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Exam of 10 pages for the course National Clinical Mental Health Counseling Exam at National Clinical Mental Health Counseling Exam (NCMHCE)

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NCMHCE 2024
What is a homogeneous group composed of? -

members based on similarities rather than diversity (ie. same gender, presenting problem, race)



To diagnose Adjustment Disorder, the client's symptoms must begin within _______ months of an
identifiable stressor. Once the stressor or the consequences of the stressor are gone, symptoms cannot
persist beyond _______ months. -

three, six



Solution Focused Brief Therapy -

Focuses on solutions and not problems. Uses the miracle question, client is responsible for change,
scaling, identifying exceptions, problem free talking, flagging the minefield. Used with other approaches
and use for depression and anxiety, also acute symptoms as an adjustment disorder.



Examples of SFBT coping questions -

What is the least that you would like to achieve? What would be different in your life when you
have reached your goal? How would that change make a difference for you? How will you know that
your goal has been reached? This question is intended to help clients recognize their own resiliency and
identify some of the ways in which they already cope with their problems effectively.



The Premack Principle indicates that you can use _______-probability behavior to reinforce _______-
probability behavior. -

high, low



Substance abuse is a common comorbidity with what disorder? -

Adjustment



Stress Inoculation Training involves -

teaching coping skills to manage stress and anxiety. This may include training in deep muscle
relaxation, cognitive restructuring, breathing exercises, assertiveness skills, thought stopping, role
playing, and guided self-dialogue.

, Reaction formation (defense mechanism) -

when people express the opposite of their true feelings, sometimes to an exaggerated extent.



Stonewalling -

when someone completely shuts down in a conversation or is refusing to communicate with
another person.



Regression (defense mechanism) -

A person goes back to an earlier or less mature state or behavior



Strongest linear correlation occurs when the slope is between -

0.85 and 1



When asked to evaluate a client's level of mental functioning, you are assessing how the client functions
in specific domains. You can use the acronym "ROSE" which stands for what -

relational, occupational, social, and educational.



When using motivational interviewing, the therapist determines which stage of change the client is
currently in. What are the 5 stages of change? -

Pre-contemplation: no intention of changing behavior

Contemplation: aware problem exists but no commitment to action

Preparation: intent on taking action to address the problem

Action: active modification of behavior

Maintenance: sustained change



Partial remission for adhd : full criteria for the disorder has not been met for _______ months but
functional impairment still exists -

six

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