Clinical Mental Health Counseling Test
Questions
Course Introduction
Clinical Mental Health Counseling focuses on the theories, practices, and ethical considerations involved in supporting individuals experiencing emotional, psychological, and behavioral challenges. The course covers assessment techniques, counseling interventions, multicultural competency, and crisis management within a variety of mental health settings. Emphasizing evidence-based approaches, students learn about diagnosis, treatment planning, and advocacy for diverse populations. The curriculum prepares future counselors to address issues such as anxiety, depression, trauma, substance use, and relationship difficulties, with the goal of promoting holistic mental well-being and resilience in clients.
Recommended Textbook
Theory and Treatment Planning in Counseling and Psychotherapy 2nd Edition by Diane
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16 Chapters
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R. Gehart
Chapter 1: Counseling Theory, Competency, Research, and
You: Connecting the Dots
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Sample Questions
Q1) There is much disagreement between professional mental health organizations and federal and state laws regarding the key issues and principles.
A)True
B)False
Answer: FALSE
Q2) There are two general categories of client factors which impact the effectiveness of therapy: _________________ such as motivation to change and personal strengths and resources,as well as ________________ such as social support and community involvement.
A) mental wellness; family wellness
B) personal discourse; dominant discourse
C) client characteristics; extratherapeutic factors
D) client education; counselor knowledge
Answer: C
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3
Chapter 2: Treatment Planning
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Sample Questions
Q1) Once the counselor has conceptualized a treatment plan and identified counseling tasks and client goals,the counselor then ______________________________.
A) identifies useful interventions
B) identifies client actions that lead to the problem
C) determines if working with client is within the scope of practice
D) writes an assessment for submission to the third party payer
Answer: A
Q2) When meeting clients with unfamiliar diversity issues,it is the responsibility of the counselor to _______________________________________________.
A) inquire how the issues are impacting these clients
B) educate themselves about how best to support and engage these clients
C) to adopt a neutral stance so as not to unknowingly participate in marginalization of these clients
D) impress upon these clients that they "get" where the clients are coming from
Answer: B
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4
Chapter 3: Psychoanalytic and Psychodynamic Counseling and Psychotherapy
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Sample Questions
Q1) All of the following general goals related to "mental health" fit with psychodynamic approaches EXCEPT:
A) decreased use of defense mechanisms.
B) decreased irrational impulses.
C) increased differentiation .
D) increased ability to experience mature dependency.
Answer: C
Q2) The vast majority of psychodynamic theorists share all of the following same basic assumptions EXCEPT: _________________________________________.
A) counselors project onto the client interrelational patterns from earlier unresolved issues
B) the personality is structured in various sub structures such as ego, id, and superego C) a person's personality is significantly affected by one's relationship with one's mother D) insight into one's personality and internal dynamics can help resolve psychopathologies
Answer: A
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Page 5
Chapter 4: Jungian Analytic Psychology
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Sample Questions
Q1) Which statement best expresses the goal of counseling in Jungian analytic psychology?
A) The goals is to build a relationship between the client and counselor in a way that creates a unique sense of individuality and connection with life.
B) The goals is to build a relationship between the ego and the Self to create a unique sense of individuality and connection with life.
C) The goals is to develop a relationship between theory and practice which helps to create a unique sense of individuality and connection with life.
D) The goals is to develop the relationship between dreams and the waking state to better understand the connection of dreams to the real life.
Q2) Martin expresses feeling conflicted about being a good father,husband and provider and about being angry at his wife.This is best understood by which concept?
A) personality type
B) complexes
C) polarities
D) individuation
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Chapter 5: Adlerian Individual Counseling
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Q1) Which of the following statements best expresses the long term goal of Adlerian counseling?
A) The goal is for clients to develop the courage to face their insecurities and go to the places they fear most.
B) The goal is for clients to formulate meaningful social connection in order to heal childhood hurts.
C) The goal is for clients to correct basic mistakes so the client does not make mistakes in the future.
D) The goals is for clients to understand their place in the larger social community, which can be considered social interest.
Q2) Numerous approaches have been developed from the Adlerian approach,including work with children,work with families,work with couples,and an evidence-based parent education program.
A)True
B)False
Q3) What is meant by "private logic"?
Q4) How should the Adlerian counselor show encouragement?
Q5) What is the relationship of individual inferiority to social interest?
Q6) What is Adler's theory regarding social interest?
Page 7
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Chapter 6: Person-Centered Counseling and Psychotherapy
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Q1) List and describe 3 interventions utilized in person-centered counseling.
