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NCMHCE
Exam terms and definitions
| Term | Definition |
|---|---|
| EAP Information Providing | Does the client need treatment? Did the client keep his/her appointment? Did the client accept treatment? |
| ACA Ethics | states that counselors are prohibited from engaging in counseling relationships with friends or family members with whom they have an inability to remain objective. |
| Covert extinction | With this technique, the client would imagine the negative behavior but without the anticipated positive feeling. |
| Transference analysis | This is useful for longer term psychoanalysis. |
| Fugue states | involves dissociated travels |
| Which scenario describes a “displaced homemaker”? | A 40-year-old woman who needs to find a job after the sudden death of her husband |
| Pro Bono Publico | states that counselors make a reasonable effort to provide services to the public for which there is little or no financial return. |
| Assessing level of functioning | Look for relational, occupational, social, and educational effects (R.O.S.E.). |
| Mandated reporter | Breaking confidentiality for harm to self/others is an exception to confidentiality and DOES NOT fall under this. |
| “Duty to protect” | Refers to the responsibility that mental health professionals have to protect individuals who are being threatened with harm by a client, not the client him/herself. |
| Client Records | Every prog note pg should indicate name of client. date and ther name & cred need to be included. Use caution listing individ w/o consent, & only do when necessary. Any estimations or expressions of opinion should be labeled as a clinic opinion or dx impr |
| Ethical Termination | do not abandon or neglect clients in counseling. may terminate counseling when clients do not pay fees as agreed upon. when it becomes reasonably apparent that the client is not likely to benefit |
| Fees or service ethics | Counselors do not participate in fee splitting, nor do they give or receive commissions, rebates, or any other form of remuneration when referring clients for professional services. |
| Proxy efficacy | Bandura explains that individuals exercise some partial control over everyday living. confidence in his or her skills and abilities to get others to act in one's interests to create supportive environments |
| In addition to listing the person/organization responsible for payment, an assessment should also include: | When compiling an assessment, it is essential that the counselor include the names of all active insurers as well as a copy of insurance card(s). in addition to providing name, address, and phone of person or organization responsible for payment. |
| As a collaborative therapist, "not-knowing" means: | The therapist does not act as an expert. Refers to the way the therapists think about therapy and positions themselves with their knowledge and expertise. |
| Avolition | An inability to initiate and persist in goal-directed activities. |
| Illusion | A misperception or misinterpretation of a real external stimulus, such as hearing the rustling of leaves as the sound of voices. |
| Delusions of persecution | A false belief where the central theme is that one (or someone to whom one is close) is being attacked, harassed, cheated, persecuted, or conspired against. |
| Alogia | An impoverishment in thinking that is inferred from observing speech and language behavior. |
| labile | liable to change; easily altered. of or characterized by emotions that are easily aroused or freely expressed, and that tend to alter quickly and spontaneously; emotionally unstable. |
| ACA sexual ethics | Therapists shall not engage in any form of sexual or romantic intimacy with clients or former clients for five years from the date of counseling service termination. |
| When to call the authorities for involuntary assessment and hospitalization | If the client has identified a plan and intent to harm herself, you must take the necessary steps to begin the Baker Act process for the client's safety and the safety of others. |
| Consultant Scope of Responsibilities | only services you are qualified for. Observing, listening, and presenting solutions to a problem. Documenting all procedures. Providing services only with problem-solving or ed issues. constant awareness for role blending or multiple relationships |
| The school counselor tells the therapist that she is so excited to begin collecting data on the children for her doctoral thesis. What should the therapist tell her? | That she cannot collect any data or use any information from your groups or the children in any way or form. The lack of assent and consent by the parents or a guardian is a legal issue. |
| Agency Chart Audit | no 1 method for writing px notes. When amending a px notes, you should cross through the entry with a single line. Write 'error' above the line, date, then initial. |
| According to cognitive-behavioral theory, when thoughts begin to cycle, thought processes tend to: | Amplify behavior responses - Many times, individuals believe that if their behavior is more pronounced, it will have a better effect on the outcome of their thought process. Often, it only amplifies the resulting emotional responses and vice versa. |
| Excluding abuse, why do more than a third of marriages end in divorce after couples therapy? | The couple has waited and lived in distress for so long that ending the marriage seems to be the best option. Marriage counseling works when the couple seeks therapy as soon as they realize there is an issue in which they need therapeutic help. |
| What steps do you need to take to close your practice ethically? | Send letters to past and current clients notifying closure. Provide referrals to established counselors for your current clients. retain client records for a minimum of five years unless state or federal laws require additional time. |
| HIPAA Transaction Rule | Addresses technical aspects of the electronic health care transaction process and requires the use of standardized formats whenever health care transactions, such as claims, are sent or received electronically. |
| HIPAA Privacy Rule | Focuses on when and to whom confidential patient information can be disclosed. |
