Am I Ready for the NCMHCE? Free 25-Question Readiness Quiz

Question 1 of 25

A client from a culture that values emotional restraint is most likely to express psychological distress through:

Question 2 of 25

A 7-year-old has a specific learning disorder with impairment in reading, with severely below-average word reading accuracy and average comprehension when material is read aloud. Which instructional approach most directly addresses this deficit?

Question 3 of 25

During a crisis session, the client raises their voice. To help calm the interaction, what should the counselor do?

Question 4 of 25

A 14-year-old reports intense fear of speaking in class, eating in the cafeteria, and using public restrooms. At home, he is talkative and comfortable. He has skipped school to avoid these situations. Over the past month, he has had three episodes of rapid heartbeat and shortness of breath when thinking about going to school, and he now worries about having these episodes in front of others. Which diagnosis is most likely?

Question 5 of 25

A client whose family is very involved in their life reports that their parents insist on coming to a session. The client is an adult and appears uncomfortable. What is the counselor's best action?

Question 6 of 25

You learn that another counselor in your practice has been billing insurance for hourly sessions that ended after 15 minutes and has been falsifying progress notes to match the billed time. No client has been physically harmed, but the conduct appears fraudulent. What is your ethical responsibility?

Question 7 of 25

According to DSM-5-TR, specific learning disorder is diagnosed with impairment in one or more of which three domains?

Question 8 of 25

How many core questions are contained in the Cultural Formulation Interview as published in the DSM-5?

Question 9 of 25

A veteran with PTSD is pacing in the waiting room after a loud door slam, saying, 'I'm back in the field, I need to check every exit.' Which response is most effective?

Question 10 of 25

A verbally fluent 12-year-old with average academic performance has few friends and often misreads social cues. Her parents recall that she had delayed pretend play and was intensely focused on a narrow topic as a young child, but she never had language delay. Which statement best explains why autism spectrum disorder was not diagnosed earlier?

Question 11 of 25

In the DSM-5, which of the following is identified as a cultural concept of distress?

Question 12 of 25

An agitated client is standing and pacing in the office. To begin de-escalation, the counselor should:

Question 13 of 25

A 5-year-old has poor eye contact, rarely responds to his name, and does not engage in back-and-forth play. His parents also report that he lines up toy cars for hours and becomes distressed if the order is changed. Which statement is most accurate regarding his diagnosis?

Question 14 of 25

A counselor who was raised to value direct, confrontational communication is working with a client whose culture uses indirect, harmony-preserving communication. The counselor privately labels the client's statements as evasive and feels frustrated. What best describes the likely impact on the therapeutic alliance?

Question 15 of 25

A client tells a counselor, 'I cannot stop thinking about hurting my ex-wife. I know where she lives, and I have bought a gun.' Under the Tarasoff ruling, the counselor's primary duty is to:

Question 16 of 25

A 7-year-old has difficulty understanding implied meaning, rarely takes turns in conversation, and does not adjust her language for different listeners. She has no repetitive motor mannerisms, no narrow interests, and no insistence on sameness. Which diagnosis is most appropriate?

Question 17 of 25

A client who meets criteria for major depressive disorder says her mother and grandmother treated 'nervios' with herbal remedies and prayer, and she worries a therapist will dismiss her family's wisdom. Which response best builds an evidence-based plan?

Question 18 of 25

A client who is screaming says, 'I want to punch that wall.' Which response best demonstrates containment?

Question 19 of 25

Which pattern is most characteristic of a specific learning disorder rather than ADHD?

Question 20 of 25

Which counselor statement best demonstrates genuineness and congruence in the therapeutic relationship?

Question 21 of 25

During intake for an adult therapy group, a member asks whether what she says in group is confidential. The counselor's best response is...

Question 22 of 25

What is the defining feature that separates separation anxiety disorder from other childhood anxiety disorders?

Question 23 of 25

A counselor begins work with a client who is in acute distress after a recent loss. The counselor's first priority should be to do which of the following?

Question 24 of 25

A client in crisis jumps up, clenches fists, and yells, 'I am going to punch that wall!' Which response best demonstrates the containment skills of naming, limit-setting, and offering a substitute?

Question 25 of 25

A 12-year-old has had frequent headaches and stomachaches, especially on school days, over the past several months. A pediatrician has found no medical cause. Which explanation is most likely?