Q2) When a counselor asks,"Can you say more about what you mean by feeling angry?"
This is an example of _____________________.
A) clarifying
B) summarizing
C) listening
D) reflecting
Q3) Person-centered counseling was developed by ______________________________.
A) Rogers
B) Whitaker
C) Gestalt
D) Satir
Q4) Which of the following statements reflects expressing accurate empathy according to Rogers?
A) "I completely understand how you are feeling."
B) "You are very angry about all that has happened."
C) "If I were you, I would be crying all the time."
D) "It sounds as if this is very frightening for you."
Q5) What is self-actualization?
Q6) What role does empathy play in humanistic counseling? Page 8
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Page 9
Chapter 7: Existential Counseling and Psychotherapy
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25 Verified Questions
25 Flashcards
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Q1) All of the following statements are thoughtful existential case conceptualizations of Salma's presenting issues EXCEPT:
A) Salma may be able to draw upon her cultural roots to find greater meaning and purpose.
B) Salma's depressive symptoms may be rooted in her parent's rigid rules.
C) Salma may be maintaining minimal levels of satisfaction that keep her from striving for what she wants by blaming her parent's rigid rules.
D) Salma's existential angst may be heightened by being a part of a marginalized group.
Q2) Existential counseling requires facing the reality of death,loneliness,and responsibility for one's life.This requires the counselor to promote __________ in the client.
A) answers
B) courage
C) self-centeredness
D) affirmation
Q3) What do existential counselors believe about the purpose of life?
Q4) What are three interventions that existential counselors utilize in session? Describe each.
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Page 10
Chapter 8: Gestalt Counseling and Psychotherapy
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Q1) After working with Jesse in therapy for several weeks,Maurice believes it is time for Jesse to increase his integration of polarities between being a strong versus weak brother/son.What intervention might Maurice use to help Jesse accomplish this goal?
A) an enactment or experiment
B) boundary setting
C) increasing awareness
D) dream interpretation
Q2) What is the person of the counselor and why is it important?
Q3) Gestalt counselors believe neuroses and other problems develop when a person ________________________________.
A) has a sense of personal inferiority
B) avoids directly confronting existential realities
C) avoids direct contact with parts of the self
D) has conflicts between the id and superego
Q4) Why is it important for the counselor to encourage the client to stay with difficult feelings?
Q5) What are the strengths and weaknesses of Gestalt counseling in working with diverse populations?
Q6) What is meant by an "experiential" approach to therapy?
Page 11
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Chapter 9: Foundational Cognitive-Behavioral Approaches
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Sample Questions
Q1) Regarding sexual diversity,the CBT counselor should examine ________________ and ______________ rather than over or under estimating the impact of sexual orientation on the client.
A) their own beliefs regarding sexual orientation; the role social norms and stigma in the client's beliefs and schemas
B) client beliefs about sexual orientation; client opinion on social norms and social stigma
C) the statistical information on marginalization; public opinion in the geographic region in which they live
D) their own feelings regarding sexual orientation; their lack of knowledge on the topic
Q2) ________________ is an evidence-based mindfulness approach that was originally developed to treat suicidal borderline clients.
A) Rational emotive behavioral therapy (REBT)
B) Dialectical behavioral therapy (DBT)
C) Acceptance and commitment therapy (ACT)
D) Mindfulness-based cognitive therapy (MBCT)
Q3) What is meant by the terms in-vivo and flooding?
Q4) How does a person's thoughts shape emotional and behavioral responses?
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Page 12
Chapter 10: Evidence-Based Cognitive-Behavioral
Approaches: Dialectic Behavior Therapy and
Trauma-Focused Cognitive-Behavioral Therapy
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Sample Questions
Q1) In what ways are DBT and TF-CBT similar? In what ways are they different?
Q2) Monique is growing quite emotional in session as she relays the details her fears of a new relationship to her counselor.The counselor responds,"Given your history of abuse,it makes sense that you would be afraid to try a relationship again." This is an example of which intervention?
A) acknowledgment
B) denial
C) closing
D) validating
Q3) The DBT relationship in counseling is characterized by ____________________.
A) three sets of dialectic tensions
B) personality traits that get magnified or minimized
C) a loose set of rules applied by the counselor in an unplanned way
D) a rigid set of goals
Q4) Regarding interventions,DBT counselors teach all of the following skills EXCEPT:
A) mindfulness and wise mind.
B) emotional regulation.
C) psychological regulation.
D) distress tolerance.
