Practice Tests For IT & Nursing
Question # 56

A counselor realizes they lack competence in treating a client’s presenting issue. What is the MOST ethical response?

Options:

A.

Continue providing services without addressing limitations.

B.

Seek supervision, training, or refer the client if necessary.

C.

End therapy without referral.

D.

Pretend competence to maintain the client relationship.

Question # 57

A client with Major Depressive Disorder shows minimal response to CBT after 12 weeks. What is the BEST next step?

Options:

A.

Discontinue therapy immediately.

B.

Refer for psychiatric evaluation for medication.

C.

Continue with the same approach indefinitely.

D.

Tell the client recovery may be impossible.

Question # 58

A client with opioid use disorder is at risk of relapse. What is the MOST effective intervention?

Options:

A.

Encourage ongoing participation in Medication-Assisted Treatment (MAT).

B.

Suggest stopping all medication abruptly.

C.

Ignore cravings to avoid triggering relapse.

D.

Use only psychoanalysis to treat addiction.

Question # 59

Which treatment goal BEST reflects culturally competent planning?

Options:

A.

“The client will adapt fully to counselor’s worldview.”

B.

“The client will participate in one culturally relevant support group weekly for 3 months.”

C.

“The client will ignore cultural differences.”

D.

“The client will accept standardized goals regardless of identity.”

Question # 60

Which attribute MOST supports building therapeutic rapport during intake sessions?

Options:

A.

Demonstrating advanced theoretical knowledge.

B.

Using technical jargon to explain diagnoses.

C.

Active listening and empathetic reflection.

D.

Directing the client to answer only structured questions.

Viewing question 12 out of 15 questions


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NCMHCE Overview

Name National Clinical Mental Health Counseling
Code NCMHCE
Vendor Counseling and Social Work
Certification National Board for Certified Counselors (NBCC)

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