social media when
it comes to client interactions?
Ethical codes encourage counselors to share client information
on social media for awareness.
Ethical codes allow counselors to use social media for client
outreach without restrictions.
Ethical codes require counselors to maintain client privacy and
set boundaries regarding social media.
Ethical codes suggest that counselors should follow clients on
social media.
5. What type of relationship is described when a client engages with their
clinical mental health counselor?
Social
Natural
Contractual
Familial
6. In a counseling session, a client presents with recurring family conflicts.
How might a counselor utilize a genogram to address this issue based on
Murray Bowen's approach?
The counselor would avoid discussing family issues to focus on
the client's immediate concerns.
The counselor could create a genogram to identify and analyze
family dynamics and patterns that contribute to the conflicts.
The counselor would focus solely on individual therapy without
considering family influences.
The counselor might use a genogram to assess the client's
personal history unrelated to family.
,7. What does a genogram visually represent?
The therapeutic techniques used in counseling
The psychological disorders in a family
An individual's relationship with their family
The assessment tools for mental health
8. What is the primary focus of Acceptance and Commitment Therapy
(ACT)?
Noticing and embracing the present situation
Analyzing past experiences
Developing future goals
Avoiding negative emotions
9. In a study assessing the effectiveness of a new therapy for anxiety,
researchers decide to use a Randomized Control Trial. What is a critical
step they must take to ensure the validity of their findings?
Conduct the study without a control group to save time.
Use self-reported measures for anxiety levels without verification.
Only include participants who have previously received therapy.
Randomly assign participants to either the therapy group or the
control group.
10. What are the three factors mentioned in the multiculturalism etiological
model in counseling?
Cognitive processes, emotional responses, or behavioral patterns
Culture, socioeconomic classes, or sexual orientation
Genetics, environment, or personal history
, Social support, family dynamics, or community resources
11. In a counseling scenario where two clients are seeking the same limited
resources, how should a counselor apply the principle of justice?
By providing resources to the client who is more vocal about their
needs.
By prioritizing the client who has been in therapy longer.
By distributing resources based on the counselor's personal
judgment.
By ensuring that both clients receive fair access to resources
based on their needs.
12. In a counseling session, a client expresses both a desire to quit smoking
and a fear of losing social connections. How could a counselor
effectively use double sided reflection in this scenario?
By acknowledging the client's enjoyment of socializing while
also recognizing their desire to quit smoking.
By focusing only on the negative health effects of smoking.
By suggesting the client should find new friends who do not
smoke.
By telling the client to stop worrying and just quit smoking.
13. A practitioner accepts his client's ambivalence and responds, "On one
hand, you want to live a healthier lifestyle, but on the other hand you are
concerned about the costs and time." What type of reflective listening is
this an example of?
Double sided reflection
Feel/meaning reflection
content reflection
Amplified negative reflection
ACCURATE SOLUTIONS
1. Which of the following is a true statement about the substance-induced
disorders?
by definition, they develop after the person is no longer
experiencing intoxication or withdrawal
some persist long after the substance has been eliminated from
the body
they develop only during the course of intoxication
they can only develop during the course of intoxication or
withdrawal
2. PHQ-9 Score of 10-14 indicates what?
moderately severe depression
moderate depression
mild depression
severe depression
3. If a client begins discussing another client's personal issues during a
session, how should you approach the situation to maintain ethical
standards?
Redirect the conversation back to the client's own experiences
and feelings.
Encourage the client to elaborate on the other client's issues.
Report the conversation to the authorities immediately.
Ignore the comment and continue with the session.
,4. How do ethical codes guide counselors in their use of social media when
it comes to client interactions?
Ethical codes encourage counselors to share client information
on social media for awareness.
Ethical codes allow counselors to use social media for client
outreach without restrictions.
Ethical codes require counselors to maintain client privacy and
set boundaries regarding social media.
Ethical codes suggest that counselors should follow clients on
social media.
5. What type of relationship is described when a client engages with their
clinical mental health counselor?
Social
Natural
Contractual
Familial
6. In a counseling session, a client presents with recurring family conflicts.
How might a counselor utilize a genogram to address this issue based on
Murray Bowen's approach?
The counselor would avoid discussing family issues to focus on
the client's immediate concerns.
The counselor could create a genogram to identify and analyze
family dynamics and patterns that contribute to the conflicts.
The counselor would focus solely on individual therapy without
considering family influences.
The counselor might use a genogram to assess the client's
personal history unrelated to family.
,7. What does a genogram visually represent?
The therapeutic techniques used in counseling
The psychological disorders in a family
An individual's relationship with their family
The assessment tools for mental health
8. What is the primary focus of Acceptance and Commitment Therapy
(ACT)?
Noticing and embracing the present situation
Analyzing past experiences
Developing future goals
Avoiding negative emotions
9. In a study assessing the effectiveness of a new therapy for anxiety,
researchers decide to use a Randomized Control Trial. What is a critical
step they must take to ensure the validity of their findings?
Conduct the study without a control group to save time.
Use self-reported measures for anxiety levels without verification.
Only include participants who have previously received therapy.
Randomly assign participants to either the therapy group or the
control group.
10. What are the three factors mentioned in the multiculturalism etiological
model in counseling?
Cognitive processes, emotional responses, or behavioral patterns
Culture, socioeconomic classes, or sexual orientation
Genetics, environment, or personal history
, Social support, family dynamics, or community resources
11. In a counseling scenario where two clients are seeking the same limited
resources, how should a counselor apply the principle of justice?
By providing resources to the client who is more vocal about their
needs.
By prioritizing the client who has been in therapy longer.
By distributing resources based on the counselor's personal
judgment.
By ensuring that both clients receive fair access to resources
based on their needs.
12. In a counseling session, a client expresses both a desire to quit smoking
and a fear of losing social connections. How could a counselor
effectively use double sided reflection in this scenario?
By acknowledging the client's enjoyment of socializing while
also recognizing their desire to quit smoking.
By focusing only on the negative health effects of smoking.
By suggesting the client should find new friends who do not
smoke.
By telling the client to stop worrying and just quit smoking.
13. A practitioner accepts his client's ambivalence and responds, "On one
hand, you want to live a healthier lifestyle, but on the other hand you are
concerned about the costs and time." What type of reflective listening is
this an example of?
Double sided reflection
Feel/meaning reflection
content reflection
Amplified negative reflection