Q5) What is the cognitive triangle and what is it used for? Page 13
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Page 14
Chapter 11: Systemic Family Counseling and Therapy
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Sample Questions
Q1) ____________________ is the concept that refers to when a system restructures its homeostasis in response to positive feedback.During this time,the rules that govern the system fundamentally shift.
A) Second-order change
B) Self-correcting
C) First-order change
D) Positive feedback
Q2) Using the case example above,what might be an appropriate initial goal for Navid and his family in order to improve the relational structure in their family?
A) Reduce enmeshment between clients to increase the family's ability to make independent decisions.
B) Develop a working counseling relationship with consideration for diversity and the family's level of acculturation.
C) Increase the effectiveness of the parental hierarchy and the ability of the parents to consistently set and reinforce limits.
D) Increase sense of emotional connection with Navid and his parents.
Q3) What are the benefits of using systemic therapy with diverse client populations?
Q4) How are symptoms viewed by systemic therapists?
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Page 15
Chapter 12: Solution-Based Approaches
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Sample Questions
Q1) __________________ refers to the idea that solution-based counselors make no assumptions about a client's unique experiences and understandings of their problems.
A) Channeling language
B) Echoing Client's Key Words
C) Optimism and Hope
D) Beginner's Mind
Q2) The difference between the following two statements: "I always feel down" versus "You were feeling down yesterday," is an example of
A) echoing client's key words
B) reflecting
C) channeling language
D) mirroring
Q3) How are strengths utilized in solution-focused counseling?
Q4) All of the following are reasons coping questions are used EXCEPT:
A) to generate hope.
B) to increase motivation.
C) to increase insight.
D) to promote agency.
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Chapter 13: Narrative and Collaborative Approaches
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Q1) The counseling relationship in Collaborative language systems is best described as a ________________; a process of being with the client,respecting the client's knowledge and expertise,and responding in a collaborative and dialogical mode.
A) hierarchical relationship
B) egalitarian relationship
C) mutually congruent relationship
D) conversational partnership
Q2) The role of the counselor in narrative counseling is often described as the
A) expert
B) coach
C) co-author
D) commiserator
Q3) Similarly to solution-based counselors,postmodern counselors focus on the client's ________________.
A) free will
B) emotions
C) problems
D) strengths
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Page 17
Chapter 14: Feminist and Multicultural Counseling and Psychotherapy
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Sample Questions
Q1) Feminist approaches are based on the premise that ____________________________.
A) men have oppressed women, causing women to have irreparable emotional damage
B) humans seek and growth through connection with others across the life span
C) only female counselors are effective feminist counselors
D) women and men do not have distinctly different experiences.
Q2) Feminist and cultural counselors place high value in the client's ability to be authentically themselves in relationship with others.This can best be explained as the client __________
A) altering the self to fit the wishes of others at the expense of the client's own personal goals
B) remaining disconnected from all previous relationships prior to beginning counseling
C) reconnecting with others while avoiding sharing any parts of the client's self
D) having a sense of identity from developing a full awareness of the client's own personal values and wishes
Q3) List and describe 3 interventions used in feminist counseling.
Q4) Define and describe the egalitarian relationship.
Q5) How does connection play a role in feminist counseling?
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Chapter 15: Introduction to Theoretical Integration
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Sample Questions
Q1) From the perspective of the _______________ approach,there is an external,knowable "truth" and the counseling relationship is hierarchical in which the counselor serves to teach and guide clients in better ways of being.
A) modernism
B) post-modernism
C) systemic
D) phenomenological
Q2) _____________ is a process of borrowing from more than one theory.
A) eclecticism
B) joining
C) integration
D) combining.
Q3) Some counselors draw techniques from multiple approaches with more concern for identifying interventions likely to work for the client than concern for theoretical principles.This is referred to as _____________________________.
A) common factors
B) assimilative integration
C) systemic treatment selection
D) technical eclecticism
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Chapter 16: Integrative Case Conceptualization
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Sample Questions
Q1) What purpose do counseling theories serve?
Q2) After obtaining the background information about the problem,the counselor should be careful to _____________________________ when choosing words,ordering the information,and emphasizing particular details.
A) insert clinical opinions throughout
B) include descriptive words and adjectives
C) be only positive
D) not impose bias
Q3) It is important to include client demographic features in a case conceptualization because _______________________________________.
A) insurance companies will request this information
B) it will be relevant when you present the case to the client's family
C) it will assist you in diagnosing the client
D) it provides the reader with a basic sketch of the client and his or her support network
Q4) How might a clinician excel in case conceptualization and assessment?
Q5) How does a counselor utilize client strengths in the formation of a case conceptualization?
Q6) List and describe three elements of a case conceptualization.
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