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- Section G: In developing a collaborative treatment plan with the client, which of the following should be included? Identify the goals of treatment appropriate to the issues being addressed. Decide on the total number of sessions required. Develop the specific objectives to meet the identified goals. Address confidentiality requirements and limits. Educational history High school graduate, of apparently normal intellectual functioning. Limited social support no local family and few apparent friends, largely because the client is very quiet and introverted.
National Clinical Mental Health Counseling Exam (NCMHCE) Exam
Living in a group-style transitional setting. Ongoing issues of mental illness. During the episodes, the client reported feelings of helplessness, hopelessness, hypersomnia, tearfulness, fatigue, poor concentration, and marked anhedonia. Over a period of two or more weeks, the symptoms escalated to include psychotic features hallucinations, delusions, and intense agitation , resulting in involuntary psychiatric hospitalization. Medications compliance The client is persistently noncompliant with her medications. Past employment has involved clerical and house-cleaning jobs. Substances of abuse The client has no past or current substance abuse. Other psychiatric history The client has no other known history of a psychiatric nature. Quality of existing family relationships. However, relevant criteria for this diagnosis require at least one manic episode or mixed mania and depression. However, the record indicates the client has had only depressive symptoms evident during decompensation.- The absence of substance abuse further suggests endogenous rather than exogenous factors. Finally, the lack of any family bipolar history is noteworthy, as two-thirds of all individuals with a bipolar diagnosis have a family history of the disorder. Certainly the provisional diagnosis warrants further investigation. Focus on employment needs. Explore and address family relationship issues.
- She is clearly in need of education regarding her illness and its effects, the role of medications, how to head off impending episodes, decompensation, and coping skills. Explore past symptoms of depression and coping. Address mediation noncompliance concerns. Income history. The client has no current income, but is in a stable total-care living situation.
- Duration of time between decompensation episodes. Decompensation is brief, and tends to be quickly resolved by involuntary hospitalization and medication administration. Degree of medication noncompliance. Seasonal mood patterns. Unexplained weight gain or loss. Medical history. No history of head trauma, hormone imbalance, seizures, or other relevant disorders. Postpartum depression. No issues regarding religiosity have been identified.
- Traumatic life events. Marital history. However, the divorce did occur shortly after the death of the children. Section D: Relevance and Diagnostic Formulation. Posttraumatic stress disorder. The client appears to have specific issues surrounding the loss of her children, and the problem has episodically resurfaced over the past 3 years. Given the severity and recurrent nature of this case, a V code would not be diagnostically sufficient. Symptoms persisted for more than 2 weeks and only resolved with hospitalization and medication. This leaves Major Depression, recurrent, severe, with psychotic features, with full interepisode recovery, as a full remission was attained between the mood disturbance episodes.
- Individual Grief Therapy. Family Counseling. No family involvement described; must assume there are no relevant issues. Participation in a bereavement support group. After progress in one-on-one sessions, group work may well be indicated. Stress Management Counseling. This approach may be useful in conjunction with grief counseling.
- Illness Insight Counseling. Independent Living Education. There is no indication that she is in need of education regarding independent living skills. Medication Compliance Monitoring and Counseling. Cognitive-Behavioral Therapy. Psychiatrist Referral to Evaluate Medication Needs. Staff reports of progress in the transitional living program. Completion of homework assignments. Approaches may include 1 journaling, 2 bibliotherapy reading assignments , 3 memorialization.
- Medications monitoring Pill counts and therapeutic blood levels where indicated 5. Thus, careful monitoring of social interactions is important. Substance abuse monitoring No issues of substance abuse have been identified. Energy level. Increasing fatigue, apathy, and listlessness may signal a relapse and should be followed closely. This should also be carefully monitored. Max 8; MPL 5 1B. Max 5; MPL 3 1C. Max 11; MPL 8 1D. Max 3; MPL 1 1E. Max 12; MPL 8 1F. Max 9; MPL 6 1G.
NCMHCE Clinical Mental Health Counselor - 50 Test Questions Free
All of the questions on the exam have been written, edited, and field-tested by experts in mental health counseling. This includes determining requirements to sit for the examination. Print or eBook. Guaranteed to raise your score. Get started today! Registration and Cost Candidates register for the exam through their individual state licensing boards. Military candidates complete a special registration form and send it NBCC. Nonrefundable and nontransferable fee payable by check, money order or credit card. Please check with your testing state for specific fee amount. Please visit www. Please check with your state to see if they are still using paper and pencil tests Slightly different than most multiple-choice exams.- If you are unable to make your test date, rescheduling is allowed 24 hours before your scheduled testing session through Pearson VUE. If you choose not to reschedule within 24 hours, you forfeit all exam fees. The raw score is based on 9 scored simulations on your test. There is one unscored simulation included on the exam to be used for future testing. You will receive an unofficial score immediately after the exam Please Note: if you do not pass, retaking the exam is permitted; however, you will have to wait at least 3 months from your initial test date. A re-registration fee applies. Exam Details Consists of 10 clinical mental health counseling cases, which are divided into 5 to 10 sections with 4 to 14 selections per section. Each case or simulation is first set up with a scenario provided for the test taker. The scenario will include details such as the setting and client information e.
- Once the scenario is set, you will move on to the following: Information Gathering IG will determine your knowledge and ability in gathering appropriate clinical data required in evaluating situations or sound decision making. Appropriate clinical data may include family background or status of physical health. Be sure to select all appropriate options. Selecting more or fewer correct options may adversely affect your score in this area. It is important to remember that this is not a typical multiple-choice test. Decision Making DM will test how well you solve clinical problems using data to make sound judgments and decisions. Like the IG section, there may be a single best meaning there may be more than one acceptable option, but one option will be considered most acceptable or multiple options as correct answers meaning several options are deemed appropriate.