| HIPAA Security Rule | Seeks to assure the security of confidential electronic patient information, which usually means addressing administrative, physical and technical procedures such as access to offices, files and computers. |
| Diaphoresis | sweating, especially to an unusual degree as a symptom of disease or a side effect of a drug. |
| Anhedonia | Lack of enjoyment from, engagement in, or energy for life's experiences; deficits in the capacity to feel pleasure and take interest in things. A facet of the broad personality trait domain Detachment. |
| Dysphoria (dysphoric mood) | A condition in which a person experiences intense feelings of depression, discontent, and in some cases indifference to the world around them. |
| Dysarthia | A disorder of speech sound production due to structural or motor impairment affecting the articulatory apparatus. Such disorders include cleft palate, muscle disorders, cranial nerve disorders, and cerebral palsy affecting bulbar structures. |
| Dyskinesia | Distortion of voluntary movements with involuntary muscle activity. |
| Amnesia | A defense mechanism employing denial and/or repression to block the memory of a stressful or traumatic event. |
| Ataxia | Impaired balance or coordination, can be due to damage to brain, nerves, or muscles. |
| Stages of Change | precontemplation, contemplation, determination, action, maintenance, termination. Understanding your readiness to change by being familiar with the six-stage model of change can help you choose treatments that are right for you. |
| Alienism | This is the study or treatment of mental diseases, especially in their relationship to legal problems. |
| Corrective recapitulation | original dysfunctional patterns of thought and bx begin to emerge. the scars from the dynamics in the family of origin get carried within the psyche and are activated in and by the group process. This often includes the group member’s decision to leave. |
| Delusion | A false belief based on incorrect inference about external reality that is firmly held despite what almost everyone else believes and despite obvious proof or evidence to the contrary. |
| Hallucination | A perception-like experience with the clarity and impact of a true perception but w/o the external stimulation of the relevant sensory organ. The person may or may not have insight into the nature of it. |
| To determine the client's level of functioning, what data might you need to gather? | Have they been in the hospital for any type of mental issues? Are they currently involved in the legal system? |
| Malingering | involves the falsifying of an injury or illness for monetary or another type of gain. the intentional production of false or grossly exaggerated physical or psychological symptoms, motivated by external incentives |
| Use assessment tools only written by counseling professionals | Regardless of whoever created the assessment tool, it is most important that it has been proven valid and reliable within the counseling profession. |
| After you have entered into a therapeutic relationship with a clt, you quickly realize that you are stereotyping him and that your cultures are very different. What should you do? | Discuss the meaning of confidentiality and privacy within the client's culture and the counseling setting. |
| Data to gather for a 4 year old declining in functioning | Are there any physical abnormalities in the size or growth of the clt's head? |
| A clt contacts you months later to tell you that she is speaking in front of a group of teens at the local high school to raise awareness about sexual assault. She invites you to attend. How should you respond? | You are so courageous. It would be my pleasure to attend and hear your speech. |
| Whats a direction and decision you feel is appropriate for a couple presenting with decreased sexual activity in relationship? | Assess for harmful pornography use for each member of the couple |
| What is true regarding supervision of supervisees? | Supervisees must explain their professional position. |
| What might you ask a 14 y/o client to determine her support network? | Is she involved in extracurricular activities? Who does she socialize with at lunch and during free periods? Does she get along w/ her parents? Who does she consider her closest friends? Is she close to her brothers? Did she have friends at camp? |
| What might you ask to help determine the extent of distress (if any) the client's symptoms have on his social, academic, or other areas of functioning? | Asking about aggressive behavior can give you important information about the severity of a clt's symptoms and helps you to assess his relational functioning. |
| Which of the following confidentiality issues may need to be addressed for a 7 y/o? | Billing for payment of therapy services, sharing the specifics of clt's nightmares w/ his parents |
| What important characteristics underlie cultural competency among providers? | scientific mindedness (i.e., forming and testing hypotheses), dynamic sizing (i.e. flexibility in generalizing and individualizing), and culture-specific resources (i.e. having knowledge and skills to work with other cultures). |
| The DSM-5 lists elements related to economic inequities, racism, and discrimination resulting in health disparities. What are they? | Culture, race, and ethnicity |
| What is the benefit of pursuing multicultural competency as a professional certification? | As with all certifications you would be required to stay current and updated in your mastery of multicultural concepts. |
| Part of transfer of services protocol | A clt's family is considering a move to another city. The therapist's responsibility to the family's new therapist is to ensure that appropriate clinical processes are completed. |
| Splitting | a defense mechanism that leads to black and white thinking. It is related to Borderline Personality Disorder. |
| When to make a referral for psychotropic med? | It is preferable to make a diagnosis before referring for psychopharmacological evaluation. |
| Pos and Neg influences for tx compliance regarding Bipolar Disorder | Pos: older age, marriage, education, tx alliance, social support Neg: younger age, early onset, hx of non-adherence, hx of grandiosity, mood incongruent psych features |
Created by:
mbmills3
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