CPCE ACTUAL EXAM 2026 EXAM SCRIPT
COMPLETE SOLUTIONS
◉ Client presents with his wife both complaining the patient has had
a change in cognitive function including language and memory.
Client denies loss of pleasure in normal activities and denies feeling
sad, but client is able to manage his medications but requires
someone to set up his medication box and set a timer for him.
Answer: Neurocognitive Disorder
◉ Disorder of thought; disorder of mood Answer: Schizophrenia;
bipolar disorder
◉ Mirroring back client's verbalizations, and not passing judgment.
Facilitating in assisting his client in reaching resolution of the
presenting problems. Answer: Rogerian, client-centered therapy
◉ Binge eating coupled with inappropriate methods of controlling
one's weight may be a symptom of Answer: Bulimia
◉ Concerns of his health; reports chronic intestinal difficulties, but
has not sought medical treatment for his concerns. For the last five
years he rarely feels at ease while at his job. Feels uneasy when
outside the home Answer: Agoraphobia
,◉ loss of appetite; nervousness, and recurrent nightmares of a past
hospital experience from years prior, where she says she almost died
Answer: PTSD
◉ Actively defiant of instructions, argues regularly, spiteful, and
resentful. School performance is marginal. Answer: Oppositional
defiant disorder
◉ 40-year old client not feeling comfortable socially after gaining
weight. Unwilling to try new activities and avoiding activities he
once found enjoyable Answer: Avoidant Personality Disorder
◉ Client believes his favorite actress is in love with him. He is
appropriate in every other way and substance use is not the factor
Answer: Delusional Disorder
◉ Cyclothymia Answer: Mild form of bipolar disorder. Cause is
unknown
◉ Client needs help with substance use, uses recreationally on the
weekends. Two DUIs within 3 years Answer: Stimulant Use Disorder
◉ Complaints about significant Chronic back pain and shoulder pain
(basis of a disability claim), when seen he looks fully physical
,capable of bending and picking up things Answer: Malingering - to
receive an external reward
◉ Symptoms of Schizophrenia categorized in three groups Answer:
Positive, Negative, and Disorganized
◉ Couple comes in. Wife displays feelings of distrust and no
tolerance for relationships and also experiences excessive over-
valuation "he's the best thing that every happened to me" Answer:
Borderline Personality Disorder
◉ A patient diagnosed with depression/suicide ideation suddenly
appears to feel better and think more clearly Answer: Suicide has
increased!
◉ 20 year-old male college student. Last 6-7 months grossly
disorganized or catatonic behavior and speech, hallucinations, poor
responses Answer: Schizophrenia...Paranoid, disorganized,
catatonic, undifferentiated, and residual
◉ When a client's physical symptoms have a psychological cause it is
referred to as Answer: Conversion Disorder
◉ Appraisal Answer: Any means by which by which a counselor
assesses a client. ie: mental health exam, IQ test
, ◉ Type of test - NCE Answer: Objective
◉ Test created by David Wechsler Answer: IQ
◉ When administering tests to a client, the counselor should always
Answer: Inform the client of limitations of testing
◉ Validity (In testing) Answer: How accurate the test is
◉ Reliability (in testing) Answer: How consistent the results are
◉ The only test you are using with your client has a reliability of .60,
you should... Answer: disregard the results of the test as the
reliability is too low
◉ Francis Galton Answer: Inherited intellectual abilities; father of
behavioral genetics; personality traits are passed down
◉ J.P. Guilford Answer: individual differences and intellect; creativity
◉ Developed the first intelligence test Answer: Alfred Binet and
Theophilus Simon
COMPLETE SOLUTIONS
◉ Client presents with his wife both complaining the patient has had
a change in cognitive function including language and memory.
Client denies loss of pleasure in normal activities and denies feeling
sad, but client is able to manage his medications but requires
someone to set up his medication box and set a timer for him.
Answer: Neurocognitive Disorder
◉ Disorder of thought; disorder of mood Answer: Schizophrenia;
bipolar disorder
◉ Mirroring back client's verbalizations, and not passing judgment.
Facilitating in assisting his client in reaching resolution of the
presenting problems. Answer: Rogerian, client-centered therapy
◉ Binge eating coupled with inappropriate methods of controlling
one's weight may be a symptom of Answer: Bulimia
◉ Concerns of his health; reports chronic intestinal difficulties, but
has not sought medical treatment for his concerns. For the last five
years he rarely feels at ease while at his job. Feels uneasy when
outside the home Answer: Agoraphobia
,◉ loss of appetite; nervousness, and recurrent nightmares of a past
hospital experience from years prior, where she says she almost died
Answer: PTSD
◉ Actively defiant of instructions, argues regularly, spiteful, and
resentful. School performance is marginal. Answer: Oppositional
defiant disorder
◉ 40-year old client not feeling comfortable socially after gaining
weight. Unwilling to try new activities and avoiding activities he
once found enjoyable Answer: Avoidant Personality Disorder
◉ Client believes his favorite actress is in love with him. He is
appropriate in every other way and substance use is not the factor
Answer: Delusional Disorder
◉ Cyclothymia Answer: Mild form of bipolar disorder. Cause is
unknown
◉ Client needs help with substance use, uses recreationally on the
weekends. Two DUIs within 3 years Answer: Stimulant Use Disorder
◉ Complaints about significant Chronic back pain and shoulder pain
(basis of a disability claim), when seen he looks fully physical
,capable of bending and picking up things Answer: Malingering - to
receive an external reward
◉ Symptoms of Schizophrenia categorized in three groups Answer:
Positive, Negative, and Disorganized
◉ Couple comes in. Wife displays feelings of distrust and no
tolerance for relationships and also experiences excessive over-
valuation "he's the best thing that every happened to me" Answer:
Borderline Personality Disorder
◉ A patient diagnosed with depression/suicide ideation suddenly
appears to feel better and think more clearly Answer: Suicide has
increased!
◉ 20 year-old male college student. Last 6-7 months grossly
disorganized or catatonic behavior and speech, hallucinations, poor
responses Answer: Schizophrenia...Paranoid, disorganized,
catatonic, undifferentiated, and residual
◉ When a client's physical symptoms have a psychological cause it is
referred to as Answer: Conversion Disorder
◉ Appraisal Answer: Any means by which by which a counselor
assesses a client. ie: mental health exam, IQ test
, ◉ Type of test - NCE Answer: Objective
◉ Test created by David Wechsler Answer: IQ
◉ When administering tests to a client, the counselor should always
Answer: Inform the client of limitations of testing
◉ Validity (In testing) Answer: How accurate the test is
◉ Reliability (in testing) Answer: How consistent the results are
◉ The only test you are using with your client has a reliability of .60,
you should... Answer: disregard the results of the test as the
reliability is too low
◉ Francis Galton Answer: Inherited intellectual abilities; father of
behavioral genetics; personality traits are passed down
◉ J.P. Guilford Answer: individual differences and intellect; creativity
◉ Developed the first intelligence test Answer: Alfred Binet and
Theophilus Simon