- Each simulation will measure your ability to narrow down a diagnosis. Can you identify the cause and effects of said feelings? For instance, can you separate bipolar I from bipolar II. Study Recommendations It is recommended that you obtain study materials to assist in preparing for this test. As a guideline, make it a point to study old material while learning and gathering new information. Do not postpone studying. Memorizing words and concepts or cramming information in a short period of time will not help you. Because this exam is unlike most standardized, multiple choice tests, preparation for the NCMHCE should include putting together information and studying 3 to 4 months before your scheduled test date.
- Taking practice tests will help you. Make it a point to speak to licensed colleagues who have taken the test. We offer a variety of study guides and flashcards, which include practice tests for your convenience. Our study guides will take you a step further than just having general knowledge of the material. We will teach you how to apply the knowledge. All trademarks are property of their respective owners.
- The exam is extremely challenging, and thorough test preparation is essential for success. All organizational and test names are trademarks of their respective owners. The Mometrix guide is filled with the critical information you will need in order to do well on your NCMHCE exam: the concepts, procedures, principles, and vocabulary that the National Board for Certified Counselors NBCC expects you to have mastered before sitting for your exam.
- Our guide is full of specific and detailed information that will be key to passing your exam. Concepts and principles aren't simply named or described in passing, but are explained in detail. The Mometrix NCMHCE study guide is laid out in a logical and organized fashion so that one section naturally flows from the one preceding it. Because it's written with an eye for both technical accuracy and accessibility, you will not have to worry about getting lost in dense academic language. Any test prep guide is only as good as its practice questions and answer explanations, and that's another area where our guide stands out. The Mometrix test prep team has provided plenty of NCMHCE practice test questions to prepare you for what to expect on the actual exam. Each answer is explained in depth, in order to make the principles and reasoning behind it crystal clear.
- Many concepts include links to online review videos where you can watch our instructors break down the topics so the material can be quickly grasped. Examples are worked step-by-step so you see exactly what to do. We've helped hundreds of thousands of people pass standardized tests and achieve their education and career goals. It's an excellent investment in your future.
- He works for a barber and beauty supply business, and drives a local delivery route in and around the city in which he resides. He has been married for two years, and he and his wife have one newborn child. Section A: Initial Information Gathering. The client seems reluctant to reveal his reason for seeking counseling. What might you do and say to put him more at ease? Do you have any concerns about seeing a counselor? Shall we discuss my fee schedule? Who referred you to see me? Most people seeing a counselor just need some feedback about their lives. What brings you in today? Do you understand that homework may be required? The counselor and client seated at an angle from each other with nothing between them.
50 Free Exam Questions For Professional, Academic, And Medical Tests
The counselor and client seated across a desk from each other. The counselor seated directly in front of a diploma and certification plaques to reassure the client. The counselor standing and pacing while talking to the client. The client recumbent on a couch while talking with the counselor. Section C: Diagnostic Formulation. Identify the most likely diagnosis, given the available information. Generalized Anxiety Disorder Substance-Induced Anxiety Disorder Acute Stress Disorder Obsessive-Compulsive Disorder Section D: Optimum Treatment Modality.- From among the following, indicate the best treatment approach. Engage the client in insight-oriented psychotherapy. Provide cognitive-behavioral therapy. Refer the client for electro-convulsive therapy. Refer the client for a medications evaluation. Begin a regimen of behavioral therapy. Upon returning, your client informs you that the cross-cover psychiatrist has enrolled him in a medications study to investigate the effectiveness of a new medication. He has been randomized into a group that could receive either a placebo or the investigational medication. Describe an appropriate first response to this information. Ask Mark if he understands the purpose of the study. Tell Mark that he needs to drop out of the study if he intends to continue working with you. Therefore, it is not an appropriate intake question. Section B: The value and relevance of potential information to share.
- Neither will benefit the encounter. While the presence of credentials can be appropriate, the placement should be non-threatening. He has been driving a delivery truck for nearly one year. He now knows the route very well and is comfortable with his assignments. However, in recent months he has begun to experience problems. Recently, it has become so intrusive and preoccupying that he has begun missing deliveries and is less than fully safe on the road. He is seeking help in coping with this situation. As he speaks, it is clear that he is embarrassed about what is happening, and yet overwhelmed by it enough to seek help. He is fearful of losing his job, or perhaps even getting in an accident and injuring others and himself.
- Section C: Relevance of Diagnosis Options. Adjustment Generalized Anxiety Disorder In this situation, there is a better fit. Using a cognitive restructuring approach, the client can be assisted in identifying the various triggers and disruptive thoughts associated with his obsession, and can learn to replace them with more realistic, functional thoughts. Given that the issues is being caught relatively early involving only months, rather than years , the restructuring process should be relatively swift and very successful. Other techniques and approaches are normally attempted first. Therefore, a referral for a medications evaluation would be most appropriate. If prescribed, a monitoring and feedback component would be an important part of any treatment plan.
- However, where behavioral compulsions are absent, as in this scenario, the process of cognitive restructuring is a necessary addition to any behavioral treatment components used. This could result in the client receiving less than adequate available treatment. Given that the client has explicitly stated he fears for his driving safety when engaged in his obsessive thoughts, this concern must be addressed further. Max 4; MPL 2 3B. Max 4; MPL 2 3C. Max 3; MPL 2 3D. Max 4; MPL 2 3E.
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